scholarly journals External Rotator Sparing with Posterior Acetabular Fracture Surgery: Does It Change Outcome?

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Halil Ceylan ◽  
Ozgur Selek ◽  
Murat Inanir ◽  
Omer Yonga ◽  
Bahar Odabas Ozgur ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Internal Rotation ◽  
Acetabular Fracture ◽  
Positive Impact ◽  
Peak Torque ◽  
Acetabular Fractures ◽  
Hip Muscle ◽  
Flexion Extension ◽  
Maximum Work ◽  
External Rotator

This study analyses the results of the treatment with external rotator sparing approach in acetabular fractures to determine whether muscle sparing has a positive impact on functional outcome. 20 patients with a mean age of 45.9 years (range: 26–64) that had been treated for displaced acetabular fractures were included in this series. Short Musculoskeletal Function Assessment (SMFA) questionnaire and hip muscle strength measurement were done at the 24-month of follow-up period. The radiographic results at the final followup were excellent in 9 hips (45%), good in 6 hips (30%), fair in 4 hips (20%), and poor in one hip (5%) according to the criteria developed by Matta. The average SMFA score for all of the patients was 18.3 (range: 0–55.4). The mean dysfunctional and bother indexes were 17.2 and 20.6, respectively. The overall muscle strength deficit was 11.8%. The greatest loss of strength was in internal rotation. In patients with better postoperative reduction quality of acetabular fracture, peak torque, and maximum work of hip flexion, extension and also internal rotation maximum work deficit were significantly lower(P<0.05). Accurate initial reduction and longer postoperative muscle strengthening exercise programs seem critical to decrease postoperative hip muscle weakness after acetabular fractures.

Functional Hip Characteristics and Their Relationship With Ball Velocity in College Baseball Pitchers

2019 ◽  
Vol 28 (8) ◽  
pp. 854-859
Author(s):  
Osamu Yanagisawa ◽  
Kenta Wakamatsu ◽  
Hidenori Taniguchi
Keyword(s):  
Muscle Strength ◽  
Internal Rotation ◽  
External Rotation ◽  
Hip Muscle ◽  
Flexion Extension ◽  
Ball Velocity ◽  
College Baseball ◽  
Baseball Pitchers ◽  
Hip Flexion ◽  
Hip Extension

Context: Compared to shoulder and elbow functions, the hip functional characteristics of baseball pitchers have not been fully investigated. Therefore, little is known about the relationship between hip function and pitching performance. Objective: The purpose of this study was to evaluate the characteristics of hip flexibility and strength, focusing on their influences on the ball velocity in baseball pitchers. Design: Descriptive laboratory study. Setting: Laboratory and university baseball facility. Participants: Twenty-three college baseball pitchers. Interventions: Passive hip range of motion (ROM) and isometric hip muscle strength were bilaterally measured. The pitchers threw 20 fastballs at an official pitching distance. Main Outcome Measures: Bilateral hip ROM and strength in flexion, extension, abduction, adduction, and external and internal rotation; the maximal ball velocity. Results: The pivot side showed smaller hip external rotation ROM (P < .01), larger hip internal rotation ROM (P = .03), and greater hip adduction strength (P = .03) than the stride side. The hip extension ROM on the stride side had a negative correlation with the maximal ball velocity (r = −.58, P < .01). The maximal ball velocity (135.3 [4.1] km/h) positively correlated with the hip extension (r = .59, P < .01), flexion (r = .57, P < .01), abduction (r = .55, P < .01), and adduction (r = .55, P < .01) strength on the pivot leg, and the hip flexion (r = .53, P = .01), abduction (r = .67, P < .01), and adduction (r = .46, P = .03) strength on the stride leg. Conclusions: These findings suggest that baseball pitchers do not have marked side-to-side differences in hip flexibility and strength, and that an important fitness factor for increasing ball velocity is not the hip flexibility but the hip muscle strength of both legs.

scholarly journals Is Hip Muscle Strength Associated with Dynamic Knee Valgus in a Healthy Adult Population? A Systematic Review

2021 ◽  
Vol 18 (14) ◽  
pp. 7669
Author(s):  
Ali Mohammed Alzahrani ◽  
Msaad Alzhrani ◽  
Saeed Nasser Alshahrani ◽  
Wael Alghamdi ◽  
Mazen Alqahtani ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Adult Population ◽  
Knee Valgus ◽  
Journal Articles ◽  
Hip Muscle ◽  
Hip Abductor ◽  
Hip Muscles ◽  
Analysis System ◽  
The Relationship ◽  
External Rotator

