PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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Comparison of Activity and Use of Hip Abductor Muscle Group According to Range of Motion during the Clam Exercise

클램 운동 시 운동범위에 따른 엉덩관절 벌림근의 활성도와 사용 비교

  • 최용길 (서울리더스 정형외과의원) ;
  • 이상열 (경성대학교 물리치료학과) ;
  • 최수홍 (부산대학교병원 재활의학팀) ;
  • 윤성영 (동주대학교 물리치료과) ;
  • 김인균 (서울스카이 재활의학의원)
  • Received : 2022.09.01
  • Accepted : 2022.09.29
  • Published : 2022.12.31
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Abstract

Purpose: The purpose of this study is to compare the muscle activity of the hip abductors and the ratio between the hip abductor muscle group according to the range of hip abduction during the clam exercise. Methods: This study was conducted on 18 healthy men in their aged 20 to 29 who had not been diagnosed with spine-related diseases. The subjects performed a clam exercise without rotation of the pelvis in a state of 60° hip flexion and 90° knee joint flexion in the side-lying position. Using Myomotion equipment and EMG, the muscle activity of the hip abductor muscles and the activity ratio between the hip abductor muscle group were measured during the clam exercise by dividing the range into initial, mid-range, and terminal sections. Repeated measures analysis of variants was employed to compare the activity and use of hip abductor muscles according to range of motion during the clam exercise. Results: Gluteus medius muscle activation was significantly increased in the comparison of muscle activity in the initial, mid-range, and terminal sections of hip abduction. Tensor fasciae latae muscle activation was significantly increased in the comparison of muscle activity in all range of motion sections as well. The gluteus medius-tensor fasciae latae muscle activation ratio was significantly increased in the terminal section compared to the initial section. Conclusion: The gluteus medius and tensor fasciae latae had higher muscle activities as they approached the terminal section during the clam exercise, and the hip abduction activity ratio of the gluteus medius and tensor fasciae latae was higher as the range of motion approached the terminal section.

