LB – GLUTES/HAMSTRINGS – HIP EXTENSION KNEE FLEXED – X – RESEARCH


HIP EXTENSION with KNEE FLEXED – RESEARCH


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MOVEMENTS at the HIP and the KNEE


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STRETCH ILIOPSOAS before HIP EXTENSION with KNEE FLEXED


GLUTEUS MAXIMUS, BICEPS FEMORIS, ERECTOR SPINAE, MULTIFIDUS
– Prone Hip Extension with Knee Flexed @90º

Table 1. EMG activities of the various muscles
Muscles Mean±iSD (%jMVIC) value value
PHE PHEIS
ES (Rt) 24.08±9.84 10.21±5.25 –7.82 0.03*
ES (Lt) 25.01±13.54 17.34±10.72 –4.52 0.02*
MF (Rt) 27.71±12.27 29.94±15.99 1.25 0.24
MF (Lt) 24.57±10.41 20.74±8.10 –3.69 0.14
GM (Rt) 28.02±11.75 56.33±6.62 16.61 0.01*
BF (Rt) 30.12±25.14 19.31±10.01 –5.20 0.02*
PHE: prone hip extension, PHEIS: prone hip extension after iliopsoas stretching, ES (Rt): erector spinae in Rt. Side, ES (Lt): erector spinae in Lt. side, MF (Rt): multifidus in Rt. Side, MF (Lt): multifidus in Lt. Side, GM (Rt): gluteus maximus in Rt. Side, BF (Rt): biceps femoris in Rt. Side, SD: standard deviation, MVIC: maximal voluntary isometric contraction.

LEG at multiple degrees of KNEE FLEXION


GLUTEUS MAXIMUS, HAMSTRINGS
– Prone Hip Extension with Knee Flexed 90º + Hip Ab-ducted 0°, 15°, and 30°.

Activation of gluteus maximus and hamstring during prone hip extension with knee flexion in 3 hip ab-duction positions – 2013 – Kang
Procedure
– The direction of fiber alignment within a muscle is known to influence the effectiveness of muscle contraction
– prone on examining table with knee flexed at 90º in 3 hip ab-duction positions: 0°, 15°, and 30°.
Electrode Placement
– Gluteus Maximus: halfway between the greater trochanter and second sacral vertebra in the middle of the muscle and at an oblique angle
– Hamstrings: placed parallel to the muscle bers on the posterior aspect of the thigh, approximately halfway between the gluteal fold and the popliteal fold
Results
Gluteus Maximus: 30° >> 15° > 0°
Hamstrings: 0° > 15° > 30°

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GLUTEUS MAXIMUS
– Hip Extension @ 0º, 30º, 60º, 90º of Knee Flexion
@ 0º, 15º, 30º Hip Ab-duction + External Rotation

Glute max and Semitendinosus activation during prone hip extension – 2009 – Sakamoto
Procedure
– Thirty-one participants; prone on testing table
Results for Gluteus Maximus:
Prone Hip Extension – Knee Angle: 0º > 30º > 60º > 90º
Prone Hip Extension Hip Ab-duction Angle: 30º > 15º > 0º
Prone Hip ExtensionHip External Rotation: external rotation > no external rotation
Prone Hip ExtensionHip Ab-duction + External Rotation: 15º+20º > 15º+0º > 0º+0º

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GLUTEUS MAXIMUS, HAMSTRINGS, ERECTOR SPINAE
– Prone Kick-up with Knee Flexed @90° + Hip Ab-ducted + Externally Rotated

Influence of Hip Joint Position on Muscle Activity during Prone Hip Extension with Knee Flexion – 2014 – Suehiro
Procedure
– Each participant was positioned prone, with 90° of right knee flexion
– Prone Hip Extension in 3 positions: (1) a neutral hip joint position (2) an abduction hip joint position (3) an abduction with external rotation hip joint position
Results
Gluteus Maximus: 15º+20º > 15º+0º > 0º+0º
Hamstrings: equal
Erector Spinae: 0º+0º = 15º+0º > 15º+20º


GLUTEUS MAXIMUS, RECTUS FEMORIS, VASTUS LATERALIS, VASTUS MEDIALIS
– Standing Kickback vs. Leg Press vs. Knee Extension

Electromyographic Comparison of Five Lower-Limb Muscles between Single- and Multi-Joint Exercises among Trained Men – 2021
– Nicolay Stien, Atle Hole Saeterbakken, and Vidar Andersen
Procedure
– 15 resistance-trained men
Exercises
1. Leg Press: starting position 90° knee flexion; 60° hip flexion; extended knee to 180° and hip joints 150°
2. Knee Extension: started at 90° knee flexion; performed to a full extension 180°
3. Kickback: standing; 90° angle in the hip joint; knee semi-extended 170°; concentric 180° in the hip joint

Results
Gluteus Maximus: leg press 90 | kickback 80
Rectus Femoris: knee extension 95 | leg press 70
Vastus Lateralis: leg press 105knee extension 90
Vastus Medialis: leg press 95 | knee extension 80
+ Biceps Femoris: kickback 105 | leg press 30

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GLUTEUS MAXIMUS UPPER & LOWER, GLUTEUS MEDIUS
– Prone Hip Extension with Knee Flexed @90º

The effects of therapeutic hip exercise with abdominal core activation on recruitment of the hip muscles – 2017 – Chan
Procedure
· 2 conditions: Natural Core Activation, Enhanced Core Activation
Results
Clam: hip flexed 45° . knees flexed to 90° . hip abduction 30° . hip external rotation 30°
· upper glute max 40 . glute medius 15 . lower glute max 5
Side-Lying Hip Ab-duction: to 30° with knee fully extended
· upper glute max 30 . glute medius 30 . lower glute max 5
Prone Hip Extension: knee flexed to 90° . hip extension up to 20°
· lower glute max 25 . upper glute max 20 . glute medius 20 . biceps femoris 20


GLUTEUS MAXIMUS
1. Quadruped Kick-up with Knee Flexed @90º
2. Quadruped Hip Extension with Knee Starting @90º Extending to Straight

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.
Exercises
Hip extension in quadruped on elbows with knee flexed: This exercise was performed in the same manner as described for quadruped with knee extending, except that the subject maintained the knee in 90° of flexion throughout the exercise.
Hip extension in quadruped on elbows with knee extending: Starting position was quadruped, with the upper body supported by the elbows and forearms, and the knees and elbows at approximately 90° of flexion. The subject then lifted the tested lower limb up and backward, extending the hip and knee to 0°, and then returned to the starting position.

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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