Research Review: Neuromotor Control of Gluteal Muscles in Runners with Achilles Tendinopathy

By Jinny McGivern PT, DPT

Edited by Amy Martinez DPT, PT

and Brent Brookbush DPT, PT, COMT, MS, PES, CES, CSCS, ACSM H/FS

Original Citation: Franettovich, M. S., Honeywill, C., Wyndow, N., Crossley, K. M., & Creaby, M. W. (2014). Neuromotor control of gluteal muscles in runners with achilles tendinopathy. Medicine and science in sports and exercise, 46(3), 594-599. - ABSTRACT

Introduction:

Achilles tendinopathy (AT) is a condition resulting in foot and ankle pain, accounting for 8-15% of all injuries in recreational runners (1-3). While previous studies have demonstrated a relationship between individuals with AT and a significant reduction in amplitude of gluteus medius (GMED) activity after heel strike, hip muscle activation timing patterns have not been studied (4). This 2014 study by U.S. researchers demonstrated a correlation between delayed, shorter duration activity of the gluteus maximus (GMAX) and GMED in runners with AT. Human movement professionals should consider assessing GMAX and GMED strength/re-activity, and address any noted weaknesses in those exhibiting signs of AT.

Achilles tendinopathy. (Image: Courtesy http://www.getactivephysio.com.au/conditions-treated/achilles-tendinopathy/)

Study Summary