scholarly journals Effective Exercises for Targeting the Gluteus Medius

2012 ◽  
Vol 21 (3) ◽  
pp. 296-300 ◽  
Author(s):  
Karrie L. Hamstra-Wright ◽  
Kellie Huxel Bliven
Keyword(s):  
Lower Extremity ◽  
Isometric Contraction ◽  
Healthy Adult ◽  
Adult Population ◽  
Gluteus Medius ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Maximum Voluntary Isometric Contraction ◽  
Lower Extremity Dysfunction ◽  
And Control

Clinical Scenario:The gluteus medius (GM) is thought to play an important role in stabilizing the pelvis and controlling femoral adduction and internal rotation during functional activity. GM weakness, resulting in decreased stabilization and control, has been suggested to be related to lower extremity dysfunction and injury. Many clinicians focus on strengthening the GM to improve lower extremity kinematics for the prevention and rehabilitation of injury. An indirect way to measure GM strength is through electromyography. It is generally assumed that exercises producing higher levels of activation will result in greater strengthening effects.3 Understanding what exercises result in the greatest level of GM activation will assist clinicians in their injury prevention and rehabilitation efforts.Focused Clinical Question:In a healthy adult population, what lower extremity exercises produce the greatest mean GM activation, expressed as a percentage of maximum voluntary isometric contraction?

Structural brain changes after 4 wk of unilateral strength training of the lower limb

2013 ◽  
Vol 115 (2) ◽  
pp. 167-175 ◽  
Author(s):  
H. S. Palmer ◽  
A. K. Håberg ◽  
M. S. Fimland ◽  
G. M. Solstad ◽  
V. Moe Iversen ◽  
...  
Keyword(s):  
Diffusion Tensor Imaging ◽  
Strength Training ◽  
Isometric Contraction ◽  
Healthy Adult ◽  
Diffusion Tensor ◽  
Mean Diffusivity ◽  
Cortical Activation ◽  
Maximum Voluntary Isometric Contraction ◽  
The Right ◽  
Unilateral Strength Training

Strength training enhances muscular strength and neural drive, but the underlying neuronal mechanisms remain unclear. This study used magnetic resonance imaging (MRI) to identify possible changes in corticospinal tract (CST) microstructure, cortical activation, and subcortical structure volumes following unilateral strength training of the plantar flexors. Mechanisms underlying cross-education of strength in the untrained leg were also investigated. Young, healthy adult volunteers were assigned to training ( n = 12) or control ( n = 9) groups. The 4 wk of training consisted of 16 sessions of 36 unilateral isometric plantar flexions. Maximum voluntary isometric contraction torque was tested pre- and posttraining. MRI investigation included a T1-weighted scan, diffusion tensor imaging and functional MRI. Probabilistic fiber tracking of the CST was performed on the diffusion tensor imaging images using a two-regions-of-interest approach. Fractional anisotropy and mean diffusivity were calculated for the left and right CST in each individual before and after training. Standard functional MRI analyses and volumetric analyses of subcortical structures were also performed. Maximum voluntary isometric contraction significantly increased in both the trained and untrained legs of the training group, but not the control group. A significant decrease in mean diffusivity was found in the left CST following strength training of the right leg. No significant changes were detected in the right CST. No significant changes in cortical activation were observed following training. A significant reduction in left putamen volume was found after training. This study provides the first evidence for strength training-related changes in white matter and putamen in the healthy adult brain.

Reliability of Clinician Scoring of the Landing Error Scoring System to Assess Jump-Landing Movement Patterns

2015 ◽  
Vol 24 (2) ◽  
pp. 214-218 ◽  
Author(s):  
Jessica G. Markbreiter ◽  
Bronson K. Sagon ◽  
Tamara C. Valovich McLeod ◽  
Cailee E. Welch
Keyword(s):  
Lower Extremity ◽  
Scoring System ◽  
Assessment Tool ◽  
Movement Patterns ◽  
Lower Extremity Injury ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Clinical Tool ◽  
Jump Landing ◽  
Landing Biomechanics

Clinical Scenario:An individual’s movement patterns while landing from a jump can predispose him or her to lower-extremity injury, if performed improperly. The Landing Error Scoring System (LESS) is a clinical tool to assess jump-landing biomechanics as an individual jumps forward from a box. Improper movement patterns, which could predispose an individual to lower-extremity injuries, are scored as errors. However, because of the subjective nature of scoring errors during the task, the consistency and reliability of scoring the task are important. Since the LESS is a newer assessment tool, it is important to understand its reliability.Focused Clinical Question:Are clinicians reliable at scoring the LESS to assess jump-landing biomechanics of physically active individuals?

scholarly journals Effects of hula hooping and mini hooping on core muscle activation and hip movement

