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Archives of Orthopaedic and Trauma Surgery

, Volume 136, Issue 6, pp 785–789 | Cite as

Gluteus maximus impairment in femoroacetabular impingement: a tensiomyographic evaluation of a clinical fact

  • Roberto SeijasEmail author
  • Eduard Alentorn-Geli
  • Pedro Álvarez-Díaz
  • Miguel Marín
  • Oscar Ares
  • Andrea Sallent
  • Xavier Cuscó
  • Ramón Cugat
Arthroscopy and Sports Medicine

Abstract

Introduction

the aim of the present study is to evaluate the mechanical and contractile properties of the gluteus maximus (GM) muscle in patients with femoroacetabular impingement (FAI). Our hypothesis is that the clinical observation of GM pain would be evidenced by tensiomyographic impairment in muscle function.

Materials and methods

A prospective, cross-sectional, intra-group comparative study was conducted to assess the neuromuscular changes of lower extremity muscles in patients with FAI. Fifty-one patients with clinical and radiographic diagnosis of FAI for at least 3 months were included. The rectus femoris (RF), adductor magnus (AM), and GM of both lower extremities of all patients were evaluated with tensiomyography (TMG). The values of TMG of the affected lower extremity were compared to those of the healthy contralateral side. The parameters obtained in this study were maximal displacement (Dm), and contraction time (Tc).

Results

The Tc of the injured GM was significantly higher compared to the healthy side (p = 0.01). There were no significant side-to-side differences in the Dm of the GM (p = 0.13), either in the Tc and Dm of the RF (p = 0.15 and p = 0.8, respectively) and AM (p = 0.25 and p = 0.75, respectively).

Conclusions

FAI is associated with impairment of contraction time in the GM of the injured compared to the healthy side. Impairment of the GM may be monitored to evaluate response to conservative or surgical treatment.

Keywords

Femoroacetabular impingement Gluteus maximus Tensiomyography Rectus femoris Adductor magnus 

Notes

Compliance with ethical standards

Conflict of interests

The authors declare no conflict of interests or financial aid for the present investigation.

