https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2018.125

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 6; Issue 3 (May 2018)

Page No.: 2726-2731

DOI: https://dx.doi.org/10.16965/ijpr.2018.125

IS THERE PRESENCE OF GLUTEAL MUSCLE WEAKNESS IN INDIVIDUALS WITH CHRONIC LOW BACK PAIN AS COMPARED TO HEALTHY INDIVIDUALS?

Pooja Nair 1 ,  Suryakant Gadgerao *2, Ashok Shyam 3, Parag Sancheti 4.

1 B.P.Th, Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India.

*2 M.P.Th, Associate Professor, Sancheti Institute College of Physiotherapy, Pune-, Maharashtra, India.

3 MS Ortho, Research officer, Sancheti Institute of Orthopaedics and Rehabilitation, Pune,   Maharashtra, India.

4 MS Ortho, Chairman, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.

Corresponding Author: Dr. Suryakant Gadgerao, M.P.Th, Associate Professor, Sancheti Institute College of Physiotherapy, Pune-411005, Maharashtra, India. E-Mail: suryagadgerao@gmail.com

ABSTRACT

Background: Low back pain has been recently regarded as the largest cause of disability in humans. The hip musculature plays an important role in transferring the forces up towards the spine from the lower extremities in upright positions. A study suggested that gluteus medius weakness and tenderness is a common presentation in chronic non-specific low back pain individuals.

Objective: The objective of this study is to assess and observe the strength of gluteal muscles in individuals with chronic low back pain as compared to healthy un-affected individuals with a hand held dynamometer.

Design: Cross-sectional observational study.

Setting: OPD based patients visiting various clinics in Pune, India.

Participants: 2 groups – group 1 consisted of 50 individuals with chronic non-specific low back pain (LBP), group 2 had 50 age and sex matched healthy unaffected individuals as controls.

Methodology:  After a detailed history, the gluteus maximus and gluteus medius strength was assessed with proper positioning and stabilization of subjects and their maximum isometric strength was recorded. Trendelenburg test and tensor fascia lata (TFL) tightness was also assessed.

Main outcome measures: gluteal muscle strength was assessed using the hand held dynamometer (microFET-3). TFL tightness was assessed using Obers test. Trendelenburg test was used as a functional test for gluteus medius.

Results: Using the Mann Whitney U test, a significant difference (p<0.05)in the strength for gluteus maximus as well as gluteus medius was found which indicated that there was reduced strength in the affected group as compared to the healthy unaffected controls. Gluteus medius was found to be a strong predictor for prevalence of LBP in an individual.

Conclusion: There is presence of gluteal muscle weakness in chronic non-specific LBP individuals as compared to unaffected healthy controls. Gluteus medius weakness proved to be a more significant predictor as compared to gluteus maximus for development or occurrence of LBP.

Key words: Low Back Pain, Gluteus Medius, Hip Abductor, Gluteus Maximus.

REFERENCES

  1. Cooper NA, Scavo KM, Strickland KJ, Tipayamongkol N, Nicholson JD, Bewyer DC, Sluka KA. Prevalence of gluteus medius weakness in people with chronic low back pain compared to healthy controls. European Spine Journal. 2016 Apr 1;25(4):1258-65. DOI 10.1007/s00586-015-4027-6.
  2. Reiman M, Bolgla L, Loudon J. A literature review of studies evaluating gluteus maximus and gluteus medius activation during rehabilitation exercises. Physiotherapy Theory and Practice, 2012;28(4):257–268. DOI: 10.3109/09593985.2011.604981.
  3. Kankaanppa M, Taimela S, Laaksonen D, Hanninen O, Airaksinen O. Back and Hip Extensor Fatigability in Chronic Low Back Pain Patients and Controls. Arch Phys Med Rehabil 1998;79.
  4. Simons D, Travell J. Myofascial origins of low back pain. David G. Simons MD & Janet G. Travell MD (1983) Myofascial origins of low back pain, Postgraduate Medicine, 1983;73(2):99-108, DOI:10.1080/00325481.1983.11697758
  5. Arab AM, Nourbakhsh MR. The relationship between hip abductor muscle strength and iliotibial band tightness in individuals with low back pain. Chiropractic & osteopathy. 2010 Dec;18(1):1.
  6. NADLER S, MALANGA G, BARTOLI L, FEINBERG J, PRYBICIEN M, DEPRINCE M. Hip muscle imbalance and low back pain in athletes: influence of core strengthening. Med. Sci. Sports Exerc., 2002;34(1):9–16.
  7. Nadler S, Malanga G, DePrince M, Stitik T, Feinberg J. The Relationship Between Lower Extremity Injury, Low Back Pain, and Hip Muscle Strength in Male and Female Collegiate Athletes. Clin J Sport Med, 2000;10(2).
  8. Lloyd M, Willson J, Ballantyne B, Davis I. Hip Strength in Females With and Without Patellofemoral Pain. J Orthop Sports Phys Ther 2003;33(11).
  9. Nadler S, , DePrince M, Hauesien N, Malanga G, Stitik T, Price E. Portable Dynamometer Anchoring Station for Measuring Strength of the Hip Extensors and Abductors. Arch Phys Med Rehabil 2000;81:1072-6.
  10. Hardcastle P, Nade S. The significance of the Trendelenburg test. J Bone Joint Surg Br. 1985;67:741–746.
  11. Fredericson M, Cookingham CL, Chaudhari AM, Dowdell BC, Oestreicher N, Sahrmann SA: Hip abductor weakness in distance runners with iliotibial band syndrome. Clin J Sport Med 2000;10:169-175.

Cite this article: Pooja Nair, Suryakant Gadgerao, Ashok Shyam, Parag Sancheti. IS THERE PRESENCE OF GLUTEAL MUSCLE WEAKNESS IN INDIVIDUALS WITH CHRONIC LOW BACK PAIN AS COMPARED TO HEALTHY INDIVIDUALS?. Int J Physiother Res 2018;6(3):2726-2731. DOI: 10.16965/ijpr.2018.125
Post Views: 0