LB – GLUTES/THIGHS – X – FORWARD STEP-UPS – RESEARCH


FORWARD STEP-UP RESEARCH


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EMG STUDIES


GLUTEUS MAXIMUS
– Forward Step-up

Review of studies evaluating gluteus maximus and gluteus medius activation during rehab exercises . Michael Reiman – 2011
Procedure
– Studies that evaluated activation of GMax during rehab exercises; Note: subjects included in this review were healthy
Results for Gluteus Maximus
– the following can affect EMG activity:
(1) trunk position
(2) movement direction
(3) base of support
– EMG ranged from 74% to 9% MVIC; strength gains are expected for activation levels = or >40% MVIC
·
74% forward stepup
·
59% to 56% 1-leg squat; 1-leg RDL; wall squat; retro backward stepup; 1/4 squat
·
49% to 40%transverse lunge; sideways lunge; lateral stepup; 1-leg bridge
·
39% to 34% clam 60º hip flexion; lunge neutral trunk; clam 30º hip flexion
·
25% to 19% bridging on stable surface; lunge forward lean; side lying hip ab-duction; bridging on a swiss ball; lunge backward lean
· 9% – prone plank

1


GLUTEUS MAXIMUS
– Forward Step-up

Glute Max Activation during Common Strength and Hypertrophy Exercises – Review – 2020 – Neto
Procedure
– GMax activation levels during strength exercises that incorporate hip extension and use of external load
Results
– the following factors might directly influence GMax activation
(1) External load
(2) movement velocity
(3) level of fatigue
(4) mechanical complexity of the exercise
(5) need for joint stabilization
– Step-up may elicit the highest level of Gmax activation possibly due to the stabilization requirement

Classification Activation Exercise Average (%MVIC)
Very high Step-Up 169.22 ± 101.47
Very high Lateral Step-Up 114.25 ± 54.74
Very high Diagonal Step-Up 113.21 ± 43.54
Very high Crossover Step-up 104.19 ± 33.63
Very high Hex Bar Deadlift 88 ± 16
Very high Rotation BB Hip Thrust 86.18 ± 34.3
Very high Traditional BB Hip Thrust Lower GM: 69.5/Upper GM: 86.7
Very high American BBHip Thrust Lower GM: 57.4 ± 34.8/ Upper GM: 89.9 ± 32.4
Very high Belt Squat 71.34 ± 29.42
10° Very high Split Squat 70 ± 15
11° Very high In-line Lunge 67 ± 11
12° Very high Traditional Lunge 66 ± 13
13° Very high Pull Barbell Hip Thrust 65.87 ± 23.28
14° Very high Modified Single-leg Squat – Bulgarians 65.6 ± 15.1
15° Very high Traditional Deadlift 64.50 ± 41.72
16° Very high Band Hip Thrust Lower GM: 49.2 ± 26.5/ Upper GM: 79.2 ± 29.9
17° High Parallel Back Squat 59.76 ± 22.52
18° High Feet-away Barbell Hip Thrust 51.38±17.93
19º High Front Squat 40.54 ± 4.73
20° High Stiff-Leg Deadlift – RDL 40.5 ± 18.8
21° Moderate Overhead Squat 39.75 ± 29.91
22° Moderate Sumo Deadlift 37 ± 28
23° Moderate Partial Back Squat 28.16 ± 10.35
24° Moderate Full Back Squat 26.56 ± 12.33

UPPER GLUTE MAX, GLUTE MEDIUS, TFL
– Forward Step-up

Which Exercises Target the Gluteal Muscles While Minimizing Activation of the Tensor Fascia Lata? – 2013 – Selkowitz
Procedure
– determine which exercises are best for activating the gluteus medius and the superior portion of the gluteus maximus, while minimizing activity of the tensor fascia lata (TFL).
Fine Wire Electrodes
–  SUP-GMAX: superior and lateral to midpoint of a line drawn b/n the posterior superior iliac spine and posterior greater trochanter.
– GMED: inserted 2.5 cm distal to the midpoint of the iliac crest (ie, middle portion).
– TFL: inserted distal and slightly lateral to the anterior superior iliac spine and medial and superior to the greater trochanter.

Forward step-up Starting position was with the foot of the tested limb on a step, at a height resulting in approximately 90° of knee flexion with the tibia vertical. The subject then pushed the tested foot down on the step to raise the non-tested foot off the floor to the level of the step, without resting the nontested foot on the step. At this point, the subject was in unilateral weight bearing on the tested limb such that the tested limb’s knee and hip were both at 0°, with the trunk erect. The subject then returned to the starting position. During the entire exercise, the body was maintained in the sagittal plane, with the tested limb’s knee over the ipsilateral toes.

Results

TABLE 1 Normalized Electromyographic Amplitude of Each Muscle for Each Exercise*
Exercise Tensor Fascia Lata Gluteus Medius Superior Gluteus Maximus
Side-lying hip abduction 32.3 ± 13.1 43.5 ± 14.7 (P = .012) 23.7 ± 15.3 (P = .033)
Bilateral bridge – Hip Thrust 8.2 ± 7.4 15.0 ± 10.5 (P = .011) 17.4 ± 11.9 (P = .008)
Clam 11.4 ± 11.4 26.7 ± 18.0 (P = .006) 43.6 ± 26.1 (P<.001)
Hip hike 31.4 ± 14.4 37.7 ± 15.1 (P = .196) 17.7 ± 15.2 (P = .001)
Lunge 21.6 ± 14.5 19.3 ± 12.9 (P = .623) 20.1 ± 11.1 (P = .728)
Quadruped hip extension, knee extending 15.6 ± 9.3 27.3 ± 14.9 (P<.002) 28.5 ± 16.6 (P<.007)
Quadruped hip extension, knee flexed 18.7 ± 10.6 30.9 ± 15.2 (P = .001) 30.1 ± 12.5 (P = .012)
Sidestep 13.1 ± 7.1 30.2 ± 15.7 (P = .002) 27.4 ± 16.7 (P = .002)
Squat 4.6 ± 3.8 9.7 ± 7.3 (P = .017) 12.9 ± 7.9 (P<.001)
Step-up 21.4 ± 11.4 29.5 ± 14.9 (P = .065) 22.8 ± 15.6 (P = .754)
Unilateral bridge – Hip Thrust 18.1 ± 12.9 30.9 ± 20.7 (P = .007) 34.6 ± 16.8 (P = .001)

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