Warning bells for gluteus inhibition
What does inhibited mean?
The neural input to a muscle is lowered .The muscle still works but it’s not as efficient to generate power. To generate power during movement. Therefore it appears weak!! The body finds balance to complete movement task but unfortunately it finds another way for muscle in the movement pattern to do more. Therefore movers become stabilizer for the joint.
What’s the role of the glutes: They are the powerhouse of the lower limb.
The glutes action…
• Extend the hip
• Laterally rotate the hip
• Abduct the hip
• Adduct the hip
• Posterior tilt the pelvis
• Hips are designed for thrusting
1) Hip mobility :
When hip mobility is decrease think of glutes. . If the glutes are inhibited you aren’t stable. There will be difficulty in doing squat in many cases after surgery of lower limb if flutes are inhibited.
2) You find Low back pain without any reason :
When you lose hip mobility your lumbar spine takes role of mobility,hence there may be more movement from the lower back. Lose movement in one place and you move more in another. To help your lower back from crying activate your glutes.
3) Knee pain. :
The knee movement depend on what the foot say and the hip can control. To remember , traumatic knee injuries will inhibit the glutes. So always start Gluteus rehabilitation as part of knee injury
4) chronic ankle sprains. :
Poor hip control leads to vulnerability in proprioception and gait. When you find loss of ankle rocker during gait cycle , there is always restriction of hip extension. The main function of glutes is hip extension. Unlock your ankle by improving ankle rocker .Problem solve and you wins.
5) Plantar fasciitis.:
oh it’s very common condition we face in our daily clinical practice. We have already discussed in our previous blog click on plantar fasciitis due proximal joint instability Any problem in the feet check your glutes.
6) Shoulder decreased motion or pain. :
This is very tricky for you to think . You have question how it possible . See, The glutes connect to shoulder via the Posterior Oblique Sling. When glutes are inhibited the fascia becomes tight and shoulder range of motion is restricted. If you can’t generate force from the ground up . Many times and lattismus dorsi is also inhibited. Hence forward when you see a patient of shoulder pain check his posterior oblique sling.
7) Tight psoas muscle :
The psoas is a functional opposite of the glutes. The psoas flexes the hip and glutes extend it. The psoas anterior tilts your pelvis and the glutes posterior tilt it. If the glutes are inhibited the lumbar spine becomes more unstable and the psoas turns into overactive to stabilize the lower back. When you find anterior pelvic tilt think for the Gluteus.
8) Groin or hamstring pulls:
The hamstrings take over the primary work of the glutes to extend the hip. That extra work causes strain. The most common groin muscles to pull and get injured are (pectineus, adductor longus/brevis). They act as hip flexors, antagonist to the glutes. They are hip adductors, synergistic to the glutes.
Finally , activate them and wins the situation.
Thank you you for reading notes .any dought raise questions.
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