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A Year in Review-11

Second last day of the 12 Top Hip Papers miniblog series. As promised, today we are still talking tendons. I've chosen one from many great papers Kim Allison published from her PhD work. This one focuses on gait and gluteal tendinopathy, reporting on kinematics and kinetics of gait in those with lateral hip pain and painfree individuals.  If you'd like to return to any of the previous paper posts, you can find them on the main blogpage.

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For your convenience, we have also developed this content into a FREE 26-page full colour ebook!

Packed full of 12 Top Hip Papers - peer reviewed scientific papers that have contributed to our understanding of hip conditions and/or the assessment or management of hip pain or injury.

PAPER 11: Kinematics and kinetics during walking in individuals with gluteal tendinopathy

Pain in walking is a substantial factor underlying the disability and loss of quality of life for those with gluteal tendinopathy. The wider reaching implications can be substantial – the impact of reduced activity levels on physical and mental health and for some, difficulty with walking impacts on their ability to perform their work duties. Investigating if there are differences in the way people with this condition walk, may help us understand why there is pain in walking and how we might address this issue.

Kim Allison did some wonderful work in her PhD studies on gluteal tendinopathy, finally providing important information on impairments in this population. Prior to this body of work there had been no studies to help us direct our treatment approach, not even a study on hip abductor strength! It had just been assumed that the problem was ITB tightness, although there had never been evidence to support this hypothesis. Kim’s work included assessments of muscle strength, and kinematic and EMG assessments of key functional tasks with which people with gluteal tendinopathy have meaningful levels of disability – walking, standing on one leg and stair climbing.

Here I have chosen her gait kinematics and kinetics paper as a showcase of this work and the contribution it has made to the evidence base for physical assessment and management of gluteal tendinopathy.

Day 11_ Allison et al_12 HIP days of Christmas 2021

Key learnings about gait and gluteal tendinopathy:

  • During stance phase of gait, those with gluteal tendinopathy demonstrated a significantly greater (9-33%) external hip adduction moment than painfree individuals
  • This means that higher than normal internal loads are placed on the abductor mechanism to balance these forces
  • Pelvic drop explained more of variability in hip adduction moment than any other factor in the gluteal tendinopathy group
  • There were 2 main strategies used by those with glutes tendinopathy:
    • Large lateral pelvic drop + contralateral trunk lean (Uncompensated Trendelenburg)
    • Small lateral pelvic drop + ipsilateral trunk lean (Compensated Trendelenburg)
  • Addressing excessive frontal plane deviations of the pelvis and/or trunk through movement training and optimisation of hip abductor muscle function may reduce pain and disability associated with gluteal tendinopathy.

If you'd like to learn more about gluteal tendinopathy, you might like to take a course, a workshop, or join Hip Academy for this and much more hip learning.

Another great Lateral Hip Pain blog


Lateral Hip Pain: Causes, Diagnosis, and Treatment

SPECIAL CHRISTMAS OFFER - Scroll to the bottom to find out more. (400 x 40 px) (650 x 40 px) (500 x 350 px) (900 x 350 px) (450 x 350 px)

Join Hip Academy Today

Join Hip Academy Today

By becoming a member today you can enjoy the benefits of a world class educational Hip Program, specifically designed by Dr Alison Grimaldi to help improve your knowledge surrounding the Hip and Pelvis, and become an expert in your field.

By becoming a member today you can enjoy the benefits of a world class educational Hip Program, specifically designed by Dr Alison Grimaldi to help improve your knowledge surrounding the Hip and Pelvis, and become an expert in your field.

Like to learn more about assessment and treatment of patients with gluteal tendinopathy?

In this course, you can find detailed information on pathoaetiology, assessment and management of lateral hip pain associated with gluteal tendinopathy and many other conditions.

I hope you enjoyed the infographic and key learnings from Day 11 of my 12 Top Hip Papers. There is only 1 more paper to come, so stay tuned and return to the blog page tomorrow to see what final paper and infographic I have for you!

Click the image above to read Paper 10

Click the image above to read Paper 12

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About Dr Alison Grimaldi

Dr Alison Grimaldi is a physiotherapist, researcher and educator with over 30 years of clinical experience. She has completed a Bachelor of Physiotherapy, a Masters of Sports Physiotherapy and a PhD, with her doctorate topic in the hip region. Dr Grimaldi is Practice Principal of PhysioTec Physiotherapy in Brisbane, a Fellow of the Australian College of Physiotherapy and an Adjunct Senior Research Fellow at the University of Queensland. She runs a global Hip Academy and has presented over 100 workshops around the world.