scholarly journals Comparison of Prone Hip Extension Exercise and Prone Hip Extension Exercise after Iliopsoas Stretching on Lumbopelvic Control and Gluteus Maximus Activity in Subjects with Short Iliopsoas

2017 ◽  
Vol 1 (1) ◽  
pp. 19-25 ◽  
Author(s):  
In-cheol Jeon ◽  
Jun-hyeok Jang
Author(s):  
Justin Goins

Clinical Question: What is the most optimal position to perform the prone hip extension exercise in order to improve the gluteus maximus to hamstring activation ratio? Clinical Bottom Line: There does not appear to be a specific position recommended to perform the prone hip extension exercise in order to activate the gluteus maximus over the hamstrings.


2020 ◽  
pp. 1-9
Author(s):  
Neal R. Glaviano ◽  
David M. Bazett-Jones

Context: Hip muscle strength has previously been evaluated in various sagittal plane testing positions. Altering the testing position appears to have an influence on hip muscle torque during hip extension, abduction, and external rotation. However, it is unknown how altering the testing position influences hip muscle activity during these commonly performed assessments. Objectives: To evaluate how hip sagittal plane position influences hip muscle activation and torque output. Study Design: Cross-sectional. Setting: Laboratory. Patients or Other Participants: A total of 22 healthy females (age = 22.1 [1.4] y; mass = 63.4 [11.3] kg; height = 168.4 [6.2] cm) were recruited. Intervention: None. Main Outcome Measures: Participants completed isometric contractions with surface electromyography on the superior and inferior gluteus maximus; anterior, middle, and posterior gluteus medius; biceps femoris, semitendinosus, adductor longus, and tensor fascia latae. Extension and external rotation were tested in 0°, 45°, and 90° of hip flexion and abduction was tested in −5°, 0°, and 45° of hip flexion. Repeated-measures analysis of variances were used for statistical analysis (P ≤ .01). Results: Activation of gluteal (P < .007), semitendinosus (P = .002), and adductor longus (P = .001) muscles were lesser for extension at 90° versus less flexed positions. Adductor longus activity was greatest during 90° of hip flexion for external rotation torque testing (P < .001). Tensor fascia latae (P < .001) and gluteus maximus (P < .001) activities were greater in 45° of hip flexion. Significant differences in extension (P < .001) and abduction (P < .001) torque were found among positions. Conclusions: Position when assessing hip extension and abduction torque has an influence on both muscle activity and torque output but only muscle activity for hip external rotation torque. Clinicians should be aware of the influence of position on hip extension, abduction, and external rotation muscle testing and select a position most in line with their clinical goals.


2018 ◽  
Vol 27 (2) ◽  
pp. 138-143 ◽  
Author(s):  
John H. Hollman ◽  
Tyler A. Berling ◽  
Ellen O. Crum ◽  
Kelsie M. Miller ◽  
Brent T. Simmons ◽  
...  

Context: Hip extension with hamstring-dominant rather than gluteus maximus-dominant recruitment may increase anterior femoracetabular forces and contribute to conditions that cause hip pain. Cueing methods during hip extension exercises may facilitate greater gluteus maximus recruitment. Objective: We examined whether specific verbal and tactile cues facilitate gluteus maximus recruitment while inhibiting hamstring recruitment during a bridging exercise. Design: Randomized controlled trial. Setting: Biomechanics laboratory. Participants: 30 young adult women (age 24 [3] y; BMI 22.2 [2.4] kg/m2). Intervention: Participants were tested over 2 sessions, 1 week apart, while performing 5 repetitions of a bridging exercise. At their second visit, participants in the experimental group received verbal and tactile cues intended to facilitate gluteus maximus recruitment and inhibit hamstring recruitment. Control group participants received no additional cues beyond original instructions. Main Outcome Measures: Gluteus maximus and hamstring recruitment were measured with surface electromyography, normalized to maximal voluntary isometric contractions (MVICs). Results: Gluteus maximus recruitment was unchanged in the control group and increased from 16.8 to 33.0% MVIC in the cueing group (F = 33.369, P < .001). Hamstring recruitment was unchanged in the control group but also increased from 16.5 to 29.8% MVIC in the cueing group (F = 6.400, P = .02). The effect size of the change in gluteus maximus recruitment in the cueing group (Cohen’s d = 1.5, 95% CI = 0.9 to 2.2) was not significantly greater than the effect size in hamstring recruitment (Cohen’s d = 0.8, 95% CI = 0.1 to 1.5). Conclusions: Verbal and tactile cues hypothesized to facilitate gluteus maximus recruitment yielded comparable increases in both gluteus maximus and hamstring recruitment. If one intends to promote hip extension by facilitating gluteus maximus recruitment while inhibiting hamstring recruitment during bridging exercises, the cueing methods employed in this study may not produce desired effects.


Author(s):  
Jia Liu ◽  
Hsiang-Ling Teng ◽  
David M. Selkowitz ◽  
Skulpan Asavasopon ◽  
Christopher M. Powers

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