DOI QR코드

DOI QR Code

Investigating the Impact of Different Resisted Lateral Band Walking Strategies on Hip Abductor Muscle Activity

  • Sin Sil Kim (Department of Physical Therapy, Graduate School, Sahmyook University) ;
  • Sungbae Jo (Department of Physical Therapy, Graduate School, Sahmyook University) ;
  • Seung-gu Lee (Department of Physical Therapy, Graduate School, Sahmyook University) ;
  • Changho Song (Department of Physical Therapy, College of Health and Welfare, Sahmyook University)
  • Received : 2022.12.27
  • Accepted : 2023.02.09
  • Published : 2023.03.31

Abstract

Objective: This study aimed to investigate the effects of squat posture, band position, and contraction type on the muscle activity of the hip abductors during resisted lateral band walking. Design: A cross-sectional survey study Methods: 24 healthy male subjects were recruited, and surface electromyography was used to measure the muscle activity of the gluteus maximus, gluteus medius, and tensor fascia lata of the dominant leg during lateral walking exercises. Resistance bands were applied to the knees, ankles, and feet in semi-squat and squat postures, and exercises were randomly performed under six different conditions. Results: The results showed significant differences in muscle activity in the gluteus maximus, gluteus medius, and tensor fascia lata according to posture, band position, and contraction type (p<0.05). The muscle activity of the hip abductors increased in the squat posture and with the band placed on the distal joint compared to the proximal joint (p<0.05). Additionally, muscle activity was higher in the eccentric contraction phase than in the concentric contraction phase (p<0.05). Contrary to previous studies, moving the resistance band from the ankle to the foot increased the muscle activity of the tensor fascia lata while the activity of the gluteus maximus and gluteus medius also increased. Conclusions: According to the results, squat posture with a resistance band placed on the feet and using an eccentric contraction phase were found to be the most effective methods for strengthening the hip abductors.

