Harm of gluteal muscle contracture

Gluteal muscle contracture is a common musculoskeletal problem caused by gluteal muscle and its fascial fibrous degeneration contracture, which causes hip joint abduction, external rotation contracture deformity and flexion disorder. The pathological disease of this problem is called gluteal muscle contracture syndrome, which is common in children. The etiology of gluteal muscle contracture syndrome is still unclear, but according to current research, the main causes are: injection factors; child susceptibility factors; immune factors; scar constitution; genetic factors; trauma, infection; hip infection and other factors. Surgical treatment is the best treatment for gluteal muscle contracture syndrome. However, the incidence of gluteal muscle contracture syndrome is not very high. Maybe for most people, it's just a symptom of gluteal muscle contracture. Most people suffer from mild contracture of the gluteal muscles caused by the abandonment or inadequate exercise of the gluteal muscles. In the early stage, this contracture can be reversed, but if such a problem is ignored for a long time, it is likely to develop to an irreversible degree.

In the buttocks, the most commonly used muscles are the gluteus maximus, gluteus medius, gluteus minimus, piriformis, quadratus femoris and obturator muscles.

Gluteus maximus: A very broad muscle located under the skin of the posterolateral hip of the pelvis. It can make the thighs stretch, stretch, take in and turn out, and keep the body position stable and balanced.

Gluteus medius, gluteus minimus: located in the deep side of gluteus maximus, can play the role of abduction of thighs, circle around the hip joint, and maintain the stability of the pelvic position.

Piriformis muscle: In the posterior wall of the small pelvis, it can make the thigh abduct and turn outward, and the pelvis backward.

1、Injection reason: Most scholars believe that the occurrence of gluteal muscle contracture is related to gluteal muscle injection. Acupuncture trauma and drug chemical reaction stimulus cause traumatic, chemical fasciitis and myofibritis, fibrous tissue proliferation, fascia thickening and contracture.

2、Congenital and hereditary factors: Some studies believe that some gluteal contracture is caused by congenital gluteal muscular dysplasia, there are hereditary factors. This congenital muscular dysplasia can be improved by exercise.

3、Immune hypofunction

4、Hip Muscle Infection

5、Trauma: Trauma can lead to muscle and fascia tissue adhesion, fibrosis degeneration, affecting extensibility, and gluteal muscle contracture symptoms.

6、Hip muscle atrophy: Non-pathological muscle atrophy, through exercise therapy will achieve very good rehabilitation effect. Early intervention may even be better than normal muscle condition.

According to the muscle gluteal contracture involved, it can be divided into:

1、Simple gluteus maximus contracture type;

2、Simple gluteal contracture type;

3、Compound contracture of gluteus maximus and gluteus medius (including gluteus minor contracture).

1. Hip dysfunction

（1）Inward rotation and adduction of hip joint were limited after gluteal muscle contracture.

When standing, the lower limbs are in the external rotation position and cannot be completely close. Walking often has a wagging gait and a jumping state of fast steps.

When sitting down, the legs can not be closed together. The hips are separated in frog position. It is difficult for one side of the thigh to rest on the other side of the thigh.

（2）When squatting, the knees of the light squatters are separated first, then squatted together.

In severe cases, when squatting, the hip joints are abducted and extroverted, the knees can not be close, the heels can not touch the ground, like frogs.

（3）There are skin depressions on the outer and upper part of the hip, especially when the hip adduction occurs.

（4）

There will be a sense of tightening in the buttocks, limitation of hip flexion in neutral position of lower limbs and difficulty in hip flexion.

（5）Walking, running, jumping and other movements will appear hip popping.

2、Change of pelvic position

Long-term gluteal muscle contracture may cause pelvic rotation, pelvic tilt (high on one side of the pelvis and low on the other), resulting in long and short legs, and even scoliosis.

There are many dangers of gluteal muscle contracture, besides affecting beauty, there are many serious dangers.

1. Hip joint: Long-term abnormal gluteal muscle condition can lead to hip joint injury and abnormal pelvic position. Increased intra-hip pressure may lead to hip necrosis.

2. Knee joint: Because of the load-bearing of the human body's line of force, the abnormal position of the pelvis will definitely lead to the abnormal line of force of the lower limbs. Over a long period of time, there will be accumulated injuries in all parts of the knee joint. There may also be abnormal changes in leg shape, such as X/O legs.

3. Ankle Joint: The reason is the same as knee joint. The change of weight-bearing line of human body will also affect ankle joint. The main reason is that the arch of foot will be changed badly, such as the collapse of arch of foot.

4. Abnormal gait posture: gluteal muscle contracture can lead to foot rotation in gait mode, pelvis tilting left and right with stride movement, which is what we usually call duck gait.

5. Changes in posture: may lead to a series of problems such as hunchback, scoliosis, body deviation, lumbar disc herniation, etc.

6. Neurological abnormalities of lower limbs: contracture of gluteal muscle tension may stimulate or compress the sciatic nerve at the lower exit, resulting in low back and leg pain.

First-order gluteal muscle contracture: When flexing hip and knee at 90 degrees, strong adduction, hip joint can be close together, but the femur can not cross over Erlang leg, Ober test is weak positive; this degree of gluteal muscle contracture can restore normal function through rehabilitation training, and surgery is not recommended;

Secondary gluteal muscle contracture: walking can not show eight-legged feet, but running, downstairs when the obvious eight-legged feet, knee flexion 90 degrees, hip joint can not be closed, can not cross legs, Ober test positive; if the rehabilitation training effect is not obvious, surgery can be done to remove the contracture belt;

Three-level gluteal muscle contracture: walking with obvious eight-legged feet, running difficulties, squatting first hip joint was forced to open a frog leg, or unable to squat, obvious atrophy and depression on both sides of the buttocks, Ober test strong positive; this degree must be treated by surgery.

At the beginning, we said that if you find yourself suffering from gluteal muscle contracture, early rehabilitation training can avoid further gluteal muscle contracture. Here are some commonly used rehabilitation training methods:

1、Loosen muscle and fascia tissue

Release gluteus maximus muscle

Relaxation of piriformis muscle

Release of tensor fascia lata-iliotibial tract

Release hamstring muscle

Releasing quadriceps femoris

2、Stretch the muscle around the hip joint