• The Journal of Korean Physical Therapy
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• v.2 no.1
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• pp.35-46
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• 1990

The right hip adbuctor musculature has been reported to demonstrate 'stretch weakness' attributable to chronic elongation imposed by standing posture common to right-handed healthy persons. Kendall and associates have described the concept of 'stretch weakness'. The purpose of this study was to assess isometric hip abduction torque and surface electro-myographic activity (using MYOMED 432) in a sample of 40 healthy right-handed persons (20 male, 20 female), all of whom agreed to participate in the study, and compare side difference in the hip abductor musculature. In order to assure the statistical significance of the results, the paired t-test was applied at the .05 level of significance. The results were as follows : 1. The difference in apparent leg length of right and left legs was significant at the .05 leve1. 2. There was a significant difference between right and left pelvic height (standing position) at the .005 level measurements, and scapula height at the .05 level. 3. Power measurements and action potentials of right hip adbuctor were greater than the left hip adbuctor regardless of the range of joint motion (inner range, outer range). 4. The difference in muscle power and action potentials according to inner or outer range of both hip abductor were significant at the .05 level. 5. In supine during active left hip abduction, the appearance of action potentials in the right hip abductors is indicative of contra-lateral effect (p<.005). These results suggest : In healthy right-handed persons. the apparent leg length on the right is longer than on the left, and pelvic height is elevated on the right side. Muscle torque and muscle action potentials of the right hip adbuctor art higher than those of the hip abductor in the lengthened position. Therefore, the results in this study are contrary to Kendall's. This type of study should be carried out in many physical therapy departments.

• Physical Therapy Rehabilitation Science
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• v.11 no.1
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• pp.16-23
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• 2022

Objective: This study aimed to investigate the effect of adding hip abductor strengthening to conventional rehabilitation on muscle strength and physical function following total knee replacement (TKR) for knee osteoarthritis. Design: Randomized controlled trial Methods: Thirty-five participants were randomly allocated to exercise groups I (n=18) and II (n=17). Group I underwent hip abductor training and conventional rehabilitation for 30 min per day, 5 days per week for 4 weeks. Group II underwent conventional rehabilitation for 30 min per day, 5 days per week for 4 weeks. The participants in both groups also received continuous passive motion therapy for 15 min per day, 5 days per week for 4 weeks. To investigate the effect of the intervention, the Biodex dynamometer was used to measure the peak torque of both knee extensors and hip abductors. This study used the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS) to assess physical function, as well as the figure-of-8 walk test (F8W) and the stair climb test (SCT). Results: According to the interventions, exercise groups I and II showed significantly improved muscle strength and KOS-ADLS, F8W, and SCT scores (p<0.001). Compared with that of exercise group II, exercise group I showed significantly improved hip abductor strength (p<0.001) and KOS-ADLS, F8W, and SCT scores (p<0.05). Conclusions: The results of this study indicate that the combination of hip abductor strengthening and conventional rehabilitation is an effective exercise method to increase hip abductor muscle strength and physical function after TKR.

• Physical Therapy Korea
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• v.28 no.1
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• pp.27-35
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• 2021

A weak or dysfunctional gluteus medius (Gmed) is related to several pathologies, and individuals with hip abductor weakness have Gmed weakness. This study aimed to systematically review the literature associated with the anatomy and function of the Gmed, and the prevalence, pathology, and exercise of Gmed weakness. Papers published between 2010 and 2020 were retrieved from MEDLINE, Google Academic Search, and Research Information Sharing Service. The database search used the following terms: (glut* OR medius OR hip abduct*) AND weak*. The Gmed plays an important role in several functional activities as a primary hip abductor by providing pelvic stabilization and controlling hip adduction and internal rotation. Weakness of the Gmed is associated with many disorders including balance deficit, gait and running disorders, femoroacetabular impingement, snapping hip, gluteal tendinopathy, patellofemoral pain syndrome, osteoarthritis, iliotibial band syndrome, anterior cruciate ligament injury, ankle joint injuries, low back pain, stroke, and nocturia. Overuse of the tensor fasciae latae (TFL) as a hip abductor due to Gmed weakness can also cause several pathologies such as pain in the lower back and hip and degenerative hip joint pathology, which are associated with dominant TFL. Similarly, lateral instability and impaired movements such as lumbar spine lateral flexion or lateral tilt of the pelvis can occur due to compensatory activation of the quadratus lumborum for a weakened Gmed while exercising. Therefore, the related activation of synergistic muscles or compensatory movement should be considered when prescribing Gmed strengthening exercises.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 2011.06a
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• pp.1435-1436
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• 2011

