Hip and Groin Pain Symposium synopsis – Part 1: Gluteal muscle rehabilitation with Adam Semciw

This is an excellent synopsis and recap of the Hip and Groin Pain in Sport Seminar that was held at La Trobe in August last year 2016.

This particular synopsis focuses on Adam Semciw’s work on gluteal muscle rehab and its importance in hip and groin pain patients.

“A lot of common exercises don’t provide the level of activity we think we would need for muscle hypertrophy.” – Adam Semciw (University of Queensland) 26.8.16.

It always amazes me how little we know in many conditions that we treat as physios, even common injuries that you would assume we know a lot about such as ACL rehab and hamstring injuries. I guess the physio profession is still considered relatively “new”?

Anyways, Adam ‘s work revealed that the gluteal muscle that really stood out in relation to injury and pathology is the glute min muscle.

“We know that glute min (not only) reduces in muscle size, but also gets a lot of fatty infiltrate as well, in conditions such as hip osteoarthritis, following total hip replacement, lateral hip pain, and as we age.”

He adds that physios focus a lot on glute max and glute med when prescribing exercises. It is true that we have all been taught a whole lot on the importance of glute med strength and its effects when it is deficient. And the ‘clam’ exercise is perhaps the favourite exercise of physios!

So that’s something new for me, that we need to also focus on the glute min muscle. Adam also went on to investigate which exercises activated the different portions (anterior and posterior) of the glute min and glute med the most. The anterior glute min muscles which is the most affected muscle, was not sufficiently activated by most of the commonly prescribed glute exercises, less than 40% MVC, which is an important cut off in order to improve muscle strength.

“the exercises we were getting most activity in (the gluteal muscles) were exercises where you are in a single leg standing position with resisted extension abduction.”

This is an absolute gem of a resource for those who, like me were not able to attend this seminar last year. Please click here to read the full article by La Trobe SEMRC. Again kudos to La Trobe for sharing all these resources.

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