This study aimed to systematically review research investigating the association between hip muscle strength and dynamic knee valgus (DKV). Four databases (MEDLINE, PubMed, CINAHL, and SPORTDiscus) were searched for journal articles published from inception to October 2020. Seven studies investigating the association between hip muscle strength and DKV using a two-dimensional motion analysis system in healthy adults were included. The relationship between hip abductor muscle strength and DKV was negatively correlated in two studies, positively correlated in two studies, and not correlated in three studies. The DKV was associated with reduced hip extensor muscle strength in two studies and reduced hip external rotator muscle strength in two studies, while no correlation was found in three and five studies for each muscle group, respectively. The relationship between hip muscle strength, including abductors, extensors, and external rotators and DKV is conflicting. Considering the current literature limitations and variable methodological approaches used among studies, the clinical relevance of such findings should be interpreted cautiously. Therefore, future studies are recommended to measure the eccentric strength of hip muscles, resembling muscular movement during landing. Furthermore, high-demand and sufficiently challenging functional tasks revealing lower limb kinematic differences, such as cutting and jumping tasks, are recommended for measuring the DKV.

scholarly journals A comparison of wrist isokinetic muscle strength in wheelchair table tennis and wheelchair basketball players

2017 ◽  
Vol 5 (2_suppl2) ◽  
pp. 2325967117S0006
Author(s):  
Bihter Akınoğlu ◽  
Tuğba Kocahan ◽  
Necmiye Ün Yıldırım ◽  
Çağlar Soylu ◽  
Ufuk Apur ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Peak Torque ◽  
Table Tennis ◽  
Wrist Flexion ◽  
Basketball Players ◽  
Tennis Players ◽  
Extensor Muscles ◽  
Isokinetic Muscle Strength ◽  
Flexion Extension ◽  
Wrist Flexors

Aim: The aim of this study was to compare isokinetic muscle strength of wrist flexor and extensor muscles in paralympic athletes. Methods: This study was carried out with the participation of 9 (4 females and 5 males) wheelchair (WC) table tennis players aged 24+3 and 8 male WC basketball players aged 26+3, met the criteria and voluntarly participate in the study. Body weight, height, body mass index and dominant extremity of the study subjects were recorded. İsokinetic measurement were performed with Isomed 2000® device. İsokinetic testing protocol; before the test all players performed the wrist flexion and extension isokinetic test with the 5 repeating at 90º/sec as a warm-up and comprehending the test. Then, wrist flexion and extension concentric-concentric strength measurements were performed with the 5 repeating at 60º/sec and with the 15 repeating at 240º/sec with the angle between 50 degrees of wrist flexion and 60 degrees of wrist extension and peak torque, peak torque/kg values and flexion/extension ratios were recorded. Mann-Whitney U test was used to compare isokinetic muscle strength quantitative variables in athletes. Findings: Isokinetic muscle strength of wrist flexors and extensors was higher in both sides in WC table tennis players with 60º/sec speed (p<0,05). İsokinetic muscle strength of wrist flexors and extensors was higher in both sides in WC basketball players with 240º/sec speed (p<0,05). There was no significant difference statistically between the groups in isokinetic wrist flexion and extansion peak torque/kg ratio in all speeds (p>0,05). Wrist flexion/extension peak torque ratios were similar in both groups. When examining the athletes flexion/extension ratios, wrist extensor muscles were weaker than flexor muscles and flexor muscles were average twice stronger than extensor muscles in both sports ( Table1 ). [Table: see text] Results: We thought that imbalance of muscle strength in the wrist may have occurred because of the use of a WC and requiring the intensive wrist flexors in playing sports. In both groups wrist ekstansor muscles were found to be weaker than wrist flexors and flexor/extensor ratio was found to be imbalance. We believe that all athletes using WC such as WC table tennis and WC basketball players have a strenght imbalance in the muscle of the wrist and as a result, this situation will increase the possibility of injury. Therefore, our study showed that weakness of wrist extensors and imbalance of muscle stenght should be taken into account in WC athletes in athletic training and exercise programs.

