Top Performance: Gluteus Medius & Runners Skip to main content

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Top Performance: Gluteus Medius & Runners


Weak buttocks destroy the runner. Discover just how, by firming up your buttocks, you can improve your performance. Science based core chiropractor, Dr. Alexander Jimenez evaluates the case.

How many routine runners would suspect that the upper buttock muscle (gluteus medius) is the offender in very many running overuse injuries? This fact is less surprising once you understand that through running you're always either completely in the air or dynamically balanced on one leg -- and in both conditions the gluteus medius is a key muscle.

Situated on the upper edge of the hip (see below), gluteus medius is responsible for lifting the leg away from the body (abduction), enabling it to bend inwards and outwards, and crucially, keeping the pelvis stable in some certain situations, including the stance phase of running.



During right stance phase, for example, the muscle contracts to slow the downward movement of the left side of the pelvis so that the pelvis does not tilt heavily towards the ground. If the gluteus medius isn't working well enough to accomplish this control, the athlete is said to have a 'Trendelenburg gait'. Frequently, but not necessarily, the exact same weakness could be noticeable in walking, making a waddling motion or, in extreme cases, a limp.

Adaptations

Runners that have a weak or easily fatigued gluteus medius are very likely to make various adaptations to their technique, which can hide the true reason for a running injury. Table 1 lists the adaptations or cheating movements that happen through the stance phase of running.



Adaptations 3 and 2 obviously cannot occur simultaneously, however a runner's technique may demonstrate a combination of adaptations, such as a mild Trendelenburg, inwards knee drift and a same-sided trunk shift.

In my experience, runners using inferior lively pelvic stability, for which gluteus medius is vital, will decrease their stride length and embrace a much more shuffling pattern to decrease the ground reaction force at contact and consequently the muscle control necessary to keep pelvic posture.

Weakness at gluteus medius will have consequences all the way down the kinetic chain. With Adaptation 2, for example, the buttock weakness will create inward drifting and rotating throughout the leg while running, which will leave the runner at higher risk of any condition concerning excessive or prolonged pronation of the foot, such as shin splints (medial tibial stress syndrome) or Achilles tendinitis.

An extremely informative analysis by Fredericson et al (2000)1 upholds the thought that gluteus medius weakness is a contributing element in ITB friction syndrome; affirms that injured and uninjured sides can be compared to ascertain weakness; also endorses retraining for strength gains as an effective treatment.

Fredericson measured hip abductor power in a group of injured male and female subjects, and found an average deficit of 2 percent in gluteus medius power on the injured side compared to the uninjured. Following a six-week retraining program, typical hip abductor torque improved by 34.9 percent for females and 51.4 per cent for males; 22 of the 24 injured athletes could return to running pain free. Above all, at a six-month follow-up no injury recurrences were reported.







Reference
1. Fredericson M, Cookingham CL, Chaudhari AM, Dowdell BC, Oestreicher N, Sahrmann SA, ‘Hip abductor weakness in distance runners with iliotibial band syndrome’. Clin J Sport Med. 2000 Jul;10(3):169-75.


The information contained in this publication is believed to be correct at the time of going to press. Whilst care has been taken to ensure that the information is accurate, the publisher can accept no responsibility for the consequences of actions based on the advice contained herein.

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Professional Scope of Practice * The information on this blog site is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Blog Information & Scope Discussions Welcome to El Paso's Premier Wellness and Injury Care Clinic & wellness blog, where Dr. Alex Jimenez, DC, FNP-C, a board-certified Family Practice Nurse Practitioner (FNP-BC) and Chiropractor (DC), presents insights on how our team is dedicated to holistic healing and personalized care. Our practice aligns with evidence-based treatment protocols inspired by integrative medicine principles, similar to those found on dralexjimenez.com, focusing on restoring health naturally for patients of all ages. Our areas of chiropractic practice include Wellness and nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, severe sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols. Our information scope is limited to Chiropractic, musculoskeletal, physical medicine, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and has identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies that are available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, please feel free to ask Dr. Alex Jimenez, DC, APRN, FNP-BC, or contact us at 915-850-0900. We are here to help you and your family. Blessings Dr. Alex Jimenez DC, MSACP, APRN, FNP-BC*, CCST, IFMCP*, CFMP*, ATN* email: coach@elpasofunctionalmedicine.com Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico* Texas DC License # TX5807 New Mexico DC License # NM-DC2182 Licensed as a Registered Nurse (RN*) in Texas & Multistate  Texas RN License # 1191402  Compact Status: Multi-State License: Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP*, IFMCP*, ATN*, CCST