Electromyographic analysis of the three subdivisions of gluteus medius during weight-bearing exercises

Background: Gluteus medius (GM) dysfunction is associated with many musculoskeletal disorders. Rehabilitation exercises aimed at strengthening GM appear to improve lower limb kinematics and reduce pain. However, there is a lack of evidence to identify which exercises best activate GM. In particular,...

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Main Authors: O'Sullivan, Keiran, Smith, S., Sainsbury, David
Format: Journal Article
Published: Biomed Central 2010
Online Access:http://hdl.handle.net/20.500.11937/46118
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author O'Sullivan, Keiran
Smith, S.
Sainsbury, David
author_facet O'Sullivan, Keiran
Smith, S.
Sainsbury, David
author_sort O'Sullivan, Keiran
building Curtin Institutional Repository
collection Online Access
description Background: Gluteus medius (GM) dysfunction is associated with many musculoskeletal disorders. Rehabilitation exercises aimed at strengthening GM appear to improve lower limb kinematics and reduce pain. However, there is a lack of evidence to identify which exercises best activate GM. In particular, as GM consists of three distinct subdivisions, it is unclear if GM activation is consistent across these subdivisions during exercise. The aim of this study was to determine the activation of the anterior, middle and posterior subdivisions of GM during weight-bearing exercises. Methods: A single session, repeated-measures design. The activity of each GM subdivision was measured in 15 pain-free subjects using surface electromyography (sEMG) during three weight-bearing exercises; wall squat (WS), pelvic drop (PD) and wall press (WP). Muscle activity was expressed relative to maximum voluntary isometric contraction (MVIC). Differences in muscle activation were determined using one-way repeated measures ANOVA with post-hoc Bonferroni analysis.Results: The activation of each GM subdivision during the exercises was significantly different (interaction effect; p < 0.001). There were also significant main effects for muscle subdivision (p < 0.001) and for exercise (p < 0.001). The exercises were progressively more demanding from WS to PD to WP. The exercises caused significantly greater activation of the middle and posterior subdivisions than the anterior subdivision, with the WP significantly increasing the activation of the posterior subdivision (all p < 0.05). Discussion: Posterior GM displayed higher activation across all three exercises than both anterior and middle GM. The WP produced the highest %MVIC activation for all GM subdivisions, and this was most pronounced for posterior GM. Clinicians may use these results to effectively progress strengthening exercises for GM in the rehabilitation of lower extremity injuries.
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spelling curtin-20.500.11937-461182017-09-13T15:05:25Z Electromyographic analysis of the three subdivisions of gluteus medius during weight-bearing exercises O'Sullivan, Keiran Smith, S. Sainsbury, David Background: Gluteus medius (GM) dysfunction is associated with many musculoskeletal disorders. Rehabilitation exercises aimed at strengthening GM appear to improve lower limb kinematics and reduce pain. However, there is a lack of evidence to identify which exercises best activate GM. In particular, as GM consists of three distinct subdivisions, it is unclear if GM activation is consistent across these subdivisions during exercise. The aim of this study was to determine the activation of the anterior, middle and posterior subdivisions of GM during weight-bearing exercises. Methods: A single session, repeated-measures design. The activity of each GM subdivision was measured in 15 pain-free subjects using surface electromyography (sEMG) during three weight-bearing exercises; wall squat (WS), pelvic drop (PD) and wall press (WP). Muscle activity was expressed relative to maximum voluntary isometric contraction (MVIC). Differences in muscle activation were determined using one-way repeated measures ANOVA with post-hoc Bonferroni analysis.Results: The activation of each GM subdivision during the exercises was significantly different (interaction effect; p < 0.001). There were also significant main effects for muscle subdivision (p < 0.001) and for exercise (p < 0.001). The exercises were progressively more demanding from WS to PD to WP. The exercises caused significantly greater activation of the middle and posterior subdivisions than the anterior subdivision, with the WP significantly increasing the activation of the posterior subdivision (all p < 0.05). Discussion: Posterior GM displayed higher activation across all three exercises than both anterior and middle GM. The WP produced the highest %MVIC activation for all GM subdivisions, and this was most pronounced for posterior GM. Clinicians may use these results to effectively progress strengthening exercises for GM in the rehabilitation of lower extremity injuries. 2010 Journal Article http://hdl.handle.net/20.500.11937/46118 10.1186/1758-2555-2-17 Biomed Central fulltext
spellingShingle O'Sullivan, Keiran
Smith, S.
Sainsbury, David
Electromyographic analysis of the three subdivisions of gluteus medius during weight-bearing exercises
title Electromyographic analysis of the three subdivisions of gluteus medius during weight-bearing exercises
title_full Electromyographic analysis of the three subdivisions of gluteus medius during weight-bearing exercises
title_fullStr Electromyographic analysis of the three subdivisions of gluteus medius during weight-bearing exercises
title_full_unstemmed Electromyographic analysis of the three subdivisions of gluteus medius during weight-bearing exercises
title_short Electromyographic analysis of the three subdivisions of gluteus medius during weight-bearing exercises
title_sort electromyographic analysis of the three subdivisions of gluteus medius during weight-bearing exercises
url http://hdl.handle.net/20.500.11937/46118