{"id":4130,"date":"2022-11-29T11:51:24","date_gmt":"2022-11-29T11:51:24","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/gluteal-considerations-for-patellofemoral-pain-it\/"},"modified":"2022-11-30T16:43:38","modified_gmt":"2022-11-30T16:43:38","slug":"gluteal-considerations-for-patellofemoral-pain-it","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/it\/gluteal-considerations-for-patellofemoral-pain-it\/","title":{"rendered":"Considerazioni sui glutei nel dolore femoro-rotuleo"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"><b>Editrice principale<\/b> &#8211; <a title=\"User:Jacquie Kieck\" href=\"\/User:Jacquie_Kieck\">Jacquie Kieck<\/a> sulla base del corso di <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/course_tutor\/claire-robertson\/\" rel=\"nofollow\">Claire Robertson<\/a><br \/>\n<b>Contributori principali<\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Jacquie Kieck\" href=\"\/User:Jacquie_Kieck\"><bdi>Jacquie Kieck<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Wanda van Niekerk\" href=\"\/User:Wanda_van_Niekerk\"><bdi>Wanda van Niekerk<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson<\/bdi><\/a> e <a class=\"mw-userlink\" title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\"><bdi>Tarina van der Stockt<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenuti<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduzione<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Why_Do_We_Need_to_Consider_Each_Muscle.3F\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Perch\u00e9 \u00e8 necessario considerare ogni muscolo?<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#Functional_Role_of_the_Gluteal_Muscles\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Il ruolo funzionale dei muscoli glutei<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-4\"><a href=\"#Gluteus_Medius_as_an_Abductor_in_the_Frontal_Plane\"><span class=\"tocnumber\">3.1<\/span> <span class=\"toctext\">Il medio gluteo come adduttore nel piano frontale<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Gluteus_Medius_as_an_External_Rotator_in_the_Horizontal_Plane\"><span class=\"tocnumber\">3.2<\/span> <span class=\"toctext\">Il medio gluteo come rotatore esterno nel piano orizzontale<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Gluteus_Maximus_as_an_External_Rotator_in_the_Horizontal_Plane\"><span class=\"tocnumber\">3.3<\/span> <span class=\"toctext\">Il grande gluteo come rotatore esterno nel piano orizzontale<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-7\"><a href=\"#Rehabilitation_Exercises\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Esercizi di riabilitazione<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-8\"><a href=\"#Gluteus_Medius_in_the_Frontal_Plane_.28Hip_Abduction.29\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Gluteo medio nel piano frontale (abduzione d&#8217;anca)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-9\"><a href=\"#Gluteus_Medius_in_the_Horizontal_Plane_.28Hip_Lateral_Rotation_at_.3C20.C2.BA_of_Hip_Flexion.29\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Medio gluteo nel piano orizzontale (rotazione laterale dell&#8217;anca a &lt;20\u00ba di flessione d&#8217;anca)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Gluteus_Maximus_in_the_Horizontal_Plane_.28Hip_External_Rotation_at_.3E50.C2.BA_of_Hip_Flexion.29\"><span class=\"tocnumber\">4.3<\/span> <span class=\"toctext\">Grande gluteo nel piano orizzontale (rotazione esterna dell&#8217;anca a &gt;50\u00ba di flessione d&#8217;anca)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Consider_the_Bridge_Exercise\"><span class=\"tocnumber\">4.4<\/span> <span class=\"toctext\">Considerare l&#8217;esercizio del ponte (bridge)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Functional_Role_with_Different_Activities\"><span class=\"tocnumber\">4.5<\/span> <span class=\"toctext\">Il ruolo funzionale con diverse attivit\u00e0<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-13\"><a href=\"#Gait\"><span class=\"tocnumber\">4.5.1<\/span> <span class=\"toctext\">Deambulazione<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-14\"><a href=\"#Running\"><span class=\"tocnumber\">4.6<\/span> <span class=\"toctext\">Corsa<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-15\"><a href=\"#Landing_From_a_Jump\"><span class=\"tocnumber\">4.7<\/span> <span class=\"toctext\">Atterraggio dal salto<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-16\"><a href=\"#Muscle_Inhibition\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Inibizione muscolare<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-17\"><a href=\"#References\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Citazioni<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduzione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Il malallineamento della rotula \u00e8 influenzato non solo dalla rotula, ma anche dalla posizione del <a title=\"Femur\" href=\"\/Femur\">femore<\/a> e della troclea. La posizione del femore e della troclea pu\u00f2 essere modificata dai muscoli glutei. Pertanto, \u00e8 necessario valutare i muscoli glutei quando si considera il <a title=\"Sindrome del dolore femoro-rotuleo\" href=\"\/Patellofemoral_Pain_Syndrome\">dolore femoro-rotuleo<\/a>.