We propose that a combination of a hip-adducted po- sition and ITB tensioner muscle activity contribute to the compression of the tendons of GMed and GMin. A com- mon clinical observation is that in single-leg standing ac- tivities, patients adopt a greater hip-adducted position. The ITB is passively pre-tensioned when the hip is in adduc- tion, which provides a mechanical advantage for the ITB tensioners and may provide the basis for an enhanced contribution to control in the frontal plane. Compressive loads on the gluteal tendons in passive hip adduction would then be amplified by added active tensioning by the ITB tensioner muscles. Detailed biomechanical analysis is re- quired to test this proposed interaction between muscle activation and joint position on the tendons of GMed and GMin in individuals with lateral hip pain.
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musman13 - (no access) - gluteal tendinopwthy.pdf, p4
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