Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Comparison of Difference of the Gluteus Medius Muscle Fiber Thickness during maximum muscle contraction between Chronic Low Back Pain with Gluteus Medius Weakness and Healthy Subject

중둔근 약화를 가진 만성요통환자와 건강한 대상자간 중둔근 최대 근수축 시 근섬유별 두께 비교

  • Lee, Sang-Wk (Department of Physical Therapy, Graduate School, Daejeon University) ;
  • Kim, Suhn-Yeop (Department of Physical Therapy, Graduate School, Daejeon University) ;
  • Yang, Jin-Mo (Department of Physical Therapy, Graduate School, Daejeon University) ;
  • Park, Seong-Doo (Department of Physical Therapy, Graduate School, Daejeon University)
  • 이상욱 (대전대학교 물리치료학과) ;
  • 김선엽 (대전대학교 물리치료학과) ;
  • 양진모 (대전대학교 물리치료학과) ;
  • 박성두 (대전대학교 물리치료학과)
  • Received : 2014.10.02
  • Accepted : 2015.01.18
  • Published : 2015.02.28
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Abstract

PURPOSE: The aim of this study is to compare changes in the thickness of the gluteus medius muscle fiber between chronic low back pain(clbp) with gluteus medius weakness and healthy subject. METHODS: Ultrasound imaging was used to measure in the thickness of each fiber of the gluteus medius muscle based on maximal muscle contraction during abduction motion of the hip joint in a healthy group (11 subjects) and a chronic CLBP group (21 subjects). An independent t-test was performed to analyze the difference of thickness in each fiber of the gluteus medius muscle and the rate of changes in the fibers in the two groups. RESULTS: The fiber thickness changes in the gluteus medius muscle were significantly lower for the posterior fiber in the CLBP group compared to the healthy group (p<0.01). The changes in rate of difference of thickness the posterior part of the gluteus medius muscle was significantly lower in the CLBP group than in the healthy group (p<0.05). CONCLUSION: The findings of this study CLBP patients with weakness of the gluteus medius muscle that lower for the posterior fiber's difference of thickness and rate of change in the CLBP group compared to the healthy group. Indicate that rehabilitation of CLBP patients with weakness of the gluteus medius muscle should consider the functions of posterior fiber of the gluteus medius muscle.