References

  1. 1.
    Montgomery SR, Ngo SS, Hobson T et al (2013) Trends and demographics in hip arthroscopy in the United States. Arthroscopy 29:661–665CrossRefPubMedGoogle Scholar
  2. 2.
    Khanna V, Caragianis A, Diprimio G et al (2014) Incidence of hip pain in a prospective cohort of asymptomatic volunteers: is the cam deformity a risk factor for hip pain? Am J Sports Med 42:793–797CrossRefPubMedGoogle Scholar
  3. 3.
    Amanatullah DF, Antkowiak T, Pillay K et al (2015) Femoroacetabular impingement: current concepts in diagnosis and treatment. Orthopedics 38:185–199CrossRefPubMedGoogle Scholar
  4. 4.
    Vaz MD, Kramer JF, Rorabeck CH, Bourne RB (1993) Isometric hip abductor strength following total hip replacement and its relationship to functional assessments. J Orthop Sports Phys Ther 18:526–531CrossRefPubMedGoogle Scholar
  5. 5.
    Shih CH, Du YK, Lin YH, Wu CC (1994) Muscular recovery around the hip joint after total hip arthroplasty. Clin Orthop Relat Res 302:115–120PubMedGoogle Scholar
  6. 6.
    Sashika H, Matsuba Y, Watanabe Y (1996) Home program of physical therapy: effect on disabilities of patients with total hip arthroplasty. Arch Phys Med Rehabil 77:273–277CrossRefPubMedGoogle Scholar
  7. 7.
    Frost KL, Bertocci GE, Wassinger CA et al (2006) Isometric performance following total hip arthroplasty and rehabilitation. J Rehabil Res Dev 43:435–444CrossRefPubMedGoogle Scholar
  8. 8.
    Tibor LM, Sekiya JK (2008) Differential diagnosis of pain around the hip joint. Arthroscopy 24:1407–1421CrossRefPubMedGoogle Scholar
  9. 9.
    Poultsides LA, Bedi A, Kelly BT (2012) An algorithmic approach to mechanical hip pain. HSS J 8:213–224CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Rusu LD, Cosma GG, Cernaianu SM et al (2013) Tensiomyography method used for neuromuscular assessment of muscle training. J Neuroeng Rehabil 10:67CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Rey E, Lago-Peñas C, Lago-Ballesteros J (2012) Tensiomyography of selected lower-limb muscles in professional soccer players. J Electromyogr Kinesiol 22:866–872CrossRefPubMedGoogle Scholar
  12. 12.
    Tous-Fajardo J, Moras G, Rodríguez-Jiménez S (2010) Inter-rater reliability of muscle contractile property measurements using non-invasive tensiomyography. J Electromyogr Kinesiol 20:761–766CrossRefPubMedGoogle Scholar
  13. 13.
    Carrasco L, Sañudo B, de Hoyo M et al (2011) Effectiveness of low-frequency vibration recovery method on blood lactate removal, muscle contractile properties and on time to exhaustion during cycling at VO2max power output. Eur J Appl Physiol 111:2271–2279CrossRefPubMedGoogle Scholar
  14. 14.
    Simunic B (2012) Between-day reliability of a method for non-invasive estimation of muscle composition. J Electromyogr Kinesiol 22:527–530CrossRefPubMedGoogle Scholar
  15. 15.
    Valencic V, Knez N (1997) Measuring of skeletal muscle’s dynamic properties. Artif Organs 21:240–242CrossRefPubMedGoogle Scholar
  16. 16.
    Alentorn-Geli E, Alvarez-Diaz P, Ramon S et al (2015) Assessment of neuromuscular risk factors for anterior cruciate ligament injury through tensiomyography in male soccer players. Knee Surg Sports Traumatol Arthrosc 23(9):2508–2513CrossRefPubMedGoogle Scholar
  17. 17.
    Alentorn-Geli E, Alvarez-Diaz P, Ramon S (2015) Assessment of gastrocnemius tensiomyographic neuromuscular characteristics as risk factors for anterior cruciate ligament injury in male soccer players. Knee Surg Sports Traumatol Arthrosc 23(9):2502–2507CrossRefPubMedGoogle Scholar
  18. 18.
    Alvarez-Diaz P, Alentorn-Geli E, Ramon S et al (2014) Effects of anterior cruciate ligament injury on neuromuscular tensiomyographic characteristics of the lower extremity in competitive male soccer players. Knee Surg Sports Traumatol Arthrosc [Epub ahead of print] Google Scholar
  19. 19.
    Alvarez-Diaz P, Alentorn-Geli E, Ramon S et al (2014) Comparison of tensiomyographic neuromuscular characteristics between muscles of the dominant and non-dominant lower extremity in male soccer players. Knee Surg Sports Traumatol Arthrosc [Epub ahead of print] Google Scholar
  20. 20.
    Alvarez-Diaz P, Alentorn-Geli E, Ramon S et al (2015) Effects of anterior cruciate ligament reconstruction on neuromuscular tensiomyographic characteristics of the lower extremity in competitive male soccer players. Knee Surg Sports Traumatol Arthrosc 23(11):3407–3413CrossRefPubMedGoogle Scholar
  21. 21.
    Reiman MP, Bolgla LA, Loudon JK (2012) A literature review of studies evaluating gluteus maximus and gluteus medius activation during rehabilitation exercises. Physiother Theory Pract 28:257–268CrossRefPubMedGoogle Scholar
  22. 22.
    Delp SL, Hess WE, Hungerford DS, Jones LC (1999) Variation of rotation moment arms with hip flexion. J Biomech 32:493–501CrossRefPubMedGoogle Scholar
  23. 23.
    Neumann DA (2010) Kinesiology of the hip: a focus on muscular actions. J Orthop Sports Phys Ther 40:82–94CrossRefPubMedGoogle Scholar
  24. 24.
    Oh JS (2014) Effects of Pelvic Belt on Hip Extensor Muscle EMG Activity during Prone Hip Extension in Females with Chronic Low Back Pain. J Phys Ther Sci 26:1023–1024CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Maguire C, Sieben JM, Erzer F et al (2012) How to improve walking, balance and social participation following stroke: a comparison of the long term effects of two walking aids—canes and an orthosis TheraTogs—on the recovery of gait following acute stroke. A study protocol for a multicentre, single blind, randomised control trial. BMC Neurol 12:18CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Dahmane R, Valencic V, Knez N, Erzen I (2001) Evaluation of the ability to make non-invasive estimation of muscle contractile properties on the basis of the muscle belly response. Med Biol Eng Comput 39:51–55CrossRefPubMedGoogle Scholar
  27. 27.
    Johnson MA, Polgar J, Weightman D, Appleton D (1973) Data on the distribution of fibre types in thirty-six human muscles. An autopsy study. J Neurol Sci 18:111–129CrossRefPubMedGoogle Scholar
  28. 28.
    Dooley PJ (2008) Femoroacetabular impingement syndrome: nonarthritic hip pain in young adults. Can Fam Physician 54:42–47PubMedPubMedCentralGoogle Scholar
  29. 29.
    Emara K, Samir W, el Motasem H, Ghafar KA (2011) Conservative treatment for mild femoroacetabular impingement. J Orthop Surg (Hong Kong) 19:41–45Google Scholar
  30. 30.
    Palmer AJ, Ayyar-Gupta V, Dutton SJ (2014) Protocol for the Femoroacetabular Impingement Trial (FAIT): a multi-centre randomised controlled trial comparing surgical and non-surgical management of femoroacetabular impingement. Bone Joint Res 3:321–327CrossRefPubMedPubMedCentralGoogle Scholar
  31. 31.
    Palmer AJ, Thomas GE, Pollard TC et al (2013) The feasibility of performing a randomised controlled trial for femoroacetabular impingement surgery. Bone Joint Res 2:33–40CrossRefPubMedPubMedCentralGoogle Scholar
  32. 32.
    Kokkonen J, Nelson A, Cornwell A (1998) Acute muscle stretching inhibits maximal strength performance. Res Q Exerc Sport 69:411–415CrossRefPubMedGoogle Scholar
  33. 33.
    Krizaj D, Simunic B, Zagar T (2008) Short-term repeatability of parameters extracted from radial displacement of muscle belly. J Electromyogr Kinesiol 18:645–651CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Roberto Seijas
    • 1
    • 2
    Email author
  • Eduard Alentorn-Geli
    • 3
  • Pedro Álvarez-Díaz
    • 1
    • 2
    • 4
  • Miguel Marín
    • 5
  • Oscar Ares
    • 1
    • 2
  • Andrea Sallent
    • 6
  • Xavier Cuscó
    • 1
  • Ramón Cugat
    • 1
    • 2
    • 4
  1. 1.Fundación García-Cugat. Artroscopia GCHospital QuirónBarcelonaSpain
  2. 2.Universitat Internacional de CatalunyaBarcelonaSpain
  3. 3.Department of Orthopaedic Surgery, Duke Sports Sciences InstituteDuke UniversityDurhamUSA
  4. 4.Mutualidad de Futbolistas, Federación Española de Futbol, Delegación CataluñaBarcelonaSpain
  5. 5.Department of Physical Medicine and RehabilitationHospital QuirónBarcelonaSpain
  6. 6.Department of Orthopaedic SurgeryHospital Vall d’HebronBarcelonaSpain

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