• Physical Therapy Korea
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• v.30 no.1
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• pp.68-77
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• 2023

Background: The weakness of the gluteus medius (GM) is associated with various musculoskeletal disorders. The increasing GM activity without synergistic dominance should be considered when prescribing pelvic drop exercise (PD). Isometric hip extension or flexion of the non-weight bearing leg using thera-band at the ankle during PD may influence hip abductor activities. Objects: To determine how isometric hip extension or flexion of the non-weight bearing leg using thera-band at the ankle during PD influences the activities of three subdivisions of GM (anterior, GMa; middle, GMm; posterior, GMp), tensor fasciae latae (TFL), contralateral quadratus lumborum (QL), and GMp/TFL, GMm/QL activity ratios in patients with GM weakness. Methods: Twenty-three patients with GM weakness were recruited. Three types of PD were performed: PD, PD with an isometric hip extension of the non-weight bearing leg (PDE), and PD with an isometric hip flexion of the non-weight bearing leg (PDF). Surface electromyography (SEMG) was used to measure hip abductor activities. One-way repeated-measures analysis of variance was used to assess the statistical significance of muscle activities and muscle activity ratios. Results: GMa, GMm, and GMp activities were significantly greater during PDF than during PD and PDE (p < 0.001, p = 0.001; p = 0.001, p = 0.005; p = 0.004, p = 0.004; respectively). TFL activity was significantly greater during PDE than during PD and PDF (p < 0.001, p < 0.001, respectively). QL activity was significantly greater during PDF than during PD (p = 0.003). GMp/TFL activity ratio was significantly lower during PDE than during PD and PDF (p = 0.001, p = 0.001, respectively). There were no significant differences in the GMm/QL activity ratio. Conclusion: PDF may be an effective exercise to increase the activities of all three GM subdivisions while minimizing the TFL activity in patients with GM weakness.

• Journal of the Korean Society of Physical Medicine
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• v.13 no.3
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• pp.61-66
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• 2018

PURPOSE: This study was conducted to determine the effects of taping on a home program of hip abductor exercise on pain and quadriceps muscle strength during knee joint osteoarthritis. METHODS: The subjects were 24 elderly women aged over 65 years with knee joint osteoarthritis. Twenty-four subjects were divided into two groups of 12. The intervention was conducted three times a week for six weeks. The control group underwent a home program of hip abductor exercise, while the experimental group underwent taping applied to a home program of hip abductor exercise. The measurement factors were knee joint pain and quadriceps muscle strength. Knee joint pain was measured using the VAS, while quadriceps muscle strength was measured using the 1RM method. RESULTS: Changes in pain following intervention were significantly reduced from $4.83{\pm}.72$ to $3.92{\pm}.67$ in the control group. In the experimental group, changes in pain following intervention were reduced significantly from $4.67{\pm}.78$ to $3.25{\pm}.45$. In the experimental group, the pain decreased significantly, while muscle strength increased significantly as in the control group. However, there were significant differences in pain and muscle strength between groups post intervention (p<.05). CONCLUSION: In the elderly women with knee osteoarthritis, the home program of hip abductor exercise will be a good intervention, and taping will be applied as an intervention program for better osteoarthritis.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.15 no.1
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• pp.49-57
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• 2009

