Effect of Hip Flexion and Internal Rotation on the Hip Abductor Muscle Activity During Side-Lying Hip Abduction in Subjects With Gluteus Medius Weakness
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Background: Many previous studies recommended the side-lying hip abduction (SHA) exercise for targeting the gluteus medius (Gmed) and gluteus maximus (Gmax) muscle activity while the decreasing tensor fasciae latae (TFL) activation. Mischoice of hip position and angle in SHA may increase the risk of lower extremity injuries and undesirable muscle activation. However, information is limited on the effect of composite hip flexion angles and hip rotation on the gluteal muscle activity during SHA. Objects: This study aimed to compare muscle activity (Gmed, TFL, and Gmax) and activity ratios (Gmed/TFL, Gmax/TFL, and Gmed/Gmax) using surface electromyography (EMG) during SHA exercise at three different hip flexion angles either with or without internal rotation (IR) in subjects with Gmed weakness. We hypothesized that applying hip flexion and IR during SHA would increase gluteal muscle activity and decrease TFL activity. Methods: Muscle activity and activity ratios in 20 volunteers with Gmed weakness during 6 different SHA were investigated with surface EMG. One-way repeated-measures analysis of variance was used to determine the statistical significance. Results: Significant differences were found among the six different exercises for Gmed (F2,41=11.817, p<.001) and Gmax (F3,52=5.513, p=.003) muscle activity, and Gmed/TFL (F3,54=8.735, p<.001) and Gmax/TFL (F2,37=4.019, p=.028) activity ratios. Conclusion: Applying hip flexion is an effective method for increasing gluteal activity, and it elicits great Gmed/TFL and Gmax/TFL activity ratios during SHA in subjects with Gmed weakness.
Abstract
Background: Many previous studies recommended the side-lying hip abduction (SHA) exercise for targeting the gluteus medius (Gmed) and gluteus maximus (Gmax) muscle activity while the decreasing tensor fasciae latae (TFL) activation. Mischoice of hip position and angle in SHA may increase the risk of lower extremity injuries and undesirable muscle activation. However, information is limited on the effect of composite hip flexion angles and hip rotation on the gluteal muscle activity during SHA. Objects: This study aimed to compare muscle activity (Gmed, TFL, and Gmax) and activity ratios (Gmed/TFL, Gmax/TFL, and Gmed/Gmax) using surface electromyography (EMG) during SHA exercise at three different hip flexion angles either with or without internal rotation (IR) in subjects with Gmed weakness. We hypothesized that applying hip flexion and IR during SHA would increase gluteal muscle activity and decrease TFL activity. Methods: Muscle activity and activity ratios in 20 volunteers with Gmed weakness during 6 different SHA were investigated with surface EMG. One-way repeated-measures analysis of variance was used to determine the statistical significance. Results: Significant differences were found among the six different exercises for Gmed (F2,41=11.817, p<.001) and Gmax (F3,52=5.513, p=.003) muscle activity, and Gmed/TFL (F3,54=8.735, p<.001) and Gmax/TFL (F2,37=4.019, p=.028) activity ratios. Conclusion: Applying hip flexion is an effective method for increasing gluteal activity, and it elicits great Gmed/TFL and Gmax/TFL activity ratios during SHA in subjects with Gmed weakness.
