Isometric Hip-Rotator Torque Production at Varying Degrees of Hip Flexion

2010 ◽  
Vol 19 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Sam Johnson ◽  
Mark Hoffman
Keyword(s):  
Sports Medicine ◽  
Outcome Measure ◽  
External Rotation ◽  
Knee Injuries ◽  
Main Outcome Measure ◽  
Medicine Research ◽  
Type Design ◽  
Change Function ◽  
Hip Flexion ◽  
Hip Rotation

Context:Hip torque production is associated with certain knee injuries. The hip rotators change function depending on hip angle.Objective:To compare hip-rotator torque production between 3 angles of hip flexion, limbs, and sexes.Design:Descriptive.Setting:University sports medicine research laboratory.Participants:15 men and 15 women, 19-39 y.Intervention:Three 6-s maximal isometric contractions of the hip external and internal rotators at 10°, 40°, and 90° of hip flexion on both legs.Main Outcome Measure:Average torque normalized to body mass.Results:Internal-rotation torque was greatest at 90° of hip flexion, followed by 40° of hip flexion and finally 10° of hip flexion. External-rotation torque was not different based on hip flexion. The nondominant leg’s external rotators were stronger than the dominant leg’s, but the reverse was true for internal rotators. Finally, the men had more overall rotator torque.Conclusions:Hip-rotation torque production varies between flexion angle, leg, and sex. Clinicians treating lower extremity problems need to be aware of these differences.

Legal Update: North Dakota Supreme Court: Third Edition of Guides is “Most Current”

1999 ◽  
Vol 4 (1) ◽  
pp. 6-7
Author(s):  
James J. Mangraviti
Keyword(s):  
Internal Rotation ◽  
External Rotation ◽  
Measurement Techniques ◽  
Fourth Edition ◽  
Hip Motion ◽  
The Difference ◽  
The Right ◽  
Hip Flexion ◽  
Hip Rotation ◽  
Hip Extension

Abstract The accurate measurement of hip motion is critical when one rates impairments of this joint, makes an initial diagnosis, assesses progression over time, and evaluates treatment outcome. The hip permits all motions typical of a ball-and-socket joint. The hip sacrifices some motion but gains stability and strength. Figures 52 to 54 in AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fourth Edition, illustrate techniques for measuring hip flexion, loss of extension, abduction, adduction, and external and internal rotation. Figure 53 in the AMA Guides, Fourth Edition, illustrates neutral, abducted, and adducted positions of the hip and proper alignment of the goniometer arms, and Figure 52 illustrates use of a goniometer to measure flexion of the right hip. In terms of impairment rating, hip extension (at least any beyond neutral) is irrelevant, and the AMA Guides contains no figures describing its measurement. Figure 54, Measuring Internal and External Hip Rotation, demonstrates proper positioning and measurement techniques for rotary movements of this joint. The difference between measured and actual hip rotation probably is minimal and is irrelevant for impairment rating. The normal internal rotation varies from 30° to 40°, and the external rotation ranges from 40° to 60°.

Correlation Between Ankle-Dorsiflexion and Hip-Flexion Range of Motion and the Functional Movement Screen Hurdle-Step Score

2017 ◽  
Vol 26 (1) ◽  
pp. 35-41 ◽  
Author(s):  
Jacob J. Janicki ◽  
Craig L. Switzler ◽  
Bradley T. Hayes ◽  
Charlie A. Hicks-Little
Keyword(s):  
Range Of Motion ◽  
Outcome Measures ◽  
Sports Medicine ◽  
Strong Relationship ◽  
Ankle Dorsiflexion ◽  
Functional Movement ◽  
Medicine Research ◽  
Movement Screening ◽  
And Performance ◽  
Hip Flexion