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup><sup id=\"cite_ref-:2_2-0\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup> Il clinico dovrebbe essere consapevole che la valutazione dei muscoli glutei nel dolore femoro-rotuleo non deve essere eseguita in modo isolato. Il dolore femoro-rotuleo dovrebbe essere valutato in modo olistico e si dovrebbero considerare vari fattori, tra cui i fattori locali intorno al ginocchio, la valutazione dell&#8217;intero arto e i <a title=\"Psychological Basis of Pain\" href=\"\/Psychological_Basis_of_Pain\">fattori psicosociali<\/a>,<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup> come la <a title=\"Fear Avoidance Model\" href=\"\/Fear_Avoidance_Model\">paura del movimento<\/a> e la catastrofizzazione del dolore.<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup><\/p>\n<h2><span id=\"Why_Do_We_Need_to_Consider_Each_Muscle?\"><\/span><span id=\"Why_Do_We_Need_to_Consider_Each_Muscle.3F\" class=\"mw-headline\">Perch\u00e9 \u00e8 necessario considerare ogni muscolo?<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Why Do We Need to Consider Each Muscle?\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=2\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Why Do We Need to Consider Each Muscle?\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=2\">fonte di modifica<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Comprendere la funzione dei muscoli glutei in ogni <a title=\"Cardinal Planes and Axes of Movement\" href=\"\/Cardinal_Planes_and_Axes_of_Movement\">piano di movimento<\/a> \u00e8 indispensabile per valutare accuratamente la performance di questo gruppo muscolare e la sua influenza sul dolore femoro-rotuleo. Quando il clinico \u00e8 in grado di identificare specificamente il piano di movimento in cui si verifica la disfunzione e di isolare la struttura problematica, \u00e8 possibile prescrivere esercizi di riabilitazione mirati.<\/p>\n<h2><span id=\"Functional_Role_of_the_Gluteal_Muscles\" class=\"mw-headline\">Il ruolo funzionale dei muscoli glutei<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Functional Role of the Gluteal Muscles\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=3\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Functional Role of the Gluteal Muscles\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=3\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h4><span id=\"Gluteus_Medius_as_an_Abductor_in_the_Frontal_Plane\" class=\"mw-headline\">Il medio gluteo come adduttore nel piano frontale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Gluteus Medius as an Abductor in the Frontal Plane\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=4\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Gluteus Medius as an Abductor in the Frontal Plane\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=4\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Il <a title=\"Gluteus Medius\" href=\"\/Gluteus_Medius\">medio gluteo<\/a> agisce come abduttore dell&#8217;anca nel piano frontale. Uno scarso controllo dell&#8217;abduzione d&#8217;anca in una posizione di appoggio monopodalico porta al collasso del bacino controlaterale. In questo scenario, l&#8217;arto portante essenzialmente cade in adduzione, causando un <a title=\"Valgus Knee\" href=\"\/Valgus_Knee\">valgismo<\/a> funzionale a livello del ginocchio. Questo a sua volta crea un carico maggiore sull&#8217;articolazione femoro-rotulea laterale (PFJ).<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/p>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 902px;\"><a class=\"image\" href=\"\/File:Flow_chart_of_hip_control_in_the_frontal_plane.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/61\/Flow_chart_of_hip_control_in_the_frontal_plane.jpg\/900px-Flow_chart_of_hip_control_in_the_frontal_plane.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/61\/Flow_chart_of_hip_control_in_the_frontal_plane.jpg\/1350px-Flow_chart_of_hip_control_in_the_frontal_plane.