Gluteal Muscle Activation During Therapeutic Exercise

2008 ◽  
Vol 40 (Supplement) ◽  
pp. S38
Author(s):  
Lindsay J. DiStefano ◽  
J. Troy Blackburn ◽  
Stephen W. Marshall ◽  
Darin A. Padua
2016 ◽  
Vol 25 (2) ◽  
pp. 164-172 ◽  
Author(s):  
Cindy Y. Lin ◽  
Liang-Ching Tsai ◽  
Joel Press ◽  
Yupeng Ren ◽  
Sun G. Chung ◽  
...  

Context:Gluteal-muscle strength has been identified as an important component of injury prevention and rehabilitation in several common knee injuries. However, many conventionally prescribed gluteal-strengthening exercises are not performed during dynamic weight-bearing activities, which is when most injuries occur.Objectives:To compare lower-limb muscle-activation patterns between conventional gluteal-strengthening exercises and off-axis elliptical exercises with motorized foot-plate perturbations designed to activate gluteal muscles during dynamic exercise.Evidence Acquisition:Twelve healthy volunteers (26.1 ± 4.7 y) participated in the study. They performed 3 conventional exercises (single-leg squat, forward lunge, and clamshell) and 3 elliptical exercises (regular, while resisting an adduction force, and while resisting an internal-rotation torque). Gluteus medius (GMed) and maximus (GMax), quadriceps, hamstrings, and gastrocnemius muscle activations during each exercise were recorded using surface electromyography (EMG) and normalized to maximal voluntary isometric contraction (MVIC).Evidence Synthesis:Normalized GMed EMG was the highest during the adduction-resistance elliptical exercise (22.4% ± 14.8% MVIC), significantly greater than forward lunge (8.2% ± 3.8% MVIC) and regular elliptical (6.4% ± 2.5% MVIC) and similar to clamshell (19.1% ± 8.8% MVIC) and single-leg squat (18.4% ± 7.9% MVIC). Normalized GMax EMG during adduction-resistance (11.1% ± 7.6% MVIC) and internal-rotation-resistance elliptical (7.4% ± 3.8% MVIC) was significantly greater than regular elliptical (4.4% ± 2.4% MVIC) and was similar to conventional exercises. The single-leg squat required more muscle activation from the quadriceps and gastrocnemius than the elliptical exercises.Conclusions:Off-axis elliptical exercise while resisting an adduction force or internal-rotation torque activates gluteal muscles dynamically while avoiding excessive quadriceps activation during a functional weight-bearing activity compared with conventional gluteal-strengthening exercises.


2021 ◽  
pp. 194173812110152
Author(s):  
Zohre Khosrokiani ◽  
Amir Letafatkar ◽  
Bahram Sheikhi ◽  
Abbey C. Thomas ◽  
Peyman Aghaie-ataabadi ◽  
...  

Background: There is some evidence that high-load lumbar stabilization exercises, such as back bridge, can recruit both local and global muscles. Hypothesis: Therapeutic exercises would optimize gluteus maximus (GMax), gluteus medius (GMed), multifidus (MF), and transversus abdominis (TrA) activation, while minimizing the activation of the tensor fascia latae (TFL) and erector spinae (ES) muscles in healthy individuals. Design: Cross-sectional study. Setting: Research laboratory. Level of Evidence: Level 4. Methods: In this cross-sectional study, surface electromyography (EMG) of GMax, GMed, TFL, TrA, MF, and ES was used to quantify the gluteal-to-TFL muscle activation (GTA) index and a ratio of local to global (L/G) lumbar muscles during (1) the elbow-toe exercise in the prone position, (2) the elbow-toe with right left lifted, (3) the hand-knee with left arm and right leg lifted, (4) the back bridge, (5) the back bridge with right leg lifted, (6) the back bridge with left leg lifted, (7) the side bridge with left leg lifted, (8) the side bridge with right leg lifted, and (9) the elbow-toe with right leg horizontally lifted exercises in healthy individuals (20 men, 20 women; age, 25 ± 4 years). Results: The back bridge exercise with left leg lift generated the highest L/G muscles activity ratio (L/G = 3.35) while the hand-knee exercise yielded the lowest L/G muscles activity ratio (L/G = 1.21). The side bridge exercise with left elbow and foot and lifting the right leg (GTA = 63.78), hand-knee exercise (GTA = 49.62), back bridge (GTA = 28.05), and elbow-toe exercise with left leg horizontally lifted (GTA = 23.02) generated the highest GTA indices, respectively. Meanwhile, the normalized EMG amplitude for GMax was significantly less than the TFL, for elbow-toe exercise ( P < 0.001), back bridge with left leg lift ( P = 0.001), side bridge exercise with the right elbow and foot and lifting the left leg ( P = 0.002), and elbow-toe exercise with right leg horizontally lifted ( P < 0.001). Conclusion: The highest GTA indexes were observed during (1) the side bridge lifting the dominant leg and (2) the hand-knee horizontally lifting dominant leg, respectively. The L/G ratio was highest during (1) the back bridge lifting nondominant leg, (2) back bridge, and (3) back bridge lifting dominant leg, respectively. This study supports the use of back bridge exercises to strengthen the MF and side bridges to improve gluteal muscle activation. Clinical Relevance: The highest GTA index was observed in the side bridge lifting the right leg. Highest L/G ratio was in the back bridge with nondominant leg lifted. This study supports the use of back bridge exercises to strengthen the MF. This study supports the use of side bridges to improve gluteal muscle activation.


