Unraveling the Link Between Gluteus Maximus Inhibition and Mechanical Low Back Pain: A Comprehensive Review
DOI:
https://doi.org/10.48047/CU/54/04/4960-4965Keywords:
Gluteus maximus inhibition, mechanical low back pain, lumbo-pelvic stability, neuromuscular dysfunction, rehabilitation strategies.Abstract
Mechanical low back pain (MLBP) is a prevalent musculoskeletal disorder with multifactorial origins, including biomechanical dysfunctions that compromise spinal stability. Among these, gluteus maximus inhibition (GMI) has emerged as a critical yet often overlooked contributor. The gluteus maximus plays a fundamental role in maintaining lumbo-pelvic stability, hip extension, and efficient load transfer during locomotion. Dysfunction or inhibition of this muscle can lead to compensatory movement patterns, altered spinal biomechanics, and increased susceptibility to chronic pain. This review explores the relationship between GMI and MLBP, highlighting underlying mechanisms such as neuromuscular inhibition, prolonged sedentary behavior, and compensatory activation of adjacent muscle groups. Evidence suggests that GMI is associated with
increased anterior pelvic tilt, reduced hip extension strength, and impaired postural control, all of which contribute to mechanical stress on the lumbar spine. Furthermore, individuals with MLBP demonstrate delayed gluteal activation, reinforcing a cycle of dysfunction and pain. Effective assessment and rehabilitation strategies, including targeted strength training, neuromuscular reeducation, and movement retraining, are essential for restoring optimal function. Clinical
implications emphasize the need for a comprehensive approach to MLBP management that includes gluteal muscle activation exercises to address underlying biomechanical deficiencies. Future research should focus on the development of standardized assessment tools and intervention protocols to optimize treatment outcomes. Recognizing the interplay between GMI and MLBP can enhance therapeutic strategies and improve patient outcomes by addressing the root causes of
dysfunction rather than merely alleviating symptoms.
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References
Ko MJ, Jeong NY, Sim EW, Jeon IC. Comparison of Gluteus Maximus and Biceps Femoris Muscle Activity and Activity Ratio during Prone Hip Extension with and without External Fixation in Healthy Subjects. Journal of Musculoskeletal Science and Technology. 2024;8(2):90-6.
Pimenta R, Almeida P, Correia JP, Bruno PM, Vaz JR. Effects of fatigue on hamstrings and gluteus maximus shear modulus in hip extension and knee flexion submaximal contraction task. Sports Biomechanics. 2023 Jun 22:1-4
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