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/6\/61\/Flow_chart_of_hip_control_in_the_frontal_plane.jpg\/1800px-Flow_chart_of_hip_control_in_the_frontal_plane.jpg 2x\" alt=\"\" width=\"900\" height=\"506\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Grafico che illustra l&#8217;impatto di uno scarso controllo del medio gluteo sul dolore femoro-rotuleo.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>Il medio gluteo viene valutato nel piano frontale eseguendo l&#8217;abduzione d&#8217;anca contro resistenza. Durante il test, si raccomanda di mantenere la resistenza contro l&#8217;abduzione d&#8217;anca per 10 secondi. Mantenendo la resistenza applicata al muscolo, \u00e8 possibile valutare la performance tonica del muscolo piuttosto che la performance fasica (la performance fasica viene testata nei primi due secondi di mantenimento di una posizione contro resistenza). Questo \u00e8 importante perch\u00e9 il medio gluteo dovrebbe agire come muscolo posturale di resistenza per stabilizzare il bacino. Per ricapitolare i <a title=\"Muscle Fibre Types\" href=\"\/Muscle_Fibre_Types\">tipi di fibre muscolari<\/a>: le fibre muscolari di tipo 1 producono contrazioni di bassa potenza per periodi pi\u00f9 lunghi e si affaticano lentamente (performance muscolare tonica), mentre le fibre muscolari di tipo 2 hanno contrazioni veloci e possono affaticarsi pi\u00f9 rapidamente (performance muscolare fasica).<\/p>\n<p>Il medio gluteo pu\u00f2 essere valutato anche in carico. L&#8217;esaminatore valuta la capacit\u00e0 del paziente di controllare il bacino mentre esegue una caduta dell&#8217;anca controlaterale stando in piedi su un gradino. Questa posizione consente la valutazione concentrica ed eccentrica del medio gluteo. Questa posizione \u00e8 efficace anche per rafforzare questo muscolo.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup><\/p>\n<h4><span id=\"Gluteus_Medius_as_an_External_Rotator_in_the_Horizontal_Plane\" class=\"mw-headline\">Il medio gluteo come rotatore esterno nel piano orizzontale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Gluteus Medius as an External Rotator in the Horizontal Plane\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=5\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Gluteus Medius as an External Rotator in the Horizontal Plane\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=5\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Le fibre posteriori del medio gluteo sono attive come rotatori esterni principali dell&#8217;anca da 0\u00ba a 20\u00ba di flessione d&#8217;anca. Da 20\u00ba a 50\u00ba di flessione d&#8217;anca, le fibre posteriori del medio gluteo sono ancora attive. Al di sopra dei 50\u00b0 di flessione d&#8217;anca, il <a title=\"Gluteus Maximus\" href=\"\/Gluteus_Maximus\">grande gluteo<\/a> \u00e8 il principale rotatore esterno. Per testare il medio gluteo, \u00e8 necessario opporre resistenza alla rotazione esterna dell&#8217;anca quando l&#8217;anca \u00e8 da 0\u00ba a 20\u00ba di flessione.<\/p>\n<table class=\"wikitable\">\n<tbody>\n<tr>\n<td><b>Flessione dell&#8217;anca<\/b><\/td>\n<td><b>0\u00ba &#8211; 20\u00ba<\/b><\/td>\n<td><b>20\u00ba &#8211; 50\u00ba<\/b><\/td>\n<td><b>&gt;50\u00ba<\/b><\/td>\n<\/tr>\n<tr>\n<td><b>Principale rotatore esterno dell&#8217;anca<\/b><\/td>\n<td>Medio gluteo<\/td>\n<td>Il medio gluteo \u00e8 ancora attivo<\/td>\n<td>Grande gluteo<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h4><span id=\"Gluteus_Maximus_as_an_External_Rotator_in_the_Horizontal_Plane\" class=\"mw-headline\">Il grande gluteo come rotatore esterno nel piano orizzontale<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Gluteus Maximus as an External Rotator in the Horizontal Plane\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=6\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Gluteus Maximus as an External Rotator in the Horizontal Plane\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=6\">fonte edit<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Il grande gluteo ruota esternamente l&#8217;anca quando questa \u00e8 flessa. Il test del grande gluteo dovrebbe essere eseguito opponendo resistenza alla rotazione esterna dell&#8217;anca quando questa \u00e8 flessa. Si consiglia di mantenere la contrazione contro la rotazione esterna in questa posizione per 10 secondi per valutare l&#8217;azione tonica del muscolo.