Effects of 6-Week Sling-Based Training of the External-Rotator Muscles on the Shoulder Profile in Elite Female High School Handball Players

2014 ◽  
Vol 23 (4) ◽  
pp. 286-295 ◽  
Author(s):  
Cyril Genevois ◽  
Philippe Berthier ◽  
Vincent Guidou ◽  
Franck Muller ◽  
Boris Thiebault ◽  
...  
Keyword(s):  
High School ◽  
Muscle Strength ◽  
Internal Rotation ◽  
External Rotation ◽  
Large Numbers ◽  
Strengthening Exercises ◽  
Shoulder Region ◽  
Female High School ◽  
Rotation Strength ◽  
External Rotator

Context:In women's handball, the large numbers of throws and passes make the shoulder region vulnerable to overuse injuries. Repetitive throwing motions generate imbalance between shoulder internal- and external-rotator muscles. It has not yet been established whether sling-based training can improve shoulder external-rotator muscle strength.Objective:This study investigated the effectiveness of a 6-wk strengthening program in improving shoulder functional profile in elite female high school handball players.Design:Crossover study.Setting:National elite handball training center.Participants:25 elite female high school handball players.Interventions:The program, completed twice per week for 6 wk, included sling-based strengthening exercises using a suspension trainer for external rotation with scapular retraction and scapular retraction alone.Main Outcomes:Maximal shoulder external- and internal-rotation strength, shoulder external- and internal-rotation range of motion (ROM), and maximal throwing velocity were assessed preintervention and postintervention for dominant and nondominant sides.Results:After sling training, external- and internal-rotation strength increased significantly for both sides (P ≤ .001, and P = .004, respectively), with the result that there was no significant change in external- and internal-rotation strength ratios for either the dominant or the nondominant shoulder. No significant differences were observed for external-rotation ROM, while internal-rotation ROM decreased moderately, in particular in the dominant shoulder (P = .005). Maximal throwing velocity remained constant for the dominant arm, whereas a significant increase was found for the nondominant arm (P = .017).Conclusions:This 6-wk strengthening program was effective in improving shoulder external-rotator muscle strength but resulted in a decrease in the ROM in shoulder internal rotation, while throwing velocity remained stable. Adding a stretching program to this type of sling-based training program might help avoid potential detrimental effects on shoulder ROM.

scholarly journals Effects of Kinesiology Taping on Shoulder Posture and Peak Torque in Junior Baseball Players with Rounded Shoulder Posture: A Pilot Study

Life ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. 139
Author(s):  
Hyeong-geun Yun ◽  
Jung-Hoon Lee ◽  
Im-Rak Choi
Keyword(s):  
Pilot Study ◽  
Muscle Strength ◽  
Internal Rotation ◽  
External Rotation ◽  
Peak Torque ◽  
Crossover Design ◽  
Baseball Players ◽  
Shoulder Peak ◽  
Kinesiology Tape ◽  
To Receive

Rounded shoulder posture (RSP) causes an imbalance of the adjacent joints due to the malalignment of the shoulder joint, and thus affects the strength of the muscles surrounding the shoulder. This study aimed to investigate the effect of rounded shoulder taping (RST) on shoulder posture and muscle strength in junior baseball players. Nineteen junior baseball players participated in the study, which used a crossover design at an interval of 1 week. The participants were randomized to receive rounded shoulder taping (RST) and sham kinesiology taping (SKT) using kinesiology tape. RSP was measured using two 12-inch combination squares, and shoulder peak torques were measured by isokinetic equipment. The results showed that RST led to significant changes in RSP (p < 0.05), but no significant changes were observed with SKT (p < 0.05). RST led to significant changes in the peak torques of external rotation and internal rotation of the shoulder (p < 0.05), but no significant changes were observed with SKT (p < 0.05). These results suggest that RST could help to correct RSP and improve peak torque of external and internal rotation of the shoulders of junior baseball players with RSP.

scholarly journals Hip muscle strength and static balance in patients with snapping hip syndrome – a pilot study

2016 ◽  
Vol 30 (3) ◽  
pp. 55-68
Author(s):  
Agnieszka Witke-Woźniak ◽  
Michał Wychowański ◽  
Tomasz Dąmbski ◽  
Karina Szymfel ◽  
Tomasz Kochański
Keyword(s):  
Muscle Strength ◽  
Iliotibial Band ◽  
Static Balance ◽  
Common Symptom ◽  
Young Generation ◽  
Snapping Hip ◽  
Hip Muscle ◽  
Hip Muscles ◽  
Snapping Hip Syndrome ◽  
External Rotator