Keywords

References

  1. Bishop BN, Greenstein J, Etnoyer-Slaski JL, Sterling H, Topp R. Electromyographic analysis of gluteus Maximus, gluteus medius, and tensor fascia Latae during therapeutic exercises with and without elastic resistance. Int J Sports Phys Ther. 2018;13:668-75.  https://doi.org/10.26603/ijspt20180668
  2. Elzanie A, Borger J. Anatomy, Bony Pelvis and Lower Limb. 2022. 
  3. Neumann DA. Kinesiology of the hip: a focus on muscular actions. J Orthop Sports Phys Ther. 2010;40:82-94.  https://doi.org/10.2519/jospt.2010.3025
  4. Grimaldi A. Assessing lateral stability of the hip and pelvis. Man Ther. 2011;16:26-32.  https://doi.org/10.1016/j.math.2010.08.005
  5. Lavine R. Iliotibial band friction syndrome. Curr Rev Musculoskelet Med. 2010;3:18-22.  https://doi.org/10.1007/s12178-010-9061-8
  6. Van Cant J, Pineux C, Pitance L, Feipel V. Hip muscle strength and endurance in females with patellofemoral pain: a systematic review with meta-analysis. Int J Sports Phys Ther. 2014;9:564-82. 
  7. Homan KJ, Norcross MF, Goerger BM, Prentice WE, Blackburn JT. The influence of hip strength on gluteal activity and lower extremity kinematics. J Electromyogr Kinesiol. 2013;23:411-5.  https://doi.org/10.1016/j.jelekin.2012.11.009
  8. Thomas DT, R S, Prabhakar AJ, Dineshbhai PV, Eapen C. Hip abductor strengthening in patients diagnosed with knee osteoarthritis a systematic review and meta-analysis. BMC Musculoskelet Disord. 2022;23:622. 
  9. Dix J, Marsh S, Dingenen B, Malliaras P. The relationship between hip muscle strength and dynamic knee valgus in asymptomatic females: A systematic review. Phys Ther Sport. 2019;37:197-209.  https://doi.org/10.1016/j.ptsp.2018.05.015
  10. Hewett TE, Myer GD. The mechanistic connection between the trunk, hip, knee, and anterior cruciate ligament injury. Exerc Sport Sci Rev. 2011;39:161-6.  https://doi.org/10.1097/JES.0b013e3182297439
  11. Malloy PJ, Morgan AM, Meinerz CM, Geiser CF, Kipp K. Hip external rotator strength is associated with better dynamic control of the lower extremity during landing tasks. J Strength Cond Res. 2016;30:282-91.  https://doi.org/10.1519/JSC.0000000000001069
  12. Neal BS, Lack SD, Lankhorst NE, Raye A, Morrissey D, van Middelkoop M. Risk factors for patellofemoral pain: a systematic review and meta-analysis. Br J Sports Med. 2019;53:270-81.  https://doi.org/10.1136/bjsports-2017-098890
  13. Sahrmann S, Azevedo DC, Van Dillen L. Diagnosis and treatment of movement system impairment syndromes. Braz J Phys Ther. 2017;21:391-9.  https://doi.org/10.1016/j.bjpt.2017.08.001
  14. Macadam P, Cronin J, Contreras B. An examination of the gluteal muscle activity associated with dynamic hip abduction and hip external rotation exercise: A systematic review. Int J Sports Phys Ther. 2015;10:573-91. 
  15. McBeth JM, Earl-Boehm JE, Cobb SC, Huddleston WE. Hip muscle activity during 3 side-lying hip-strengthening exercises in distance runners. J Athl Train. 2012;47:15-23.  https://doi.org/10.4085/1062-6050-47.1.15
  16. 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;43:54-64.  https://doi.org/10.2519/jospt.2013.4116
  17. Sidorkewicz N, Cambridge EDJ, McGill SM. Examining the effects of altering hip orientation on gluteus medius and tensor fascae latae interplay during common non-weight-bearing hip rehabilitation exercises. Clin Biomech (Bristol, Avon). 2014;29:971-6.  https://doi.org/10.1016/j.clinbiomech.2014.09.002
  18. Willcox EL, Burden AM. The influence of varying hip angle and pelvis position on muscle recruitment patterns of the hip abductor muscles during the clam exercise. J Orthop Sports Phys Ther. 2013;43:325-31.  https://doi.org/10.2519/jospt.2013.4004
  19. Loyd BJ, Jennings JM, Judd DL, Kim RH, Wolfe P, Dennis DA, et al. Influence of hip abductor strength on functional outcomes before and after total knee arthroplasty: Post hoc analysis of a randomized controlled trial. Phys Ther. 2017;97:896-903.  https://doi.org/10.1093/ptj/pzx066
  20. Piva SR, Teixeira PEP, Almeida GJM, Gil AB, DiGioia AM, 3rd, Levison TJ, et al. Contribution of hip abductor strength to physical function in patients with total knee arthroplasty. Phys Ther. 2011;91:225-33.  https://doi.org/10.2522/ptj.20100122
  21. Raya-Gonzalez J, Garcia-Esteban S, Hume P, Castillo D. Effects of gluteal muscles strengthening on lower-limb injuries in male professional handball players: A preliminary study. J Strength Cond Res. 2021;35:1593-8.  https://doi.org/10.1519/JSC.0000000000003620
  22. Stasi S, Papathanasiou G, Chronopoulos E, Galanos A, Papaioannou NA, Triantafyllopoulos IK. Association between abductor muscle strength and functional outcomes in hip-fractured patients: a cross-sectional study. J Musculoskelet Neuronal Interact. 2018;18:530-42. 