<\/p>\n<h2><span id=\"Rehabilitation_Exercises\" class=\"mw-headline\">Esercizi di riabilitazione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Rehabilitation Exercises\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=7\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Rehabilitation Exercises\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=7\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Gluteus_Medius_in_the_Frontal_Plane_(Hip_Abduction)\"><\/span><span id=\"Gluteus_Medius_in_the_Frontal_Plane_.28Hip_Abduction.29\" class=\"mw-headline\">Medio gluteo nel piano frontale (abduzione d&#8217;anca)<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Gluteus Medius in the Frontal Plane (Hip Abduction)\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=8\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Gluteus Medius in the Frontal Plane (Hip Abduction)\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=8\">fonte di modifica<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 285px;\">\n<div style=\"width: 285px;\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin: 41.5px auto;\"><a class=\"image\" href=\"\/File:Screenshot_2022-05-26_at_20.24.31.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/88\/Screenshot_2022-05-26_at_20.24.31.png\/250px-Screenshot_2022-05-26_at_20.24.31.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/88\/Screenshot_2022-05-26_at_20.24.31.png\/375px-Screenshot_2022-05-26_at_20.24.31.png 1.5x, https:\/\/www.physio-pedia.com\/images\/8\/88\/Screenshot_2022-05-26_at_20.24.31.png 2x\" alt=\"\" width=\"250\" height=\"297\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Abduzione d&#8217;anca in piedi<\/p>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px;\">\n<div style=\"width: 285px;\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin: 62px auto;\"><a class=\"image\" href=\"\/File:Screenshot_2022-05-26_at_20.21.45.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1b\/Screenshot_2022-05-26_at_20.21.45.png\/250px-Screenshot_2022-05-26_at_20.21.45.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1b\/Screenshot_2022-05-26_at_20.21.45.png\/375px-Screenshot_2022-05-26_at_20.21.45.png 1.5x, https:\/\/www.physio-pedia.com\/images\/1\/1b\/Screenshot_2022-05-26_at_20.21.45.png 2x\" alt=\"\" width=\"250\" height=\"256\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Abduzione d&#8217;anca contro resistenza in piedi<\/p>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px;\">\n<div style=\"width: 285px;\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin: 69px auto;\"><a class=\"image\" href=\"\/File:Screenshot_2022-05-26_at_20.31.27.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/76\/Screenshot_2022-05-26_at_20.31.27.png\/250px-Screenshot_2022-05-26_at_20.31.27.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/76\/Screenshot_2022-05-26_at_20.31.27.png\/375px-Screenshot_2022-05-26_at_20.31.27.png 1.5x, https:\/\/www.physio-pedia.com\/images\/7\/76\/Screenshot_2022-05-26_at_20.31.27.png 2x\" alt=\"\" width=\"250\" height=\"242\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Abduzione d&#8217;anca in decubito laterale<\/p>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h3><span id=\"Gluteus_Medius_in_the_Horizontal_Plane_.28Hip_Lateral_Rotation_at_.3C20.C2.BA_of_Hip_Flexion.29\" class=\"mw-headline\">Medio gluteo nel piano orizzontale (rotazione laterale dell&#8217;anca a &lt;20\u00ba di flessione d&#8217;anca)<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Gluteus Medius in the Horizontal Plane (Hip Lateral Rotation at &lt;encoded_tag_open \/&gt;20\u00ba of Hip Flexion)\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=9\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Gluteus Medius in the Horizontal Plane (Hip Lateral Rotation at 20\u00ba of Hip Flexion)\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=9\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 285px;\">\n<div style=\"width: 285px;\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin: 79px auto;\"><a class=\"image\" href=\"\/File:External_hip_rotation_in_standing_-_Claire%27s_own_image.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/81\/External_hip_rotation_in_standing_-_Claire%27s_own_image.jpg\/250px-External_hip_rotation_in_standing_-_Claire%27s_own_image.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/81\/External_hip_rotation_in_standing_-_Claire%27s_own_image.jpg\/375px-External_hip_rotation_in_standing_-_Claire%27s_own_image.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/8\/81\/External_hip_rotation_in_standing_-_Claire%27s_own_image.jpg 2x\" alt=\"\" width=\"250\" height=\"222\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Rotazione esterna dell&#8217;anca in piedi<\/p>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px;\">\n<div style=\"width: 285px;\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin: 125.5px auto;\"><a class=\"image\" href=\"\/File:Hip_External_Rotation_in_Shallow_hip_flexion.