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Understanding and Exercise of Gluteus Medius Weakness: A Systematic Review

Seok-hyun Kim|신헌석|Seung-min Baik
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2021.02|한국전문물리치료학회지 (Physical Therapy Korea)|제28권 제1호|pp. 27-35|DOI https://doi.org/10.12674/ptk.2021.28.1.27

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ExerciseGluteus medius weaknessHip abductor muscles
주제분류물리치료학

초록

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.

Abstract

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.

참고문헌 (70)

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Effect of Hip Flexion and Internal Rotation on the Hip Abductor Muscle Activity During Side-Lying Hip Abduction in Subjects With Gluteus Medius Weakness박혜진, 조상현한국전문물리치료학회 · 한국전문물리치료학회지2016 · 제23권 제3호The Application of Thera-band on Non-weight Bearing Leg Influence Hip Abductor Activities During Pelvic Drop Exercise in Patients With Gluteus Medius Weakness신헌석, Seok-hyun Kim, Seung-min Baik, Su-hwan Cha한국전문물리치료학회 · 한국전문물리치료학회지2023 · 제30권 제1호Comparison of Gluteus Medius and Quadratus Lumborum Muscle Activity During Hip Abduction Exercises in Individuals With Gluteus Medius WeaknessJung Kyung-hee, Lim One-bin, Moon Il-young, Yi Chung-hwi한국전문물리치료학회 · 한국전문물리치료학회지2025 · 제32권 제2호Effects of Isometric Hip Extension Using Thera-band on Hip Muscle Activities During Side-lying Hip Abduction Exercise in Participants With Gluteus Medius WeaknessHeon-seock Cynn, Hyun-ji Lee, Sae-hwa Kim, Seok-hyun Kim, Seung-min Baik한국전문물리치료학회 · 한국전문물리치료학회지2024 · 제31권 제2호Relationship Between the Number of Hip Abduction Performance With Contralateral Adduction in Side-lying and the Lateral Pelvic Shift Distance During One-leg LiftingGwak Gyeong-tae, Kim Jun-hee, Kwon Oh-yun, Lee Do-eun, Weon Young-soo한국전문물리치료학회 · 한국전문물리치료학회지2023 · 제30권 제2호Effects of Different Types of Isometric Hip Contraction on Gluteus Medius and Tensor Fasciae Latae Activity During Squat Exercises김정아, 신헌석, 이충휘, 임원빈, 한해림한국전문물리치료학회 · 한국전문물리치료학회지2015 · 제22권 제3호

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