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Abstract

Background

Previous studies have reported that the gluteus maximus (GMax) consists of two distinct functional portions: the upper or superficial portion (GMU) and the lower or deep portion (GML). However, there is a lack of current literature providing recommendations for effective functional exercises that specifically target each subdivision of the GMax.

Objective

To investigate differences in GMax subdivisions, erector spinae (ES), and biceps femoris (BF) electromyographic (EMG) activity and lumbopelvic motion during five prone hip extension (PHE) exercises.

Methods

This cross-sectional study recruited 38 asymptomatic young adults. Participants performed five PHE exercises: PHE with knee extension (PHEKE), PHE with 90° knee flexion (PHRKF) and hip abduction 0° (PHEKFA0), 15° (PHEKFA15), 30° (PHEKFA30), and PHEKF with trunk support on the table (PHEKFTS). Surface EMG signals were recorded from GMU, GML, ES, and BF on the dominant side and the angles of pelvic were measured during the exercises, which involved an abdominal drawing-in maneuver. Differences in EMG amplitude and pelvic motion among the five conditions were analyzed using one-way repeated measures analysis of variance (ANOVA). For significant main effects, pairwise comparisons were conducted with Bonferroni correction to identify specific differences between conditions (0.05/10). The level of statistical significance was set at p <0.005.

Results

GMU and GML EMG amplitudes showed similar trends across the five PHE exercises. The highest EMG amplitudes for GMU and GML were observed in the PHEKFTS exercise. Additionally, the GMU and GML EMG amplitudes were significantly greater in PHEKFA30 compared to PHEKFA15 and PHEKFA0 (p < 0.005). Muscle activation of ES was significantly higher in PHEKFA30 compared to PHEKE exercises showed significant differences (p < 0.005). Muscle activation of BF and BF/Gmax ratio were significantly higher in PHEKE compared to all other PHE exercises (p < 0.005).

Conclusion

Clinically, PHEKFA30 is recommended for effectively activating GMU and GML while minimizing compensation from BF, and managing lumbopelvic motions. For advanced GMax rehabilitation, PHEKFTS is suggested due to its favourable ratio of ES to GMax.

Keywords

gluteus maximus prone hip extension subdivision

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References

Shum

Crosbie

Lee

. Effect of low back pain on the kinematics and joint coordination of the lumbar spine and hip during sit-to-stand and stand-to-sit. Spine (Phila Pa 1976) 2005; 30: 1998–2004.

Seay

Van Emmerik

Hamill

. Low back pain status affects pelvis-trunk coordination and variability during walking and running. Clin Biomech (Bristol, Avon) 2011; 26: 572–578.

Neumann

. Kinesiology of the musculoskeletal system: foundations for physical rehabilitation. Philadelphia, New York: Mosby, 2010.

McAndrew

Gorelick

Brown

JMM

. Muscles within muscles: a mechanomyographic analysis of muscle segment contractile properties within human gluteus maximus. J Musculoskelet Res 2006; 10: 23–35.

Standring

. Gray’s Anatomy, 40th ed. In: The Anatomical Basis of Clinical Practice Expert Consult, Churchill Livingstone. 2008.

Kendall

McCreary

Provance

. Muscles testing and function. 5th ed. Baltimore, MD: Williams & Wilkins, 2005.

Lieberman

Raichlen

Pontzer

, et al. The human gluteus maximus and its role in running. J Exp Biol 2006; 209: 2143–2155.

Hossain

Nokes

. A model of dynamic sacro-iliac joint instability from malrecruitment of gluteus maximus and biceps femoris muscles resulting in low back pain. Med Hypotheses 2005; 65: 278–281.

Buckthorpe

Stride

Villa

. Assessing and treating gluteus maximus weakness- a clinical commentary. Int J Sports Phys Ther 2019 Jul; 14: 655–669.

10.

Pool-Goudzwaard

Vleeming

Stoeckart

, et al. Insufficient lumbopelvic stability: a clinical, anatomical and biomechanical approach to a-specific low back pain. Man Ther 1998; 3: 12–20.

11.

Barker

Hapuarachchi

Ross

, et al. Anatomy and biomechanics of gluteus maximus and the thoracolumbar fascia at the sacroiliac joint. Clin Anat 2014; 27: 234–240.

12.

Wilson

Ferris

Heckler

, et al. A structured review of the role of gluteus maximus in rehabilitation. New Zealand J Physiother 2005; 33: 95–100.

13.

Powers

. The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. J Orthop Sports Phys Ther 2003; 33: 639–646.

14.

Friel

McLean

Myers

, et al. Ipsilateral hip abductor weakness after inversion ankle sprain. Journal of Athletic Training 2006; 41: 74–78.

15.