Context:Functional movement screening (FMS) has been gaining popularity in the fields of sports medicine and performance. Currently, limited research has examined whether FMS screening that identifies low FMS scores is attributed primarily to limits in range of motion (ROM).Objective:To compare scores from the FMS hurdle-step movement with ROM measurements for ankle dorsiflexion and hip flexion (HF).Design:Correlational research design.Setting:Sports medicine research laboratory.Participants:20 healthy active male (age 21.2 ± 2.4 y, weight 77.8 ± 10.2 kg, height 180.8 ± 6.8 cm) and 20 healthy active female (21.3 ± 2.0 y, 67.3 ± 8.9 kg, 167.4 ± 6.6 cm) volunteers.Intervention:All 40 participants completed 3 trials of the hurdle-step exercise bilaterally and goniometric ROM measurements for active ankle dorsiflexion and HF.Main Outcome Measures:Correlations were determined between ROM and FMS scores for right and left legs. In addition, mean data were compared between FMS scores, gender, and dominant and nondominant limbs.Results:There were no significant correlations present when all participants were grouped. However, when separated by gender significant correlations were identified. There was a weak correlation with HF and both hurdle-step (HS) and average hurdle-step (AHS) scores on both left (r = .536, P = .015 and r = .512, P = .012) and right (r = .445, P = .049 and r = .565, P = .009) legs for women. For men, there was a poor negative correlation of HF and both HS and AHS on the left leg (r = –.452, P = .045 and r = .451, P = .046).Conclusion:Our findings suggest that although hip and ankle ROMs do not have a strong relationship with FMS hurdle-step scores, they are a contributing factor. More research should be conducted to identify other biomechanical factors that contribute to individual FMS test scores.

Predictors of Recovery Time

2000 ◽  
Vol 9 (1) ◽  
pp. 62-76 ◽  
Author(s):  
Ann M. Quinn ◽  
Barry J. Fallon
Keyword(s):  
Social Support ◽  
Repeated Measures ◽  
Recovery Time ◽  
Outcome Measure ◽  
Emotional Responses ◽  
Partial Recovery ◽  
Psychological Variables ◽  
Main Outcome Measure ◽  
Rehabilitation Programs ◽  
Type Design

Objective:To explore predictors of recovery time.Design:Repeated measures on 4 occasions throughout recovery included injury appraisal, demographics, emotional responses, and psychological variables.Participants:Elite injured athletes (N= 136).Main Outcome Measure:Recovery time.Results:At all phases, being a team athlete was a significant predictor of faster recovery. At partial recovery (approximately one-third of the recovery time), significant predictors were active coping, confidence of reaching full recovery in the estimated time, not completing rehabilitation, and having less social support. By semirecovery (approximately two-thirds of the recovery time), vigor and using denial significantly predicted quicker recovery. At recovery, having previously suffered a serious nonsporting injury or illness, vigor, more confidence, and intensity of effort significantly predicted faster recovery.Conclusions:This study has expanded on and refined the work in this area and will help increase understanding of the role that psychological variables play in decreasing recovery time, which has important implications for those implementing rehabilitation programs.

The Use of Imagery by Athletes during Injury Rehabilitation

2000 ◽  
Vol 9 (4) ◽  
pp. 329-338 ◽  
Author(s):  
Carla Sordoni ◽  
Craig Hall ◽  
Lorie Forwell
Keyword(s):  
Sport Medicine ◽  
Outcome Measure ◽  
Athletic Injury ◽  
Injury Rehabilitation ◽  
Main Outcome Measure ◽  
Medicine Clinic ◽  
Type Design ◽  
Injured Athletes

Objectives:To determine whether athletes use motivational and cognitive imagery during injury rehabilitation and to develop an instrument for measuring imagery use.Design:A survey concerning imagery use during rehabilitation was administered to injured athletes.Setting:The Fowler Kennedy Sport Medicine Clinic in London, Ontario, Canada.Participants:Injured athletes (N = 71) receiving physiotherapy.Main Outcome Measure:The Athletic Injury Imagery Questionnaire (AIIQ).Results:As hypothesized, 2 distinct factors emerged from the items on the AIIQ: motivational and cognitive imagery. Motivational imagery was used more often than cognitive imagery in this context, yet less frequently than in other sport situations (eg, training and competition).Conclusions:The study indicates that the AIIQ is a potentially useful tool through which physiotherapists and sport psychologists can examine athletes' use of imagery in injury rehabilitation.

