The Study of the Cross-Sectional Areas of the Gluteal Muscles on Magnetic Resonance Images of the Weighlifting Athletes

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kenan erdağı
Bülent Işık


Olympic Style Weightlifting, MRI, CSA, Gluteal Muscles


Gluteus maximus is the most important extensor and lateral rotator of the hip. It is often used to accelerate the body upward and forward from a position of hip flexion. Mm. glutei medius and minimus are referred to as small gluteal muscles. Both muscles are the most important abductors and medial rotators of the thigh. Their action stabilises the hip during standing and walking and prevents the tilting of the pelvis to the contralateral side while standing on one leg. This study aims to examine the cross-sectional areas of the gluteus maximus, gluteus medius and gluteus minimus muscles on magnetic resonance images of olympic style weightlifting athletes (male n= 15, female= 12) and sedentary individuals (male n= 15, female= 12). This study included asymptomatic athletes in olympic style weightlifting (male n= 15, age: 20.00±2.54; female n= 12, age: 20.75±1.49) and sedentary individuals (male n= 15, age: 19.93±2.15; female; n= 12, age: 20.75±1.36). The cross-sectional areas of the gluteus maximus, gluteus medius and gluteus minimus muscles were assessed bilaterally using magnetic resonance imaging. It was observed that the cross-sectional areas of the right and left gluteus maximus of male weightlifting athletes were larger than those of sedentary males (z(28)= 2.013, p< .05, z(28)= 1.991, p < .05; respectively). Similarly, it was also found that that the cross-sectional areas of the right and left gluteus maximus of female weightlifting athletes were larger than those of sedentary females (z(22)= 3.296, p< .001, z(22)= 3.726, p < .001; respectively). No significant difference was observed for the cross-sectional areas of the gluteus medius and gluteus minimus muscles between the athlete and sedentary groups (p>.05). It might be stated that olympic style weightlifting trainings have a hypertrophic effect on the cross-sectional area of the gluteus maximus muscle of the athletes.


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[1] Garhammer J, Takano B. Training for weightlifting. Strength and power in sport. 1992; 3, 357-69.
[2] Burdett RG. Biomechanics of the snatch technique of highly skilled and skilled weightlifters. Research Quarterly for Exercise and Sport. 1982; 53, 3, 193-7.
[3] Garhammer J. Biomechanical profiles of Olympic weightlifters. International Journal of Sport Biomechanics. 1985; 1, 2, 122-30.
[4] Garhammer J. A comparison of maximal power outputs between elite male and female weightlifters in competition. International Journal of Sport Biomechanics. 1991; 7, 1, 3-11.
[5] Erdağı, K. (2019). Olympic Weightlifting Training and Muscle Groups in Weight Training. Ankara: Gazi Publishers; (In Turkish).
[6] Neumann D.A. Kinesiology of the Hip: A Focus on Muscular Actions. Journal of Orthopaedic&Sports Physical Therapy. 2010; 40(2): 82–94. doi:10.2519/jospt.2010.3025
[7] Paulsen F, Waschke J. 2010. Sobotta Atlas of Human Anatomy General Anatomy and Musculoskeletal System. 23rd edition: Elsevier, Urban&Fischer, Munich.
[8] Bartlett J.L, Sumner B, Ellis R.G, Kram R. Activity and functions of the human gluteal muscles in walking, running, sprinting, and climbing. American Journal of Physical Anthropology. 2014; 153(1): 124–131. doi:10.1002/ajpa.22419
[9] Stern, J.T. Anatomical and functional specializations of the human gluteus maximus. Am. J. Phys. Anthropol. 1972; 36, 315–340.
[10] Aiello L, Dean C, 1990. An Introduction to Human Evolutionary Anatomy. Elsevier Academic Press, San Diego, CA (Reprinted2004).
[11] Pfirrmann CW, Chung CB, Theumann NH, Trudell DJ, Resnick D. Greater trochanter of the hip: Attachment of the abductor mechanism and a complex of three bursae-MR imaging and MR bursography in cadavers and MR imaging in asymptomatic volunteers. Radiology. 2001; 221: 469-477.
[12] Clemente CD. Gray’s anatomy: the anatomical basis of medicine and surgery. 38th ed. New York, etc: Churchill Livingstone, 1995:876-7.
[13] Lang J, Wachsmuth W. Bein und Statik. Berlin, etc: Springer Verlag, 1992:134.
