The association between degenerative hip joint pathology and size of the gluteus medius, gluteus minimus and piriformis muscles

Journal article

Grimaldi, Alison, Richardson, Carolyn, Stanton, Warren Robert, Durbridge, Gail, Donnelly, William and Hides, Julie Anne. (2009). The association between degenerative hip joint pathology and size of the gluteus medius, gluteus minimus and piriformis muscles. Manual Therapy. 14(6), pp. 605 - 610. https://doi.org/10.1016/j.math.2009.07.004
AuthorsGrimaldi, Alison, Richardson, Carolyn, Stanton, Warren Robert, Durbridge, Gail, Donnelly, William and Hides, Julie Anne
Abstract

This study aimed to investigate changes in the deep abductor muscles, gluteus medius (GMED), piriformis (PIRI), and gluteus minimus (GMIN), occurring in association with differing stages of unilateral degenerative hip joint pathology (mild: n = 6, and advanced: n = 6). Muscle volume assessed via magnetic resonance imaging was compared for each muscle between sides, and between groups (mild, advanced, control (n = 12)). GMED and PIRI muscle volume was smaller around the affected hip in subjects with advanced pathology (p < 0.01, p < 0.05) while no significant asymmetry was present in the mild and control groups. GMIN showed a trend towards asymmetry in the advanced group (p = 0.1) and the control group (p = 0.076) which appears to have been associated with leg dominance. Between group differences revealed a significant difference for the GMED muscle reflecting larger muscle volumes on the affected side in subjects with mild pathology, compared to matched control hips. This information suggests that while GMED appears to atrophy in subjects with advanced hip joint pathology, it may be predisposed to hypertrophy in early stages of pathology. Assessment and exercise prescription methods should consider that the response of muscles of the abductor synergy to joint pathology is not homogenous between muscles or across stages of pathology.

KeywordsOA; gluteus medius; gluteus minimus; piriformis
Year2009
JournalManual Therapy
Journal citation14 (6), pp. 605 - 610
PublisherChurchill Livingstone
ISSN1356-689X
Digital Object Identifier (DOI)https://doi.org/10.1016/j.math.2009.07.004
Page range605 - 610
Research GroupSchool of Allied Health
Place of publicationUnited States of America
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Grimaldi, Alison, Richardson, Carolyn, Durbridge, Gail, Donnelly, William, Darnell, Ross and Hides, Julie Anne. (2009). The association between degenerative hip joint pathology and size of the gluteus maximus and tensor fascia lata muscles. Manual Therapy. 14(6), pp. 611 - 617. https://doi.org/10.1016/j.math.2008.11.002
The effect of chronic low back pain on size and contraction of the lumbar multifidus muscle
Wallwork, Tracy, Stanton, Warren, Freke, Matt and Hides, Julie. (2009). The effect of chronic low back pain on size and contraction of the lumbar multifidus muscle. Manual Therapy. 14(5), pp. 496 - 500. https://doi.org/10.1016/j.math.2008.09.006
Effect of prolonged bed rest on the anterior hip muscles
Mendis, Dilani, Hides, Julie, Wilson, Stephen, Grimaldi, Alison, Belavy, Daniel, Stanton, Warren, Felsenberg, Dieter, Rittweger, Jorn and Richardson, Carolyn A.. (2009). Effect of prolonged bed rest on the anterior hip muscles. Gait & Posture. 30(4), pp. 533 - 537. https://doi.org/10.1016/j.gaitpost.2009.08.002
Altered response of the anterolateral abdominal muscles to stimulated weight-bearing in subjects with low back pain
Hides, Julie, Belavy, Daniel, Cassar, Lana, Willia, Michelle, Wilson, Stephen and Richardson, Carolyn A.. (2009). Altered response of the anterolateral abdominal muscles to stimulated weight-bearing in subjects with low back pain. European Spine Journal. 18(3), pp. 410 - 418. https://doi.org/10.1007/s00586-008-0827-2
Is 'ideal' sitting posture real?: Measurement of spinal curves in four sitting postures
Claus, Andrew, Hides, Julie, Moseley, G. Lorimer and Hodges, Paul. (2009). Is 'ideal' sitting posture real?: Measurement of spinal curves in four sitting postures. Manual Therapy. 14(4), pp. 404 - 408. https://doi.org/10.1016/j.math.2008.06.001
MRI study of the size, symmetry and function of the trunk muscles among elite cricketers with and without low back pain
Hides, Julie, Stanton, Warren, Freke, Matt, Wilson, Stephen, McMahon, Shaun and Richardson, Carolyn A.. (2008). MRI study of the size, symmetry and function of the trunk muscles among elite cricketers with and without low back pain. British Journal of Sports Medicine. 42(10), pp. 809 - 813. https://doi.org/10.1136/bjsm.2007.044024
Sitting versus standing: Does the intradiscal pressure cause disc degeneration or low back pain?