Keywords

References

  1. Al-Hayani A. The functional anatomy of hip abductors.Folia Morphol (Warsz). 2009;68(2):98-103.
  2. Arab AM, Nourbakhsh MR. The relationship between hip abductor muscle strength and iliotibial band tightness in individuals with low back pain. Chiropractic & osteopathy. 2010;18(1):1. https://doi.org/10.1186/1746-1340-18-1
  3. Arokoski MH, Arokoski JP, Haara M, et al. Hip muscle strength and muscle cross sectional area in men with and without hip osteoarthritis. J Rheumatol. 2002;29(10):2185-95.
  4. Bewyer KJ, Bewyer DC, Messenger D, et al. Pilot data: Association between gluteus medius weakness and low back pain during pregnancy. Iowa Orthop J. 2009;29:97-9.
  5. Bolgla LA, Uhl TL. Reliability of electromyographic normalization methods for evaluating the hip musculature.J ElectromyogrKinesiol. 2007;17(1):102-11.
  6. Boudreau SN, Dwyer MK, Mattacola CG, et al. Hip-muscle activation during the lunge, single-leg squat, and step-up-and-over exercises. J Sport Rehabil. 2009;18(1):91-103.
  7. Dwyer MK, Stafford K, Mattacola CG, et al. Comparison of gluteus medius muscle activity during functional tasks in individuals with and without osteoarthritis of the hip joint.ClinBiomech. 2013;28(7):757-61.
  8. Ellison JB, Rose SJ, Sahrmann SA. Patterns of hip rotation range of motion: A comparison between healthy subjects and patients with low back pain. PhysTher. 1990;70(9):537-41.
  9. Ferguson L. Knee pain: Addressing the interrelationships between muscle and joint dysfunction in the hip and pelvis and the lower extremity. J Bodywork Movement Ther. 2006;10(4):287-96. https://doi.org/10.1016/j.jbmt.2006.02.005
  10. Gombatto SP, Collins DR, Sahrmann SA, et al. Gender differences in pattern of hip and lumbopelvic rotation in people with low back pain.ClinBiomech. 2006;21(3):263-71.
  11. Gottschalk F, Kourosh S, Leveau B. The functional anatomy of tensor fasciae latae and gluteus medius andminimus. J Anat. 1989;166:179-89.
  12. Grimaldi A. Assessing lateral stability of the hip and pelvis. Man Ther. 2011;16(1):26-32. https://doi.org/10.1016/j.math.2010.08.005
  13. Grimaldi A, Richardson C, Stanton W, et al.The association between degenerative hip joint pathology and size of the gluteus medius, gluteus minimus and piriformis muscles. Man Ther. 2009;14(6):605-10. https://doi.org/10.1016/j.math.2009.07.004
  14. Hinman RS, Hunt MA, Creaby MW, et al. Hip muscle weakness in individuals with medial knee osteoarthritis.Arthritis Care Res (Hoboken). 2010;62(8):1190-3. https://doi.org/10.1002/acr.20199
  15. Hoffman SL, Johnson MB, Zou D, et al. Effect of classification-specific treatment on lumbopelvic motion during hip rotation in people with low back pain. Man Ther. 2011;16(4):344-50. https://doi.org/10.1016/j.math.2010.12.007
  16. Hoffmann A, Pfirrmann C. The hip abductors at MR imaging.Eur J Radiol. 2012;81(12):3755-62. https://doi.org/10.1016/j.ejrad.2010.03.002
  17. Jacobs CA, Uhl TL, Seeley M, et al. Strength and fatigability of the dominant and nondominant hip abductors. J Athl Train. 2005;40(3):203-6.
  18. Jacobs CA, Uhl TL, Mattacola CG, et al. Hip abductor function and lower extremity landing kinematics: Sex differences. J Athl Train. 2007;42(1):76-83.
  19. Kendall FP, McCreary EK, Provance PG. Muscles: Testing andfunction with postureand pain(5th ed). Baltimore. Williams & Wilkins. 2005.
  20. Kendall KD.Lumbopelvic stability in non-specific low back pain: Exploring the relationships between hip strengthening, lumbopelvic mechanics, and pain. J Sport Med. 2013;23:45-51.
  21. Khayambashi K, Mohammadkhani Z, Ghaznavi K, et al. The effects of isolated hip abductor and external rotator muscle strengthening on pain, health status, and hip strength in females with patellofemoral pain: A randomized controlled trial. J Orthop Sports PhysTher. 2012;42(1):22-9. https://doi.org/10.2519/jospt.2012.3704
  22. Kim D, Lee S, Lee H, et al. Validation of the korean version of the oswestry disability index. Spine. 2005;30(5):E123-7. https://doi.org/10.1097/01.brs.0000157172.00635.3a
  23. Kleissen RF. Effects of electromyographic processing methods on computer-averaged surface electromyographic profiles for the gluteus medius muscle. PhysTher. 1990;70(11):716-22.
