Effect of Modified Clamshell Exercise on Gluteus Medius, Quadratus Lumborum and Anterior Hip Flexor in Participants with Gluteus Medius Weakness

Seom-Gyeul Jeong (정섬결); Heon Seock Cynn (신헌석); Jihyun Lee (이지현); Silah Choi (최슬아); 김다은

doi:10.13066/kspm.2019.14.2.9

Effect of Modified Clamshell Exercise on Gluteus Medius, Quadratus Lumborum and Anterior Hip Flexor in Participants with Gluteus Medius Weakness

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2019, 14(2), pp.9-19
DOI : 10.13066/kspm.2019.14.2.9
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
Received : November 21, 2018
Accepted : January 31, 2019
Published : May 31, 2019

Seom-Gyeul Jeong ¹, Heon Seock Cynn ², Jihyun Lee ¹, Silah Choi ¹, 김다은 ¹

¹연세대학교 물리치료학과
²연세대학교

Accredited

ABSTRACT

PURPOSE: This study compared the effects of three different clamshell exercises (CLAM) on the gluteus medius (GMED), quadratus lumborum (QL), anterior hip flexor (AHF), gluteus medius/quadratus lumborum ratio, and gluteus medius/anterior hip flexor ratio by studying the activities of participants with GMED weakness. METHODS: Eleven subjects with weak GMED participated in this study. Subjects performed CLAM under three different conditions (standard, and modified 1 and 2). Surface electromyography was then used to measure the muscle activity and one-way repeated-measures analysis of variance was used to assess the statistical significance of the measured variables. RESULTS: GMED and the QL muscle activities did not differ significantly between the standard CLAM and the modified CLAM with the 2 different foot positions (F=4.74, P=.02; F=4.57, P=.02, respectively). AHF activity was significantly different in the two different foot positions when compared to the standard CLAM (F=11.17, P=.00). However, there was no significant difference between the AHF activities for the two different foot positions (P=.09). Finally, GMED/QL and GMED/AHF ratios were not significantly different between the three different CLAM exercises (F= .63, P=.55; F=.82, P=.45, respectively). CONCLUSION: Modified CLAM can be recommended as a good method to minimize AHF activity while maintaining GMED activity in subjects with weak GMED.

KEYWORDS

Anterior hip flexor, Clamshell exercise, Electromyography

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[journal] Lee D / 1996 / Instability of the sacroiliac joint and the consequences to gait / J Man Manip Ther 4(1) : 22~29

[journal] Gottschalk F / 1989 / The functional anatomy of tensor fasciae latae and gluteus medius and minimus / J Anat 166 : 179~

[journal] Bolgla LA / 2005 / Electromyographic analysis of hip rehabilitation exercises in a group of healthy subjects / J Orthop Sports Phys Ther 35(8) : 487~494

[journal] Cynn HS / 2006 / Effects of lumbar stabilization using a pressure biofeedback unit on muscle activity and lateral pelvic tilt during hip abduction in sidelying / Arch Phys Med Rehabil 87(11) : 1454~1458

[journal] Janda V / 1996 / Evaluation of muscular imbalance / Rehabilitation of the spine : A practitioner's manual 6 : 97~112

[journal] Powers CM / 2010 / The influence of abnormal hip mechanics on knee injury : A biomechanical perspective / J Orthop Sports Phys Ther 40(2) : 42~51

[book] Chaitow L / 1996 / Muscle energy techniques / Elsevier Health Sciences

[book] Sahrmann S / 2002 / Diagnosis and treatment of movement impairment syndromes / Msby : 193~247

[book] Shamberger W / 2002 / he Malalignment Syndrome: Implications for medicine and sport / Churchill Livingstone

[book] Richardson C / 1999 / Therapeutic exercise for spinal segmental stabilization in low back pain / Churchill Livingstone : 211~222

[journal] Park KM / 2010 / Effects of the pelvic compression belt on gluteus medius, quadratus lumborum, and lumbar multifidus activities during side-lying hip abduction / J Electromyography Kinesiol 20(6) : 1141~1145