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/6a\/Hip_External_Rotation_in_Shallow_hip_flexion.png\/250px-Hip_External_Rotation_in_Shallow_hip_flexion.png\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/6a\/Hip_External_Rotation_in_Shallow_hip_flexion.png\/375px-Hip_External_Rotation_in_Shallow_hip_flexion.png 1.5x, https:\/\/www.physio-pedia.com\/images\/6\/6a\/Hip_External_Rotation_in_Shallow_hip_flexion.png 2x\" alt=\"\" width=\"250\" height=\"129\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Rotazione esterna dell&#8217;anca in flessione superficiale dell&#8217;anca<\/p>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h3><span id=\"Gluteus_Maximus_in_the_Horizontal_Plane_.28Hip_External_Rotation_at_.3E50.C2.BA_of_Hip_Flexion.29\" class=\"mw-headline\">Grande gluteo nel piano orizzontale (rotazione esterna dell&#8217;anca a &gt;50\u00ba di flessione d&#8217;anca)<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Gluteus Maximus in the Horizontal Plane (Hip External Rotation at &lt;encoded_tag_closed \/&gt;50\u00ba of Hip Flexion)\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=10\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Gluteus Maximus in the Horizontal Plane (Hip External Rotation at 50\u00ba of Hip Flexion)\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=10\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 285px;\">\n<div style=\"width: 285px;\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin: 100.5px auto;\"><a class=\"image\" href=\"\/File:Clam_with_band_in_deep_hip_flexion_-_Claire%27s_own_image.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/4\/43\/Clam_with_band_in_deep_hip_flexion_-_Claire%27s_own_image.jpg\" alt=\"\" width=\"250\" height=\"179\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Rotazione esterna dell&#8217;anca a 90\u00ba di flessione d&#8217;anca<\/p>\n<\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px;\">\n<div style=\"width: 285px;\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin: 132.5px auto;\"><a class=\"image\" href=\"\/File:External_Hip_Rotation_Eccentric_Control_in_Sitting_-_Claire%27s_Own_Image.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/8b\/External_Hip_Rotation_Eccentric_Control_in_Sitting_-_Claire%27s_Own_Image.jpg\/250px-External_Hip_Rotation_Eccentric_Control_in_Sitting_-_Claire%27s_Own_Image.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/8\/8b\/External_Hip_Rotation_Eccentric_Control_in_Sitting_-_Claire%27s_Own_Image.jpg\/375px-External_Hip_Rotation_Eccentric_Control_in_Sitting_-_Claire%27s_Own_Image.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/8\/8b\/External_Hip_Rotation_Eccentric_Control_in_Sitting_-_Claire%27s_Own_Image.jpg\/500px-External_Hip_Rotation_Eccentric_Control_in_Sitting_-_Claire%27s_Own_Image.jpg 2x\" alt=\"\" width=\"250\" height=\"115\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\">\n<p>Rotazione esterna dell&#8217;anca a 90\u00b0 di flessione d&#8217;anca\/in posizione seduta<\/p>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h3><span id=\"Consider_the_Bridge_Exercise\" class=\"mw-headline\">Considerare l&#8217;esercizio del ponte (bridge)<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Consider the Bridge Exercise\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=11\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Consider the Bridge Exercise\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=11\">modifica sorgente<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/wFYhfbFYzZI?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p>All&#8217;inizio dell&#8217;esercizio del ponte, l&#8217;anca \u00e8 in flessione profonda. Ci\u00f2 significa che il grande gluteo \u00e8 pi\u00f9 attivo come rotatore esterno dell&#8217;anca. Quando l&#8217;anca cambia dalla flessione d&#8217;anca a una posizione pi\u00f9 neutra, il grande gluteo continua a lavorare come estensore dell&#8217;anca, ma le fibre posteriori del medio gluteo diventano pi\u00f9 importanti come rotatori.<\/p>\n<p>Le progressioni dell&#8217;esercizio del ponte per renderlo pi\u00f9 difficile includono il sollevamento della gamba non interessata (ad esempio, eseguendo il ponte con una gamba sola) e l&#8217;aggiunta di un peso posizionato sull&#8217;addome della persona.<\/p>\n<h3><span id=\"Functional_Role_with_Different_Activities\" class=\"mw-headline\">Il ruolo funzionale con diverse attivit\u00e0<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Functional Role with Different Activities\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=12\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Functional Role with Different Activities\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=12\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Gait\" class=\"mw-headline\">Deambulazione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Gait\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=13\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Gait\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=13\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Durante la <a title=\"Gait\" href=\"\/Gait\">deambulazione<\/a>, il grande gluteo lavora in modo eccentrico per controllare la rotazione a livello dell&#8217;anca.