Effects of Different Heating Modalities on Hip Flexion Passive Range of Motion

2012 ◽  
Vol 17 (6) ◽  
pp. 27-30 ◽  
Author(s):  
Matthew Hanson ◽  
James Day
Keyword(s):  
Range Of Motion ◽  
Repeated Measures ◽  
Outcome Measure ◽  
Main Outcome Measure ◽  
Therapeutic Modalities ◽  
Tissue Heating ◽  
Repeated Measures Analysis ◽  
Significant Difference ◽  
Hip Flexion ◽  
Hot Pack

Context:Therapeutic modalities are routinely administered to increase fexibility, but the relative effects of different modes of tissue heating on passive range of motion (PROM) are unknown.Objective:To assess the relative effects of active exercise on a stationary bicycle, moist hot pack treatment, and warm whirlpool treatment on hip fexion PROM.Design:Repeated measures.Subjects:24 males and 20 females between the ages 18 and 24 years.Main Outcome MeasureHip fexion PROM measured by an inclinometer.Results:Repeated measures analysis of variance identified a significant difference among the heating methods, F(1, 43) = 32.41;p< .001. Active exercise produced the greatest change in hip fexion PROM.Conclusions:All three treatment methods produced an increase in hip fexion PROM, but active exercise produced a significantly greater increase than moist hot pack and warm whirlpool treatments.

Sleep Efficiency and Overreaching in Swimmers

2003 ◽  
Vol 12 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Sean P. Wall ◽  
Carl G. Mattacola ◽  
C. Buz Swanik ◽  
Susan Levenstein
Keyword(s):  
High School ◽  
Repeated Measures ◽  
Outcome Measure ◽  
Sleep Efficiency ◽  
Main Outcome Measure ◽  
Type Design ◽  
Significant Difference ◽  
The Difference

Context:Overreaching can be beneficial, but there is a risk of overtraining.Objective:To investigate the difference in sleep efficiency between overreached and nonover-reached swimmers.Design:Repeated-measures, between-subjects. Swimmers were determined to be overreaching if 2 or more of their consecutive weekly swim times increased by 5% or more from baseline.Participants:9 competitive high school and university sprinter swimmers.Intervention:24-h wrist actigraph.Main Outcome Measure:Sleep efficiency as measured by the actigraph.Results:There was a significant difference in sleep efficiency on night 1 between the overreached and nonoverreached swimmers (P = .008), as well as in their times after averaging over all 5 trials and adjusting for baseline (P = .016). By the fourth swim trial, the overreached swimmers had significantly slower swim times than those of the nonoverreached swimmers (P = .001).Conclusions:Sleep efficiency shows potential as an objective, noninvasive predictor and monitor of overreaching in swimmers.

Gluteus Medius Activity during 3 Variations of Isometric Single-Leg Stance

2005 ◽  
Vol 14 (1) ◽  
pp. 1-11 ◽  
Author(s):  
Jennifer E. Earl
Keyword(s):  
Internal Rotation ◽  
Repeated Measures ◽  
External Rotation ◽  
Gluteus Medius ◽  
Type Design ◽  
Strengthening Exercises ◽  
Single Leg Stance ◽  
Hip Abduction ◽  
Extremity Motion ◽  
Hip Rotation

Context:Gluteus medius (GM) contraction during single-leg stance prevents the contralateral pelvis from “dropping,” providing stability for lower extremity motion.Objective:To determine which combination of hip rotation and abduction exercise results in the greatest activity of the GM and whether the GM responds to increased loads in these exercises.Design and Setting:Repeated measures, laboratory.Subjects:20 healthy volunteers.Interventions:Resistance (2.26 and 4.53 kg) was provided to 3 variations of a single-leg-stance exercise: hip abduction only, abduction-internal rotation (ABD-IR), and abduction-external rotation.Measurements:Muscle activity was recorded from the anterior and middle portions of the GM using surface electromyography.Results:ABD-IR produced the most activity in the anterior and middle sections of the GM muscle. The 4.53-kg load produced significantly more activity than the 2.26-kg load (P< .05).Conclusions:The GM is most active when performing abduction and internal rotation of the hip. This information could be used to develop GM-strengthening exercises.