[14] Sanchis-Moysi J, Idoate F, Izquierdo M, Calbet J.A.L, Dorado C. Iliopsoas and Gluteal Muscles Are Asymmetric in Tennis Players but Not in Soccer Players. PLoS ONE. 2011; 6(7): e22858. doi:10.1371/journal.pone.0022858
[15] Masuda K, Kikuhara N, Takahashi H, Yamanaka K. The relationship between muscle cross-sectional area and strength in various isokinetic movements among soccer players. J Sports Sci. 2003; 21:851–858.
[16] Niinimäki S, Härkönen L, Nikander R, Abe S, Knüsel C, Sievänen H. The crosectional area of the gluteus maximus muscle varies according to habitual exercise loading:Implications for activity-related and evolutionary studies. HOMO-Journal of Comparative Human Biology 2016; 67(2): 125-137. doi:10.1016/j.jchb.2015.06.005
[17] Dorado C, López-Gordillo A, Serrano-Sánchez J.A, Calbet J.A.L, Sanchis-Moysi J. Hypertrophy of Lumbopelvic Muscles in Inactive Women: A 36-Week Pilates Study. Sports Health: A Multidisciplinary Approach. 2020; 12(6): 547-551. doi:10.1177/1941738120918381
[18] Amabile A.H, Bolte J.H, Richter S.D. Atrophy of gluteus maximus among women with a history of chronic low back pain. PLOS ONE. 2017; 12(7): e0177008. doi:10.1371/journal.pone.0177008
[19] Skorupska E, Keczmer P, Łochowski R.M, Tomal P, Rychlik M, Samborski W. Reliability of MR-Based Volumetric 3-D Analysis of Pelvic Muscles among Subjects with Low Back with Leg Pain and Healthy Volunteers. PLOS ONE. 2016; 11(7): e0159587. doi:10.1371/journal.pone.0159587
[20] Nelson-Wong E, Gregory DE, Winter DA, Callaghan JP. Gluteus medius muscle activation patterns as a predictor of low back pain during standing. Clin Biomech (Bristol, Avon). 2008; 23: 545–553.
[21] Holmich P. Long-standing groin pain in sports people falls into three primary patterns, ‘‘clinical entity’’ approach: a prospective study of 207 patients. Br J Sports Med. 2007; 41: 247–252discussion 252.
[22] Iwai K, Koyama K, Okada T, Nakazato K, Takahashi R, Matsumoto S, Hiranuma K. Asymmetrical and smaller size of trunk muscles in combat sports athletes with lumbar intervertebral disc degeneration. SpringerPlus. 2016; 5(1). doi:10.1186/s40064- 016- 3155-8
[23] Zacharias A, Pizzari T, English D.J, Kapakoulakis T, Green R.A. Hip abductor muscle volume in hip osteoarthritis and matched controls. Osteoarthritis and Cartilage. 2016; 24(10): 1727-1735. doi:10.1016/j.joca.2016.05.002
[24] Lohman T.G, Roche A.F, Martorell R. Anthropometric Standardization Reference Manual. Champaign, IL: Human Kinetics Books, 1988, pp. 15–22.
[25] Ahedi H, Aitken D, Scott D, Blizzard L, Cicuttini F, Jones G. The Association Between Hip Muscle Cross-Sectional Area, Muscle Strength, and Bone Mineral Density. Calcified Tissue International. 2014; 95(1): 64–72. doi:10.1007/s00223-014-9863-6
[26] Semciw A.I, Green R.A, Pizzari T. Gluteal muscle function and size in swimmers. Journal of Science and Medicine in Sport. 2016; 19(6): 498-503. doi:10.1016/j.jsams.2015.06.004
[27] Young A, Stokes M, Round J.M, Edwards R.H. The effects of high-resistance training on the strength and cross sectional area of the human quadriceps. Eur. J. Clin. Invest. 1983; 13, 411-417.
[28] Chilibeck P.D, Calder A.W, Sale D.G, Webber C.E. A comparison of strength and muscle mass increases during resistance training in young women. Eur. J. Appl. Physiol.1998; 77, 170-175.
[29] Andreoli A, Monteleone M, Van Loan M, Promenzio L, Tarantino U, de Lorenzo A. Effects of different sports on bone density and muscle mass in highly trained athletes. Med. Sci. Sports Exerc. 2001; 33, 507–511.