  23. Berry JW, Lee TS, Foley HD, Lewis CL. Resisted side stepping: The effect of posture on hip abductor muscle activation. J Orthop Sports Phys Ther. 2015;45:675-82.  https://doi.org/10.2519/jospt.2015.5888
  24. Cambridge EDJ, Sidorkewicz N, Ikeda DM, McGill SM. Progressive hip rehabilitation: the effects of resistance band placement on gluteal activation during two common exercises. Clin Biomech (Bristol, Avon). 2012;27:719-24.  https://doi.org/10.1016/j.clinbiomech.2012.03.002
  25. Lewis CL, Foley HD, Lee TS, Berry JW. Hip-muscle activity in men and women during resisted side stepping with different band positions. J Athl Train. 2018;53:1071-81.  https://doi.org/10.4085/1062-6050-46-16
  26. Medeiros HBO, Silvano GA, Herzog W, Nunes MO, de Brito Fontana H. Hip torques and the effect of posture in side-stepping with elastic resistance. Gait Posture. 2022;93:119-25.  https://doi.org/10.1016/j.gaitpost.2022.01.021
  27. Youdas JW, Foley BM, Kruger BL, Mangus JM, Tortorelli AM, Madson TJ, et al. Electromyographic analysis of trunk and hip muscles during resisted lateral band walking. Physiother Theory Pract. 2013;29:113-23.  https://doi.org/10.3109/09593985.2012.704492
  28. Emamvirdi M, Letafatkar A, Khaleghi Tazji M. The effect of Valgus control instruction exercises on pain, strength, and functionality in active females with patellofemoral pain syndrome. Sports Health. 2019;11:223-37.  https://doi.org/10.1177/1941738119837622
  29. Koldenhoven RM, Fraser JJ, Saliba SA, Hertel J. Ultrasonography of gluteal and fibularis muscles during exercises in individuals with a history of lateral ankle sprain. J Athl Train. 2019;54:1287-95.  https://doi.org/10.4085/1062-6050-406-18
  30. Lininger MR, Miller MG. Iliotibial band syndrome in the athletic population: Strengthening and rehabilitation exercises. Strength Cond J. 2009;31:43-6.  https://doi.org/10.1519/SSC.0b013e3181a100a3
  31. Rabelo NDdA, Costa LOP, Lima BMd, dos Reis AC, Bley AS, Fukuda TY, et al. Adding motor control training to muscle strengthening did not substantially improve the effects on clinical or kinematic outcomes in women with patellofemoral pain: A randomised controlled trial. Gait Posture. 2017;58:280-6.  https://doi.org/10.1016/j.gaitpost.2017.08.018
  32. Rabelo NDDA, Lima B, Reis ACd, Bley AS, Yi LC, Fukuda TY, et al. Neuromuscular training and muscle strengthening in patients with patellofemoral pain syndrome: a protocol of randomized controlled trial. BMC Musculoskelet Disord. 2014;15:157. 
  33. Fredericson M, Cookingham CL, Chaudhari AM, Dowdell BC, Oestreicher N, Sahrmann SA. Hip abductor weakness in distance runners with iliotibial band syndrome. Clin J Sport Med. 2000;10:169-75.  https://doi.org/10.1097/00042752-200007000-00004
  34. Macadam P, Feser EH. Examination of gluteus Maximus electromyographic excitation associated with dynamic hip extension during body weight exercise: A systematic review. Int J Sports Phys Ther. 2019;14:14-31.  https://doi.org/10.26603/ijspt20190014
  35. Moore D, Semciw AI, Pizzari T. A systematic review and meta-analysis of common therapeutic exercises that generate highest muscle activity in the gluteus medius and gluteus minimus segments. Int J Sports Phys Ther. 2020;15:856-81.  https://doi.org/10.26603/ijspt20200856
  36. Faul F, Erdfelder E, Lang A-G, Buchner A. G* G*  G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39:175-91.  https://doi.org/10.3758/BF03193146
  37. Kendall FP, McCreary EK, Provance PG, Rodgers M, Romani W. Muscles: Testing and function, with posture and pain. 5 ed. Baltimore, MD: Wolters Kluwer Health; 2014 2014/12/1. 
  38. Selkowitz DM, Beneck GJ, Powers CM. Comparison of electromyographic activity of the superior and inferior portions of the gluteus Maximus muscle during common therapeutic exercises. J Orthop Sports Phys Ther. 2016;46:794-9.  https://doi.org/10.2519/jospt.2016.6493
  39. Rainoldi A, Melchiorri G, Caruso I. A method for positioning electrodes during surface EMG recordings in lower limb muscles. J Neurosci Methods. 2004;134:37-43.  https://doi.org/10.1016/j.jneumeth.2003.10.014
  40. Konrad P. The ABC of EMG: A practical introduction to kinesiological electromyography. 2005. 
  41. Caterisano A, Moss RE, Pellinger TK, Woodruff K, Lewis VC, Booth W, et al. The effect of back squat depth on the EMG activity of 4 superficial hip and thigh muscles. J Strength Cond Res. 2002;16:428-32.  https://doi.org/10.1519/00124278-200208000-00014
  42. Reiman MP, Bolgla LA, Loudon JK. A literature review of studies evaluating gluteus maximus and gluteus medius activation during rehabilitation exercises. Physiother Theory Pract. 2012;28:257-68.  https://doi.org/10.3109/09593985.2011.604981
