The Gluteus Medius Vs. Thigh Muscles Strength Ratio and Their Relation to Electromyography Amplitude During a Farmer’s Walk Exercise

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Abstract

The strength ratio between hamstrings and quadriceps (H/Q) is associated with knee injuries as well as hip abductor muscle (HAB) weakness. Sixteen resistance trained men (age, 32.5 ± 4.2 years) performed 5 s maximal isometric contractions at 75° of knee flexion/extension and 15° of hip abduction on a dynamometer. After this isometric test they performed a Farmer´s walk exercise to find out if the muscle strength ratio predicted the electromyography amplitude expressed as a percentage of maximum voluntary isometric contraction (%MVIC). The carried load represented a moderate intensity of 75% of the exercise six repetitions maximum (6RM). Electromyography data from the vastus medialis (VM), vastus lateralis (VL), biceps femoris (BF) and gluteus medius (Gmed) on each leg were collected during the procedure. The groups selected were participants with H/Q ≥ 0.5, HQ < 0.5, HAB/H ≥ 1, HAB/H < 1, HAB/Q ≥ 0.5 and HAB/Q < 0.5. One way ANOVA showed that Gmed activity was significantly greater in the group with HAB/H < 1 (42 ± 14 %MVIC) as compared to HAB/H ≥ 1 (26 ± 10 %MVIC) and HAB/Q < 0.5 (47 ± 19 %MVIC) compared to HAB/Q ≥ 0.5 (26 ± 12 %MVIC). The individuals with HAB/H < 1 were found to have greater activation of their Gmed during the Farmer’s walk exercise. Individuals with HAB/Q < 0.5 had greater activation of the Gmed. Gmed strength ratios predict the muscle involvement when a moderate amount of the external load is used. The Farmer’s walk is recommended as an exercise which can strengthen the gluteus medius, especially for individuals with a HAB/H ratio < 1 and HAB/Q < 0.5.

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  • Andrews AW Thomas MW Bohannon RW. Normative Values for Isometric Muscle Force Measurements Obtained With Hand-held Dynamometers. Phys Ther 1996; 76: 248-259

  • Arnold CM Warkentin KD Chilibeck PD Magnus CRA. The Reliability and Validity of Handheld Dynamometry for the Measurement of Lower-Extremity Muscle Strength in Older Adults. J Strength Condit Res 2010; 24: 815-824

  • Baffa AP Felicio LR Saad MC Nogueira-Barbosa MH Santos AC Bevilaqua-Grossi D. Quantitative MRI of Vastus Medialis Vastus Lateralis and Gluteus Medius Muscle Workload after Squat Exercise: Comparison Between Squatting with Hip Adduction and Hip Abduction. J Hum Kinet 2012; 33: 5-14

  • Bohannon RW. Test-Retest Reliability of Hand-Held Dynamometry During a Single Session of Strength Assessment. Phys Ther 1986; 66: 206-209

  • Bolgla LA Uhl TL. Electromyographic analysis of hip rehabilitation exercises in a group of healthy subjects. J Orthop Sports Phys Ther 2005; 35: 487-494

  • Bolgla LA Uhl TL. Reliability of electromyographic normalization methods for evaluating the hip musculature. J Electromyogr Kinesiol 2007; 17: 102-111

  • Boren K Conrey C Le Coguic J Paprocki L Voight MRobinson TK. Electromyographic analysis of gluteus medius and gluteus maximus during rehabilitation exercises. Int J Sports Phys Ther 2011; 6: 206-23

  • Brown LE Weir J. ASEP procedures recommendation I: Accurate assessment of muscular strength and power. J Exerc Physiol - Online 2001; 1-21

  • Burden A. How should we normalize electromyograms obtained from healthy participants? What we have learned from over 25 years of research. J Electromyogr Kinesiol 2010; 20: 1023-1035

  • Burnet EN Pidcoe PE. Isometric gluteus medius muscle torque and frontal plane pelvic motion during running. J Sports Sci Med 2009; 8: 284-8

  • Carcia CR Martin RL. The influence of gender on gluteus medius activity during a drop jump. Phys Ther Sport 2007; 8: 169-176

  • Cichanowski HR Schmitt JS Johnson RJ Niemuth PE. Hip strength in collegiate female athletes with patellofemoral pain. Med Sci Sports Exerc 2007; 39: 1227-32

  • Crossley K Bennell K Green S McConnell J. A Systematic Review of Physical Interventions for Patellofemoral Pain Syndrome. Clin J Sport Med 2001; 11: 103-110

  • Danneskiold-Samsøe B Bartels EM Bülow PM Lund H Stockmarr A Holm CC Wätjen I Appleyard MB Liddal H. Isokinetic and isometric muscle strength in a healthy population with special reference to age and gender. Acta Physiol 2009; 197: 1-68

  • Dasteridis G Pilianidis T Mantzouranis NA Gelousis N. The effects of athletics training on isometric strength and EMG activity in adolescent athletes. Biology of Exercise 2012; 8: 37-46

  • Distefano LJ Blackburn JT Marshall SW Padua DA. Gluteal muscle activation during common therapeutic exercises. J Orthop Sports Phys Ther 2009; 39: 532-40

  • Fagan V Delahunt E. Patellofemoral pain syndrome: a review on the associated neuromuscular deficits and current treatment options. Br J Sports Med 2008; 42: 789-795

