All About Glutes 1 Table of Contents
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Hip Extensor Mechanics and the Evolution of Walking and Climbing Capabilities in Humans, Apes, and Fossil Hominins
Hip extensor mechanics and the evolution of walking and climbing capabilities in humans, apes, and fossil hominins Elaine E. Kozmaa,b,1, Nicole M. Webba,b,c, William E. H. Harcourt-Smitha,b,c,d, David A. Raichlene, Kristiaan D’Aoûtf,g, Mary H. Brownh, Emma M. Finestonea,b, Stephen R. Rossh, Peter Aertsg, and Herman Pontzera,b,i,j,1 aGraduate Center, City University of New York, New York, NY 10016; bNew York Consortium in Evolutionary Primatology, New York, NY 10024; cDepartment of Anthropology, Lehman College, New York, NY 10468; dDivision of Paleontology, American Museum of Natural History, New York, NY 10024; eSchool of Anthropology, University of Arizona, Tucson, AZ 85721; fInstitute of Ageing and Chronic Disease, University of Liverpool, Liverpool L7 8TX, United Kingdom; gDepartment of Biology, University of Antwerp, 2610 Antwerp, Belgium; hLester E. Fisher Center for the Study and Conservation of Apes, Lincoln Park Zoo, Chicago, IL 60614; iDepartment of Anthropology, Hunter College, New York, NY 10065; and jDepartment of Evolutionary Anthropology, Duke University, Durham, NC 27708 Edited by Carol V. Ward, University of Missouri-Columbia, Columbia, MO, and accepted by Editorial Board Member C. O. Lovejoy March 1, 2018 (received for review September 10, 2017) The evolutionary emergence of humans’ remarkably economical their effects on climbing performance or tested whether these walking gait remains a focus of research and debate, but experi- traits constrain walking and running performance. mentally validated approaches linking locomotor -
Iliopsoas Tendonitis/Bursitis Exercises
ILIOPSOAS TENDONITIS / BURSITIS What is the Iliopsoas and Bursa? The iliopsoas is a muscle that runs from your lower back through the pelvis to attach to a small bump (the lesser trochanter) on the top portion of the thighbone near your groin. This muscle has the important job of helping to bend the hip—it helps you to lift your leg when going up and down stairs or to start getting out of a car. A fluid-filled sac (bursa) helps to protect and allow the tendon to glide during these movements. The iliopsoas tendon can become inflamed or overworked during repetitive activities. The tendon can also become irritated after hip replacement surgery. Signs and Symptoms Iliopsoas issues may feel like “a pulled groin muscle”. The main symptom is usually a catch during certain movements such as when trying to put on socks or rising from a seated position. You may find yourself leading with your other leg when going up the stairs to avoid lifting the painful leg. The pain may extend from the groin to the inside of the thigh area. Snapping or clicking within the front of the hip can also be experienced. Do not worry this is not your hip trying to pop out of socket but it is usually the iliopsoas tendon rubbing over the hip joint or pelvis. Treatment Conservative treatment in the form of stretching and strengthening usually helps with the majority of patients with iliopsoas bursitis. This issue is the result of soft tissue inflammation, therefore rest, ice, anti- inflammatory medications, physical therapy exercises, and/or injections are effective treatment options. -
The Textual and Visual Uses of the Literary Motif of Cross-Dressing In
The Textual and Visual Uses of the Literary Motif of Cross-Dressing in Medieval French Literature, 1200–1500 Vanessa Elizabeth Wright Submitted in accordance with the requirements for the degree of PhD in Medieval Studies University of Leeds Institute for Medieval Studies September 2019 2 The candidate confirms that the work submitted is her own and that appropriate credit has been given where reference has been made to the work of others. This copy has been supplied on the understanding that it is copyright material and that no quotation from the thesis may be published without proper acknowledgement. The right of Vanessa Elizabeth Wright to be identified as Author of this work has been asserted by her in accordance with the Copyright, Designs and Patents Act 1988. 