Coupled Gluteus Maximus and Gluteus Medius Recruitment Patterns Modulate Hip Adduction Variability During Single-Limb Step-Downs: A Cross-Sectional Study

J Sport Rehabil. 2020 Nov 20;30(4):625-630. doi: 10.1123/jsr.2020-0005.

Abstract

Context: Examining the coordinated coupling of muscle recruitment patterns may provide insight into movement variability in sport-related tasks.

Objective: The purpose of this study was to examine the relationship between coupled gluteus maximus and medius recruitment patterns and hip-adduction variability during single-limb step-downs.

Design: Cross-sectional.

Setting: Biomechanics laboratory.

Participants: Forty healthy adults, including 26 women and 14 men, mean age 23.8 (1.6) years, mean body mass index 24.2 (3.1) kg/m2, participated.

Interventions: Lower-extremity kinematics were acquired during 20 single-limb step-downs from a 19-cm step height. Electromyography (EMG) signals were captured with surface electrodes. Isometric hip-extension strength was obtained.

Main outcome measures: Hip-adduction variability, measured as the SD of peak hip adduction across 20 repetitions of the step-down task, was measured. The mean amplitudes of gluteus maximus and gluteus medius EMG recruitment were examined. Determinism and entropy of the coupled EMG signals were computed with cross-recurrence quantification analyses.

Results: Hip-adduction variability correlated inversely with determinism (r = -.453, P = .018) and positively with entropy (r = .409, P = .034) in coupled gluteus maximus/medius recruitment patterns but not with hip-extensor strength nor with magnitudes of mean gluteus maximus or medius recruitment (r = -.003, .081, and .035; P = .990, .688, and .864, respectively).

Conclusion: Hip-adduction variability during single-limb step-downs correlated more strongly with measures of coupled gluteus maximus and medius recruitment patterns than with hip-extensor strength or magnitudes of muscle recruitment. Examining coupled recruitment patterns may provide an alternative understanding of the extent to which hip neuromuscular control modulates lower-extremity kinematics beyond examining muscle strength or EMG recruitment magnitudes.

Keywords: biomechanical phenomena; electromyography; entropy; lower-extremity.

MeSH terms

  • Biomechanical Phenomena / physiology
  • Buttocks
  • Cross-Sectional Studies
  • Electromyography
  • Entropy
  • Female
  • Hip Joint / physiology*
  • Humans
  • Knee Joint / physiology
  • Lower Extremity / physiology
  • Male
  • Muscle Strength / physiology
  • Muscle Strength Dynamometer
  • Muscle, Skeletal / physiology*
  • Stair Climbing / physiology*
  • Weight-Bearing / physiology
  • Young Adult