2018 ◽  
Vol 233 (1) ◽  
pp. 110-115
Author(s):  
Wei-Han Chen ◽  
Wen-Wen Yang ◽  
Ya-Chen Liu ◽  
Wen-Hsuan Pan ◽  
Chiang Liu
Keyword(s):  
Isometric Contraction ◽  
Oscillation Frequency ◽  
Muscle Activation ◽  
Gluteus Maximus ◽  
Gluteus Medius ◽  
Moderate Intensity ◽  
Maximum Voluntary Isometric Contraction ◽  
Hip Motion ◽  
External Oblique ◽  
Adductor Longus

Hula hoops are a popular piece of fitness equipment used to attempt to slim the waistline and improve core muscle endurance. Although there are obvious visible movements at the waist and hip, no study has quantified the intensity of muscle activity during hula hooping. Therefore, this study analyzed muscle activation in the torso and hip during hula hooping. Because injury to the waist often occurs after prolonged, repeated impact between the waist and a hula hoop, this study developed a novel waist fitness hoop that eliminates impact, called the “Mini Hoop,” and determined the effects of mini hooping on hip movement and muscle activation. A total of 16 healthy females performed hula hooping and mini hooping at a self-selected pace. Results showed that hula hooping caused larger muscle activation, with 46%–49% maximum voluntary isometric contraction for the external oblique, spinal erectors, and gluteus medius, whereas gluteus maximus and adductor longus muscle activation were with 22%–29% maximum voluntary isometric contraction. Mini hooping required a smaller range of hip motion in flexion, extension, abduction/adduction, higher pelvic oscillation frequency, and lower muscle activation for the external oblique, spinal erectors, gluteus medius, gluteus maximus, and adductor longus (13%–33% maximum voluntary isometric contraction) compared with hula hooping ( p < 0.05). In conclusion, hula hooping and mini hooping differ in their range of hip motion, pelvic oscillation frequency, and muscle activation requirements. Hula hooping is suitable for moderate-intensity core muscle activation, whereas the Mini Hoop is suitable for low-level core muscle activation.

Sleep Habits and Sleep Patterns in Healthy Adult Population in Chennai

2012 ◽  
Vol 3 (5) ◽  
pp. 507-508
Author(s):  
Dr. M. Ganesh Dr. M. Ganesh ◽  
◽  
Dr.S.A.Sridevi Dr.S.A.Sridevi ◽  
Dr. T.Janagan Dr. T.Janagan
Keyword(s):  
Healthy Adult ◽  
Adult Population ◽  
Sleep Patterns ◽  
Sleep Habits

scholarly journals Concussion in National Football League Athletes Is Not Associated With Increased Risk of Acute, Noncontact Lower Extremity Musculoskeletal Injury

2021 ◽  
Vol 9 (5) ◽  
pp. 232596712110034
Author(s):  
Toufic R. Jildeh ◽  
Fabien Meta ◽  
Jacob Young ◽  
Brendan Page ◽  
Kelechi R. Okoroha
Keyword(s):  
Lower Extremity ◽  
National Football League ◽  
Field Performance ◽  
Return To Play ◽  
Lower Extremity Injury ◽  
Extremity Injury ◽  
Lower Extremity Injuries ◽  
Increased Risk ◽  
Extremity Injuries ◽  
And Control

Background: Impaired neuromuscular function after concussion has recently been linked to increased risk of lower extremity injuries in athletes. Purpose: To determine if National Football League (NFL) athletes have an increased risk of sustaining an acute, noncontact lower extremity injury in the 90-day period after return to play (RTP) and whether on-field performance differs pre- and postconcussion. Study Design: Cohort study, Level of evidence, 3. Methods: NFL concussions in offensive players from the 2012-2013 to the 2016-2017 seasons were studied. Age, position, injury location/type, RTP, and athlete factors were noted. A 90-day RTP postconcussive period was analyzed for lower extremity injuries. Concussion and injury data were obtained from publicly available sources. Nonconcussed, offensive skill position NFL athletes from the same period were used as a control cohort, with the 2014 season as the reference season. Power rating performance metrics were calculated for ±1, ±2, and ±3 seasons pre- and postconcussion. Conditional logistic regression was used to determine associations between concussion and lower extremity injury as well as the relationship of concussions to on-field performance. Results: In total, 116 concussions were recorded in 108 NFL athletes during the study period. There was no statistically significant difference in the incidence of an acute, noncontact lower extremity injury between concussed and control athletes (8.5% vs 12.8%; P = .143), which correlates with an odds ratio of 0.573 (95% CI, 0.270-1.217). Days (66.4 ± 81.9 days vs 45.1 ± 69.2 days; P = .423) and games missed (3.67 ± 3.0 vs 2.9 ± 2.7 games; P = .470) were similar in concussed athletes and control athletes after a lower extremity injury. No significant changes in power ratings were noted in concussed athletes in the acute period (±1 season to injury) when comparing pre- and postconcussion. Conclusion: Concussed, NFL offensive athletes did not demonstrate increased odds of acute, noncontact, lower extremity injury in a 90-day RTP period when compared with nonconcussed controls. Immediate on-field performance of skill position players did not appear to be affected by concussion.