  24. Lee J, Cynn H, Choi S, et al. Effects of different hip rotations on gluteus medius and tensor fasciae latae muscle activity during isometric side-lying hip abduction. J Sport Rehab. 2013;22(4):301-7.
  25. Lee S, Powers C. Description of a weight-bearing method to assess hip abductor and external rotator muscle performance.J Orthop Sports PhysTher. 2013;43(6):392-7. https://doi.org/10.2519/jospt.2013.4412
  26. Lewis CL, Sahrmann SA, Moran DW.Effect of position and alteration in synergist muscle force contribution on hip forces when performing hip strengthening exercises.ClinBiomech. 2009;24(1):35-42.
  27. Lin Y, Wang T. Ultrasonographic examination of the adult hip. J Med Ultraso. 2012;20(4):201-9. https://doi.org/10.1016/j.jmu.2012.10.009
  28. Mannion AF, Kaser L, Weber E, et al. Influence of age and duration of symptoms on fiber type distribution and size of the back muscles in chronic low back pain patients. Eur Spine J. 2000:273-81.
  29. Marshall PW, Patel H, Callaghan JP. Gluteus medius strength, endurance, and co-activation in the development of low back pain during prolonged standing. Hum. MovSci, 2011;30(1):63-73.
  30. Merskey H, Bogduk N. Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definition of Pain Terms(2nded).Seattle. IASP Press. 1994.
  31. Nadler SF, DePrince ML, Hauesien N, et al. Portable dynamometer anchoring station for measuring strength of the hip extensors and abductors. Arch PhysMed Rehabil. 2000;81(8):1072-6. https://doi.org/10.1053/apmr.2000.7165
  32. Nadler SF, Malanga GA, Bartoli LA, et al. Hip muscle imbalance and low back pain in athletes: Influence of core strengthening. Med Sci Sports Exerc. 2002;34(1):9-16. https://doi.org/10.1097/00005768-200201000-00003
  33. Nelson-Wong E, Gregory DE, Winter DA, et al. Gluteus medius muscle activation patterns as a predictor of low back pain during standing. ClinBiomech. 2008;23(5):545-53.
  34. Newcomer KL, Jacobson TD, Gabriel DA, et al. Muscle activation patterns in subjects with and without low back pain. Arch Phys Med Rehabil. 2002;83(6):816-21. https://doi.org/10.1053/apmr.2002.32826
  35. O'Dwyer C, Sainsbury D, O'Sullivan K. Gluteus medius muscle activation during isometric muscle contractions. J Sport Rehabil. 2011;20(2):174-86.
  36. O'Sullivan K, Smith SM, Sainsbury D. Electromyographic analysis of the three subdivisions of gluteus medius during weight-bearing exercises. Sports Med ArthroscRehabilTher Technol. 2010;12(2):17.
  37. Scholtes SA, Norton BJ, Lang CE, et al. The effect of within-session instruction on lumbopelvic motion during a lower limb movement in people with and people without low back pain. Man Ther. 2010;15(5):496-501. https://doi.org/10.1016/j.math.2010.05.003
  38. Scott DA, Bond EQ, Sisto SA, et al. The intra-and interrater reliability of hip muscle strength assessments using a handheld versus a portable dynamometer anchoring station.Arch Phys Med Rehabil. 2004;85(4):598-603. https://doi.org/10.1016/j.apmr.2003.07.013
  39. Selkowitz DM, Beneck GJ, Powers CM. Which exercises target the gluteal muscles while minimizing activation of the tensor fascia lata? Electromyographic assessment using fine-wire electrodes.J Orthop Sports PhysTher. 2013;43(2):54-64. https://doi.org/10.2519/jospt.2013.4116
  40. Semciw AI, Pizzari T, Murley GS, et al. Gluteus medius: An intramuscular EMG investigation of anterior, middle and posterior segments during gait. J ElectromyogrKinesiol. 2013;23(4):858-64.
  41. Siebenga VJM, Leferink MJM, Seger MJ, et al.A prospective cohort study comparing the VAS spine score and RolandMorris disability questionnaire in patients with a type A traumatic thoracolumbar spinal fracture. Eur Spine J. 2008;17(8):1096-100. https://doi.org/10.1007/s00586-008-0705-y
  42. Soderberg GL, Dostal WF. Electromyographic study of three parts of the gluteus medius muscle during functional activities.PhysTher. 1978;58(6):691-6.
  43. Widler KS, Glatthorn JF, Bizzini M, et al. Assessment of hip abductor muscle strength. A validity and reliability study. J Bone Joint Surg Am. 2009;91(11):2666-72. https://doi.org/10.2106/JBJS.H.01119
  44. Yoshihara K,Shirai Y, Nakayama Y, et al.Histochemicalchanges in the multifidus muscle in patients with lumbarintervertebral disc herniation.Spine.2001;26(6):622-6 https://doi.org/10.1097/00007632-200103150-00012

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