3 Acknowledgements I would like to thank my supervisors Rosalind Brown-Grant, Catherine Batt, and Melanie Brunner for their guidance, support, and for continually encouraging me to push my ideas further. They have been a wonderful team of supervisors and it has been a pleasure to work with them over the past four years. I would like to thank my examiners Emma Cayley and Helen Swift for their helpful comments and feedback on this thesis and for making my viva a positive and productive experience. I gratefully acknowledge the funding that allowed me to undertake this doctoral project. Without the School of History and the Institute for Medieval Studies Postgraduate Research Scholarship, I would not have been able to undertake this study. Trips to archives and academic conferences were made possible by additional bursaries and fellowships from Institute for Medieval Studies, the Royal Historical Society, the Society for the Study of Medieval Languages and Literatures, the Society for Medieval Feminist Scholarship’s Foremothers Fellowship (2018), and the Society for the Study of French History. -
Wound Classification
Wound Classification Presented by Dr. Karen Zulkowski, D.N.S., RN Montana State University Welcome! Thank you for joining this webinar about how to assess and measure a wound. 2 A Little About Myself… • Associate professor at Montana State University • Executive editor of the Journal of the World Council of Enterstomal Therapists (JWCET) and WCET International Ostomy Guidelines (2014) • Editorial board member of Ostomy Wound Management and Advances in Skin and Wound Care • Legal consultant • Former NPUAP board member 3 Today We Will Talk About • How to assess a wound • How to measure a wound Please make a note of your questions. Your Quality Improvement (QI) Specialists will follow up with you after this webinar to address them. 4 Assessing and Measuring Wounds • You completed a skin assessment and found a wound. • Now you need to determine what type of wound you found. • If it is a pressure ulcer, you need to determine the stage. 5 Assessing and Measuring Wounds This is important because— • Each type of wound has a different etiology. • Treatment may be very different. However— • Not all wounds are clear cut. • The cause may be multifactoral. 6 Types of Wounds • Vascular (arterial, venous, and mixed) • Neuropathic (diabetic) • Moisture-associated dermatitis • Skin tear • Pressure ulcer 7 Mixed Etiologies Many wounds have mixed etiologies. • There may be both venous and arterial insufficiency. • There may be diabetes and pressure characteristics. 8 Moisture-Associated Skin Damage • Also called perineal dermatitis, diaper rash, incontinence-associated dermatitis (often confused with pressure ulcers) • An inflammation of the skin in the perineal area, on and between the buttocks, into the skin folds, and down the inner thighs • Scaling of the skin with papule and vesicle formation: – These may open, with “weeping” of the skin, which exacerbates skin damage. -
Rehabilitation of Soft Tissue Injuries of the Hip and Pelvis T
Donald and Barbara Zucker School of Medicine Journal Articles Academic Works 2014 Rehabilitation of soft tissue injuries of the hip and pelvis T. F. Tyler Northwell Health T. Fukunaga Hofstra Northwell School of Medicine J. Gellert Follow this and additional works at: https://academicworks.medicine.hofstra.edu/articles Recommended Citation Tyler TF, Fukunaga T, Gellert J. Rehabilitation of soft tissue injuries of the hip and pelvis. 2014 Jan 01; 9(6):Article 1396 [ p.]. Available from: https://academicworks.medicine.hofstra.edu/articles/1396. Free full text article. This Article is brought to you for free and open access by Donald and Barbara Zucker School of Medicine Academic Works. It has been accepted for inclusion in Journal Articles by an authorized administrator of Donald and Barbara Zucker School of Medicine Academic Works. INVITED CLINICAL COMMENTARY REHABILITATION OF SOFT TISSUE INJURIES OF THE HIP AND PELVIS Timothy F. Tyler MS, PT, ATC1 Takumi Fukunaga DPT, ATC, CSCS1 Joshua Gellert DPT IJSPT ABSTRACT Soft tissue injuries of the hip and pelvis are common among athletes and can result in significant time loss from sports participation. Rehabilitation of athletes with injuries such as adductor strain, iliopsoas syn- drome, and gluteal tendinopathy starts with identification of known risk factors for injury and comprehen- sive evaluation of the entire kinetic chain. Complex anatomy and overlapping pathologies often make it difficult to determine the primary cause of the pain and dysfunction. The purpose of this clinical commen- tary is to present an impairment-based, stepwise progression in evaluation and treatment of several com- mon soft tissue injuries of the hip and pelvis. -
