The Effects of Gluteus Medius Trigger Points on Hip Passive Range of Movement and Muscle Strength in People with Chronic Non-Specific Low-Back Pain

aut.embargoNoen_NZ
aut.filerelease.date2023-06-20
aut.thirdpc.containsNoen_NZ
dc.contributor.advisorEllis, Richard
dc.contributor.advisorKohut, Susan
dc.contributor.advisorGarrett, Nick
dc.contributor.authorCarroll, Marianne
dc.date.accessioned2022-01-19T23:12:52Z
dc.date.available2022-01-19T23:14:59Z
dc.date.copyright2022
dc.date.issued2022
dc.date.updated2022-01-19T22:30:36Z
dc.description.abstractActive trigger points (TrPs) are proposed to cause restricted range of movement (ROM) and muscle weakness. Simons and Travell pioneered TrP research with their publications of “The Trigger Point Manuals” (1983 & 1992); subsequently research into TrPs has informed knowledge of musculoskeletal disorders. The prevalence of TrPs in people with chronic non-specific low back pain (CNSLBP) is high; especially in the gluteus medius (GMed) muscles. CNSLBP is a complex and costly condition; for which treatment is not always successful. In this population, decreased hip range of movement (ROM) and hip muscle weakness are common findings. This study investigated if the presence of active GMed TrPs was associated with these deficits in the hips, when compared with participants with latent TrPs, and zero TrPs. Forty-two participants with CNSLBP underwent hip passive ROM and hip muscle strength testing; followed by palpation of their GMed muscles to identify the presence and types of TrPs. Analysis showed varying results regarding hip ROM and TrP status. There was an association between hip strength and TrP status. Participants with zero TrPs were the strongest and those with TrPs were weaker. In general, those with latent TrPs were the weakest. This study adds knowledge to the role that TrPs play in muscle strength and the characteristics of TrPs. This is significant for the treatment of CNSLBP and the development of more effective treatments of this multi-factorial condition.en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/14839
dc.language.isoenen_NZ
dc.publisherAuckland University of Technology
dc.rights.accessrightsOpenAccess
dc.subjectTrigger pointsen_NZ
dc.subjectLow back painen_NZ
dc.subjectHip movementen_NZ
dc.subjectGluteus mediusen_NZ
dc.titleThe Effects of Gluteus Medius Trigger Points on Hip Passive Range of Movement and Muscle Strength in People with Chronic Non-Specific Low-Back Painen_NZ
dc.typeThesisen_NZ
thesis.degree.grantorAuckland University of Technology
thesis.degree.levelMasters Theses
thesis.degree.nameMaster of Health Scienceen_NZ
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