Gluteus medius strengthening and the use of the Donatelli Drop Leg Test in the athlete

Gowda, Ashok; Mease, Samuel J.; Donatelli, R; Zelicof, Steven B.

doi:10.1016/j.ptsp.2013.02.005

Cited by 9 publications

(9 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition to the standard postoperative treatment, the Study Group performed a 2-week daily rehabilitation training as outpatients in the second postoperative period (once the orthopaedic surgeon authorised full weight-bearing on the operated limb), aimed exclusively at strengthening the abductor muscles. In accordance with previous studies in the literature that demonstrated the effectiveness of a progression of hip rehabilitation exercises to strengthen the gluteus medius muscle in healthy and injured athletes, 24,25 THR patients were subjected to a specific sequence of exercises. Furthermore, in agreement with Jeong et al 26 , treadmill training with a 5% inclination, useful for gluteus medius strengthening, was also introduced.…”

Section: Rehabilitation Programmementioning

confidence: 83%

“…The proposed program has been tested, for the first time, on a population of patients who underwent THR, since Philippon and Gowda’s studies of healthy subjects or athletes. 24,25 It is evident that such a specific exercise cannot be started before a patient has reached full weight-bearing on the operated hip, and therefore must be carried out as a second rehabilitation phase and be closely monitored, at least initially, by a physiotherapist. In the present study, all patients took part in the rehabilitation programme and no complications related to the presence of pain or the inability to perform certain exercises were observed.…”

Section: Discussionmentioning

confidence: 99%

“…Rehabilitation exercise programme for the gluteus medius strengthening according to Philippon et al 24 , Gowda et al 25 and Jeong et al 26 …”

Section: Methodsmentioning

confidence: 99%

“…The exercise is repeated twice, 1 with external rotated hip and 1 with internal rotated hip. Rehabilitation exercise programme for the gluteus medius strengthening according to Philippon et al 24 , Gowda et al 25 and Jeong et al 26 Quadrupled forearm/leg lift Exercise in 3 series, with 8 repetitions each. Starting from a quadrupedal position, for each repetition the opposite upper and lower limbs extended.…”

Section: Abductor Wall Stretch With Internal and External Rotationsmentioning

confidence: 99%

See 3 more Smart Citations

Abductor muscle strengthening in THA patients operated with minimally-invasive anterolateral approach for developmental hip dysplasia

et al. 2019

View full text Add to dashboard Cite

Objective: In developmental hip dysplasia (DDH) patients, the chronic dislocation of the femoral head with respect to the true acetabulum determines muscle contracture and atrophy, particularly of the abductor muscles, and leads to secondary osteoarthritis (OA) with severe motor dysfunction, pain and disability. The correct positioning when a total hip replacement (THR) is performed is fundamental to the recovery of gait function. Also, inadequate rehabilitation of the abductor muscles for pelvic stabilisation can be responsible for residual dysfunction. Consensus on a programme for abductor muscle strengthening in these patients is not currently available. The aim of this study was to evaluate the effectiveness of a specific program of exercises for strengthening the abductor muscles in these patients. Methods: A multicentre, prospective, randomised clinical trial was carried out in an outpatient rehabilitation setting on 103 patients given THR for DDH through a minimally invasive anterolateral approach. Patients were randomly divided into a Study Group, including 46 patients, and a Control Group, including 57 patients. All patients underwent standard early postoperative rehabilitation. In addition, the Study Group were given an extra 2-week rehabilitation once full weight-bearing on the operated limb was allowed, aimed at strengthening the abductor muscles. All patients were evaluated preoperatively, and at about 3 and 6 months postoperatively. Clinical measures (lower limb-length differences, hip range of motion, abductor muscle strength), and functional measures (WOMAC, HHS, 10mt WT, SF-12) were taken. Results: Hip range of motion and functional outcome measures showed a progressive improvement at follow ups in both groups, significantly higher in the Study Group. In particular, abductor strength at 6 months post-op improved by 92.5% with respect to 35.7% in the Control Group. Conclusion: In addition to standard rehabilitation, a rehabilitation programme for strengthening the gluteal muscles in DDH patients who underwent THR determined an increase in muscle strength that improved functional performance and patient satisfaction.

show abstract

Section: Rehabilitation Programmementioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

“…Rehabilitation exercise programme for the gluteus medius strengthening according to Philippon et al 24 , Gowda et al 25 and Jeong et al 26 …”

Section: Methodsmentioning

confidence: 99%

Section: Abductor Wall Stretch With Internal and External Rotationsmentioning

confidence: 99%

See 2 more Smart Citations

Abductor muscle strengthening in THA patients operated with minimally-invasive anterolateral approach for developmental hip dysplasia

et al. 2019

View full text Add to dashboard Cite

show abstract

“…The subjects then performed sumo walks and monster walks 8 ) . Recently, rehabilitation protocols for the GM have included the slight hip flexion clam, side-lying abduction, and closed chain lateral lunges 9 ) . Nelson-Wong and Callaghan have suggested that exercise strategies for patients with low back pain should focus on core stability and gluteal rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Activation of the gluteus medius according to load during horizontal hip abduction in a one-leg stance

2015

View full text Add to dashboard Cite

[Purpose] This study researched the influences of different loads on muscle activity of the posterior fibers of the gluteus medius in a one-leg standing position. [Subjects] Twenty-four healthy adult men participated in this study. [Methods] All participants performed the one-leg standing position under four conditions: the standard no-load condition, in which the non-weight-bearing leg was lifted and kept parallel to the back and then pelvic or lumbar rotation was performed without thorax rotation, and the 0 kg, 1 kg, and 3 kg load conditions, in which horizontal shoulder abduction was performed with a load of 0 kg, 1 kg, or 3 kg added to the hand. The electromyographic activity of the posterior fibers of the gluteus medius was measured using a wireless surface electromyography under all conditions. The electromyographic activity of each muscle under the four conditions during the one-leg stance was analyzed using one-way analysis of variance. [Results] The electromyographic activity of the posterior fiber of the gluteus medius was significantly increased under the 3 kg load condition compared with the no-load, 0 kg load, and 1 kg load conditions. [Conclusion] These findings indicated that muscle activation is affected by increases in load in the one-leg standing position. The load on the upper extremity influences the muscle activity of the contralateral lower extremity.

show abstract

Effectiveness of Physiotherapy Intervention in Managing Patient’s Developmental Dysplasia of the Hip: a Scoping Review

Sharma

Vats

Gupta³

2022

SN Compr. Clin. Med.

View full text Add to dashboard Cite

Gluteus medius strengthening and the use of the Donatelli Drop Leg Test in the athlete

Cited by 9 publications

References 14 publications

Abductor muscle strengthening in THA patients operated with minimally-invasive anterolateral approach for developmental hip dysplasia

Abductor muscle strengthening in THA patients operated with minimally-invasive anterolateral approach for developmental hip dysplasia

Activation of the gluteus medius according to load during horizontal hip abduction in a one-leg stance

Effectiveness of Physiotherapy Intervention in Managing Patient’s Developmental Dysplasia of the Hip: a Scoping Review

Contact Info

Product

Resources

About