scholarly journals Hypertension prevalence, awareness, treatment and control in 2019 in the adult population of Mayotte

2021 ◽  
Vol 13 (1) ◽  
pp. 105
Author(s):  
L. Calas ◽  
M. Ruello ◽  
Y. Hassani ◽  
J. Richard ◽  
A. Gabet ◽  
...  
Keyword(s):  
Adult Population ◽  
Hypertension Prevalence ◽  
And Control

scholarly journals Near-Infrared Spectroscopy for Monitoring Sternocleidomastoid Muscular Oxygenation during Isometric Flexion for Patients with Mild Nonspecific Neck Pain: A Pilot Study

Sensors ◽  
2020 ◽  
Vol 20 (8) ◽  
pp. 2197
Author(s):  
Chia-Chi Yang ◽  
Po-Ching Yang ◽  
Jia-Jin J. Chen ◽  
Yi-Horng Lai ◽  
Chia-Han Hu ◽  
...  
Keyword(s):  
Infrared Spectroscopy ◽  
Neck Pain ◽  
Near Infrared Spectroscopy ◽  
Isometric Contraction ◽  
Oxidative Metabolism ◽  
Near Infrared ◽  
Maximum Voluntary Isometric Contraction ◽  
Clinical Scenarios ◽  
Wide Range ◽  
Asymptomatic Individuals

Since there is merit in noninvasive monitoring of muscular oxidative metabolism for near-infrared spectroscopy in a wide range of clinical scenarios, the present study attempted to evaluate the clinical usability for featuring the modulatory strategies of sternocleidomastoid muscular oxygenation using near-infrared spectroscopy in mild nonspecific neck pain patients. The muscular oxygenation variables of the dominant or affected sternocleidomastoid muscles of interest were extracted at 25% of the maximum voluntary isometric contraction from ten patients (5 males and 5 females, 23.6 ± 4.2 years) and asymptomatic individuals (6 males and 4 females, 24.0 ± 5.1 years) using near-infrared spectroscopy. Only a shorter half-deoxygenation time of oxygen saturation during a sternocleidomastoid isometric contraction was noted in patients compared to asymptomatic individuals (10.43 ± 1.79 s vs. 13.82 ± 1.42 s, p < 0.001). Even though the lack of statically significant differences in most of the muscular oxygenation variables failed to refine the definite pathogenic mechanisms underlying nonspecific neck pain, the findings of modulatory strategies of faster deoxygenation implied that near-infrared spectroscopy appears to have practical potential to provide relevant physiological information regarding muscular oxidative metabolism and constituted convincing preliminary evidences of the adaptive manipulations rather than pathological responses of oxidative metabolism capacity of sternocleidomastoid muscles in nonspecific neck patients with mild disability.

The Use of Breathing Exercises in the Treatment of Chronic, Nonspecific Low Back Pain

2017 ◽  
Vol 26 (5) ◽  
pp. 452-458 ◽  
Author(s):  
Barton E. Anderson ◽  
Kellie C. Huxel Bliven
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Lung Function ◽  
Clinical Scenario ◽  
Clinical Question ◽  
Low Back ◽  
Bottom Line ◽  
Breathing Exercises

Clinical Scenario:Research has shown a link between poor core stability and chronic, nonspecific low back pain, with data to suggest that alterations in core muscle activation patterns, breathing patterns, lung function, and diaphragm mechanics may occur. Traditional treatment approaches for chronic, nonspecific low back pain focus on exercise and manual therapy interventions, however it is not clear whether breathing exercises are effective in treating back pain.Focused Clinical Question:In adults with chronic, nonspecific low back pain, are breathing exercises effective in reducing pain, improving respiratory function, and/or health related quality of life?Summary of Key Findings:Following a literature search, 3 studies were identified for inclusion in the review. All reviewed studies were critically appraised at level 2 evidence and reported improvements in either low back pain or quality of life following breathing program intervention.Clinical Bottom Line:Exercise programs were shown to be effective in improving lung function, reducing back pain, and improving quality of life. Breathing program frequencies ranged from daily to 2–3 times per week, with durations ranging from 4 to 8 weeks. Based on these results, athletic trainers and physical therapists caring for patients with chronic, nonspecific low back pain should consider the inclusion of breathing exercises for the treatment of back pain when such treatments align with the clinician’s own judgment and clinical expertise and the patient’s preferences and values.Strength of Recommendation:Grade B evidence exists to support the use of breathing exercises in the treatment of chronic, nonspecific low back pain.

Ethnic variation in certain hematological and biochemical reference intervals in a south Indian healthy adult population

2008 ◽  
Vol 19 (1) ◽  
pp. 46-50 ◽  
Author(s):  
M. Sundaram ◽  
J. Mohanakrishnan ◽  
K.G. Murugavel ◽  
E.M. Shankar ◽  
S. Solomon ◽  
...  
Keyword(s):  
Healthy Adult ◽  
Adult Population ◽  
Reference Intervals ◽  
Ethnic Variation ◽  
South Indian
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