Purpose : To evaluate the effects hip abductor strengthening exercise using elastic band on static balance. Methods : The subjects consisted of twenty healthy people. The subjects were divided into two group. The control group(n=10) received no exercise and/or stimulation. The elastic band strengthening exercise(E/E) group(n=10) performed hip abductor for strengthening exercise using elastic band. E/E group were accomplished during 6weeks(3day/week, 30-40min/day). All tests were completed before and after experiment. The static balance ability was measured by normal standing when eye open and close on GOOD BALANCE System, respectively. For each case, the experimental data were obtained in 3 items: mean X speed, mean Y speed and velocity moment. Results : The results of this study were as follows; 1. In E/E group, the statistically significants were shown on Y speed and velocity moment in the case of normal standing when eye open and X speed and velocity moment in the case of normal standing when eye close(p<0.05). 2. In control group, the statistically significants were not shown on all posture(p>0.05). 3. There was a statistically significant difference on the X speed and velocity moment in the case of normal standing when eye close between control group and E/E group(p<0.05). Conclusion : The above results revealed that hip abductor strengthening exercise using elastic band were partly effective for improving the static balance ability.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.9
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• pp.4008-4014
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• 2011

The purpose of this study was to identify the effect of muscular strength, sensation, and spasticity of the hip joint on balance using clinical tools in chronic stroke patients. Thirty-two subjects participated. It were measured muscular strength of the hip flexor, extensor, abductor, and adductor using manual muscle testing, light touch sensibility, and spasticity of the quadriceps using the modified Ashworth scale in the paretic lower extremity. Also, static and dynamic balance were measured by the functional balance scale. Collected data was analyzed by stepwise multiple regression. Muscular strength of the hip abductor, light touch sensibility, and spasticity were associated with static balance(p<0.05) and explanatory power was 80.5%. Muscular strength of the hip abductor and light touch sensibility were associated with dynamic balance(p<0.05) and explanatory power was 77.9%. Thus, it is suggested that muscular strength of the hip abductor and light touch sensibility is considered when providing evaluation and intervention programs for the future in the balance.

• Physical Therapy Korea
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• v.30 no.2
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• pp.152-159
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• 2023

Background: The gluteus medius (Gmed) plays a critical role in maintaining frontal plane stability of the pelvis during functional activities, such as one-leg lifting. Side-lying hip abduction (SHA) has been used as a dynamic test to evaluate Gmed function. However, the abduction force of the lower leg against the floor is not controlled during SHA. Therefore, hip abduction performance with contralateral adduction in the side-lying position (HAPCA) can be proposed as an alternative method to assess performance of hip abduction. If the number of HAPCA is related to the lateral pelvic shift distance, a new quantitative measurement for hip abductor function may be presented. Objects: This study aimed to investigate the relationship between the number of successful HAPCA and the lateral pelvic shift distance during one-leg lifting. Methods: Thirty healthy participants were recruited, and lateral pelvic shift distance was measured during one-leg lifting test using two-dimensional analysis. The number of successful HAPCA was counted when participants touched both target bars at the beat of a metronome. Results: There was a negative correlation between the number of HAPCA and lateral pelvic shift distance during one-leg lifting (r = -0.630, p < 0.05). The number of HAPCA accounted for 39.7% of the variance in the lateral pelvic shift distance during one-leg lifting (F = 18.454, p < 0.001). Conclusion: The number of successful HAPCA is significantly correlated with lateral pelvic shift distance during one-leg lifting. This finding suggests that HAPCA can be proposed as a new measurement for hip abductor performance and more research is needed on its relationship with hip abductor strength.

• Physical Therapy Rehabilitation Science
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• v.11 no.3
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• pp.370-375
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• 2022

Objective: The purpose of this study was to compare the hip joint muscle strength of patients with chronic back pain with lumbar instability and normal subjects. Design: A case control study. Methods: Five types of lumbar instability test were conducted on forty young women with chronic low back pain for more than six months, and those who had 3 or more positive tests were selected as subjects. To select chronic back pain patients with lumbar instability group, aberrant movement patterns during lumbar flexion test (FMT), prone instability test (PIT), posterior-anterior mobility test (PAT), passive lumbar extension test (PLE), and pressure bio-feedback (PBF) were applied. In addition, a digital muscle strength meter was used to measure the hip flexor, extensor, adductor, and abductor muscles of chronic low back pain patients with lumbar instability group (n=20) and normal subject group (n=20). Results: As a result of comparing the hip joint muscle strength between the chronic back pain patient group with lumbar instability and the normal group, there were significant differences in the hip extensor, abductor, and adductor muscles (p<0.05). Conclusions: Patients of chronic back pain with lumbar instability were found to have weak hip joint muscle strength. Therefore, this study suggest that include hip joint strength exercise for functional recovery of chronic back pain patients.