LB-GLUTE-MEDIUS/MINIMUS-X-AB·DUCTION-RESEARCH


HIP AB·DUCTION – RESEARCH


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EMG STUDIES


GLUTEUS MEDIUS, GLUTEUS MAXIMUS, AD-DUCTOR LONGUS
– Standing Band & Seated Machine Ab-duction Ad-duction

Perceived Loading & Muscle Activity during Hip Strengthening: Elastic vs. Machine – 2013 – Brandt, Andersen
Procedure
– compare hip muscle activity with light load, moderate load, heavy load, near max load
– estimating 10 RM can be time‐consuming and difficult especially in patients that experience pain due to injured or healing tissues
– perceived loading using the Borg category ratio 10 scale (Borg CR10 scale)9 can be an alternate tool for estimating the intensity of a given exercise
– testing 11 muscles at the hip, thigh and trunk during hip adduction and hip abduction exercises
– 16 untrained women, using elastic resistance and isotonic exercise machines
Results for Moderate Load
– go to full article to see chart of individual involvement of all 11 muscles at all 4 loads
Ab-duction: Bands 90 . Machine 60
Ad-duction: Machine 52 . Bands 50

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UPPER & LOWER GLUTEUS MAXIMUS, GLUTEUS MEDIUS, TFL
– Supine Straight Leg Hip Ab-duction with Hip Angle @0º, 20º, 40º, 60º, 80º

Hip Muscles during Supine Isometric Contraction of Hip Abduction – 2014 – Fujisawa
Procedure
– isometric contraction at 80% maximum strength
Results – Hip Angle in Degrees
Glute Medius: 80 degrees – 66% . 0 degrees – 58%60 degrees – 54%  . 40 degrees – 53%20 degrees – 52%
Gluteus Maximus – Upper: 80 degrees – 85%60 degrees – 60%40 degrees – 50% . 20 degrees – 34% . 0 degrees – 28%
Gluteus Maximus – Lower: 80 degrees – 38% . 60 degrees – 30% . 40 degrees – 25% . 20 degrees – 20% . 0 degrees – 20%
TFL: 0 degrees – 70% . 20 degrees- 70% . 40 degrees – 55% . 60 degrees – 50% . 80 degrees – 45%

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GLUTEUS MAXIMUS, GLUTEUS MEDIUS, TFL
– Band Side Steps with Band at the Knees, Ankles and Feet

Hip-Muscle Activity in Men and Women During Resisted Side Stepping With Different Band Positions – 2019 – Lewis
Procedure
– Band Side Stepping in a Squat Position
Electrodes
– electrodes place over middle of GMax and posterior GMed
Results – Concentric Phase of Moving Limb
Gluteus Maximus: feet 20% . ankles 20% . knees 15% 
Gluteus Medius feet 35% . ankles 30% . knees 25% 
TFL – Tensor Fascia Latae: feet 30% . ankles 30% . knees 20%
Results – Concentric Phase of Stance Limb
Gluteus Maximus: feet 15% .
 ankles 12% . knees 10%
Gluteus Medius: feet 25% .
 ankles 22% . knees 18%
TFL – Tensor Fascia Latae: feet 27% .
ankles 25% . knees 18%


GLUTEUS MAXIMUS, GLUTEUS MEDIUS, TFL
– Band Side Steps with Band at the Knees, Ankles and Feet

Progressive hip rehabilitation: the effects of resistance band placement on gluteal activation during two common exercises – 2012 – Cambridge
Procedure
– examine the effects of altering resistance band placement during ‘Monster Walks’ and ‘Sumo Walks.’
– electrode placement?
Results
Gluteus Maximus: feet 8% . ankles 6% . knees 5%
Gluteus Medius: feet 35% . ankles 30% . knees 25%
TFL – Tensor Fascia Latae: feet 25%ankles 22% . knees 13%


UPPER GLUTEUS MAXIMUS, GLUTEUS MEDIUS, TFL
– Side Steps with Band around the Thighs

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.

Sidestep with elastic resistance around the thighs in a squatted position Starting position was in a squatted position, as described above for the squat. The subject then stepped to the side with one limb, followed in the same direction by the other limb, both step lengths approximately 50% of the starting-position distance between the feet (see squat). Knees were kept aligned with the ipsilateral second toe. If a sidestep with each limb in succession was considered a stride, then the subject performed a total of 2 strides in one direction, followed by 2 strides in the opposite direction to return to the starting position. This activity cycle was performed a total of 3 times. The same method of elastic resistance was used in this exercise as in the clam exercise, because there was otherwise little resistance to the sideways movement

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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