Quantifying Bilateral Joint Contributions during Three Variations of the Step Exercise

2006 ◽  
Vol 15 (3) ◽  
pp. 254-265 ◽  
Author(s):  
Sean P. Flanagan ◽  
Kara M. Kessans ◽  
George J. Salem
Keyword(s):  
Lower Extremity ◽  
Repeated Measures ◽  
Healthy Subjects ◽  
Outcome Measure ◽  
Joint Torque ◽  
Biomechanical Analysis ◽  
Main Outcome Measure ◽  
Repeated Measures Design ◽  
Type Design ◽  
Step Down

Context:Information regarding how the mechanical demand differs with variants of the step exercise may be used by clinicians to more appropriately prescribe lower-extremity exercise.Objective:To quantify the joint torque contributions of the lower extremity during three different step exercises: forward step-up (FS), lateral step-up (LS), and step-down (SD).Design:An experiment with a repeated measures design.Setting:Biomechanics laboratory.Participants:18 healthy subjects (9 men, 9 women, age 25.67 ± 4.23 years, height 1.73 ± 0.10 meters, mass 72.73 ± 10.67 kilograms).Intervention:Participants performed three sets of three repetitions of each exercise while instrumented for biomechanical analysis.Main Outcome Measure:Mechanical effort of the hip, knee, and ankle of both limbs during each exercise.Results:The greatest contribution from the hip was required during the FS, while the contribution from the knee was required during the SD. The greatest contribution from the ankle was required during the LS and SD.Conclusion:Choice of step exercise results in different distributions of mechanical demand across the lower extremities.

scholarly journals EFFECT OF STATIC ANATOMIC ALIGNMENT ON DYNAMIC LIMB VALGUS DURING SIDE-STEP CUTTING IN UNINJURED ADOLESCENT ATHLETES

2019 ◽  
Vol 7 (3_suppl) ◽  
pp. 2325967119S0002
Author(s):  
Nicole Mueske ◽  
Daniel T. Feifer ◽  
Curtis VandenBerg ◽  
J. Lee Pace ◽  
Mia J. Katzel ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Internal Rotation ◽  
Knee Flexion ◽  
External Rotation ◽  
Acl Injury ◽  
Adolescent Athletes ◽  
Knee Abduction ◽  
Hip Flexion ◽  
Hip Internal Rotation ◽  
Hip Rotation