Keywords

References

  1. Al-Hayani A. The functional anatomy of hip abductors. Folia morphologica. 2009;68(2):98-103.
  2. Baik SM, Cynn HS, Shim JH, et al. 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(9):945-951. https://doi.org/10.4085/306-20
  3. Barker PJ, Hapuarachchi KS, Ross JA, et al. Anatomy and biomechanics of gluteus maximus and the thoracolumbar fascia at the sacroiliac joint. Clinical Anatomy. 2014;27(2):234-240. https://doi.org/10.1002/ca.22233
  4. Boren K, Conrey C, Le Coguic J, et al. Electromyographic analysis of gluteus medius and gluteus maximus during rehabilitation exercises. International Journal of Sports Physical Therapy. 2011;6(3):206-223.
  5. Cambridge ED, Sidorkewicz N, Ikeda DM, et al. Progressive hip rehabilitation: the effects of resistance band placement on gluteal activation during two common exercises. Clinical Biomechanics (Bristol, Avon). 2012;27(7):719-724. https://doi.org/10.1016/j.clinbiomech.2012.03.002
  6. Chaitow L. Positional release techniques e-book Elsevier health sciences. 2007.
  7. Chan MK, Chow KW, Lai AY, et al. The effects of therapeutic hip exercise with abdominal core activation on recruitment of the hip muscles. BMC Musculoskeletal Disorders. 2017;18(1):313. https://doi.org/10.1186/s12891-017-1674-2
  8. Cooper NA, Scavo KM, Strickland KJ, et al. Prevalence of gluteus medius weakness in people with chronic low back pain compared to healthy controls. European Spine Journal. 2016;25(4):1258-1265. https://doi.org/10.1007/s00586-015-4027-6
  9. Distefano LJ, Blackburn JT, Marshall SW, et al. Gluteal muscle activation during common therapeutic exercises. Journal of Orthopaedic & Sports Physical Therapy. 2009a;39(7):532-540. https://doi.org/10.2519/jospt.2009.2796
  10. Distefano LJ, Blackburn JT, Marshall SW, et al. Gluteal muscle activation during common therapeutic exercises. Journal of orthopaedic & sports physical therapy. 2009b;39(7):532-540. https://doi.org/10.2519/jospt.2009.2796
  11. Ebert JR, Edwards PK, Fick DP, et al. A systematic review of rehabilitation exercises to progressively load the gluteus medius. Journal Sport Rehabilitation. 2017;26(5):418-436. https://doi.org/10.1123/jsr.2016-0088
  12. Felicio LR, de Carvalho CAM, Dias C, et al. Electromyographic activity of the quadriceps and gluteus medius muscles during/different straight leg raise and squat exercises in women with patellofemoral pain syndrome. Journal of Electromyography and Kinesiology. 2019;48:17-23. https://doi.org/10.1016/j.jelekin.2019.05.017
  13. Fox S. Human physiology. McGraw-Hill Education. 2015.
  14. Jenkins DB. Hollinshead's functional anatomy of the limbs and back-e-book. Elsevier Health Sciences. 2008.
  15. Johnson S, Hoffman M. Isometric hip-rotator torque production at varying degrees of hip flexion. Journal Sport Rehabilitation. 2010;19(1):12-20. https://doi.org/10.1123/jsr.19.1.12
  16. Kameda M, Tanimae H, Kihara A, et al. Does low back pain or leg pain in gluteus medius syndrome contribute to lumbar degenerative disease and hip osteoarthritis and vice versa? a literature review. Journal Physical Therapy Science. 2020;32(2):173-191. https://doi.org/10.1589/jpts.32.173
  17. Khayambashi K, Mohammadkhani Z, Ghaznavi K, et al. The effects of isolated hip abductor and external rotator muscle strengthening on pain, health status, and hip strength in females with patellofemoral pain: a randomized controlled trial. Journal of Orthopaedic & Sports Physical Therapy. 2012;42(1):22-29. https://doi.org/10.2519/jospt.2012.3704
  18. Mickelborough J, Van Der Linden M, Tallis R, et al. Muscle activity during gait initiation in normal elderly people. Gait & Posture. 2004;19(1):50-57. https://doi.org/10.1016/S0966-6362(03)00016-X
  19. Neumann DA. Kinesiology of the hip: A focus on muscular actions. Journal of Orthopaedic & Sports Physical Therapy. 2010;40(2):82-94. https://doi.org/10.2519/jospt.2010.3025
  20. Peixoto Leao Almeida G, Oliveira Monteiro I, Larissa Azevedo Tavares M, et al. Hip abductor versus adductor strengthening for clinical outcomes in knee symptomatic osteoarthritis: a randomized controlled trial. Musculoskeletal Science and Practice. 2022;61:102575. https://doi.org/10.1016/j.msksp.2022.102575
  21. Presswood L, Cronin J, Keogh JW, et al. Gluteus medius: applied anatomy, dysfunction, assessment, and progressive strengthening. Strength and Conditioning Journal. 2008;30(5):41-53. https://doi.org/10.1519/SSC.0b013e318187f19a
  22. Reiman MP, Bolgla LA, Loudon JK. A literature review of studies evaluating gluteus maximus and gluteus medius activation during rehabilitation exercises. Physiotherapy Theory Practice. 2012;28(4):257-268. https://doi.org/10.3109/09593985.2011.604981
  23. Saber-Sheikh K, Bryant EC, Glazzard C, et al. Feasibility of using inertial sensors to assess human movement. Manual therapy. 2010;15(1):122-125. https://doi.org/10.1016/j.math.2009.05.009
  24. Sadler S, Spink M, Chuter V. Reliability of surface electromyography for the gluteus medius muscle during gait in people with and without chronic nonspecific low back pain. Journal of Electromyography and Kinesiology. 2020;54:102457. https://doi.org/10.1016/j.jelekin.2020.102457
  25. 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. Journal of Orthopaedic & Sports Physical Therapy. 2013;43(2):54-64. https://doi.org/10.2519/jospt.2013.4116
  26. Sidorkewicz N, Cambridge ED, 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. Clinical Biomechanics (Bristol, Avon). 2014;29(9):971-976. https://doi.org/10.1016/j.clinbiomech.2014.09.002
  27. Sinnatamby CS. Last's anatomy e-book: Regional and applied. Elsevier Health Sciences. 2011.
  28. Shin SH, Shin HJ, Cho HY. Effect of lower extremity alignment during gluteus medius strengthening exerciseon hip abductor muscle activity and muscle recruitment pattern. The Journal of Korean Society for Neurotherapy. 2021;25(3):51-58.
  29. 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. Journal of Orthopaedic & Sports Physical Therapy. 2013;43(5):325-331. https://doi.org/10.2519/jospt.2013.4004
  30. Xie Y, Zhang C, Jiang W, et al. Quadriceps combined with hip abductor strengthening versus quadriceps strengthening in treating knee osteoarthritis: a study protocol for a randomized controlled trial. BMC Musculoskeletal Disorders. 2018;19(1):147. https://doi.org/10.1186/s12891-018-2041-7
  31. Yuenyongviwat V, Duangmanee S, Iamthanaporn K, et al. Effect of hip abductor strengthening exercises in knee osteoarthritis: a randomized controlled trial. BMC Musculoskeletal Disorders. 2020;21(1):284. https://doi.org/10.1186/s12891-020-03316-z