Critical Dissertations on the Origin, Antiquities, Language, Government
ExLtbkis p. KENNEDY, ANGLESEA-STREET, COLLEGE GREEN, DUBLIN. &^.i.n^ CRITICAL DISSERTATIONS O N T H E ORIGIN, ANTIQUITIES, LANGUAGE, GOVERNMENT, MANNERS, AND RELIGION, O F T H E ANTIENT CALEDONIANS, THEIR POSTERITY THE PICTS, AND THE BRITISH AND IRISH SCOTS. By JOHN MACPHERSON, D. D, Minifler of Slate, in the Isle of Sky. DUBLIN: Printed by Boulter Griersov, Printer to the King's mofl: Excellent Majcfty. mdcclxviii. TO THE HONOURABLE Charles Greville, Efq; De a r Sir, MY Father, who was the Author of the following DifTertations, would not, perhaps, have dedicated them to any man alive. He annexed, and with good reafbn, an idea of fervility to addrefles of this fort, and reckoned them the diigrace of literature. If I could not, from my foul, acquit myfelf of every felfifh view, in prefenting to you the poft- humous works of a father I tenderly loved, you would not have heard from me in this public manner. You know, my dear friend, the fincerity of my affection for you : but even that affedlion fhould not induce me to dedicate to you, had you already arrived at that eminence, in the ftate, which the abilities and fhining a 2 talents DEDICATION. talents of your early youth feem lb largely to promife, left what really is the voice of friendfhip and efteem, fhould be miftaken, by the world, for that of flattery and interefted defigns. I am on the eve of letting out for a very diftant quarter of the world : without afking your permit fion, I leave you this public tefti- mony of my regard for you, not to fecure your future favour, but to ftand as a finall proof of that attach- ment, with which I am, Dear Sir Your moft affedlionate Friend, and moft Obedient Humble Servant, John Macpherjfbn. -
Importance of Iliopsoas and Erector Spinae Muscles in Predicting The
International Journal of Physiotherapy and Research, Int J Physiother Res 2014, Vol 2(5):681-88. ISSN 2321-1822 Original Article IMPORTANCE OF ILIOPSOAS AND ERECTOR SPINAE MUSCLES IN PREDICTING THE FUNCTIONAL COMPETENCE OF TRANSFEMORAL AMPUTEES Lajja K Rishi 1, Suraj Kumar *2, Sangeeta Lahiri 3, V.P. Sharma 4. 1 Master of Physiotherapy (student), National Institute for the Orthopaedically Handicapped, Kolkata, West Bengal, India. *2 HOD and Associate Professor, Department of Physiotherapy, UPRIMS&R, Saifai, Etawah, UP, India. 3 Physical Therapist (cardio-respiratory disorders & intensive care), India. 4 Professor, KGM Medical University, Lucknow, India. ABSTRACT Purpose: Muscle imbalance in transfemoral amputees impair physical mobility and activities of daily living. Aim of this study was to correlate the muscle imbalance with functional competence in transfemoral amputees. Methods: Thirty amputees were evaluated under inclusion criteria and randomly allocated into 2 groups. Group A received stretching(1 week) followed by strengthening(3 weeks) and in group B strengthening(3 weeks) were followed by stretching(1 week) . Phase I includes values after 1 week stretching program in group A and 3 weeks strengthening program in group B. Data were recorded at baseline, after phase I completion and end of treatment. Physical mobility was assessed by “Timed up and go” test. Results: Muscle imbalance and physical mobility improved significantly in both groups at the end of treatment. The correlation values of “Timed up and go” test with Iliopsoas and Erector spinae muscle showed significant improvement in both groups. Conclusion: Baseline measurements showed that Iliopsoas and Erector spinae muscles were tight whereas Gluteus maximus and Abdominal muscles were weak in transfemoral amputees. -
Effects of a Gluteal Muscles Specific Exercise Program on the Vertical
