Randomised crossover trial of m. gluteus maximus and m. gluteus medius activation during rehabilitation exercises in female hockey players
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Date
2020
Authors
Coetzee, Daretha
Journal Title
Journal ISSN
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Publisher
University of the Free State
Abstract
Introduction: Various researchers have focused on the activation capabilities of the gluteal muscles during different commonly used rehabilitation exercises. However, there is currently a lack of research in examining body weight rehabilitation exercises that elicit the highest percentage maximal voluntary isometric contraction (%MVIC) for both the m. gluteus maximus (mGmax) and m. gluteus medius (mGmed) in a high-performance athletic population. Field hockey predominantly requires maintaining a forward flexed posture, which places excessive stress on the lumbar spine of the players. Hence, it is necessary to assess the muscles that support the lumbar spine, especially the muscles that surround the hip, in order to prescribe strengthening exercises for this population. Knowledge of the percentage activation of the mGmax and mGmed elicited during body weight rehabilitation exercises may result in more specific exercise programme prescription during prehabilitation and the later stages of rehabilitation for high-performance female field hockey players. Objectives: The aim of the study was first to establish which commonly prescribed body weight rehabilitation exercises from previous studies produced greater than 61%MVIC for both the mGmax and mGmed. Hereafter, the study examined the exercises that fall into this category to determine which exercise will elicit the highest %MVIC, defined as the peak normalised sEMG signal amplitude, in high-performance female field hockey players of the University of the Free State (UFS). Methods: Surface electromyography (sEMG) was used to record the muscle activation of the mGmax and mGmed of four (4) body weight rehabilitation exercises on twenty-six (26) highperformance female field hockey players of the UFS. The %MVIC activation data of both the mGmax and mGmed were analysed using a three-way ANOVA, with ‘participant’, ‘period’ and ‘exercise’ as categorical variables in the model. Point estimates for the mean %MVIC for each exercise were reported, as well as point estimates, 95% confidence intervals (CIs) and p-values for the pairwise differences in peak %MVIC between the four body weight rehabilitation exercises. For each variable analysed, the overall F-test for the four body weight rehabilitation exercises is reported, as well as the partial effect size measure for ANOVA. Results: The mean age of the participants was 20.15±1.59 years, the mean height was 164±0.07cm, mean body mass was 64.72±10.21kg, and mean BMI was 23.87±2.92kg.m². Side-plank hip abduction with dominant leg on bottom generated a 124.61±7.94%MVIC of the mGmax and a 126.07±14.16%MVIC of the mGmed. Side-plank hip abduction with dominant leg on top generated a 124.33±8.63%MVIC of the mGmax and a 124.52±11.37%MVIC of the mGmed. The single-leg squat generated a 125.65±10.13%MVIC of the mGmax and a 126.30±12.89%MVIC of the mGmed. Plank with hip extension generated a 122.73±9.37%MVIC of the mGmax and a 125.04±13.14%MVIC of the mGmed. Concerning the mGmax, there was no significant difference found in activation when sideplank hip abduction with dominant leg on bottom was compared to side-plank hip abduction with dominant leg on top (p=0.8475, d=0.28), the single-leg squat (p=0.4807, d=-1.03) and plank with hip extension (p=0.2000, d=1.88). Furthermore, no significant difference was found when side-plank hip abduction with dominant leg on top was compared to the singleleg squat (p=0.3685, d=-1.31) and plank with hip extension (p=0.2770, d=1.60). However, there was a significant difference between the single-leg squat and plank with hip extension (p=0.0487, d=2.91). Concerning the mGmed, there was no significant difference in activation when side-plank hip abduction with dominant leg on bottom was compared to the side-plank hip abduction with dominant leg on top (p=0.3272, d=1.54), the single-leg squat (p=0.8837, d=-0.23) and plank with hip extension (p=0.5134, d=1.03). Furthermore, no significant difference was found when side-plank hip abduction with dominant leg on top was compared to the single-leg squat (p=0.2606, d=-1.77) and plank with hip extension (p=0.7437, d=-0.52) or between the single-leg squat and plank with hip extension (p=0.4240, d=1.26). When the exercise effect is combined, the four body weight rehabilitation exercises did not significantly affect either mGmax (p=0.2558) or mGmed (p=0.6285) activation. Conclusion: The four body weight rehabilitation exercises examined by the study generated very similar %MVIC activation of the mGmax and mGmed in high-performance female field hockey players. This research enables practitioners to apply evidence-based practice into programme prescription. Implementation of the findings of the current study could result in significant benefits during prehabilitation, injury prevention programmes and the later stages of rehabilitation for high-performance female field hockey players. The conditioning coach stands to benefit, especially given that these exercises can be executed on the playing pitch as part of a warm-up without the need for any equipment.
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Keywords
Dissertation (M.A. (Exercise and Sport Science))--University of the Free State, 2020, Surface electromyography, m. gluteus maximus, m. gluteus medius, Maximal voluntary isometric contraction, Body weight rehabilitation exercises, High-performance female field hockey players