The Journal of Korean Physical Therapy

  • 제31권1호
  • /
  • Pages.62-66
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  • 2019
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  • 1229-0475(pISSN)
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  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
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Consideration of the Exercise position for Facilitating Gluteus Medius Maximally in Normal Adults

  • Park, Sung Jin (Department of Physical Therapy, Yeungnam University College) ;
  • Park, Ji Won (Department of Physical Therapy, College of Bio and Medical Science, Daegu Catholic University) ;
  • Kwon, Yonghyun (Department of Physical Therapy, Yeungnam University College)
  • 투고 : 2019.02.12
  • 심사 : 2019.02.28
  • 발행 : 2019.02.28
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초록

Purpose: This study examined the most efficient exercise position to activate the gluteus medius (GM) and tensor fascia latae (TFL) in hip abduction in side-lying (HA-SL), clam in side-lying (CL-SL), and sling bridging in side-lying (SB-SL), which are the most representative GM exercises. Methods: Twenty-four healthy male adults aged from 20 to 40 years, whose body mass index was under 25, participated in this experiment. While all participants conducted three different positions with a counterbalanced manner, such as in AB, CL, and BR, activation of the GM and TFL was measured using 8-channel wireless EMG. Exercise was performed for 10 seconds three times in total with a five minute-break session. Results: Significant differences in GM and TFL activation were observed among the three positions (p<0.05). The highest activation of 60.69 was observed in BR followed in order by 46.03 and 12.92 in HA-SL and CL, respectively. TFL activation in HA-SL was 42.01, followed in order by 35.98 and 14.01 in BR and CL, respectively. On the other hand, there was no significant difference in TFL muscle activation between BR and HA-SL. Conclusion: These findings suggest that both BR and HA-SL in GM can be done selectively. CL has remarkably low muscle activation in GM and TFL, which makes it less valuable in GM and TFL exercise. In conclusion, selective BR and HA-SL exercise should be applied to maximally and effectively activate the GM.