International Journal of Environmental Research and Public Health Article Effects of a Gluteal Muscles Specific Exercise Program on the Vertical Jump Tomás Gallego-Izquierdo 1, Gerardo Vidal-Aragón 2, Pedro Calderón-Corrales 2, Álvaro Acuña 2, Alexander Achalandabaso-Ochoa 3,* , Agustín Aibar-Almazán 3 , Antonio Martínez-Amat 3 and Daniel Pecos-Martín 1 1 Physiotherapy and Pain Group, Department of Physical Therapy, University of Alcala, 28801 Madrid, Spain; [email protected] (T.G.-I.); [email protected] (D.P.-M.) 2 Physical Therapist, Department of Physical Therapy, University of Alcala, 28801 Madrid, Spain; [email protected] (G.V.-A.); pedrocalderon.fi[email protected] (P.C.-C.); [email protected] (Á.A.) 3 Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain.; [email protected] (A.A.-A.); [email protected] (A.M.-A.) * Correspondence: [email protected]; Tel.: +34-953213651 Received: 9 June 2020; Accepted: 23 July 2020; Published: 27 July 2020 Abstract: The vertical jump is a complex movement where many factors are involved in the final result. Currently, how a specific exercise program for gluteal muscles can affect the vertical jump is unknown. So, the aim of this study was to examine the effect of a specific exercise program for the gluteal muscles on a vertical jump. Forty-nine amateur athletes completed an 8-week program. The experimental group received a specific gluteal muscle training program in addition to their regular training routine, whereas the control group received their regular training routine. Jump height, flight time, speed and power were assessed (baseline, postintervention, and 4-week follow-up). -
Persistent Pruritic Papules on the Buttocks
PHOTO CHALLENGE Persistent Pruritic Papules on the Buttocks Emily Ileen Patton, DO; Jared E. Roberts, MD; Pamela Landsteiner, MD A 19-year-old man presented to the dermatology clinic with intermittent pruritic lesions that began on the bilateral buttocks when he was living in Reserve Officers’ Training Corps dormitories sev- eral months prior. The eruption then spread to involve the penis, suprapubic area, periumbilical area, and flanks.copy The patient attempted to treat the lesions with topical antifungals prior to evalua- tion in the emergency department where he was treated with permethrin 5% on 2 separate occa- sionsnot without any improvement. A medical history was normal, and he denied recent travel, animal contacts, or new medications. Physical examina- Dotion revealed several 2- to 4-mm erythematous papules and superficial erosions with an ill-defined erythematous background most notable on the penis, suprapubic area, periumbilical area, flanks, and buttocks. WHAT’S THE DIAGNOSIS? CUTIS a. allergic contact dermatitis b. dermatitis herpetiformis c. papular urticaria d. recurrent herpes simplex virus infection e. scabies PLEASE TURN TO PAGE E5 FOR THE DIAGNOSIS Dr. Patton is from the Flight Medicine Clinic, Davis-Monthan Air Force Base, Tucson, Arizona. Dr. Roberts is from Dermatology Residency, San Antonio Uniformed Services Health Education Consortium, Texas. Dr. Landsteiner is from Dermatology Associates, St. Luke’s Hospital, Duluth, Minnesota. The authors report no conflict of interest. Correspondence: Emily Ileen Patton, DO, 1781 W Crimson Clover Ln, Tucson, AZ 85704 ([email protected]). E4 I CUTIS® WWW.MDEDGE.COM/DERMATOLOGY Copyright Cutis 2019. No part of this publication may be reproduced, stored, or transmitted without the prior written permission of the Publisher. -
ACE's Essentials of Exercise Science for Fitness Professionals
ACE’s Essentials of Exercise Science for Fitness Professionals Chapter 3: Fundamentals of Applied Kinesiology Hip Flexors . There are 21 major muscles involved in the actions of the hip joint. – Actions of the hip joint include flexion, extension, internal rotation, external rotation, adduction, and abduction. – More than half of these muscles are involved in multiple actions. Anterior Hip Muscles: Hip Flexors . Active range of motion for hip flexion . Prime movers: iliopsoas, rectus femoris, sartorius, pectineus, and tensor fasciae latae – Act synergistically to cause hip flexion (e.g., “up” phase of a knee lift) – Act eccentrically to control hip extension (e.g., “down” phase of a knee lift) Hip Flexors: Considerations . Muscle origins and insertions impact muscular function. Iliopsoas – The psoas major and Sample Sample stretching exercise: minor originate in the strengthening low back and insert to the exercise: proximal femur, leading to poor mechanical leverage when used to raise and lower a straight leg. – The abdominals are not strong enough to balance the large force and keep the spine in neutral alignment. Hip Flexors: Considerations . Rectus femoris – Works at both the knee and hip, concentrically contracting to perform hip flexion and knee extension. – Sample strengthening exercise: standing straight-leg raise – Sample stretching exercise: iliopsoas lunge, bending the back knee . The sartorius is the longest muscle in the body. – It is also involved in hip abduction, adduction, and external rotation, and knee flexion and internal rotation. Tensor fascia latae (TFL) – IT band – Explosive hip flexion results in a highly developed TFL. Hip Internal and External Rotators . The hip internal rotators include the tensor fasciae latae, semitendinosus (slight), and semimembranosus (slight). -