Hewett

Myer

Ford

. Anterior cruciate ligament injuries in female athletes: part 1, mechanisms and risk factors. Am J Sports Med 2006; 34: 299–311.

16.

Distefano

Blackburn

Marshall

, et al. Gluteal muscle activation during common therapeutic exercises. J Orthop Sports Phys Ther 2009; 39: 532–540.

17.

Sahrmann

. Diagnosis and treatment of movement impairment syndromes. 1st ed. St Louis, MO: Mosby In., 2002.

18.

Chance-Larsen

Littlewood

Garth

. Prone hip extension with lower abdominal hollowing improves the relative timing of gluteus maximus activation in relation to biceps femoris. Man Ther 2010; 15: 61–65.

19.

Cynn

Won

, et al. Effects of performing an abdominal drawing-in maneuver during prone hip extension exercises on hip and back extensor muscle activity and amount of anterior pelvic tilt. J Orthop Sports Phys Ther 2007; 37: 320–324.

20.

Jeon

Hwang

Jung

, et al. Comparison of gluteus maximus and hamstring electromyographic activity and lumbopelvic motion during three different prone hip extension exercises in healthy volunteers. Phys Ther Sport 2016; 22: 35–40.

21.

Kang

Jeon

Kwon

, et al. Activation of the gluteus maximus and hamstring muscles during prone hip extension with knee flexion in three hip abduction positions. Man Ther 2013; 18: 303–307.

22.

Lyons

Perry

Gronley

, et al. Timing and relative intensity of hip extensor and abductor muscle action during level and stair ambulation. An EMG study. Phys Ther 1983; 63: 1597–1605.

23.

Selkowitz

Beneck

Powers

. Comparison of electromyographic activity of the superior and Inferior portions of the gluteus Maximus muscle during common therapeutic exercises. J Orthop Sports Phys Ther 2016; 46: 794–799.

24.

Key

. Back pain: A movement problem: A clinical approach incorporating relevant research and practice. Elsevier Health Sciences, 2010, pp.60-150.

25.

Faul

Erdfelder

Buchner

, et al. Statistical power analyses using G*power 3.1: tests for correlation and regression analyses. Behavior Research Methods 2009; 41: 1149–1160.

26.

Criswell

. Cram's introduction to surface electromyography. Burlington, MA, USA: Jones & Bartlett Publishers, 2010.

27.

Llurda-Almuzara

Labata-Lezaun

López-de-Celis

, et al. Biceps femoris activation during hamstring strength exercises: a systematic review. Int J Environ Res Public Health 2021; 18: 8733.

28.

Ekstrom

Donatelli

Carp

. Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises. J Orthop Sports Phys Ther 2007; 37: 754–762.

29.

Shin

Yoo

. Assessing the effects of sway-back posture on global and regional spinal sagittal angles using inertial measurement units. J Back Musculoskelet Rehabil 2023; 36: 661–667.

30.

Bauer

Rast

Ernst

, et al. Concurrent validity and reliability of a novel wireless inertial measurement system to assess trunk movement. J Electromyogr Kinesiol 2015; 25: 782–790.

31.

Yoon

Lee

. Effect of initial position on the muscle activity of the hip extensors and amount of pelvic tilt during prone hip extension. J Phys Ther Sci 2015; 27: 1195–1197.

32.

Jeon

. Activation and onset time of the gluteus maximus muscle during three different prone table hip extension exercises. Phys Ther Korea 2020; 32: 295–301.

33.

Lewis

Sahrmann

Moran

. Anterior hip joint force increases with hip extension, decreased gluteal force, or decreased iliopsoas force. J Biomech 2007; 40: 3725–3731.

34.

Sakamoto

Teixeira-Salmela

de Paula-Goulart

, et al. Muscular activation patterns during active prone hip extension exercises. J Electromyogr Kinesiol 2009; 19: 105–112.

35.

Kwon

Lee

. How different knee flexion angles influence the hip extensor in the prone position. J Phys Ther Sci 2013; 25: 1295–1297.

36.

Kang

Choung

Jeon

. Modifying the hip abduction angle during bridging exercise can facilitate gluteus maximus activity. Man Ther 2016; 22: 211–215.

37.

Comerford

Mottram

. Kinetic control: the management of uncontrolled movement. Chatswood, Australia: Elsevier, 2012.

38.

Jeon

Kwon

Weon

, et al. Comparison of hip- and back-muscle activity and pelvic compensation in healthy subjects during 3 different prone table hip-extension exercises. J Sport Rehabil 2017; 26: 216–222.

Comparison of gluteus maximus subdivisions,erector spinae,and biceps femoris activities and lumbopelvic motion during various prone hip exercises

Abstract

Background

Objective

Methods

Results

Conclusion

Keywords

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References