IJABAHTHERAPEUTIC COURSE
ZONE 3 · REGION 02

Gluteal
Region

Gluteal muscles contribute to hip extension, abduction, rotation and control during walking, stairs and single-leg tasks. Student belajar menilai capacity dan movement strategy — bukan sekadar mencari “glute tak aktif”.

REGIONAL OUTCOMESUnderstand major gluteal rolesAssess single-leg & hip controlSelect functional strengtheningRecognise neural/systemic concerns
GLUTEALEXTEND · ABDUCT · CONTROL
A · ANATOMY

Gluteal region supports movement and load.

GLUTEUS MAXIMUS

Major contributor to hip extension and higher-demand tasks such as rising, climbing and acceleration.

GLUTEUS MEDIUS / MINIMUS

Contribute to hip abduction and control of pelvis/femur during weight-bearing tasks.

DEEP ROTATORS

Several deeper muscles contribute to hip rotation and joint control.

NEURAL CONTEXT

Posterior hip/buttock symptoms can coexist with neural symptoms; location alone does not prove a specific muscle is responsible.

B–D · FUNCTION, MOVEMENT & COMPLAINT

Glutes work differently across tasks.

RISE

Hip extension contributes to standing from sitting.

WALK / RUN

Manage propulsion and limb/pelvic control.

STEP

Produce and control force during stairs.

SINGLE LEG

Coordinate hip and pelvic control while body weight is supported on one limb.

“GLUTES OFF” IS NOT A DIAGNOSIS

Movement compensation atau reduced strength tidak bermaksud muscle literally “switched off”. Describe what the client can do, at what load, with what control and symptom response.

E · ASSESSMENT

Choose tests that resemble the client's limitation.

INTERVIEWload change · back/leg symptoms · trauma · function
→
MOVEhip · trunk · transitions
→
TASKsit-stand · step · squat
→
SINGLE LEGif safe & relevant
→
COMPAREcapacity · quality · symptoms
OBJECTIVE LANGUAGE

“Glute medius tak aktif.”

Better: “Right step-down shows reduced control and earlier fatigue than left at the same task dose, with no neurological red flags.”

F–J · OBJECTIVE & TREATMENT

Example objective: improve step and single-leg capacity.

PREPARE

Comfortable hip/trunk movement and appropriate starting support.

ACTIVATE

Use low-demand hip extension/abduction tasks if they address the finding.

STRENGTHEN

Progress resistance, range and repetitions while maintaining useful movement quality.

INTEGRATE

Move toward sit-to-stand, squat, step, carry, walking/running demands as appropriate.

SUPPORTED→BILATERAL→STEP→SINGLE LEG→FUNCTION
K–L · REASSESS & HOME

Retest capacity, not a muscle label.

BASELINEStep / sit-stand / single-leg

Reps, control, fatigue, confidence and symptom response.

→
RETESTSame task & dose

Better, same or worse? Progress according to the functional response.

RELEVANT

Choose exercise linked to the actual limitation.

DOSED

Clear resistance/reps based on capacity.

QUALITY

Useful control without demanding artificial perfection.

PROGRESS

Build toward real daily/work/sport load.

M · GLUTEAL REGION RED FLAGS

Defer routine treatment and seek appropriate assessment for major trauma or inability to weight-bear, severe rapidly worsening unexplained pain, fever/systemic illness, progressive neurological weakness or sensory loss, new bladder/bowel or saddle/perineal sensory changes, concerning vascular changes, or other emergency-pattern presentation. Significant radiating neurological symptoms require appropriate screening rather than aggressive local pressure.

APPLYREGIONAL CASE

Client reports fatigue and mild familiar lateral/posterior hip discomfort on stairs. Safety screen is clear. Right step-up capacity is lower than left and quality declines after repeated reps.

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