<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup> Dopo il contatto del tallone (heel strike), fino a circa il 24% del carico, il femore e la tibia ruotano internamente. Si tratta di un movimento normale. Tuttavia, questa rotazione interna dovrebbe avvenire solo per un breve periodo. Un&#8217;eccessiva rotazione interna comporta un carico eccessivo dell&#8217;articolazione femoro-rotulea laterale. Il mirror gait retraining <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup> pu\u00f2 aumentare la consapevolezza del paziente su questo movimento e facilitare la correzione di una biomeccanica difettosa.<\/p>\n<h3><span id=\"Running\" class=\"mw-headline\">Corsa<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Running\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=14\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Running\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=14\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&#8217;aumento di velocit\u00e0 della corsa \u00e8 associato a un aumento del movimento nel piano frontale, ossia alla caduta del bacino controlaterale con la corrispondente adduzione dell&#8217;anca e il conseguente ginocchio valgo. Questo aumenta il carico sull&#8217;articolazione femoro-rotulea laterale.<sup id=\"cite_ref-:0_9-0\" class=\"reference\"><a href=\"#cite_note-:0-9\">(9)<\/a><\/sup> Bramah et al.<sup id=\"cite_ref-:3_10-0\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup> hanno dimostrato che, per ogni aumento di 1\u00b0 della caduta del bacino durante la corsa, c&#8217;era un aumento dell&#8217;80% della probabilit\u00e0 di essere classificati come infortunati. Lo stesso studio di Bramah et al.<sup id=\"cite_ref-:3_10-1\" class=\"reference\"><a href=\"#cite_note-:3-10\">(10)<\/a><\/sup> ha dimostrato che la caduta del bacino controlaterale sembrava essere la variabile pi\u00f9 fortemente correlata ai comuni infortuni legati alla corsa, compreso il dolore femoro-rotuleo.<\/p>\n<p><b>Video: eccessiva adduzione d&#8217;anca<\/b><\/p>\n<div class=\"thumb embedvideo autoResize\" style=\"width: 648px;\">\n<div class=\"embedvideo autoResize\">\n<div class=\"embedvideowrap\" style=\"width: 640px;\"><iframe loading=\"lazy\" title=\"Play video\" src=\"\/\/www.youtube.com\/embed\/QTC9hEu0pQQ?\" width=\"640\" height=\"360\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<\/div>\n<\/div>\n<p><sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup><\/p>\n<p>Quando si riabilita un paziente con dolore femoro-rotuleo in cui la mancanza di controllo nel piano frontale \u00e8 un fattore che contribuisce, \u00e8 utile considerare la velocit\u00e0 di corsa. Il clinico pu\u00f2 suggerire di ridurre la velocit\u00e0 di corsa per scaricare\/ridurre il carico sull&#8217;articolazione femoro-rotulea, in alternativa all&#8217;interruzione totale dell&#8217;attivit\u00e0 sportiva. Negli sport di squadra, pu\u00f2 essere utile cambiare la posizione in campo per una posizione in cui il paziente non debba correre cos\u00ec velocemente.<sup id=\"cite_ref-:0_9-1\" class=\"reference\"><a href=\"#cite_note-:0-9\">(9)<\/a><\/sup><\/p>\n<h3><span id=\"Landing_From_a_Jump\" class=\"mw-headline\">Atterraggio dal salto<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Landing From a Jump\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=15\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Landing From a Jump\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=15\">modifica fonte<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>\u00c8 stato dimostrato che la cinematica di atterraggio dal salto \u00e8 influenzata dalle lesioni agli arti inferiori, compreso il dolore femoro-rotuleo.<sup id=\"cite_ref-:1_12-0\" class=\"reference\"><a href=\"#cite_note-:1-12\">(12)<\/a><\/sup> \u00c8 influenzata inoltre dalla forza dei muscoli glutei, che influisce sul valgismo dinamico del ginocchio.<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup> Analogamente, una revisione sistematica e meta-analisi di DeBleecker et al.