Gluteus Medius Stimulates Lower
Extremity Movement By Jim Lundy, DPT
In
the world of rehabilitation and biomechanics, centrally located
muscles tend to have a larger impact on function and daily activity
than more distal muscles. With our bipedal mobility, the hip joint
tends to be the fulcrum for most activity, including gait. Of all
the hip muscles, the gluteus medius (GM) may have the largest impact on
lateral as well as frontal mobility and stability of the hip.
The
gluteus medius is commonly involved in posture and strength impairments. It
also wields influence on more distal muscles and lower kinetic
chain joint interactions. As the location of this muscle is between
the lower extremity and the trunk, and as adverse gluteus medius activation
has a significant impact on human mobility, this muscle demands serious
attention and consideration in all rehabilitation sciences. A review
of the literature of the biomechanics of the GM, both current and long-standing,
may help biomechanics practitioners understand the influence
of this muscle on function, it impact on other distal segments and other
muscle activation, and mechanisms to decrease its activation by use of
assistive devices. 
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