Claus, Andrew, Hides, Julie, Moseley, G. Lorimer and Hodges, Paul. (2008). Sitting versus standing: Does the intradiscal pressure cause disc degeneration or low back pain? Journal of Electromyography and Kinesiology. 18(4), pp. 550 - 558. https://doi.org/10.1016/j.jelekin.2006.10.011
Resistive simulated weightbearing exercise with whole body vibration reduces lumbar spine deconditioning in bed-res
Belavy, Daniel, Hides, Julie, Wilson, Stephen, Stanton, Warren, Dimeo, Fernando, Rittweger, Jorn, Felsenberg, Dieter and Richardson, Carolyn A.. (2008). Resistive simulated weightbearing exercise with whole body vibration reduces lumbar spine deconditioning in bed-res. Spine. 33(5), pp. 121 - 131. https://doi.org/10.1097/BRS.0b013e3181657f98
Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain
Hides, Julie, Stanton, Warren, McMahon, Shaun, Si, K. and Richardson, Carolyn A.. (2008). Effect of stabilization training on multifidus muscle cross-sectional area among young elite cricketers with low back pain. Journal of Orthopaedic and Sports Physical Therapy. 38(3), pp. 101 - 108. https://doi.org/10.2519/jospt.2008.2658
Multifidus size and symmetry among chronic IBP and healthy asymptomatic subjects
Hides, Julie, Gilmore, Craig, Stanton, Warren and Bohlscheid, Emma. (2008). Multifidus size and symmetry among chronic IBP and healthy asymptomatic subjects. Manual Therapy. 13(1), pp. 43 - 49. https://doi.org/10.1016/j.math.2006.07.017
Cyclic pneumatic soft-tissue compression enhances recovery following fracture of the distal radius: a randomised controlled trial
Challis, Murray, Jull, Gwendolen, Stanton, Warren and Welsh, Mark. (2007). Cyclic pneumatic soft-tissue compression enhances recovery following fracture of the distal radius: a randomised controlled trial. Journal of Physiotherapy. 53(4), pp. 247 - 252. https://doi.org/10.1016/S0004-9514(07)70005-3
Assessment of abdominal muscle function during a simulated unilateral weigh bearing task using ultrasound imaging
Hides, Julie, Wong, Ian, Wilson, Stephen, Belavy, Daniel and Richardson, Carolyn A.. (2007). Assessment of abdominal muscle function during a simulated unilateral weigh bearing task using ultrasound imaging. Journal of Orthopaedic and Sports Physical Therapy. 37(8), pp. 467 - 471. https://doi.org/10.2519/jospt.2007.2417
Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: an intrarater reliability study
Richardson, Carolyn A., Miokovic, Tanja, Belavy, Daniel, Stanton, Warren and Hides, Julie. (2007). Ultrasound imaging assessment of abdominal muscle function during drawing-in of the abdominal wall: an intrarater reliability study. Journal of Orthopaedic and Sports Physical Therapy. 37(8), pp. 480 - 486. https://doi.org/10.2519/jospt.2007.2416
Rehabilitative ultrasound imaging of the posterior paraspinal muscles
Stokes, Maria, Hides, Julie, Elliott, James, Kiesel, Kyle and Hodges, Paul. (2007). Rehabilitative ultrasound imaging of the posterior paraspinal muscles. Journal of Orthopaedic and Sports Physical Therapy. 37(10), pp. 581 - 595. https://doi.org/10.2519/jospt.2007.2599
Rehabilitative ultrasound imaging of the abdominal muscles
Teyhen, Deydre, Gill, Norman, Whitake, Jackie, Henry, Sharon, Hides, Julie and Hodges, Paul. (2007). Rehabilitative ultrasound imaging of the abdominal muscles. Journal of Orthopaedic and Sports Physical Therapy. 37(8), pp. 450 - 466. https://doi.org/10.2519/jospt.2007.2558
Magnetic resonance imaging assessment of trunk muscles during prolonged bed rest
Hides, Julie, Belavy, Daniel, Stanton, Warren, Wilson, Stephen, Rittweger, Jorn, Felsenberg, Dieter and Richardson, Carolyn A.. (2007). Magnetic resonance imaging assessment of trunk muscles during prolonged bed rest. Spine. 32(15), pp. 1687 - 1692. https://doi.org/10.1097/BRS.0b013e318074c386
