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January 2021 -
Volume 19, Issue 1


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From the Editor

Editorial
A. Abyad (Chief Editor)
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Original contribution

Perception of Saudi Older Adults about Themselves and their Health in Makkah Region
Mohammed Abdulrahman Basheikh, Faisal I. Abosoudah, Mohammed Abdulatif Basheikh, Abdulraheem Adnan Almokhtar, Fahad A. Alzahrani, Mohammed A. Bashanfar
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93943

Depression, anxiety, stress and its determinant factors, among adult population in Jeddah, Saudi Arabia
Fathi M. El-Gamal, Hussain M. Nadhrah, Abdulrahman A. Abdulghani, Mohammed Alasmari, Khaled S. Alomari, Abdulrahman M. Abdulghani, Abdullah Alghamdi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93944

Awareness of the Effects of Combining Smoking and Oral Contraceptives on Cardiovascular Health among Saudi Working Women
Faisal Alzeer, Faisal Alyahya, Majed Alzharan, Mohammed AlGhamdi, Abdulaziz AlMotairi, Rakan AlQahtani, Abdulaziz H. Alzeer
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93945

Public Awareness Regarding Antihistamines and their Prescription in Primary Health Care Centres in Abha City
Majed Mohammad AL Saleh, Maram Ayed Alshahrani, Raghad Ali Alshehri, Atheer Sultan Alqurashi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93946

Impact of Using Social Media on Mental Health among University Medical Students in Abha City, Southern Saudi Arabia
Afnan Mastour Alammar, Safar Abadi Al Saleem, Abdulaziz Mohammad Al-Garni, Razan Saeed Alalammar, Razan suliman alhumayed
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93947

Assessment of quality of life among medical interns in Saudi Arabia
Lotfi F. Issa, Mohammed M. Alattas, Hassan A. Alshamrani, Abdulrahman H. Alhazmi, Wedd Khalid Alharthi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93948

Impact of age on the clinical aspects and management of patients with rheumatoid arthritis, among adults in Saudi Arabia
Fathi M. El-Gamal, Saleh Alturkistani, Anmar Alkindy, Ahmed Abdulqader, Ali Alnashri, Abeer Alnashri
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93949

The Effect of obesity stigma on obese people, Saudi Arabia, 2020
Rehab Alenazy, Abdullah Almutairi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93950

The Association between Short Inter-Pregnancy Interval and Postmenopausal Osteoporosis, Saudi Arabia, Taif City, 2019: A case-control study
Ameerah S. Bajaber, Hashem Bukhary, Afnan K. Sibyani, Eid H. Alshahrani, Tasneem H. Hassan, Nojood A. Althomali
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93951

The effect of BMI and glycemic control on S. potassium and S. calcium Disturbances among Diabetic Patients in Salah Al-Deen General Hospital
Mohammed Khalil Ibraheem, Zaidan Jayed Zaidan
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93952

The effect of diabetic control on serum sodium disturbances in Salah Al-Deen general hospital
Mohammed Khalil Ibraheem, Zaidan Jayed Zaidan
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93953

Are Pakistani mothers aware of the Child Safety Measures? A Cross sectional study
Tabinda Ashfaq, Aiesha Ishaq, Faisal Shahzad, Muhammad Abu Bakar, Fahad Saleem
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93954

Becker nevi among patients in Aden, Yemen
Asia Hassan Abdulla Saleh, Amer Omer Bin Al-Zou, Lina Ali Muthanna
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93955

Novel COVID-19 Pandemic: A Cross-Sectional Survey among Global Health Care Providers
Nazish Jaffar, Amna Khan, Kiran Abbas, Aliya Jafri, Sarmad Jamal Siddiqui, Vinita Kumari
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93956

Does measles immunization lead to immunization for COVID-19? Case series
Mehmet Husamettin Akkucuk, Nalan Akalin, Betul Gulalp
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93957

To What Extent Are Medical Students Benefiting From Mentoring
Saeed Saleh Alqahtani, Awad Saeed Al-Samghan, Abdulaziz Saad Alshahrani, Yassir Edrees Almalki, Eisa Yazeed Ghazwani, Mohammed Amanullah, Ayed A. Shati
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93958

Burnout among Turkish Physicians: A Systematic Review
Aydin Toktamis, M. Hüsamettin Akküçük
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93959

Islamic Religion and Psychoanalysis: An Overview
Saleha Al-Jadidi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93960

Subclinical Hypothyroidism: Management in Primary Care - To treat or not to treat?
Sanjeewa Sumathipala
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93962


Hip Position during Common Lower Limb Rehabilitation Exercises Effects Gluteal Electromyographic Activity: A Systematic Review
Maha H. Alnaemi, Hanaa I. Alkuwari, Sahar S. Almarri, Sherlyn Myka S. Balista
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93964

Knowledge, attitude and practice of diabetic retinopathy care and prevention among diabetic patients in Saudi Arabia: a systematic review
Abdullah S. Alqahtani, Hams A. AlamriAlmoayad M. Makrami, Faizah S. Alyahyawi, Ayah A. Aloufi, Awatef A. Alnami, Atyaf A. Bakri, Fatimah A.Al- Zaher, Fatimah A. Busayli, Rihanah F. ALshahrani
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93965

