A comparison of gluteus medius, gluteus minimus and tensor facia latae muscle activation during gait in post-menopausal women with and without greater trochanteric pain syndrome

Ganderton, Charlotte; Pizzari, Tania; Harle, Tanya; Cook, Jill; Semciw, Adam

doi:10.1016/j.jelekin.2017.01.004

Cited by 46 publications

(51 citation statements)

References 41 publications

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“…Therefore, greater anterior gluteus minimus EMG may reflect an increased demand to control medio-lateral movement in this portion of the gait cycle when walking with shorter strides [26,30]. The larger burst of anterior gluteus minimus EMG in early stance is consistent with observations of muscle activity in individuals with hip pathology [14]. Habitually demonstrate; A, a single burst of EMG in swing in both self-selected and short strides; B, a single EMG burst in swing with self-selected stride and a burst in stance and swing in short strides; C, a burst in both stance and swing in self-selected and short strides; and D, a mixed burst pattern in selfselected and short strides.…”

Section: Discussionsupporting

confidence: 78%

“…After sterilisation, electrodes were inserted into anterior gluteus minimus, Iliocapsularis and iliacus of the "stance dominant" leg. Stance dominance was determined through a previously established protocol [14]. The insertion procedure for Iliocapsularis and anterior gluteus minimus have been previously described in detail [11,15].…”

Section: Electromyographymentioning

confidence: 99%

“…Each stride was separated into early stance phase (0-30%), late stance phase (30-60%), initial to mid swing (60-90%), total stance phase (heel strike to toe-off) and total swing phase (toeoff to subsequent, ipsilateral heel strike). Intra-participant variability in muscle activity during gait was calculated using the mean coefficient of variation (CoV) within each participant across eight strides [14,20]. The CoV was determined for each one percent of the gait cycle for each participant, before being averaged within a defined phase; 0-30%, 30-60%, 60-90%, swing and stance.…”

Section: Emg Processingmentioning

confidence: 99%

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The effect of altered stride length on iliocapsularis and pericapsular muscles of the anterior hip: An electromyography investigation during asymptomatic gait

et al. 2019

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 The first paper to describe the activity of iliocapsularis in walking  Evaluates EMG of all pericapsular anterior hip muscles  A distinct activity profile was observed for iliocapsularis  Iliocapsularis is proposed to augment capsular tension during shorten strides 4 ABSTRACT Background: Anterior pericapsular muscles potentially contribute to active hip joint stability in walking by controlling anterior femoral translation in peak extension. Alternatively, these muscles could flex the hip and tension the anterior capsule to aid initiation of swing. Although never investigated, the location of Iliocapsularis and its extensive anterior hip capsule attachment imply a potential role in these functions. We hypothesised if these muscles contribute to control of femoral head translation (rather than hip flexion), their activation would decrease when peak hip extension is reduced during shorter stride walking. Research Questions: To provide the first description of iliocapsularis activity during walking and challenge the hypothesised roles of the anterior pericapsular hip muscles in gait by walking with shortened strides. Methods: Fifteen healthy volunteers walked with self-selected and shortened stride lengths. Electromyographic recordings were made from iliocapsularis, iliacus and anterior gluteus minimus with intramuscular electrodes, and rectus femoris with surface electrodes. Stride characteristics were measured using force sensors and 3D motion capture. Ensembles of burst activity profiles for each stride length were compared. Results: Iliocapsularis displayed a consistent EMG burst around toe-off (terminal hip extension) that peaked during early swing phase with self-selected strides. In shortened strides, iliocapsularis EMG

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Section: Discussionsupporting

confidence: 78%

Section: Electromyographymentioning

confidence: 99%

Section: Emg Processingmentioning

confidence: 99%

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The effect of altered stride length on iliocapsularis and pericapsular muscles of the anterior hip: An electromyography investigation during asymptomatic gait

et al. 2019

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“…This clinical condition can be related to acute or chronic traumas, osteonecrosis, fractures or infections, pain radiated from the spine, entrapment neuropathies, trochanteric bursitis, as well as tendinopathies of the gluteus medius and gluteus minimus muscles. [24][25][26][27][28][29] Using US it is possible to differentiate gluteus tendinopathy from trochanteric bursitis (►Fig. 5).…”

