Left Gluteus Maximus Muscle Research Articles

Botulinum toxin type A in the healing of a chronic buttock ulcer in a patient with spastic paraplegia after spinal cord injury

Pressure sores are a significant secondary complication in spinal cord injured patients. A new indication for botulinum toxin type A is described here, in treatment of recurrent muscular spasms that had hampered the healing of a chronic buttock ulcer in a subject with severe spastic paraplegia. A 27-year-old man with spastic paraplegia following traumatic spinal cord lesion at the thoracic level had developed recurrent severe muscular spasms, particularly involving the buttock region, with an Ashworth scale score of 3-4 and a Spasm Frequency Scale of grade 4. The patient had a pressure ulcer in the left gluteal region (grade IV according to the European Pressure Ulcer Advisory Panel (EPUAP). Several treatments were administered without success, and all efforts at healing the ulcer by topical medication were hampered by recurrent spasms involving the buttock muscles and ulcer region. The left gluteus maximus muscle was treated with 2 infiltrations of 660 IU botulinum toxin type A. The use of botulinum toxin type A allowed better care of the pressure ulcer, which had healed by 6 months after the initial infiltration. The use of botulinum toxin type A may be an important adjunctive therapy for treatment of pathological conditions involving recalcitrant involuntary muscle contraction.

Remarkable shrinkage of sarcomatoid renal cell carcinoma with single-agent gemcitabine

A 60-year-old Japanese man presented to our hospital with a painful left hip. Computed tomography showed a tumor in the left kidney and metastases in the left gluteus maximus muscle and lung. The pathological diagnosis of a biopsy specimen obtained from a metastatic lesion in the left gluteus maximus muscle was sarcomatoid renal cell carcinoma. On admission, his general condition was extremely poor. He was confined to bed because of severe left hip pain and confusion, possibly caused by hypercalcemia. This seriously ill patient suffering from advanced sarcomatoid renal cell carcinoma was treated with single-agent gemcitabine, resulting in symptom relief and a dramatic improvement in his status; all of the tumors had regressed significantly by the 11th dose of gemcitabine. These findings indicate that single-agent gemcitabine is one of the few chemotherapeutic agents effective for palliation in patients with sarcomatoid renal cell carcinoma, even those with poor performance status.

Treatment of chronic low back pain incorporating active patient participation and chiropractic: a retrospective case report

Objective To present a retrospective case report about a patient who suffered from chronic lower back pain for sixteen years, finding little relief from numerous medical and traditional chiropractic interventions, until active patient participation was incorporated in the chiropractic treatment process. Clinical Features A 43-year-old female experienced severe right lumbar, right sacrum, and right acetabular pain and muscle spasms occurring after playing a vigorous tennis match 16 years earlier. Pain intensity was rated as 8 out of 10 on a variable analog scale. Prior treatments included prolonged bed rest, cortisone injection, chiropractic manipulation, stretching, acupuncture, physical therapy, and other rehabilitation interventions. By the time of presentation she also experienced right arm and right upper back pain. A lumbar MRI scan showed an L4/5 disc bulge. Patrick's, Yeoman's and Kemp's tests were positive on her right side. She had an asymmetrical gait pattern with a right hip hike, lateral shift and rotation of the pelvis. Weakness of the left gluteus maxi-mus, gluteus medius, and right erector spinae muscles was present. Motion palpation revealed several fixations. There was tenderness to palpation of the right psoas muscle and a trigger point in the right illiacus muscle. Intervention and Outcome Home-based rehabilitation including low-tech muscle-specific patient controlled dynamic spinal stabilization exercises, cardiovascular training and various stretching techniques was incorporated with chiropractic manipulation. Significant improvement was noted within a 40 week treatment course. Conclusion Incorporation of active patient participation seemed to be a significant factor in the resolution of the patient's low back pain. Active patient participation improved the quality of life for this patient.

프로와 아마추어 골퍼의 미들 아이언 스윙에 관한 근전도 분석

The purpose of this study was to describe and compare the selected electromyographical muscle activities of trunk and hip during Professional and Amateur golfer`s Iron swing. Using surface electromyography, we evaluated muscle activities in 6 male professional golfers and 6 male amateur golfers during the golf iron swing. Surface electrodes were used to record the level of muscle activity in the right abdominal oblique, left abdominal oblique, right erector spinae, left erector spinae, right rectus abdominis, left rectus abdominis, right gluteus maximus, left gluteus maximus muscles during the golfer`s swing. These signals were compared with IEMG(Integrated EMG) which was normalized by %RVC(Reference voluntary contraction). The golf swing was divided into three phases: take away, forward swing-acceleration, follow-through. We observed patterns of trunk muscle activity throughout three phases of the golf swing. The results can be summarized as follows: LES(Left Erector spinae) had statistically significant difference in take away and forward swing-acceleration phases. It was showed no significant difference in follow-through phase.

Skeletal Muscle Echinococcosis: A Rare Manifestation of Echinococcal Disease.

Skeletal Muscle Echinococcosis: A Rare Manifestation of Echinococcal Disease.

Surgical treatment of dorsocaudal dislocation of the vagina after excision of the rectum

Retained menstrual blood, colpitis, chronic discharge from the vagina, and dyspareunia are not uncommon symptoms after proctectomy. In patients suffering from this syndrome, the vaginal drainage is impaired because of a pouch caused by adhesions formed between the coccyx and the vagina, and an angulation of the upper part of the vagina. Surgical treatment consists of extirpation of the coccyx, separation of the posterior fornix from the lower part of the sacrum, and interposition of muscle flaps from the right and left gluteus maximus muscle, which shifts the vagina to a more vertical position. The authors report the results of this procedure in nine women observed for more than two years. Wound infection occurred in two patients, and one underwent a second operation because of relapsing symptoms. Eight patients were relieved of impaired drainage of the vagina; one patients empties her menstrual blood by straining. Dyspareunia disappeared in all patients. The operation can be recommended in patients with "the horizontal vagina syndrome."