Intrarater and interrater reliability of assessment of lumbar multifidus thickness using rehabilitative ultrasound imaging
Wallwork, Tracy, Hides, Julie and Stanton, Warren. (2007). Intrarater and interrater reliability of assessment of lumbar multifidus thickness using rehabilitative ultrasound imaging. Journal of Orthopaedic and Sports Physical Therapy. 37(10), pp. 608 - 612. https://doi.org/10.2519/jospt.2007.2418
Lateral positioning of ventilated intensive care patients: A study of oxygenation, respiratory mechanics, hemodynamics, and adverse events
Thomas, Peter, Paratz, Jennifer, Lipman, Jeffery and Stanton, Warren. (2007). Lateral positioning of ventilated intensive care patients: A study of oxygenation, respiratory mechanics, hemodynamics, and adverse events. Heart & Lung: the journal of acute and critical care. 36(4), pp. 277 - 286. https://doi.org/10.1016/j.hrtlng.2006.10.008
Determinants of stages of smoking uptake among secondary school students
Baade, Peter and Stanton, Warren. (2006). Determinants of stages of smoking uptake among secondary school students. Addictive Behaviors. 31(1), pp. 143 - 148. https://doi.org/10.1016/j.addbeh.2005.04.007
Sitting posture affects pelvic floor muscle activity in parous women: An observational study
Sapsford, Ruth, Richardson, Carolyn A. and Stanton, Warren. (2006). Sitting posture affects pelvic floor muscle activity in parous women: An observational study. Journal of Physiotherapy. 52(3), pp. 219 - 222. https://doi.org/10.1016/S0004-9514(06)70031-9
Predictors of smoking cessation processes among secondary school students
Stanton, Warren, Baade, Peter and Moffatt, Jenny. (2006). Predictors of smoking cessation processes among secondary school students. Substance Use and Misuse. 41(13), pp. 1683 - 1694. https://doi.org/10.1080/10826080601006284
An MRI investigation into the function of the transversus abdominis muscle during "drawing-in" of the abdominal wall
Hides, Julie, Wilson, Stephen, Stanton, Warren, McMahon, Shaun, Keto, Heidi, McMahon, Catherine, Bryant, Mary and Richardson, Carolyn A.. (2006). An MRI investigation into the function of the transversus abdominis muscle during "drawing-in" of the abdominal wall. Spine. 31(6), pp. 175 - 178. https://doi.org/10.1097/01.brs.0000202740.86338.df
The use of real-time ultrasound imaging for biofeedback of lumbar multifidus muscle contraction in healthy subjects
Van, Khai, Hides, Julie and Richardson, Carolyn A.. (2006). The use of real-time ultrasound imaging for biofeedback of lumbar multifidus muscle contraction in healthy subjects. Journal of Orthopaedic and Sports Physical Therapy. 36(12), pp. 920 - 925. https://doi.org/10.2519/jospt.2006.2304
Low back pain patients demonstrate increased hip extensor muscle activity during standardized submaximal rotational efforts
Pirouzi, Soraya, Hides, Julie, Richardson, Carolyn A., Darnell, Ross and Toppenberg, Rowena. (2006). Low back pain patients demonstrate increased hip extensor muscle activity during standardized submaximal rotational efforts. Spine. 31(26), pp. 999 - 1005. https://doi.org/10.1097/01.brs.0000250076.74366.9d
Positioning practices for ventilated intensive care patients: Current practice, indications and contraindications
Thomas, Peter, Paratz, Jennifer, Stanton, Warren, Deans, Renae and Lipman, Jeffery. (2006). Positioning practices for ventilated intensive care patients: Current practice, indications and contraindications. Australian Critical Care. 19(4), pp. 122 - 132. https://doi.org/10.1016/S1036-7314(06)80025-1
Community perceptions of suspicious pigmented skin lesions: are they accurate when compared to general practitioners?