참고문헌 (50)
- kuthota V, "Core strengthening", Arch Phys Med Rehabil, 85(3 Suppl 1), pp.S86~S92 (2004)
- Al-Hayani A, "The functional anatomy of hip abductors", Folia Morphol, 68(2), pp.98~103 (2009)
- Andersen LL, "Neuromuscular activation in conventional therapeutic exercises and heavy resistance exercises:Implications for rehabilitation", Phys Ther, 86(5), pp.683~697 (2006)
- Arnold AS, "Accuracy of muscle moment arms estimated from MRI-based musculoskeletal models of the lower extremity", Comput Aided Surg, 5(2), pp.108~119 (2000)
- Ayotte NW, "Electromyographical analysis of selected lower extremity muscles during 5 unilateral weight-bearing exercises", J Orthop Sports Phys Ther, 37(2), pp.48~55 (2007)
- Balasubramanian S, "Comparison of angle measurements between Vicon and MyoMotion systems" (2013), Arizona State University
- Justin W. Berry, "Resisted Side Stepping: The Effect of Posture on Hip Abductor Muscle Activation", Journal of Orthopaedic & Sports Physical Therapy, 45(9), pp.675~682 (2015), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
- Bewyer KJ, "Pilot data: Association between gluteus medius weakness and low back pain during pregnancy", Iowa Orthop J, 29, pp.97~99 (2009)
- Bolgla LA, "Electromyographic analysis of hip rehabilitation exercises in a group of healthy subjects", J Orthop Sports Phys Ther, 35(8), pp.487~494 (2005)
- Boren K, "Electromyographic analysis of gluteus medius and gluteus maximus during rehabilitation exercises", Int J Sports Phys Ther, 6(3), pp.206~223 (2011)
- Cairns MC, "Pressure biofeedback:A useful tool in the quantification of abdominal muscular dysfunction?", Physiotherapy, 86(3), pp.127~138 (2000)
- Cram JR, "Electrode Placement. Introduction to surface electromyography", pp.360~371 (1998), Aspen Publishers
- Criswell E, "Cram’s Introduction to Surface Electromyography", pp.353~360 (2010), Jones & Bartlett Publishers
- Delp SL, "Variation of rotation moment arms with hip flexion", J Biomech, 32(5), pp.493~501 (1999)
- Lindsay J. Distefano, "Gluteal Muscle Activation During Common Therapeutic Exercises", Journal of Orthopaedic & Sports Physical Therapy, 39(7), pp.532~540 (2009), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
- Eichstaedt KE, "A less conservative method to adjust for familywise error rate in neuropsychological research: The Holm’s sequential Bonferroni procedure", NeuroRehabilitation, 32(3), pp.693~696 (2013)[DOI]
- Richard A. Ekstrom, "Electromyographic Analysis of Core Trunk, Hip, and Thigh Muscles During 9 Rehabilitation Exercises", Journal of Orthopaedic & Sports Physical Therapy, 37(12), pp.754~762 (2007), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
- Flegal KM, "Overweight and obesity in the united states:Prevalence and trends, 1960–1994", Int J Obes Relat Metab Disord, 22(1), pp.39~47 (1998)
- Fredericson M, "Iliotibial band syndrome in runners: Innovations in treatment", Sports Med, 35(5), pp.451~459 (2005)
- Gottschalk F, "The functional anatomy of tensor fasciae latae and gluteus medius and minimus", J Anat, 166, pp.179~189 (1989)
- Holm S, "A simple sequentially rejective multiple test procedure", Scand J Statist, 6(2), pp.65~70 (1979)
- Hoy MG, "A musculoskeletal model of the human lower extremity: The effect of muscle, tendon, and moment arm on the moment-angle relationship of musculotendon actuators at the hip, knee, and ankle", J Biomech, 23(2), pp.157~169 (1990)
- Sun-Young Kang, "Activation of the gluteus maximus and hamstring muscles during prone hip extension with knee flexion in three hip abduction positions", Manual Therapy, 18(4), pp.303~307 (2013), Elsevier BV[DOI]
- Kendall F, "Muscles;Testing and function with posture and pain", pp.19~436 (2005), Williams & Wilkins
- Kim SJ, "Comparison of abdominal muscle activity during a single-legged hold in the hook-lying position on the floor and on a round foam roll", J Athl Train, 46(4), pp.403~408 (2011)
- Ji-hyun Lee, "Different hip rotations influence hip abductor muscles activity during isometric side-lying hip abduction in subjects with gluteus medius weakness", Journal of Electromyography and Kinesiology, 24(2), pp.318~324 (2014), Elsevier BV[DOI]