<sup id=\"cite_ref-:1_12-1\" class=\"reference\"><a href=\"#cite_note-:1-12\">(12)<\/a><\/sup> ha mostrato alcune evidenze dell&#8217;associazione tra un&#8217;alterata cinematica di atterraggio dal salto e le lesioni da overuse dell&#8217;arto inferiore. Ci\u00f2 indica che il <b>dolore femoro-rotuleo influenza la cinematica di atterraggio dal salto <i>e<\/i> la cinematica di atterraggio dal salto \u00e8 influenzata dal dolore femoro-rotuleo<\/b> Pertanto, \u00e8 importante valutare la cinematica di atterraggio dal salto come strategia di prevenzione delle lesioni agli arti inferiori e valutare la cinematica di atterraggio dal salto in una persona che ha avuto un infortunio\/una lesione agli arti inferiori. Per i pazienti con dolore femoro-rotuleo che praticano sport che richiedono di saltare, \u00e8 importante valutare la cinematica di atterraggio dal salto per identificare lo scarso controllo dei glutei come possibile fattore contribuente. Anche i fattori psicosociali, come la <a title=\"Cinesiofobia\" href=\"\/Kinesiophobia\">cinesiofobia<\/a>, dovrebbero essere presi in considerazione quando si valuta l&#8217;atterraggio dal salto.<\/p>\n<h2><span id=\"Muscle_Inhibition\" class=\"mw-headline\">Inibizione muscolare<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Muscle Inhibition\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=16\">modifica<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Muscle Inhibition\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=16\">fonte di modifica<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Una storia di dolore lombare<sup id=\"cite_ref-:2_2-1\" class=\"reference\"><a href=\"#cite_note-:2-2\">(2)<\/a><\/sup><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup> o di lesioni alla caviglia<sup id=\"cite_ref-15\" class=\"reference\"><a href=\"#cite_note-15\">(15)<\/a><\/sup> hanno dimostrato di influenzare la funzione dei glutei. Il dolore lombare pu\u00f2 inibire il grande gluteo e le lesioni in inversione di caviglia sono correlate all&#8217;inibizione del medio gluteo. Poich\u00e9 la rilevanza dei muscoli glutei nel dolore dell&#8217;articolazione femoro-rotulea \u00e8 stata chiaramente stabilita, \u00e8 importante stabilire se il paziente che presenta un dolore femoro-rotuleo ha una storia di dolore lombare o di lesioni alla caviglia.<\/p>\n<h2><span id=\"References\" class=\"mw-headline\">Citazioni<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;veaction=edit&amp;section=17\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Gluteal_Considerations_for_Patellofemoral_Pain&amp;action=edit&amp;section=17\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Ireland ML, Willson JD, Ballantyne BT, Davis IM. <a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/epdf\/10.2519\/jospt.2003.33.11.671\" rel=\"nofollow\">Hip strength in females with and without patellofemoral pain<\/a>. Journal of orthopaedic &amp; sports physical therapy. 2003 Nov;33(11):671-6<\/span><\/li>\n<li id=\"cite_note-:2-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_2-1\">2.1<\/a><\/sup><\/span> <span class=\"reference-text\">Sadler S, Cassidy S, Peterson B, Spink M, Chuter V. <a class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1186\/s12891-019-2833-4\" rel=\"nofollow\">Gluteus medius muscle function in people with and without low back pain: a systematic review<\/a>. BMC musculoskeletal disorders. 2019 Dec;20(1):1-7<\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">Crossley KM, van Middelkoop M, Barton CJ, Culvenor AG. Rethinking patellofemoral pain: prevention, management and long-term consequences. Best Practice &amp; Research Clinical Rheumatology. 2019 Feb 1;33(1):48-65.<\/span><\/li>\n<li id=\"cite_note-4\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-4\">\u2191<\/a><\/span> <span class=\"reference-text\">Uritani D, Kasza J, Campbell PK, Metcalf B, Egerton T. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7183118\/pdf\/12891_2020_Article_3305.pdf\" rel=\"nofollow\">The association between psychological characteristics and physical activity levels in people with knee osteoarthritis: a cross-sectional analysis.<\/a> BMC musculoskeletal disorders. 2020 Dec;21(1):1-7<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Lee TQ, Anzel SH, Bennett KA, Pang D, Kim WC. The influence of fixed rotational deformities of the femur on the patellofemoral contact pressures in human cadaver knees. Clinical orthopaedics and related research. 1994 May 1(302):69-74<\/span><\/li>\n<li id=\"cite_note-6\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-6\">\u2191<\/a><\/span> <span class=\"reference-text\">Moore D, Semciw AI, Pizzari T. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7727410\/\" rel=\"nofollow\">A systematic review and meta-analysis of common therapeutic exercises that generate highest muscle activity in the gluteus medius and gluteus minimus segments<\/a>. International Journal of Sports Physical Therapy. 2020 Dec;15(6):856.<\/span><\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">Preece SJ, Graham-Smith P, Nester CJ, Howard D, Hermens H, Herrington L, Bowker P. The influence of gluteus maximus on transverse plane tibial rotation. Gait &amp; posture. 