  43. Muraoka H, Suzuki T. Effects of trunk anterior tilt and knee joint flexion angle changes on muscle activity in the lower limb muscles. J Phys Ther Sci. 2021;33:472-9.  https://doi.org/10.1589/jpts.33.472
  44. Lorenzetti S, Ostermann M, Zeidler F, Zimmer P, Jentsch L, List R, et al. Correction to: How to squat? Effects of various stance widths, foot placement angles and level of experience on knee, hip and trunk motion and loading. BMC Sports Sci Med Rehabil. 2020;12:7. 
  45. de Almeida Paz I, Frigotto MF, Cardoso CA, Rabello R, Rodrigues R. Hip abduction machine is better than free weights to target the gluteus medius while minimizing tensor fascia latae activation. J Bodyw Mov Ther. 2022;30:160-7.  https://doi.org/10.1016/j.jbmt.2022.01.001
  46. Delp SL, Hess WE, Hungerford DS, Jones LC. Variation of rotation moment arms with hip flexion. J Biomech. 1999;32:493-501.  https://doi.org/10.1016/S0021-9290(99)00032-9
  47. Martins EC, Ruschel C, Roesler EM, Silvano GA, de Castro MP, Herzog W, et al. Tensor fascia latae and gluteal muscles myoelectric responses to increasing levels of hip medial rotation torque. J Biomech. 2022;132:110944. 
  48. Baik SM, Cynn HS, Shim JH, Lee JH, Shin AR, Lee KE. Effects of Log-Rolling Position on Hip-Abductor Muscle Activation During Side-Lying Hip-Abduction Exercise in Participants With Gluteus Medius Weakness. Journal of athletic training. 2021;56:945-51.  https://doi.org/10.4085/306-20
  49. Lee J-H, Cynn H-S, Choi S-A, Yoon T-L, Jeong H-J. Effects of different hip rotations on gluteus medius and tensor fasciae latae muscle activity during isometric side-lying hip abduction. J Sport Rehabil. 2013;22:301-7.  https://doi.org/10.1123/jsr.22.4.301
  50. Lee J-H, Cynn H-S, Kwon O-Y, Yi C-H, Yoon T-L, Choi W-J, et al. Different hip rotations influence hip abductor muscles activity during isometric side-lying hip abduction in subjects with gluteus medius weakness. J Electromyogr Kinesiol. 2014;24:318-24.  https://doi.org/10.1016/j.jelekin.2014.01.008
  51. Reiman MP, Bolgla LA, Lorenz D. Hip functions influence on knee dysfunction: a proximal link to a distal problem. J Sport Rehabil. 2009;18:33-46.  https://doi.org/10.1123/jsr.18.1.33
  52. Vigotsky AD, Halperin I, Lehman GJ, Trajano GS, Vieira TM. Interpreting signal amplitudes in surface electromyography studies in sport and rehabilitation sciences. Front Physiol. 2018;8. 
  53. Jacobs CA, Lewis M, Bolgla LA, Christensen CP, Nitz AJ, Uhl TL. Electromyographic analysis of hip abductor exercises performed by a sample of total hip arthroplasty patients. J Arthroplasty. 2009;24:1130-6.  https://doi.org/10.1016/j.arth.2008.06.034
  54. Ford KR, Nguyen A-D, Dischiavi SL, Hegedus EJ, Zuk EF, Taylor JB. An evidence-based review of hip-focused neuromuscular exercise interventions to address dynamic lower extremity valgus. Open Access J Sports Med. 2015;6:291-303.  https://doi.org/10.2147/OAJSM.S72432
  55. Baker RL, Souza RB, Rauh MJ, Fredericson M, Rosenthal MD. Differences in knee and hip adduction and hip muscle activation in runners with and without iliotibial band syndrome. PM R. 2018. 
  56. Besomi M, Maclachlan L, Mellor R, Vicenzino B, Hodges PW. Tensor fascia Latae muscle structure and activation in individuals with lower limb musculoskeletal conditions: A systematic review and meta-analysis. Sports Med. 2020;50:965-85.  https://doi.org/10.1007/s40279-019-01251-1
  57. Flaxman TE, Alkjaer T, Smale KB, Simonsen EB, Krogsgaard MR, Benoit DL. Differences in EMG-moment relationships between ACL-injured and uninjured adults during a weight-bearing multidirectional force control task. J Orthop Res. 2019; 37:113-23.  https://doi.org/10.1002/jor.24145
  58. Ganderton C, Pizzari T, Harle T, Cook J, Semciw A. A comparison of gluteus medius, gluteus minimus and tensor facia latae muscle activation during gait in post-menopausal women with and without greater trochanteric pain syndrome. J Electromyogr Kinesiol. 2017;33:39-47.  https://doi.org/10.1016/j.jelekin.2017.01.004
  59. Bianco A, Lorenzetti S, Seiler J, Fontana HdB, Herzog W, Silvano GA, et al. The "journal of functional morphology and kinesiology" Journal Club series: Highlights on recent papers in corrective exercise. J Funct Morphol Kinesiol. 2020;5. 
  60. Chia L, de Oliveira Silva D, McKay MJ, Sullivan J, Micolis de Azevedo F, Pappas E. Limited support for trunk and hip deficits as risk factors for athletic knee injuries: A systematic review with meta-analysis and best-evidence synthesis. J Orthop Sports Phys Ther. 2020;50:476-89.  https://doi.org/10.2519/jospt.2020.9705
  61. Dischiavi SL, Wright AA, Hegedus EJ, Bleakley CM. Rethinking dynamic knee Valgus and its relation to knee injury: Normal movement requiring control, not avoidance. J Orthop Sports Phys Ther. 2019;49:216-8. https://doi.org/10.2519/jospt.2019.0606