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참고문헌

  1. Cichanowski HR, Schmitt JS, Johnson RJ et al. Hip strength in collegiate female athletes with patellofemoral pain. Med Sci Sports Exerc. 2007;39(8):1227-32. https://doi.org/10.1249/mss.0b013e3180601109
  2. Friel K, McLean N, Myers C et al. Ipsilateral hip abductor weakness after inversion ankle sprain. J Athl Train. 2006;41(1):74-8.
  3. Hewett TE, Myer GD, Ford KR. Anterior cruciate ligament injuries in female athletes: Part 1, mechanisms and risk factors. Am J Sports Med. 2006;34(2):299-311. https://doi.org/10.1177/0363546505284183
  4. Robinson RL, Nee RJ. Analysis of hip strength in females seeking physical therapy treatment for unilateral patellofemoral pain syndrome. J Orthop Sports Phys Ther. 2007;37(5):232-8. https://doi.org/10.2519/jospt.2007.2439
  5. Ford KR, Myer GD, Toms HE et al. Gender differences in the kinematics of unanticipated cutting in young athletes. Med Sci Sports Exerc. 2005;37(1):124-9. https://doi.org/10.1249/01.MSS.0000150087.95953.C3
  6. Fredericson M, Cookingham CL, Chaudhari AM et al. Hip abductor weakness in distance runners with iliotibial band syndrome. Clin J Sport Med. 2000;10(3):169-75. https://doi.org/10.1097/00042752-200007000-00004
  7. Earl JE, Hoch AZ. A proximal strengthening program improves pain, function, and biomechanics in women with patellofemoral pain syndrome. Am J Sports Med. 2011;39(1):154-63. https://doi.org/10.1177/0363546510379967
  8. Fukuda TY, Rossetto FM, Magalhaes E et al. Short-term effects of hip abductors and lateral rotators strengthening in females with patellofemoral pain syndrome: a randomized controlled clinical trial. J Orthop Sports Phys Ther. 2010;40(11):736-42. https://doi.org/10.2519/jospt.2010.3246
  9. Wagner T, Behnia N, Ancheta WK et al. Strengthening and neuromuscular reeducation of the gluteus maximus in a triathlete with exercise-associated cramping of the hamstrings. J Orthop Sports Phys Ther. 2010;40(2):112-9. https://doi.org/10.2519/jospt.2010.3110
  10. Granat MH, Maxwell DJ, Ferguson AC et al. Peroneal stimulator; evaluation for the correction of spastic drop foot in hemiplegia. Arch Phys Med Rehabil. 1996;77(1):19-24. https://doi.org/10.1016/S0003-9993(96)90214-2
  11. Lebangie PK, Norkin CC. Joint structure and function: A comprehensive analysis. 5th, Philadelphia, F.A. Davis Company, 2011.
  12. Clark JM, Haynor DR. Anatomy of the abductor muscles of the hip as studied by computed tomography. J Bone Joint Surg Am. 1987;69(7):1021-31. https://doi.org/10.2106/00004623-198769070-00010
  13. 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. https://doi.org/10.1123/jsr.18.1.91
  14. Ekstrom RA, Donatelli RA, Carp KC. Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises. J Orthop Sports Phys Ther. 2007;37(12):754-62. https://doi.org/10.2519/jospt.2007.2471
  15. McBeth JM, Earl-Boehm JE, Cobb SC et al. Hip muscle activity during 3 side-lying hip-strengthening exercises in distance runners. J Athl Train. 2012;47(1):15-23. https://doi.org/10.4085/1062-6050-47.1.15
  16. Distefano LJ, Blackburn JT, Marshall SW et al. Gluteal muscle activation during common therapeutic exercises. J Orthop Sports Phys Ther. 2009;39(7):532-40. https://doi.org/10.2519/jospt.2009.2796
  17. 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 Phys Ther. 2013;43(2):54-64. https://doi.org/10.2519/jospt.2013.4116
  18. Jang PH. Electromyographic analysis of gluteus medius and gluteus maximus during 20 exercises. Dankook University, Dissertation of Master's degree. 2015.
  19. Chun DC. Comparison of gluteus medius activity according to the posture of hip abduction exercise. Daegu Catholic University, Dissertation of Master's degree. 2014.
  20. Kwak SD, Ahmad CS, Gardner TR et al. Hamstrings and iliotibial band forces affect knee kinematics and contact pattern. J Orthop Res. 2000;18(1):101-8. https://doi.org/10.1002/jor.1100180115
  21. Powers CM. The influence of abnormal hip mechanics on knee injury: A biomechanical perspective. J Orthop Sports Phys Ther. 2010;40(2):42-51. https://doi.org/10.2519/jospt.2010.3337
  22. Soderberg GL, Dostal WF. Electromyographic study of three parts of the gluteus medius muscle during functional activities. Phys Ther. 1978;58(6):691-6. https://doi.org/10.1093/ptj/58.6.691
  23. Gombatto SP, Norton BJ, Sahrmann SA et al. Factors contributing to lumbar region passive tissue characteristics in people with and people without low back pain. Clin Biomech (Bristol, Avon). 2013;28(3):255-61. https://doi.org/10.1016/j.clinbiomech.2013.01.005
  24. 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
  25. Avers D, Brown M, Hislop H. Daniels and worthingham's muscle testing. 9th. Saunders, Elsevier Health Sciences, 2013.
  26. Houglum PA, Bertoti DB. Brunnstrom's clinical kinesiology. 6th. Philadelphia F.A. Davis Company, 2012.
  27. Chaitow L, Crenshaw K. Muscle energy techniques. 3th, London, Elsevier Churchill Livingstone, 2006.
  28. Sahrmann S. Diagnosis and treatment of movement impairment syndromes. 1st. St Louis, Mosby, 2001.
  29. Konradsen L, Voigt M, Hojsgaard C. Ankle inversion injuries. The role of the dynamic defense mechanism. Am J Sports Med. 1997;25(1):54-8. https://doi.org/10.1177/036354659702500110
  30. Bolgla LA, Malone TR, Umberger BR et al. Comparison of hip and knee strength and neuromuscular activity in subjects with and without patellofemoral pain syndrome. Int J Sports Phys Ther. 2011;6(4):285-96.
  31. Andersen LL, Magnusson SP, Nielsen M et al. Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises: implications for rehabilitation. Phys Ther. 2006;86(5):683-97. https://doi.org/10.1093/ptj/86.5.683
  32. Delp SL, Hess WE, Hungerford DS et al. Variation of rotation moment arms with hip flexion. J Biomech. 1999;32(5):493-501. https://doi.org/10.1016/S0021-9290(99)00032-9
  33. Boren K, Conrey C, Le Coguic J et al. Electromyographic analysis of gluteus medius and gluteus maximus during rehabilitation exercises. Int J Sports Phys Ther. 2011;6(3):206-23.