[book] McGill, Stuart / 2007 / Low Back Disorders: Evidence-based prevention and rehabilitation / Human Kinetics

[journal] Natalie Sidorkewicz / 2014 / Examining the effects of altering hip orientation on gluteus medius and tensor fasciae latae interplay during common non-weight-bearing hip rehabilitation exercises / Clinical Biomechanics 29(9) : 971~976

[journal] Selkowitz DM / 2013 / Which exercises target the gluteal muscles while minimizing activation of the tensor fascia lata? Electromyographic assessment using fine-wire electrodes / J. Orthop. Sports Phys. Ther 43(2) : 54~64

[journal] Joseph M McBeth / 2012 / Hip Muscle Activity During 3 Side-Lying Hip Strengthening Exercises in Distance Runners / Journal of Athletic Training 47(1) : 15~23

[book] Leonard CT / 1997 / Principles of reflex action and motor control / Mosby : 70~99

[book] Stuart I / 2007 / Human physiology: mechanism of contraction and neural control / McGraw-Hill

[journal] Kim SJ / 2011 / Comparison of abdominal muscle activity during a single-legged hold in the hook-lying position on the floor and on a round foam roll / National Athletic Trainers’ Association, Inc 46 : 403~408

[journal] Khayambashi K / 2012 / The effects of isolated hip abductor and external rotator muscle strengthening on pain, health status, and hip strength in females with patellofemoral pain : A randomized controlled trial / J Orthop Sports Phys Ther 42(1) : 22~29

[journal] Fredericson M / 2000 / Hip abductor weakness in distance runners with iliotibial band syndrome / Clin J Sport Med 10(3) : 169~175

[journal] Friel K / 2006 / Ipsilateral hip abductor weakness after inversion ankle sprain / J Athl Train 41(1) : 74~

[book] Kendall F / 2005 / Muscles testing and function with posture and pain / Lippincott Williams & Wilkins

[journal] Bewyer KJ / 2009 / Pilot data : Association between gluteus medius weakness and low back pain during pregnancy / Iowa Orthop J 29 : 97~

[journal] Wong YM / 1999 / Skin thickness and VMO : VL ratio / J Orthop Sports Phys Ther 29 : 686~

[journal] Flegal KM / 1998 / Overweight and obesity in the United States : Prevalence and trends, 1960-1994 / IJO 22(1) : 39~

[book] Cram J / 1998 / Introduction to Surface Electromyography / Gaithersburg

[journal] Hermens HJ / 2000 / Development of recommendations for SEMG sensors and sensor placement procedures / J Electromyography Kinesiol 10(5) : 361~374

[journal] Ayotte NW / 2007 / Electromyographical analysis of selected lower extremity muscles during 5 unilateral weight-bearing exercises / J Orthop Sports Phys Ther 37(2) : 48~55

[journal] Soderberg GL / 2000 / A guide for use and interpretation of kinesiologic electromyographic data / Physical therapy 80(5) : 485~498

[journal] Nyland J / 2004 / Femoral anteversion influences vastus medialis and gluteus medius EMG amplitude : Composite hip abductor EMG amplitude ratios during isometric combined hip abductionexternal rotation / J Electromyography Kinesiol 14(2) : 255~261

[journal] Sykes K / 2003 / Electrical activity of vastus medialis oblique muscle in straight leg raise exercise with different angles of hip rotation / Physiotherapy 89(7) : 423~430

[journal] De Luca CJ / 1997 / The use of surface electromyography in biomechanics / J Appl Biomech 13(2) : 135~163

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Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45

Effect of Modified Clamshell Exercise on Gluteus Medius, Quadratus Lumborum and Anterior Hip Flexor in Participants with Gluteus Medius Weakness

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Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45

Effect of Modified Clamshell Exercise on Gluteus Medius, Quadratus Lumborum and Anterior Hip Flexor in Participants with Gluteus Medius Weakness

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