M-Mode Ultrasound Reveals Earlier Gluteus Minimus Activity in Individuals With Chronic Hip Pain During a Step-down Task.

Study Design: Controlled laboratory study.

Background: The hip abductor muscles are important hip joint stabilizers. Hip joint pain may alter muscle recruitment.

M-mode ultrasound used to detect the onset of deep muscle activity.

M-mode ultrasound imaging (US) reflects motion of connective tissue within muscles. As muscle contraction is accompanied by motion of muscle tissue, M-mode US may be used to measure non-invasively the onset of deep muscle activity. Isometric hip abduction was measured on nine healthy subjects in the deep region of the gluteus medius muscle and in gluteus minimus by fine-wire electromyography (EMG) and M-mode US.

Muscle thickness measurements to estimate gluteus medius and minimus activity levels.

The clinical assessment of gluteus medius and minimus force sharing requires non-invasive measurements of individual activity levels. Do ultrasound measurements of change of muscle thickness substitute invasive electromyography (EMG)? Isometric hip abduction in 20-80% maximal voluntary isometric contraction (MVIC) was measured using dynamometry, M-mode ultrasound for gluteus medius and minimus thickness and EMG using (1) surface electrodes on gluteus medius, n = 15, (2) fine-wire electrodes in deep gluteus medius and minimus, n = 6. Gluteus medius thickened by 5.

Separate assessment of gluteus medius and minimus: B-mode or M-mode ultrasound?

The hip abductors gluteus medius (Gmed) and minimus (Gmin) differ slightly in function and how they are affected by hip joint pathology. A separate assessment of Gmed and Gmin is feasible by ultrasound (US) imaging. B-mode and M-mode US can be used to measure muscle thickness.