  • Felício LR Dias LA Silva APMC Oliveira AS Bevilaqua-Grossi D. Muscular activity of patella and hip stabilizers of healthy subjects during squat exercises. Brazilian Journal of Physical Therapy 2011; 15: 206-211

  • Gilleard W McConnell J Parsons D. The Effect of Patellar Taping on the Onset of Vastus Medialis Obliquus and Vastus Lateralis Muscle Activity in Persons With Patellofemoral Pain. Phys Ther 1998; 78: 25-32

  • Häkkinen K Kraemer WJ Newton RU Alen M. Changes in electromyographic activity muscle fibre and force production characteristics during heavy resistance/power strength training in middle-aged and older men and women. Acta Physiol Scand 2001; 171: 51-62

  • Harbo T Brincks J Andersen H. Maximal isokinetic and isometric muscle strength of major muscle groups related to age body mass height and sex in 178 healthy subjects. Eur J Appl Physiol 2012; 112: 267-75

  • Hertel J Earl JE Tsang KKW Miller SJ. Combining isometric knee extension exercises with hip adduction or abduction does not increase quadriceps EMG activity. Br J Sports Med 2004; 38: 210-213

  • Holcomb WR Rubley MD Lee HJ Guadagnoli MA. Effect of Hamstring-Emphasized Resistance Training on Hamstring: Quadriceps Strength Ratios. J Strength Condit Res 2007; 21: 41-47

  • Hrysomallis C. Hip Adductors' Strength Flexibility and Injury Risk. J Strength Condit Res 2009; 23: 1514-1517

  • Chandler TJ Brown LE. Conditioning for Strength and Human Performance Lippincott Williams & Wilkins; 2008

  • Chinn S Burney PGJ. On Measuring Repeatability of Data from Self-Administered Questionnaires. Int J Epidemiol 1987; 16: 121-127

  • Irish SE J. Milward AJ Wride J Haas BM Shum GLK. The effect of closed-kinetic chain exercise and openkinetic chain exercise on the muscle activity of vastus medialis oblique and vastus lateralis. J Strength Condit Res 2010; 24: 1256-62

  • Jönhagen S Halvorsen K Benoit DL. Muscle activation and length changes during two lunge exercises: implications for rehabilitation. Scand J Med Sci Sports 2009; 19: 561-568

  • Kong PW Burns SF. Bilateral difference in hamstrings to quadriceps ratio in healthy males and females. Phys Ther Sport 2010; 11: 12-17

  • Lehnert M Urban J Procházka JH Psotta R. Isokinetic strength of knee flexors and extensors of adolescent soccer players and its changes based on movement speed and age. Acta Universitatis Palackianae Olomucensis 2011; 42: 45- 52

  • Maeo S Takahashi T Takai Y Kanehisa H. Trainability of Muscular Activity Level during Maximal Voluntary Co-Contraction: Comparison between Bodybuilders and Nonathletes. PLoS ONE 2013; 8: e79486

  • McCurdy K O'Kelley E Kutz M Langford G Ernest J Torres M. Comparison of Lower Extremity EMG Between the 2-Leg Squat and Modified Single-Leg Squat in Female Athletes. J Sport Rehabil 2010; 19: 57-70

  • Meyer C Corten K Wesseling M Peers K Simon JP Jonkers I Desloovere K. Test-Retest Reliability of Innovated Strength Tests for Hip Muscles. PLoS ONE 2013; 8: e81149

  • Čoh M Žvan M. Biodynamic diagnostics of the Explosive Power of the Lower Extremities: A Case Study. Acta Universitatis Carolinae - Kinanthropologica 2011; 47

  • O'Sullivan K Smith SM Sainsbury D. Electromyographic analysis of the three subdivisions of gluteus medius during weight-bearing exercises. Sports Med Arthrosc Rehabil Ther Technol 2010; 2: 17

  • Pandy MG Lin Y-CKim HJ. Muscle coordination of mediolateral balance in normal walking. J Biomech 2010; 43: 2055-2064

  • Petr M Stastny P Pecha O Steffl M Seda OKohlikova E. PPARA Intron Polymorphism Associated with Power Performance in 30-s Anaerobic Wingate Test. PloS one 2014; 9: e107171

  • Reiman MP Bolgla LA Loudon JK. A literature review of studies evaluating gluteus maximus and gluteus medius activation during rehabilitation exercises. Physiother Theor Pract 2012; 28: 257-268

  • Reiman MP Goode AP Hegedus EJ Cook CE Wright AA. Diagnostic accuracy of clinical tests of the hip: a systematic review with meta-analysis. Br J Sports Med 2013; 47: 893-902

  • Siff MC . Supertraining 6th editition. Supertraining Institute 290; 2003

  • Tyler TF Nicholas SJ Campbell RJ McHugh MP. The Association of Hip Strength and Flexibility With the Incidence of Adductor Muscle Strains in Professional Ice Hockey Players. Am J Sports Med 2001; 29: 124-128

  • Van Tiggelen D Cowan S Coorevits P Duvigneaud N Witvrouw E. Delayed Vastus Medialis Obliquus to Vastus Lateralis Onset Timing Contributes to the Development of Patellofemoral Pain in Previously Healthy Men: A Prospective Study. Am J Sports Med 2009; 37(6): 1099-105

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