Original Research

Prevalence of Low Back Pain and Its Associated Risk Factors among Female Nurses Working in a tertiary hospital in Dhahran , Eastern Province, Saudi Arabia
Rasha H. Alziyadi, Mohamed H. Elgezery, Reham H. Alziyadi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93967

Nutritional supplements and hormonal use among Gym exercisers in Jeddah city, Saudi Arabia
Fathi M. El-Gamal , AbdulKareem S. Fatani, Mohammed M. Mubarak, Zain H. Khan, Sahal A. Alardhawy, Abdullah M. Alqahtani
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93968

Prevalence and prognosis of ABO blood groups among COVID-19 patients at KAUH, Jeddah
Mawaddah F. Batwa, Wafa M. Alghamdi, Ghada T. Kersh, Fatima A. Algethmi, Ebtihaj A. Al-Amoudi, Mona A. Alfares
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93969

Prevalence, risk factors, and types of urinary incontinence among females: A cross sectional study
Amena Ali, Nouf Abdullah Saleh Almasabi, Shrooq Thaiban Alkhaldi, Amaal Mastour Altowairqi, Sahar Rajaallah Aljumayi, Ahmed Salah Eldalo, Abuzer Ali
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93970

Knowledge and Awareness of Parents about pediatric obstructive sleep apnea in KSA, cross-section study, 2019
Amna F. Bashir, Ahmed Al-Ghamdi, Atheer Saleh Alsaadi, Bashaier G. AlQahtani, Suzan Awad Alshihri, Hanan A. Alshahrani, Haif Fahad Alshareef
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93971

Risk factors for hypothyroidism in Saudi Arabia
Mohammad Eid M. Mahfouz Renad A. Altowairqi, Raghad N. Alfeer, Elaf K. Alghamdi, Ghaida M. Alnofaei , Reham H. Alziyadi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.93972


Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
Azmi Street, Abdo Center,
PO BOX 618
Tripoli, Lebanon
Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.
January 2021 - Volume 19, Issue 1

Hip Position during Common Lower Limb Rehabilitation Exercises Effects Gluteal Electromyographic Activity:
A Systematic Review


Maha H. Alnaemi (1)
Hanaa I. Alkuwari (1)
Sahar S. Almarri (2)
Sherlyn Myka S. Balista (3)

(1) Consultant Family Medicine and Sports and Exercise Medicine, Primary Health Care Corporation, Qatar
(2) Consultant Family Medicine, Primary Health Care Corporation, Qatar
(3) Staff Nurse, Primary Health Care Corporation, Qatar

Corresponding Author:
Dr. Maha H. Alnaemi
Consultant Family Medicine
Primary Health Care Corporation
Qatar
Contact No.: +97455856212
Email: mrhalnaemi@phcc.gov.qa

Received: November 2020; Accepted: December 2020; Published: January 1, 2021. Citation: Maha H. Alnaemi et al. Hip Position during Common Lower Limb Rehabilitation Exercises Effects Gluteal Electromyographic Activity: A Systematic Review. World Family Medicine. 2021; 19(1): 157-164
DOI: 10.5742/MEWFM.2021.93964

Abstract


Objective: Decreased strength of the hip muscles, especially the Gluteus Maximus and the Gluteal Medius muscles contributes to the etiology of various orthopedic pathologies of the lower limbs, low back pain and pelvic stability. Several studies have evaluated the effect of different proximal rehabilitation exercises by gluteal EMG and the effective position to recruit and activate gluteal musculatures. The systematic review synthesizes the differences in the EMG activation during different hip positions in order to better understand the role of specific hip position in recruiting and activating hip muscle.

Methods: PubMed, EMBASE and WEB OF SCIENCE databases are the main evidence sources searched; searched from 1989 up to April 2015. Search was for the key terms: Electromyography AND hip abduction OR hip extension, EMG activity AND Hip strengthening exercises. Unpublished articles were not sought. After excluding two articles of Case report-based studies, title and abstracts were reviewed. 189 articles were excluded from the title, six articles were excluded because of duplications, eight articles were excluded after reviewing the abstracts and two articles were excluded after reviewing the full text, to end up with 10 relevant and related articles to the review question. Data on research design, participants, EMG variables, hip position and confidence interval were evaluated. Two independent reviewers assessed each paper for inclusion and quality.

Results: Ten prospective observational studies, and no case-control were identified. Five studies had level two evidence which indicated G.Med. EMG Peak magnitude was effectively recruited in NWB hip abduction exercises with resistance. In addition, level three evidence studies show no differences in G.Med level of activation when controlling the external resistance, whereas G.Max, EMG shows effective recruitment during NWB hip extension positioned exercises.

Limitation: Most studies were not sufficiently powered with unreported power of the sample size; only three out of the ten eligible studies reported the power 0.90 - 0.91, as well as lack of control and blindness.

Conclusions: Several previous conducted studies show the association between hip muscles activity and lower limb pathology by evaluating the EMG. The current review aims to evaluate the differences in electromyographic activation with different hip position activities. There was limited evidence due to an absence of control, low sample size and heterogeneity in methodological design. Further research evaluating the value of different hip positions and to rank the best hip position in activating and targeting hip musculature is needed.

Key words: Electromyography activities, Hip abduction, Hip extension, proximal rehabilitation.







 


 
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