Baade, Peter, Balanda, Kevin, Stanton, Warren, Lowe, John and Del Mar, Chris B.. (2005). Community perceptions of suspicious pigmented skin lesions: are they accurate when compared to general practitioners? Cancer Epidemiology: the international journal of cancer epidemiology, detection and prevention. 29(3), pp. 267 - 275. https://doi.org/10.1016/j.cdp.2004.06.007
MRI measures of the lumbo-pelvic muscles in bedrest and follow-up: Implications for exercise countermeasures in microgravity.
Richardson, Carolyn A., Hides, Julie, Wilson, Stephen, Belavy, Daniel, Stanton, Warren, McCook, D, Elmann-Larsen, B, Rittweger, Jorn and Felsenberg, Dieter. (2005). MRI measures of the lumbo-pelvic muscles in bedrest and follow-up: Implications for exercise countermeasures in microgravity. Journal of Gravitational Physiology. 12(1), pp. 117 - 118.
The effect of weightbearing exercise with low frequency, whole body vibration on lumbosacral proprioception: A pilot study on normal subjects
Fontana, Tania, Richardson, Carolyn A. and Stanton, Warren. (2005). The effect of weightbearing exercise with low frequency, whole body vibration on lumbosacral proprioception: A pilot study on normal subjects. Journal of Physiotherapy. 51(4), pp. 259 - 263. https://doi.org/10.1016/S0004-9514(05)70007-6
Long-term overactivity in the abdominal oblique muscle after 8 weeks bed-rest - possible implications for musculoskeletal health
Belavy, Daniel, Richardson, Carolyn A., Wilson, Stephen, Darnell, Ross, Hides, Julie, Toppenberg, Rowena, Elmann-Larsen, B, Rittweger, Jorn and Felsenberg, Dieter. (2005). Long-term overactivity in the abdominal oblique muscle after 8 weeks bed-rest - possible implications for musculoskeletal health. Journal of Gravitational Physiology. 12(1), pp. 117 - 118.
Community perceptions of adequate levels and reasons for skin protection
Stanton, Warren, Moffatt, Jenny and Clavarino, Alexandra. (2005). Community perceptions of adequate levels and reasons for skin protection. Behavioral Medicine: relating behavior and health. 31(1), pp. 5 - 15. https://doi.org/10.3200/BMED.31.1.5-17
Guaiac versus immunochemical tests: Faecal occult blood test screening for colorectal cancer in a rural community
Hughes, Karen, Leggett, Barbara, Del Mar, Chris B., Croese, John, Fairley, Stephen, Masson, John, Aitken, Joanne, Clavarino, Alexandra, Janda, Monika, Stanton, Warren, Tong, Shilu and Newman, Beth. (2005). Guaiac versus immunochemical tests: Faecal occult blood test screening for colorectal cancer in a rural community. Australian and New Zealand Journal of Public Health. 29(4), pp. 358 - 364. https://doi.org/10.1111/j.1467-842X.2005.tb00207.x
Suntans and sun protection in Australian teen media: 1999 to 2000
McDermott, Liane, Lowe, John, Stanton, Warren and Clavarino, Alexandra. (2005). Suntans and sun protection in Australian teen media: 1999 to 2000. Health Education & Behavior. 32(4), pp. 504 - 513. https://doi.org/10.1177/1090198105276214
Predictors of responsiveness to physiotherapy management of cervicogenic headache
Jull, Gwendolen and Stanton, Warren. (2005). Predictors of responsiveness to physiotherapy management of cervicogenic headache. Cephalalgia: an international journal of headache. 25(2), pp. 101 - 108. https://doi.org/10.1111/j.1468-2982.2004.00811.x
Smoking and parenting among males in low socio-economic occupations
Moffatt, Jenny and Stanton, Warren. (2005). Smoking and parenting among males in low socio-economic occupations. International Journal of Health Promotion and Education. 43(3), pp. 81 - 86. https://doi.org/10.1080/14635240.2005.10708045