Abstract Introduction: Snapping hip syndrome (SHS) occurs in 5-10% of the global population. A back and forth skip of the tendon of the dysfunctional muscle across the osseous prominence is the most common symptom of this condition. Mainly young generation suffers from SHS. Depending on the structures that cause an audible snap, snapping hip syndrome may be classified into intra-articular and extra-articular types. The main aim of the research was to assess the strength of the major hip muscles and static balance in patients with snapping hip syndrome. Material and methods: The research was carried out on 10 untrained females and 10 untrained males with extra-articular snapping hip syndrome. An average age was approximately 25 years. The research was conducted with the use of interview questionnaire, clinical examination, balance assessment on the JBA Staniak 4P dynamometric platform and measurements of the hip muscle strength on the JBA Staniak SPB2 set. Results: Patients with SHS manifested an increased tension in iliotibial band, while significant weakening of internal and external rotator muscle strength was noted in women and significant weakening of external rotator muscle strength was observed in men. No correlations between hip muscles strength and stabilographic test results in patients with snapping hip syndrome were found. Conclusions: Individuals with SHS and healthy persons demonstrate similar balance levels. The treatment of snapping hip syndrome should include: 1) restoring internal rotator muscle strength in women, 2) restoring external rotator muscle strength both in women and in men, as well as 3) restoring iliotibial band flexibility.

scholarly journals The Effect of an Isometric Hip Muscle Strength Training Protocol on Valgus Angle During a Drop Vertical Jump in Competitive Female Volleyball Players

2017 ◽  
Vol 5 (4) ◽  
pp. 1 ◽  
Author(s):  
Kaitlin M. Jackson ◽  
Tyson A. C. Beach ◽  
David M. Andrews
Keyword(s):  
Muscle Strength ◽  
Injury Risk ◽  
Acl Injury ◽  
Group Level ◽  
Hip Muscle ◽  
Peak Knee ◽  
Volleyball Players ◽  
Acl Injury Risk ◽  
Muscle Groups ◽  
External Rotator

Background: Hip muscle weakness is associated with higher peak knee valgus angles (VA) during drop vertical jumps (DVJ) and linked to ACL injury risk. Objective: To determine if isometric strengthening (IST) of the hip extensor, abductor, and external rotator muscle groups would reduce VA exhibited during a DVJ. Methodology:  Fourteen female volleyball players (7 training (TG), 7 control (CG), VA≥9˚ during DVJ) participated. Pre- and post-test gluteal, quadriceps and hamstring strength were measured with a digital force gauge. Three-dimensional kinematics were collected during 15 DVJ trials. TG participated in a 6-week IST program that targeted the hip extensor, abductor, and external rotator muscle groups. Two-way mixed ANOVAs compared mean differences of VA and strength. Single-participant analyses examined if athlete-specific adaptations went undetected in the analyses of aggregated data. Results: TG hip extension, abduction, and knee flexion strength increased, respectively, by 20.5%, 27.5% and 23.5% (P<0.05). No group-level changes in VA were detected. Unilateral VA decreased for 5 TG participants, and bilateral VA decreased in 2 TG participants. Conclusions: IST increased isometric hip muscle strength, but its effect on VA is inconclusive based on group-level analyses. Using single-participant designs, future studies should assess IST and/or dynamic resistance/neuromuscular training in a larger sample to determine its effect on ACL injury risk factors.

Knee Strength Capabilities and Slip Severity

2009 ◽  
Vol 25 (2) ◽  
pp. 140-148 ◽  
Author(s):  
Sarah A. Wyszomierski ◽  
April J. Chambers ◽  
Rakié Cham
Keyword(s):  
Muscle Strength ◽  
Knee Flexion ◽  
Age Groups ◽  
Peak Torque ◽  
Knee Extension ◽  
Health Concern ◽  
Young Males ◽  
Motion Data ◽  
Flexion Extension ◽  
Muscle Moments