2008 May 1;27(4):616-21.<\/span><\/li>\n<li id=\"cite_note-8\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-8\">\u2191<\/a><\/span> <span class=\"reference-text\"><span class=\"reference-text\">Richard W. Willy, John P. Scholz, Irene S. Davis.Mirror gait retraining for the treatment of patellofemoral pain in female runners. Clinical Biomechanics 2012; 27: 1045-1051.<\/span><\/span><\/li>\n<li id=\"cite_note-:0-9\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_9-0\">9.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_9-1\">9.1<\/a><\/sup><\/span> <span class=\"reference-text\">Robertson, C. <a class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/learn\/patellofemoral-joint-programme\/\" rel=\"nofollow\">Gluteal Considerations in the Management of Patellofemoral Pain<\/a>. Course. Plus. 2022.<\/span><\/li>\n<li id=\"cite_note-:3-10\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:3_10-0\">10.0<\/a><\/sup> <sup><a href=\"#cite_ref-:3_10-1\">10.1<\/a><\/sup><\/span> <span class=\"reference-text\">Bramah C, Preece SJ, Gill N, Herrington L. <a class=\"external text\" href=\"https:\/\/journals.sagepub.com\/doi\/full\/10.1177\/0363546518793657\" rel=\"nofollow\">Is there a pathological gait associated with common soft tissue running injuries?<\/a>. The American journal of sports medicine. 2018 Oct;46(12):3023-31.<\/span><\/li>\n<li id=\"cite_note-11\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-11\">\u2191<\/a><\/span> <span class=\"reference-text\">Enhance RunningEnhance running: excessive hip adduction &amp; internal rotation. Available from <a class=\"external free\" href=\"https:\/\/www.youtube.com\/watch?v=QTC9hEu0pQQ&amp;t=2s\" rel=\"nofollow\">https:\/\/www.youtube.com\/watch?v=QTC9hEu0pQQ&amp;t=2s<\/a> Accessed on 05\/06\/2022<\/span><\/li>\n<li id=\"cite_note-:1-12\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_12-0\">12.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_12-1\">12.1<\/a><\/sup><\/span> <span class=\"reference-text\">De Bleecker C, Vermeulen S, De Blaiser C, Willems T, De Ridder R, Roosen P. Relationship between jump-landing kinematics and lower extremity overuse injuries in physically active populations: a systematic review and meta-analysis. Sports Medicine. 2020 Aug;50(8):1515-32.<\/span><\/li>\n<li id=\"cite_note-13\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-13\">\u2191<\/a><\/span> <span class=\"reference-text\">Neamatallah Z, Herrington L, Jones R. An investigation into the role of gluteal muscle strength and EMG activity in controlling HIP and knee motion during landing tasks. Physical Therapy in Sport. 2020 May 1;43:230-5.<\/span><\/li>\n<li id=\"cite_note-14\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-14\">\u2191<\/a><\/span> <span class=\"reference-text\">Bullock-Saxton JE, Janda V, Bullock MI. Reflex activation of gluteal muscles in walking. An approach to restoration of muscle function for patients with low-back pain. Spine. 1993 May 1;18(6):704-8.<\/span><\/li>\n<li id=\"cite_note-15\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-15\">\u2191<\/a><\/span> <span class=\"reference-text\">Beckman SM, Buchanan TS. Ankle inversion injury and hypermobility: effect on hip and ankle muscle electromyography onset latency. Archives of physical medicine and rehabilitation. 1995 Dec 1;76(12):1138-43.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20221115234415 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.087 seconds Real time usage: 0.104 seconds Preprocessor visited node count: 275\/1000000 Post\u2010expand include size: 126\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 14219\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 16.830 1 Special:Contributors\/Gluteal_Considerations_for_Patellofemoral_Pain 100.00% 16.830 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Editrice principale &#8211; Jacquie Kieck sulla base del corso di Claire Robertson Contributori principali &#8211; Jacquie Kieck, Wanda van Niekerk, Jess Bell, Kim Jackson e Tarina van der Stockt Contenuti 1 Introduzione 2 Perch\u00e9 \u00e8 necessario considerare ogni muscolo? 3 Il ruolo funzionale dei muscoli glutei 3.1 Il medio gluteo come adduttore nel piano frontale [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4130","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4130","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/comments?post=4130"}],"version-history":[{"count":1,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4130\/revisions"}],"predecessor-version":[{"id":4139,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/4130\/revisions\/4139"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/media?parent=4130"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}