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The Info Pain is a Great Motivator | Health News
My PT made me realize the gluteus maximus (
GM) muscle on my
hemiplegic (paralyzed) side was as soft as unkneaded bread dough. This buttock muscle is called a hip extensor because it extends the leg behind the body. Only ballerinas and runners use the GM in this way.
I am worried about this weak muscle because the GM helps other hip muscles keep the pelvis from wobbling as we swing our leg forward to take a step (1). If the GM does not help stabilize the pelvis, low back muscles have to do it. With my history of back pain, my GM has to get stronger.
I am also worried about the violent snapping of my hemiplegic knee when I walk. For the past three months this knee has been painful and slightly swollen at the end of the day. I recently learned the GM also slows the leg's forward motion when we swing our leg to take a step (1). So the GM helps hamstring muscles (back of thigh) stop the knee from snapping into a fully straight position before we step onto that leg. A recent x-ray shows I do not have arthritis in this knee yet. I do not want knee replacement surgery so my GM needs to get stronger.
To strengthen my GM my PT asked me to clench the two halves of my buttock together. I could not feel where the muscle on my hemiplegic side was. The inability to locate a muscle happened repeatedly after my stroke. I had forgotten how depressing this is. Thankfully, lots of repetition gave me sensory awareness so now I clench my buttock 12 times a day before I swallow 12 pills.
1. Wilson J, Ferris E, Heckler A, Taylor, C (2005). A structured review of the role of gluteus
maximus in rehabilitation. New Zealand Journal of Physiotherapy, 33(3) 95-100.
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