- Macadam P, "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, 10(5), pp.573~591 (2015)
- McBeth JM, "Hip muscle activity during 3 side-lying hip-strengthening exercises in distance runners", J Athl Train, 47(1), pp.15~23 (2012)
- Patrizia Milani, "Mobile Smartphone Applications for Body Position Measurement in Rehabilitation: A Review of Goniometric Tools", PM&R, 6(11), pp.1038~1043 (2014), Elsevier BV[DOI]
- Mills JD, "The effect of a 10-week training regimen on lumbo-pelvic stability and athletic performance in female athletes:A randomized-controlled trial", Phys Ther Sport, 6(2), pp.60~66 (2005)
- Donald A. Neumann, "Kinesiology of the Hip: A Focus on Muscular Actions", Journal of Orthopaedic & Sports Physical Therapy, 40(2), pp.82~94 (2010), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
- Neumann DA, "Comparison of maximal isometric hip abductor muscle torques between hip sides", Phys Ther, 68(4), pp.496~502 (1988)
- Nyland J, "Femoral anteversion influences vastus medialis and gluteus medius emg amplitude: Composite hip abductor emg amplitude ratios during isometric combined hip abduction-external rotation", J Electromyogr Kinesiol, 14(2), pp.255~261 (2004)
- Perneger TV, "What’s wrong with Bonferroni adjustments", BMJ, 316(7139), pp.1236~1238 (1998)
- M. J. Philippon, "Rehabilitation Exercise Progression for the Gluteus Medius Muscle With Consideration for Iliopsoas Tendinitis: An In Vivo Electromyography Study", The American Journal of Sports Medicine, 39(8), pp.1777~1785 (2011), SAGE Publications[DOI]
- Poepel C, "Design and evaluation of a gesture controlled singing voice installation", NIME, pp.359~362 (2014)
- Presswood L, "Gluteus medius : Applied anatomy, dysfunction, assessment, and progressive strengthening", Strength Cond J, 30(5), pp.41~53 (2008)
- Reese NB, "Use of an inclinometer to measure flexibility of the iliotibial band using the Ober test and the modified Ober test:Differences in magnitude and reliability of measurements", J Orthop Sports Phys Ther, 33(6), pp.326~330 (2003)
- Reiman MP, "Hip function’s influence on knee dysfunction: A proximal link to a distal problem", J Sport Rehabil, 18(1), pp.33~46 (2009)
- Michael P. Reiman, "A literature review of studies evaluating gluteus maximus and gluteus medius activation during rehabilitation exercises", Physiotherapy Theory and Practice, 28(4), pp.257~268 (2011), Informa UK Limited[DOI]
- Robert C. Reimer, "Functional fatigue of the hip and ankle musculature cause similar alterations in single leg stance postural control", Journal of Science and Medicine in Sport, 13(1), pp.161~166 (2010), Elsevier BV[DOI]
- Sahrmann S, "Diagnosis and treatment of movement impairment syndromes", pp.35~39 (2002), Mosby
- David M. Selkowitz, "Which Exercises Target the Gluteal Muscles While Minimizing Activation of the Tensor Fascia Lata? Electromyographic Assessment Using Fine-Wire Electrodes", Journal of Orthopaedic & Sports Physical Therapy, 43(2), pp.54~64 (2013), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
- Seung Han Shin, "Within-day reliability of shoulder range of motion measurement with a smartphone", Manual Therapy, 17(4), pp.298~304 (2012), Elsevier BV[DOI]
- Soderberg GL, "Muscle mechanics and pathomechanics. Their clinical relevance", Phys Ther, 63(2), pp.216~220 (1983)
- Soderberg GL, "A guide for use and interpretation of kinesiologic electromyographic data", Phys Ther, 80(5), pp.485~498 (2000)
- Struzik A, "Relationship between lower limbs kinematic variables and effectiveness of sprint during maximum velocity phase", Acta Bioeng Biomech, 17(4), pp.131~138 (2015)
- Taunton JE, "A retrospective case-control analysis of 2002 running injuries", Br J Sports Med, 36(2), pp.95~101 (2002)
- T’Jonck L, "Measurements of scapular position and rotation: A reliability study", Physiother Res Int, 1(3), pp.148~158 (1996)
- Emma L. Willcox, "The Influence of Varying Hip Angle and Pelvis Position on Muscle Recruitment Patterns of the Hip Abductor Muscles During the Clam Exercise", Journal of Orthopaedic & Sports Physical Therapy, 43(5), pp.325~331 (2013), Journal of Orthopaedic & Sports Physical Therapy (JOSPT)[DOI]