Section: Soft Tissuesmentioning

confidence: 99%

“…The gluteus minimus and gluteus medius tendons attach onto the anterior and lateral facets of the greater trochanter, respectively, similarly to the rotator cuff of the shoulder. [24][25][26][27][28][29][30] The medial hip is frequently evaluated to assess adductor integrity. The patient lies with the thigh abducted, externally rotated, and the knee bent.…”

Section: Soft Tissuesmentioning

confidence: 99%

Ultrasound of the Hip Joint, Soft Tissues, and Nerves

Tagliafico

Bignotti

Rossi

et al. 2017

Semin Musculoskelet Radiol

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Ultrasound (US) of the hip is widely used both in children and adults for selected clinical indications. According to the European Society of Musculoskeletal Radiology, hip US is indicated for several clinical conditions involving the joint, soft tissues, and nerves. Hip US indications include fluid detection, synovitis, effusion, and synovial cysts; soft tissue evaluation such as tendinopathy and bursitis; and peripheral nerve pathology of large and small nerves around the hip. In addition, US is an effective imaging modality to guide interventional procedures. This article provides a brief overview of the US scanning technique of the hip and presents some common and less common conditions in which US of the hip is usually performed in adult patients.

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Muscle Size and Quality of the Gluteal Muscles and Tensor Fasciae Latae in Women with Greater Trochanteric Pain Syndrome

et al. 2019

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Greater trochanteric pain syndrome (GTPS) is prevalent in women and severely impacts quality of life. A key muscle group demonstrating reduced strength are the hip abductors. An understanding of specific muscles affected will help guide targeted rehabilitation. Objectives of this case–control study were to compare gluteal and tensor fasciae latae (TFL) muscle size and quality (fatty infiltration) in women with symptomatic GTPS to asymptomatic age‐matched female controls. Magnetic resonance imaging of 16 women with GTPS (mean age 55.75 years, range 23–69) and 15 asymptomatic controls (mean age 55.60 years, range 31–66) was undertaken. Muscle volumes of the gluteus maximus, gluteus medius, gluteus minimus, and TFL were calculated. Fatty infiltration was rated using the Goutallier classification system for all muscles in their entirety, as well as anterior and posterior segments of gluteus medius and minimus. Muscle volumes and fatty infiltration were compared between groups. Significantly smaller muscle volumes were identified in the symptomatic group for the upper (P = 0.01) and lower (P = 0.04) portions of gluteus maximus, gluteus medius (P = 0.03), and gluteus minimus (P = 0.02). There was no difference in TFL (P = 0.18). Symptomatic participants displayed significantly greater fatty infiltration in gluteus maximus upper (P = 0.021) and lower (P = 0.049) when adjusted for BMI, and gluteus minimus (P = 0.018), particularly in the posterior portion (P = 0.04). Anterior gluteus minimus demonstrated high amounts of fatty infiltration in both groups. Gluteal muscle atrophy and fatty infiltration in women with GTPS suggests gluteus maximus and minimus may be an important target for rehabilitation. Clin. Anat., 33:1082‐1090, 2020. © 2019 Wiley Periodicals, Inc.

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A comparison of gluteus medius, gluteus minimus and tensor facia latae muscle activation during gait in post-menopausal women with and without greater trochanteric pain syndrome

Cited by 46 publications

References 41 publications

The effect of altered stride length on iliocapsularis and pericapsular muscles of the anterior hip: An electromyography investigation during asymptomatic gait

The effect of altered stride length on iliocapsularis and pericapsular muscles of the anterior hip: An electromyography investigation during asymptomatic gait

Ultrasound of the Hip Joint, Soft Tissues, and Nerves

Muscle Size and Quality of the Gluteal Muscles and Tensor Fasciae Latae in Women with Greater Trochanteric Pain Syndrome

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