Why is the Gluteus Medius weakness so important to treat? The Role of the Gluteus Medius When you really break down the function of the gluteus medius, you see that it is far more valuable as a pelvis and lower extremity dynamic stabilizer than it is a pure hip abductor. In addition, the role of the gluteus medius as an external rotator portafoglio bitcoin ipads the hip when the hip is in a position of flexion is also important to consider. These factors together are likely why dysfunction of this muscle is commonly found in several pathologies, such as iliotibial band, patellofemoral injuries, ACL, and ankle injuries.
Assessment of the Gluteus Medius The authors describe several methods of evaluating the gluteus medius. Standard manual muscle testing of hip abduction in sidelying. Because the gluteus medius also has an effect on other hip motions, I often recommend a full testing of hip flexion, abduction, ER, IR, and extension as well. Simply a test such as the photo above. The patient is instructed to stand on one limb and pelvis orientation is documented. I also recommend adding an upper body movement to the single-leg stance test.
This will further challenge the patient, specifically the athletic patient. During this, the patient is instructed to balance on one limb while reaching the arms overhead and leaning away from the stance leg. This will move the patient’s center of gravity further away from the stance limb and require a greater amount of gluteus medius stabilization to avoid the dropped pelvis position. In addition to the above described, I would also recommend that patients should be observed during several functional activities, especially if a specific activity tends to exacerbate symptoms. This could include eccentric step-downs, front lunges, or even running and jumping activities for athletes.