Concurrent Validation and Reference Values of Gluteus Medius Clinical Test

# Context The hip abductor muscles, mainly the gluteus medius, are responsible for controlling hip adduction in a closed kinetic chain. Frontal plane knee alignment, assessed during functional activities such squatting, jumping and running, may overload joint structures, like the anterior cruciate...

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Autores principales: Amanda S S Teixeira, Paula L Silva, Sabrina P Cintra, Fernanda Viegas, Luciana D Mendonça, Natália F N Bittencourt
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Publicado: North American Sports Medicine Institute 2021
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spelling oai:doaj.org-article:e4cfbe10ecf6426f92259911244bb7a62021-12-02T17:11:13ZConcurrent Validation and Reference Values of Gluteus Medius Clinical Test10.26603/001c.214772159-2896https://doaj.org/article/e4cfbe10ecf6426f92259911244bb7a62021-04-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/21477-concurrent-validation-and-reference-values-of-gluteus-medius-clinical-test.pdfhttps://doaj.org/toc/2159-2896# Context The hip abductor muscles, mainly the gluteus medius, are responsible for controlling hip adduction in a closed kinetic chain. Frontal plane knee alignment, assessed during functional activities such squatting, jumping and running, may overload joint structures, like the anterior cruciate ligament and patellofemoral joint. The hand-held dynamometer is reliable and effective for testing the muscular strength of the hip abductors. # Objectives (1) To assess the concurrent validity between the gluteus medius clinical test and a maximum isometric force test of the hip abductors using the hand-held dynamometer; (2) to determine the intra and inter-examiner reliability for the application of the gluteus medius clinical test; and (3) to describe reference values of gluteus medius clinical test on a population of youth athletes. # Design Cross-sectional. # Methods Thirty healthy individuals were recruited for validity and reliability testing. On the first day, participants performed the maximal isometric test of the hip abductors, measured via hand-held dynamometry. On the following week, the gluteus medius clinical test was performed. Intraclass correlation coefficients (ICC~2,2~) were computed for the reliability analysis, with a 95% confidence interval. To generate reference values, the gluteus medius clinical test was performed on 273 athletes. # Results The results of this study indicated a weak positive correlation (r = 0.436, p = 0.001) between tests, which indicates that they examine different domains of gluteus medius muscle function, likely endurance and muscle strength. The magnitude of computed ICCs (\>0.95) indicates excellent intra- and inter-examiner reliability. # Conclusion The findings of the current study indicate that the gluteus medius clinical test is reliable and examines a domain of muscular function not fully captured by HHD. The clinical test developed in this study is low-cost and can be included for gluteus medius assessment. # Level of evidence Level 3.Amanda S S TeixeiraPaula L SilvaSabrina P CintraFernanda ViegasLuciana D MendonçaNatália F N BittencourtNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 2 (2021)
institution DOAJ
collection DOAJ
language EN
topic Sports medicine
RC1200-1245
spellingShingle Sports medicine
RC1200-1245
Amanda S S Teixeira
Paula L Silva
Sabrina P Cintra
Fernanda Viegas
Luciana D Mendonça
Natália F N Bittencourt
Concurrent Validation and Reference Values of Gluteus Medius Clinical Test
description # Context The hip abductor muscles, mainly the gluteus medius, are responsible for controlling hip adduction in a closed kinetic chain. Frontal plane knee alignment, assessed during functional activities such squatting, jumping and running, may overload joint structures, like the anterior cruciate ligament and patellofemoral joint. The hand-held dynamometer is reliable and effective for testing the muscular strength of the hip abductors. # Objectives (1) To assess the concurrent validity between the gluteus medius clinical test and a maximum isometric force test of the hip abductors using the hand-held dynamometer; (2) to determine the intra and inter-examiner reliability for the application of the gluteus medius clinical test; and (3) to describe reference values of gluteus medius clinical test on a population of youth athletes. # Design Cross-sectional. # Methods Thirty healthy individuals were recruited for validity and reliability testing. On the first day, participants performed the maximal isometric test of the hip abductors, measured via hand-held dynamometry. On the following week, the gluteus medius clinical test was performed. Intraclass correlation coefficients (ICC~2,2~) were computed for the reliability analysis, with a 95% confidence interval. To generate reference values, the gluteus medius clinical test was performed on 273 athletes. # Results The results of this study indicated a weak positive correlation (r = 0.436, p = 0.001) between tests, which indicates that they examine different domains of gluteus medius muscle function, likely endurance and muscle strength. The magnitude of computed ICCs (\>0.95) indicates excellent intra- and inter-examiner reliability. # Conclusion The findings of the current study indicate that the gluteus medius clinical test is reliable and examines a domain of muscular function not fully captured by HHD. The clinical test developed in this study is low-cost and can be included for gluteus medius assessment. # Level of evidence Level 3.
format article
author Amanda S S Teixeira
Paula L Silva
Sabrina P Cintra
Fernanda Viegas
Luciana D Mendonça
Natália F N Bittencourt
author_facet Amanda S S Teixeira
Paula L Silva
Sabrina P Cintra
Fernanda Viegas
Luciana D Mendonça
Natália F N Bittencourt
author_sort Amanda S S Teixeira
title Concurrent Validation and Reference Values of Gluteus Medius Clinical Test
title_short Concurrent Validation and Reference Values of Gluteus Medius Clinical Test
title_full Concurrent Validation and Reference Values of Gluteus Medius Clinical Test
title_fullStr Concurrent Validation and Reference Values of Gluteus Medius Clinical Test
title_full_unstemmed Concurrent Validation and Reference Values of Gluteus Medius Clinical Test
title_sort concurrent validation and reference values of gluteus medius clinical test
publisher North American Sports Medicine Institute
publishDate 2021
url https://doaj.org/article/e4cfbe10ecf6426f92259911244bb7a6
work_keys_str_mv AT amandassteixeira concurrentvalidationandreferencevaluesofgluteusmediusclinicaltest
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AT fernandaviegas concurrentvalidationandreferencevaluesofgluteusmediusclinicaltest
AT lucianadmendonca concurrentvalidationandreferencevaluesofgluteusmediusclinicaltest
AT nataliafnbittencourt concurrentvalidationandreferencevaluesofgluteusmediusclinicaltest
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