PTOtherJournal of physical therapy science2018

Effect of limbering up of the muscles attached to the pelvis on the strength of upper and lower extremity and trunk muscles through the transitional network.

Yuichi Azuma, Toyoko Asami, Masayoshi Ichiba and 2 others

PMID 29410557

WHAT IT FOUND

After one session and a 5-minute rest, exercising muscles attached to the pelvis raised some unexercised trunk, knee, or shoulder strength scores in healthy men.

Many measures did not change, and the study did not test patients or lasting effects.

Key findings

01Exercising the upper gluteus maximus raised abdominal strength from 47.4 to 51.7 kg/kg BW (p=0.0006).

02Exercising the internal abdominal oblique muscle raised knee flexor strength from 45.4 to 49.2 kg/kg BW (p=0.0353).

03Exercising the upper gluteus maximus raised shoulder flexor strength from 32.9 to 36.5 kg/kg BW (p=0.0081).

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study tested only healthy adult men, mean age 23.6 years, and excluded people with daily-living symptoms or recent joint impairment, so it does not show what happens in older adults, women, or patients with pain. The exercise and strength testing happened in one day, followed by a 5-minute rest, so the paper cannot show whether the strength change lasts or how often the exercise would need to be repeated. The paper does not describe randomisation or blinding, and it measured many strength outcomes without naming a primary outcome, so positive results need cautious interpretation. Some subgroup age differences were observed, especially in the shoulder group, although the authors noted male strength peaks in the mid-20s and argued this was unlikely to be a major effect. The authors note that becoming accustomed to the test method can increase maximum voluntary contractions by 3.6%, although their non-exercise controls did not show significant strength differences.

Declared interests

The authors declared no conflicts of interest. The supplied text gives no funding statement.

The easy way to misread this

Do not conclude that 20 repetitions of pelvic muscle exercises produce lasting strength gains in patients. The study measured healthy young men immediately after one exercise session and a 5-minute rest, and it did not test injured people or follow-up.

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