Myofascial Pain Syndrome of Gluteus Minimus Mimicking Lumbar Radiculitis -A Case Report
Anesth Pain Med 2015; 10: 16-20 http://dx.doi.org/10.17085/apm.2015.10.1.16 ■Case Report■ Myofascial pain syndrome of gluteus minimus mimicking lumbar radiculitis -A case report- Department of Anesthesiology and Pain Medicine, Daegu Fatima Hospital, Daegu, Korea Joong-Ho Park, Kwang-Suk Shim, Young-Min Shin, Chiu Lee, Sang-Gon Lee, and Eun-Ju Kim Myofascial pain syndrome (MPS) can be characterized by pain difficult. Delays in making the correct diagnosis can result in caused by trigger points (TrPs) and fascial constrictions. Patients longer hospital stays, higher hospital fees, and unnecessary with MPS of the gluteus minimus muscles often complain of diagnostic tests and inadequate treatments. The authors have symptoms such as hip pain, especially when standing up after sitting or lying on the affected side, limping, and pain radiating down to successfully diagnosed and treated a patient with MPS of the the lower extremities. A 24-year-old female patient presenting with gluteus minimus initially diagnosed with lumbar radiculitis. motor and sensory impairments of both lower extremities was With thorough physical examination and injection of TrPs referred to our pain clinic after initially being diagnosed with lumbar radiculitis. Under the impression of MPS of the gluteus minimus under ultrasonography guidance, the patient was relieved of her muscles following through evaluation and physical examination of symptoms. We report this case to emphasize the importance of the patient, we performed trigger point injections under ultrasonography physical examination in patients presenting with symptoms guidance on the myofascial TrPs. Dramatic improvement of the suggestive of lumbar radiculitis. -
The Absence of Piriformis Muscle, Combined Muscular Fusion, and Neurovascular Variation in the Gluteal Region
Autopsy Case Report The absence of piriformis muscle, combined muscular fusion, and neurovascular variation in the gluteal region Matheus Coelho Leal1 , João Gabriel Alexander1 , Eduardo Henrique Beber1 , Josemberg da Silva Baptista1 How to cite: Leal MC, Alexander JG, Beber EH, Baptista JS. The absence of piriformis muscle, combined muscular fusion, and neuro-vascular variation in the gluteal region. Autops Case Rep [Internet]. 2021;11:e2020239. https://doi.org/10.4322/ acr.2020.239 ABSTRACT The gluteal region contains important neurovascular and muscular structures with diverse clinical and surgical implications. This paper aims to describe and discuss the clinical importance of a unique variation involving not only the piriformis, gluteus medius, gluteus minimus, obturator internus, and superior gemellus muscles, but also the superior gluteal neurovascular bundle, and sciatic nerve. A routine dissection of a right hemipelvis and its gluteal region of a male cadaver fixed in 10% formalin was performed. During dissection, it was observed a rare presentation of the absence of the piriformis muscle, associated with a tendon fusion between gluteus and obturator internus, and a fusion between gluteus minimus and superior gemellus muscles, along with an unusual topography with the sciatic nerve, which passed through these group of fused muscles. This rare variation stands out with clinical manifestations that are not fully established. Knowing this anatomy is essential to avoid surgical iatrogeny. Keywords Anatomic Variation; Anatomy; Buttocks; Muscle; Piriformis Muscle Syndrome. INTRODUCTION The gluteal region contains important Over the years, these variations have been neurovascular and muscular structures that may classified and distributed into different groups. impose diverse clinical and surgical approaches.