Comparison of Gluteal Muscle Activation and Core Strengthening in Dead Butt Syndrome Syndrome

Comparison of Gluteal Muscle Activation and Core Strengthening in Dead Butt Syndrome

The study design would be a Randomized Controlled Trial.This study would include a total 40 participants. 20 participants in each group. Sample size is obtained through G-power. The study duration will be 12 months after the approval from the research board. Non-probability convenience sampling will be used. Randomization will be done through sealed envelope method. The study will be conducted from Quaid-e-Azam Hospital Rawalpindi and Margalla Rehabilitation Centre.

Inclusion Criteria:

• Symptoms persisting for more than 6 weeks (subacute or chronic cases).
• Sedentary to moderately active individuals (i.e., not involved in heavy gluteal-strengthening or core training for at least 3 months prior to the study). vParticipants will be diagnosed with Dead Butt Syndrome based on the presence of at least two out of three of the following criteria:
• Self-reported dull ache, discomfort, or tightness in the gluteal region worsened with prolonged sitting or walking.
• Positive Trendelenburg Test
• ≤ 4/5 on the standard MRC grading scale

Exclusion Criteria:

• Pregnancy or plans to become pregnant during the study period.
• Diagnosed hip labral tears, piriformis syndrome, or sciatica unrelated to gluteal amnesia.
• Degenerative or neurological conditions such as osteoarthritis, multiple sclerosis, stroke, or spinal cord injury.
• History of significant spinal trauma or surgery in the past 12 months.
• Engagement in regular physical exercise or participation in rehabilitation programs within the last 6 months.