[30] Campos G.E, Lueche T.J, Wendeln H.K, Toma K, Hagerman F.C, Murray T.F, Raqq K.E, Ratamess N.A, Kraemer W.J, Staron R.S. Muscular adaptations in response to three different resistance-training regimes: specificity of repetition maximum training zones. Eur. J. Appl. Physiol. 2002; 88, 50–60.
[31] Kongsgaard M, Backer V, Joergensen K, Kjaer M, Beyer N. Heavy resistance training increases muscle size, strengthand physical function in elderly male COPD- patients a pilot study. Resp. Med. 2004; 98, 1000–1007.
[32] Kraemer W.J, Nindl B.C, Ratamess N.A, Gotshalk L.A, Volek J.S, Fleck S.J, Newton R.U, Häkkinen K. Changes in muscle hypertrophy in women with perioded resistance training. Med. Sci. Sports Exerc. 2004; 36, 697–708.
[33] Buford T.W, Rossi S.J, Smith D.B, Warren A.J. A comparison of periodization models during nine weeks with equated volume and intensity for strength. J. Strength Cond. Res. 2007; 21, 1245–1250.
[34] Rønnestad B.R, Eqeland Q, Kvamme N.H, Refsnes P.E, Kadi F, Raastad T. Dissimilar effects of one and three set strength training on strength and muscle mass gains in upper and lower body in untrained subjects. J. Strength Cond. 2007; Res.21, 157-163.
[35] Van Roie E.V, Delecluse C, Coudyzer W, Boonen S, Bautmans I. Strength training at high versus low external resistance in older adults: effects on muscle volume, muscle strength, and force-velocity characteristics. Exp. Geront. 2013; 48, 1351-1361.
[36] Drake R.L, Vogl A.W, Mitchell A.W.M. 2018. Gray’s basic anatomy. Philadelphia Elsevier Health Sciences.
[37] Engstrom CM, Walker DG, Kippers V, Mehnert AJ. Quadratus lumborum asymmetry and L4 pars injury in fast bowlers: a prospective MR study. Med Sci Sports Exerc. 2007;39:910-917.
[38] Sanchis-Moysi J, Idoate F, Dorado C, Alayon S, Calbet JAL. Large asymmetric hypertrophy of rectus abdominis muscle in professional tennis players. PLoSOne. 2010; 5:e15858.
[39] Izumoto Y, Kurihara T, Suga T, Isaka T. Bilateral differences in the trunk muscle volume of skilled golfers. PLOS ONE. 2019; 14(4): e0214752. doi:10.1371/journal.pone.0214752
[40] Grimaldi A, Richardson C, Stanton W, Durbridge G, Donnelly W, Hides J. The association between degenerative hip joint pathology and size of the gluteus medius, gluteus minimus and piriformis muscles. Man Ther. 2009 (b);14:605-610.
[41] Grimaldi A, Richardson C, Durbridge G, Donnelly W, Darnell R, Hides J. The association between degenerative hip joint pathology and size of the gluteus maximus and tensor fascia lata muscles. Man Ther. 2009 (a);14:611-617.
[42] Urso A. Weightlifting sport for all sports Italia, Calzetti Mariucci. 2014; p. 12-20.
[43] Homma D, Minato I, Imai N, Miyasaka D, Sakai Y, Horigome Y., Endo N. Investigation on the measurement sites of the cross-sectional areas of the gluteus maximus and gluteus medius. Surgical and Radiologic Anatomy. 2018; doi:10.1007/s00276-018-2099-9
[44] Blanpied P. Why won’t patients do their home exercise programs? Journal of Orthopaedic and Sports Physical Therapy. 1997; 25: 101–102
[45] Bolgla L.A, Uhl T.L. Electromyographic analysis of hip rehabilitation exercises in a group of healthy subjects. Journal of Orthopaedic and Sports Physical Therapy. 2005; 35: 487–494.
[46] Ekstrom R.A, Donatelli R.A, Carp K.C. Electromyographic analysis of core trunk, hip, and thigh muscles during 9 rehabilitation exercises. Journal of Orthopaedic and Sports Physical Therapy. 2007; 37: 754–762.
[47] Ayotte N.W, Stetts D.M, Keenan G, Greenway E.H. Electromyographical analysis of selected lower extremity muscles during 5 unilateral weight-bearing exercises. Journal of Orthopaedic and Sports Physical Therapy. 2007; 37: 48–55.
[48] Distefano LJ, Blackburn JT, Marshall SW, Padua DA. Gluteal muscle activation during common therapeutic exercises. Journal of Orthopaedic and Sports Physical Therapy. 39: 532–540.