Monday 21 October 2013

Using your Glutes correctly

OK People, this is some critical knowledge I have found. A big thanks to the Y-Tri officially sanctioned sports trainer and myotherapist Shimon Goldman for the insight.
Many running and cycling, and even swimming injuries and strains can be prevented by strengthening the Glute Medius muscle that is seldom strengthened in everyday life activities and requires specific exercises to strengthen.

See below:

Strengthening your glutes and getting them to work, or activate correctly whilst running is one of the most important factors in preventing running injuries. If your glutes aren’t working properly you can predispose yourself to an overuse injury such as ITB Friction Syndrome, shin splints and stress fractures. Stronger glutes will enable you to maintain your form and technique for longer whilst running. This will not only help to prevent injury but will enable you to run faster for longer.
Initially it is best to start glute strengthening in a non-weight bearing position, to enable you to get the muscles firing and wake them up! You can also begin strengthening in this way if you have an injury that prevents weight bearing. Following this you want to add exercises that put your body into positions that are more functional. Basically a position that replicates running. This will ensure that the muscles know how to work when you are actually running which is extremely important!!!

Non – Weight bearing exercise:

Side hip abduction:
Great non-weight bearing exercise to get your Glute Med working.
  • Begin by lying on your side with your knee extended and hip in neutral.
  • Raise your top leg up to approx 30deg.
  • Ensure that you don’t flex the hip at all during the exercise. If you do you will be working hip flexors more than your glutes!
NB: An article by Distefano et al (2009) found this exercise to be the most effective in getting Glute Med to activate.
15 reps x 3 sets
Ensure you are lying on your side, without leaning forward or backwards. Use your lower leg to stabilise your body in this position.
Ensure you are lying on your side, without leaning forward or backwards. Use your lower leg to stabilise your body in this position.

Weight bearing (functional exercise):

Keep your heel on the ground, and try to remain as upright as possible whilst performing the single leg squat
Keep your heel on the ground, and try to remain as upright as possible whilst performing the single leg squat
Single leg squat:
Great exercise if done well to strengthen Glute Med.
  • Start with your hands on your hips.
  • As you balance on one leg ensure that your opposite hip doesn’t drop – your hands should stay level.
  • Doing this exercise in front on a mirror is a great idea so you can see exactly what you look like!
  • Making sure that your hands stay level slowly bend through your standing leg and perform a Single Leg Squat.
  • Don’t let your knee move inwards as you bend your knee – keep it lined up over your second and third toes.
Not only does this exercise strengthen Glute med but Glute Max as well! Glute Max is a power muscle, which is used to help propel us forward when running. Two for the price of one with this exercise.
10-15 reps x 3 sets
NB: (Ensure all repetitions are done with correct technique. Reduce the amount if you are unable to maintain technique)

Glute med at Wall:
Glutestrength3
You can buy soft exercise balls from your physio, or get creative with a deflated ball of some description from your garage. Either way you want something with a little “squish” to it.
This is a personal favourite of mine. Position is everything with this exercise.
  • You need to be standing next to a wall side on.
  • The Glute you will be working will be your outside leg.
  • Bend your inside knee and place the side of that knee on the wall.
  • Ensure nothing else is touching the wall (don’t let your hips rest on the wall!!).
  • Make sure your standing knee is slightly softened (not locked into full extension).
  • Gently then push your side knee into the wall and hold for 30sec.
  • What you should feel is a burning sensation around the outside of your standing hip – Glute Med working!
3 reps of 30 second holds
This exercise is great because you can progress it by adding single leg squat with your standing leg!

Pelvic Drop/hip hitch:
Standing on a step side on with your standing foot on the edge of the step and your other leg in the air off the step. This exercise involves keeping both knees and hips in neutral and dropping your foot (which is off the side of the step) down towards the floor and then slowly bring it back up to level with the other foot. Again with this exercise you are working the glute on your standing leg.
15 reps x 3 sets
Notice the hips are in alignment at the starting position
Notice the hips are in alignment at the starting position
Use control when dropping the foot down to the floor, and use your glutes to bring your hips back to square
Use control when dropping the foot down to the floor, and use your glutes to bring your hips back to square


Glute strengthening is something that we should be doing 3-4 times per week along with core strengthening!!!!


Thanks to Sarah Thomson of Innovations Sports Physio for sharing her knowledge on glute strength to prevent running injuries.
You can find out more about Sarah and her physiotherapy business on her website.
Also follow Innovations Sports Physio on Twitter and Facebook.

References:
Boren, K., Conrey, C., Coguic,  J., Paprocki, L., Voight, M., Robinson, T.K. (2011) Electromyographic Analysis of Gluteus Medius and Gluteus Maximus during rehabilitation. The International Journal of Sports Physical Therapy. 6(3)206-223
 
Distefano, L., Blackburn, J.T., Marshall, S. & Padua, D. (2009) Gluteal Muscle Activation During Common Therapeutic Exercises. Journal of Orthopaedic and Sports Physical Therapy. 39(7) 532-540