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首页> 外文期刊>South African Journal of Physiotherapy >The effect of gluteus medius training on hip kinematics in a runner with iliotibial band syndrome
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The effect of gluteus medius training on hip kinematics in a runner with iliotibial band syndrome

机译：臀肌训练对胫束带综合症跑步者臀部运动学的影响

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Iliotibial ?band ?syndrome ?(ITBS) ?is ?a ?common ?clinical ?presentation?in ?runners. ?There ?are ?several ?hypotheses ?to ?explain ?this ?condition ?including ?faulty ?control of the hip joint in the frontal plane during the stance phase of running. It is?postulated that improving activity in the gluteus medius muscle may assist in produc-ing ?more ?appropriate ?stabilization and ?therefore ?reduce ?the ?stress ?on ?the ?Iliotibial?band ?(ITB). ?This ?single ?case ?study ?provides ?an ?interesting ?clinical ?scenario ?where?a single-subject with ITBS was measured for hip kinematics during running, before?and after a trial period of classic gluteus medius exercises. The biomechanical data show an initial (pre-intervention)?increase in adduction position during the stance phase of running on the affected side (in contrast to the unaffected?side). This was measured using a Moven motion analysis suit. After the trial intervention period, the relative position?of the affected hip had reduced in adduction at both heel strike and at 30° knee flexion. This study provides support ?for the theory that hip control in the frontal plane may be a contributing factor in ITBS. Clinicians are encouraged?to monitor hip control as well as ITBS symptoms when they utilise this gluteus medius protocol. Further research to?establish whether change in pelvic control results in decrease in ITBS symptoms is warranted.
机译：lio胫带综合症（ITBS）是跑步者的一种常见的临床表现。有“几个假设”可以解释这种情况，包括在站立姿势阶段中额叶髋关节在前平面的错误控制。据推测，臀中肌肌肉活动的改善可能有助于产生更多的适当的稳定作用，从而减少“ I胫束”（ITB）的压力。该单一案例研究提供了一种有趣的临床方案，其中在进行经典臀肌锻炼试验之前和之后，在跑步过程中对ITBS单受试者进行了髋部运动学测量。生物力学数据表明，在患侧奔跑的站立阶段（与未患侧相反），内收位置发生了最初的（干预前）增加。使用Moven运动分析服进行测量。在试验性干预期之后，患脚髋部的相对位置在脚跟打击和膝关节30度屈曲时内收都减少了。这项研究为额叶髋部控制可能是ITBS的促成因素的理论提供了支持。鼓励临床医生使用他们的臀小肌协议监控髋关节控制以及ITBS症状。需要进行进一步的研究以确认骨盆控制的改变是否导致ITBS症状的减轻。

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