2019 ◽  
pp. 1-8

Abstract Background: Eccentric Exercise has been shown to be more effective in building muscle and healing damaged tissue than concentric or isometric exercise. It has also been shown to be effective in increasing motor control. But the duration of therapeutic exercise in physical therapy is limited by insurance to 30-60 minutes a day. Objectives: Four standard therapy eccentric exercises of the lower limbs were compared (toe raise, ball exercise, side lying eccentric exercise and incline board exercise) to a trainer called the BTE Eccentron to see if the efficiency of exercise could be increased using one exercise session to meet or beat the four individual exercises. Subjects and Methods: The study examined eight randomly selected participants with no known medical conditions (neurological or orthopedic) that would preclude their participation (age=24.1+/-2.1 years height=168.9+/-6.4 cm BMI=23.2+/-3.2). EMG was used to assess muscle recruitment in each exercise. The muscles studies were the gastrocnemius, hamstring, hip adductors, and quadriceps muscles. Results: Muscle use on the eccentron was almost double that of the other exercises. Thus, making therapy more efficient. One single exercise bout showed more muscle activation during eccentric exercise than the other four exercises, with an average muscle use almost 4 times higher on the eccentron. Conclusion: The Eccentron offers a considerable advantage for clinical treatment making exercise and neuromuscular training more efficient.


Author(s):  
B.J. Lehecka ◽  
Sydney Stoffregen ◽  
Adam May ◽  
Jacob Thomas ◽  
Austin Mettling ◽  
...  

2014 ◽  
Vol 15 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Christian J. Barton ◽  
Aedin Kennedy ◽  
Richard Twycross-Lewis ◽  
Roger Woledge ◽  
Peter Malliaras ◽  
...  

2020 ◽  
pp. 1-7
Author(s):  
Corbin Hedt ◽  
Bradley S. Lambert ◽  
Matthew L. Holland ◽  
Joshua Daum ◽  
Jeremiah Randall ◽  
...  

Context: Shoulder rehabilitation can be a difficult task due to the dynamic nature of the joint complex. Various weight training implements, including kettlebells (KB), have been utilized for therapeutic exercise in the rehabilitation setting to improve shoulder girdle strength and motor control. The KBs are unique in that they provide an unstable load and have been purported to promote greater muscle activation versus standard dumbbells. Recent literature has examined the efficacy of KB exercises for global strengthening and aerobic capacity; however, electromyographic data for shoulder-specific activities are lacking. Objective: To examine muscle activation patterns about the rotator cuff and scapular musculature during 5 commonly-utilized KB exercises. Design: Cross-sectional analysis of a single group. Setting: Clinical biomechanics laboratory. Participants: Ten participants performed all exercises in a randomized order. Main Outcome Measures: Mean electromyographic values for each subject were compared between exercises for each target muscle. Results: Significant differences (P < .05) between exercises were observed for all target muscles except for the infraspinatus. Conclusions: The data in this study indicates that certain KB exercises may elicit activation of the shoulder girdle at different capacities. Physical therapy practitioners, athletic trainers, and other clinical professionals who intend to optimize localized strengthening responses may elect to prescribe certain exercises over others due to the inherent difference in muscular utilization. Ultimately, this data may serve to guide or prioritize exercise selection to achieve higher levels of efficacy for shoulder strength and stability gains.


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