Understanding and Exercise of Gluteus Medius Weakness: A Systematic Review

• 발행기관: 한국전문물리치료학회
• 저자명: Seung-min Baik Heon-seock Cynn Seok-hyun Kim
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제28권 제1호, 27~35쪽, 전체 9쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2021.02.28

영문 초록

A weak or dysfunctional gluteus medius (Gmed) is related to several pathologies, and individuals with hip abductor weakness have Gmed weakness. This study aimed to systematically review the literature associated with the anatomy and function of the Gmed, and the prevalence, pathology, and exercise of Gmed weakness. Papers published between 2010 and 2020 were retrieved from MEDLINE, Google Academic Search, and Research Information Sharing Service. The database search used the following terms: (glut* OR medius OR hip abduct*) AND weak*. The Gmed plays an important role in several functional activities as a primary hip abductor by providing pelvic stabilization and controlling hip adduction and internal rotation. Weakness of the Gmed is associated with many disorders including balance deficit, gait and running disorders, femoroacetabular impingement, snapping hip, gluteal tendinopathy, patellofemoral pain syndrome, osteoarthritis, iliotibial band syndrome, anterior cruciate ligament injury, ankle joint injuries, low back pain, stroke, and nocturia. Overuse of the tensor fasciae latae (TFL) as a hip abductor due to Gmed weakness can also cause several pathologies such as pain in the lower back and hip and degenerative hip joint pathology, which are associated with dominant TFL. Similarly, lateral instability and impaired movements such as lumbar spine lateral flexion or lateral tilt of the pelvis can occur due to compensatory activation of the quadratus lumborum for a weakened Gmed while exercising. Therefore, the related activation of synergistic muscles or compensatory movement should be considered when prescribing Gmed strengthening exercises.

목차

INTRODUCTION

SEARCH STRATEGY

ANATOMY AND FUNCTION OF THE GLUTEUS MEDIUS

PREVALENCE AND PATHOLOGY OF GLUTEUS MEDIUS WEAKNESS

EXERCISE

DISCUSSION

CONFLICTS OF INTEREST

AUTHOR CONTRIBUTIONS

ORCID

REFERENCES

키워드

Exercise Gluteus medius weakness Hip abductor muscles