The Gluteus Maximus (GM) muscle is the largest and most powerful in the human body. It plays an important role in optimal functioning of the human movement system as well as athletic performance. It is however, prone to inhibition and weakness which contributes to chronic pain, injury and athletic under-performance. As such, understanding how to assess and treat GM dysfunction is an important aspect of sports science and medicine, as it has relevance for injury prevention, rehabilitation and performance enhancement. Despite GMs considerable importance there is little research attempting to translate evidence into practice to support practitioners when faced with 'sleepy glutes'. This clinical commentary discusses the importance of GM for athletic performance and injury risk; factors which contribute to GM dysfunction and then provides evidenced informed approaches to assess and treat GM dysfunction. This can be used as part of rehabilitation or injury prevention practices as well as athletic performance training.
Level of evidence: 5.
Keywords: Gluteus maximus; movement system; muscle imbalances; performance training; rehabilitation.
Conflict of interest statement
There were no funding sources for the paper. The authors report no conflicts of interest.
STRENGTHENING THE GLUTEUS MAXIMUS IN SUBJECTS WITH SACROILIAC DYSFUNCTION.Int J Sports Phys Ther. 2018 Feb;13(1):114-120. Int J Sports Phys Ther. 2018. PMID: 29484248 Free PMC article.
Strengthening and neuromuscular reeducation of the gluteus maximus in a triathlete with exercise-associated cramping of the hamstrings.J Orthop Sports Phys Ther. 2010 Feb;40(2):112-9. doi: 10.2519/jospt.2010.3110. J Orthop Sports Phys Ther. 2010. PMID: 20118522
BUILDING A BETTER GLUTEAL BRIDGE: ELECTROMYOGRAPHIC ANALYSIS OF HIP MUSCLE ACTIVITY DURING MODIFIED SINGLE-LEG BRIDGES.Int J Sports Phys Ther. 2017 Aug;12(4):543-549. Int J Sports Phys Ther. 2017. PMID: 28900560 Free PMC article.
American Medical Society for Sports Medicine position statement: concussion in sport.Br J Sports Med. 2013 Jan;47(1):15-26. doi: 10.1136/bjsports-2012-091941. Br J Sports Med. 2013. PMID: 23243113 Review.
Psychosocial factors in sports injury rehabilitation and return to play.Phys Med Rehabil Clin N Am. 2014 Nov;25(4):915-30. doi: 10.1016/j.pmr.2014.06.011. Epub 2014 Aug 10. Phys Med Rehabil Clin N Am. 2014. PMID: 25442166 Review.