Neuromotor control of gluteal muscles in runners with Achilles tendinopathy

Journal article


Franettovich Smith, Melinda, Honeywill, Conor, Wyndow, Narelle, Crossley, Kay and Creaby, Mark. (2014) Neuromotor control of gluteal muscles in runners with Achilles tendinopathy. Medicine and Science in Sports and Exercise. 46(3), pp. 594 - 599. https://doi.org/10.1249/MSS.0000000000000133
AuthorsFranettovich Smith, Melinda, Honeywill, Conor, Wyndow, Narelle, Crossley, Kay and Creaby, Mark
Abstract

Purpose: The purpose of this study was to compare the neuromotor control of the gluteus medius (GMED) and gluteus maximus (GMAX) muscles in runners with Achilles tendinopathy to that of healthy controls. Methods: Fourteen male runners with Achilles tendinopathy and 19 healthy male runners (control) ran overground while EMG of GMED and GMAX was recorded. Three temporal variables were identified via visual inspection of EMG data: (i) onset of muscle activity (onset), (ii) offset of muscle activity (offset), and (iii) duration of muscle activity (duration). A multivariate analysis of covariance with between-subject factor of group (Achilles tendinopathy, control) and variables of onset, offset, and duration was performed for each muscle. Age, weight, and height were included as covariates, and α level was set at 0.05. Results: The Achilles tendinopathy group demonstrated a delay in the activation of the GMED relative to heel strike (P < 0.001) and a shorter duration of activation (P < 0.001) compared to that of the control group. GMED offset time relative to heel strike was not different between the groups (P = 0.063). For GMAX, the Achilles tendinopathy group demonstrated a delay in its onset (P = 0.008), a shorter duration of activation (P = 0.002), and earlier offset (P < 0.001) compared to the control group. Conclusions: This study provides preliminary evidence of altered neuromotor control of the GMED and GMAX muscles in male runners with Achilles tendinopathy. Although further prospective studies are required to discern the causal nature of this relationship, this study highlights the importance of considering neuromotor control of the gluteal muscles in the assessment and management of patients with Achilles tendinopathy.

Year2014
JournalMedicine and Science in Sports and Exercise
Journal citation46 (3), pp. 594 - 599
PublisherLippincott Williams and Wilkins
ISSN0195-9131
Digital Object Identifier (DOI)https://doi.org/10.1249/MSS.0000000000000133
Scopus EID2-s2.0-84894479241
Page range594 - 599
Research GroupSchool of Allied Health
Place of publicationUnited States of America
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