Electromyography (EMG) Analysis of Multi-Regional Lower Extremity and Trunk Musculature During Sidelying Hip Abduction With Frontal Plane Stabilization

Cureus. 2023 Aug 15;15(8):e43523. doi: 10.7759/cureus.43523. eCollection 2023 Aug.

Abstract

Sidelying hip abduction (SHA) is a common exercise utilized in rehabilitation to strengthen the gluteus medius (GMed). Alterations in the exercise can produce different patterns of muscular activity. No studies have examined the effect of mechanical pelvic stabilization during SHA. This study enrolled 19 participants (male = 11, female = 8) who performed the same SHA exercise under two randomized conditions: standard and with a mechanical block to prevent frontal-plane movement. Electromyographic amplitudes during exercise were obtained through surface electrodes and compared against maximum voluntary isometric contraction (MVIC) testing: GMed, gluteus maximus, biceps femoris, tensor fascia latae, quadratus lumborum, and vastus lateralis. While no significant differences were found in GMed activity during SHA with or without pelvic stabilization, reduced concomitant activation of other musculature was observed, potentially producing a more isolated exercise for the GMed with less compensatory activity.

Keywords: compensatory patterns; emg; exercise; gluteus maximus; gluteus medius; hip; hip abduction; knee; lower extremity; quadratus lumborum.