Slips and falls are a serious public health concern in older populations. Reduced muscle strength is associated with increased age and fall incidence. Understanding the relationships between specific joint muscle strength characteristics and propensity to slip is important to identify biomechanical factors responsible for slip-initiated falls and to improve slip/fall prevention programs. Knee corrective moments generated during slipping assist in balance recovery. Therefore, the study goal was to investigate the relationship between knee flexion/extension strength and slip severity. Isometric knee flexion/extension peak torque and rate of torque development (RTD) of the slipping leg were measured in 29 young and 28 older healthy subjects. Motion data were collected for an unexpected slip during self-paced walking. Peak slip velocity (PSV) of the slipping heel served as a slip severity measure. Within-sex and age group regressions relating gait speed-controlled PSV to strength of the slipping leg revealed significant inverse PSV-knee extension peak torque and PSV-knee flexion/extension RTD relationships in young males only. Differences in PSV-strength relationships between sex and age groups may be caused by greater ranges of strength capabilities in young males. In conclusion, the ability to generate higher, more rapid knee flexion/extension muscle moments (greater peak torque/RTD) may assist in recovery from severe slips.

Shoulder External- and Internal-Rotation Isokinetic Strength in Master’s Swimmers

2005 ◽  
Vol 14 (1) ◽  
pp. 12-19 ◽  
Author(s):  
Deb West ◽  
Gisela Sole ◽  
S. John Sullivan
Keyword(s):  
Muscle Strength ◽  
Internal Rotation ◽  
External Rotation ◽  
Peak Torque ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
Shoulder External Rotation ◽  
Torque Values ◽  
Shoulder Muscle Strength

Objectives:To establish muscle-strength and -balance profiles for shoulder external rotation (ER) and internal rotation (IR) in master’s swimmers.Design:Cross-sectional study.Setting:Laboratory.Participants:Six male and seven female master’s swimmers and a matched control group.Measurements:Concentric and eccentric ER and IR shoulder movements were recorded (Kin-Com™ isokinetic dynamometer). Peak-torque values, concentric ER:IR ratios, eccentric ER:IR (conventional) ratios, and eccentric ER:concentric IR (functional) ratios were examined between groups.Results:Mean peak-torque values ranged from 21.23 to 37.69 N · m for the swimmers, which, although 15% to 27% greater than those of the controls, were not statistically different. Conventional (0.78:0.86) and functional (1.06:1.17) ratios did not differ between groups.Conclusions:These data will contribute to the development of guidelines for assessing shoulder-muscle strength in Master’s swimmers.

Sex Differences in Lower Limb Proprioception and Mechanical Function Among Healthy Adults

Motor Control ◽  
2020 ◽  
Vol 24 (4) ◽  
pp. 571-587
Author(s):  
Xiaoyue Hu ◽  
Jingxian Li ◽  
Lin Wang
Keyword(s):  
Menstrual Cycle ◽  
Muscle Strength ◽  
Lower Limb ◽  
Knee Flexion ◽  
Plantar Flexion ◽  
Peak Torque ◽  
Isokinetic Muscle Strength ◽  
Flexion Extension ◽  
Hop Test ◽  
Limb Proprioception

Twenty-four healthy adults, including 12 females and 12 males, participated in the study. Each female participant completed three trials in three different phases of one menstrual cycle, which included follicular, ovulatory, and luteal phases. The study aimed to investigate whether there is any difference in joint kinetic sense, neuromuscular coordination, and isokinetic muscle strength (a) between healthy males and females at different phases of the menstrual cycle and (b) between females at different phases of the menstrual cycle. The outcome measures included the number of jumps in the square-hop test and ankle and knee proprioception, which were assessed by an electric-driven movable frame rotated at 0.4 deg/s and isokinetic muscle strength measured by a computerized dynamometer (Biodex). For the square-hop test (p = .006), ankle dorsiflexion/plantar flexion (p < .05), knee flexion/extension (p < .05), the relative peak torque of the isokinetic muscle strength at the 60° and 180° knee flexion/extension (p < .001), and the 30° and 120° ankle plantar flexion/dorsiflexion (p < .05) between females and males showed significant differences. For the females at different phases of the menstrual cycle, significant differences were found on ankle dorsiflexion (p = .003), plantar flexion (p = .023), knee extension (p = .029), the square-hop test (p = .036), and relative peak torque of isokinetic muscle strength at 180° knee flexion (p = .029). This study demonstrated that there are sex differences in lower limb proprioception and mechanical function. Females at ovulatory and luteal phases have better lower limb proprioception than at the follicular phase.

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