BACKGROUND Dynamic limb valgus, combining hip adduction and internal rotation with knee abduction posture and moments, has been implicated in ACL injury. However, the contribution of static lower extremity alignment to dynamic limb valgus is unknown. This study assessed the relationships among lower extremity static alignment and dynamic kinematics and kinetics during side-step cutting in uninjured adolescent athletes. METHODS This prospective study included 88 limbs from 44 uninjured athletes aged 8-15 years (mean 12.3, SD 2.3; 19 (44%) female) who were evaluated during an anticipated 45° side-step cut. 3D lower extremity kinematics and kinetics from a custom 6 degree of freedom model were assessed while standing and during the loading phase of the cut from initial contact to peak knee flexion; 2-3 trials per limb were averaged for analysis. Femoral anteversion was measured for each limb with the participant lying prone. Relationships among static and dynamic measures were investigated using correlation and multiple linear regression. RESULTS In terms of static alignment, more static hip internal rotation and more static knee external rotation (tibia external relative to femur) were associated with more internal hip rotation and external knee rotation dynamically during cutting (r=0.34, p=0.001) (Table 1). Static hip adduction was also related to more external hip rotation and less hip flexion dynamically (p=0.24, p=0.02). More static knee abduction, external hip rotation and hip adduction were associated with higher average knee abduction angles during cutting (r=0.25, p=0.02). However, only static external knee rotation was associated with higher dynamic knee abduction moments (r=0.48, p<0.0001) (Figure 1). During cutting, positive associations were observed between hip flexion, knee flexion, and hip internal rotation (r=0.24, p=0.03). Knee adduction angles were related to more hip flexion, internal hip rotation, and knee external rotation (r=0.25, p=0.02). Additionally, lower peak knee flexion was associated with higher peak ground reaction force and more external knee rotation (r=0.24, p=0.02). Both simple correlation and multiple regression analysis indicated that higher knee abduction moments were related dynamically to higher knee abduction angles, greater knee external rotation, higher hip abduction angles, and greater hip internal rotation (R2=0.72, p<0.001). After considering dynamic metrics, no static measure remained significantly related to knee abduction moments. CONCLUSION/SIGNIFICANCE Static knee rotation was the only anatomic alignment measure associated with knee abduction moments during side-step cutting in uninjured adolescent athletes. Knee abduction moments were influenced more by dynamic posture than static alignment. As knee abduction moments have been implicated in ACL injury, this study supports the notion of dynamic limb valgus, specifically increased knee abduction and hip internal rotation, relating to ACL injury. Motion analysis can be used to identify these risky biomechanical patterns, and neuromuscular training can be used to correct them. Since knee abduction moments are primarily determined by dynamic posture, neuromuscular training can be used to reduce these moments and ACL injury risk. [Figure: see text][Table: see text]

No Effect of Scapular Position on 3-Dimensional Scapular Motion in the Throwing Shoulder of Healthy Professional Pitchers

2012 ◽  
Vol 21 (2) ◽  
pp. 186-193 ◽  
Author(s):  
Amee L. Seitz ◽  
Michael Reinold ◽  
Robert A. Schneider ◽  
Thomas J. Gill ◽  
Charles Thigpen
Keyword(s):  
Mixed Model ◽  
Outcome Measure ◽  
External Rotation ◽  
Tracking System ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Main Outcome Measure ◽  
3 Dimensional ◽  
Baseball Pitchers ◽  
Scapular Motion

Context:Differences in 3-dimensional (3D) scapular motion have been reported between healthy baseball position players and healthy nonoverhead athletic controls, as well as players diagnosed with shoulder impingement syndrome. These alterations are theorized to be the result of adaptations due to the demands of repetitive throwing. However, comparisons between the throwing and nonthrowing shoulders are commonly used to infer normal motion.Objective:The purpose of this study was to compare 3D scapular kinematics between the throwing and nonthrowing shoulders in asymptomatic professional male baseball pitchers.Design:Cross-sectional study.Setting:Laboratory.Participants:45 asymptomatic professional baseball pitchers participating without restrictions during preseason training.Interventions:An electromagnetic tracking system was used to assess 3D scapular orientation at rest and during weighted (2.3-kg) shoulder flexion across discrete humeral-flexion angles (rest, 30°, 60°, 90°, 120°, and maximum).Main Outcome Measure:3D scapular upward/downward rotation (UR/DR), anteroposterior (AP) tilt, and internal/external rotation (IR/ER). Separate mixed-model ANOVAs (Side × Angle) for each scapular motion were used to compare the throwing and the nonthrowing shoulder across all angles.Results:There were significant side-to-side differences with scapular UR/DR (P < .001), AP tilt (P < .001), and IR/ER (P < .001). The throwing scapula displayed greater mean UR (increase = 3.6°, SE = 0.50) and anterior/posterior tilt (increase = 2.1°, SE = 0.60) and less mean IR (decrease = 2.1°, SE = 0.66) than the nonthrowing shoulder averaged across all arm angles.Conclusions:In asymptomatic professional pitchers, the throwing shoulder’s scapular position differs across all arm angles from that of the nonthrowing shoulder, but the motion does not differ. Scapular asymmetry that is consistent throughout arm elevation may be indicative not of pathology but, potentially, of a normal adaptation of the pitching shoulder.

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