scholarly journals Effects of Hip Flexion on Knee Extension and Flexion Isokinetic Angle-Specific Torques and HQ-Ratios

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Christian Baumgart ◽  
Eduard Kurz ◽  
Jürgen Freiwald ◽  
Matthias Wilhelm Hoppe
Keyword(s):  
Hip Joint ◽  
Knee Flexion ◽  
Daily Life ◽  
Knee Extension ◽  
Flexion Angle ◽  
Strength Testing ◽  
Knee Strength ◽  
Sporting Activities ◽  
Torque Values ◽  
Hip Flexion

Abstract Background and Methods During isokinetic knee strength testing, the knee flexion angles that correspond to the measured torque values are rarely considered. Additionally, the hip flexion angle during seated testing diverges from that in the majority of daily life and sporting activities. Limited information concerning the influence of hip angle, muscle contraction mode, and velocity on the isokinetic knee strength over the entire range of motion (ROM) is available. Twenty recreational athletes (10 females, 10 males; 23.3 ± 3.2 years; 72.1 ± 16.5 kg; 1.78 ± 0.07 m) were tested for isokinetic knee flexion and extension at 10° and 90° hip flexion with the following conditions: (i) concentric at 60°/s, (ii) concentric at 180°/s, and (iii) eccentric at 60°/s. The effects of hip angle, contraction mode, and velocity on angle-specific torques and HQ-ratios as well as conventional parameters (peak torques, angles at peak torque, and HQ-ratios) were analyzed using statistical parametric mapping and parametric ANOVAs, respectively. Results Generally, the angle-specific and conventional torques and HQ-ratios were lower in the extended hip compared to a flexed hip joint. Thereby, in comparison to the knee extension, the torque values decreased to a greater extent during knee flexion but not consistent over the entire ROM. The torque values were greater at the lower velocity and eccentric mode, but the influence of the velocity and contraction mode were lower at shorter and greater muscle lengths, respectively. Conclusions Isokinetic knee strength is influenced by the hip flexion angle. Therefore, a seated position during testing and training is questionable, because the hip joint is rarely flexed at 90° during daily life and sporting activities. Maximum knee strength is lower in supine position, which should be considered for training and testing. The angle-specific effects cannot be mirrored by the conventional parameters. Therefore, angle-specific analyses are recommended to obtain supplemental information and consequently to improve knee strength testing.

scholarly journals Midterm outcome and strength assessment after proximal rectus femoris refixation in athletes

2021 ◽  
Author(s):  
Maximilian Hinz ◽  
Stephanie Geyer ◽  
Felix Winden ◽  
Alexander Braunsperger ◽  
Florian Kreuzpointner ◽  
...  
Keyword(s):  
Knee Flexion ◽  
Rectus Femoris ◽  
Knee Extension ◽  
Harris Hip Score ◽  
Postoperative Results ◽  
Postoperative Result ◽  
Strength Assessment ◽  
Competitive Athletes ◽  
Hip Flexion

Abstract Purpose Proximal rectus femoris avulsions (PRFA) are relatively rare injuries that occur predominantly among young soccer players. The aim of this study was to evaluate midterm postoperative results including strength potential via standardized strength measurements after proximal rectus femoris tendon refixation. It was hypothesized that the majority of competitive athletes return to competition (RTC) after refixation of the rectus femoris tendon without significant strength or functional deficits compared to the contralateral side. Methods Patients with an acute (< 6 weeks) PRFA who underwent surgical refixation between 2012 and 2019 with a minimum follow-up of 12 months were evaluated. The outcome measures compiled were the median Tegner Activity Scale (TAS) and mean RTC time frames, Harris Hip Score (HHS), Hip and Groin Outcome Score (HAGOS) subscales, International Hip Outcome Tool-33 (iHOT-33), and Visual Analog Scale (VAS) for pain. In addition, a standardized isometric strength assessment of knee flexion, knee extension, and hip flexion was performed to evaluate the functional result of the injured limb in comparison to the uninjured side. Results Out of 20 patients, 16 (80%) patients were available for final assessment at a mean follow-up of 44.8 ± SD 28.9 months. All patients were male with 87.5% sustaining injuries while playing soccer. The average time interval between trauma and surgery was 18.4 ± 8.5 days. RTC was possible for 14 out of 15 previously competitive athletes (93.3%) at a mean 10.5 ± 3.4 months after trauma. Patients achieved a high level of activity postoperatively with a median (interquartile range) TAS of 9 (7–9) and reported good to excellent outcome scores (HHS: 100 (96–100); HAGOS: symptoms 94.6 (89.3–100), pain 97.5 (92.5–100), function in daily living 100 (95–100), function in sport and recreation 98.4 (87.5–100), participation in physical activities 100 (87.5–100), quality of life 83.1 ± 15.6; iHot-33: 95.1 (81.6–99.8)). No postoperative complications were reported. Range of motion, isometric knee flexion and extension, as well as hip flexion strength levels were not statistically different between the affected and contralateral legs. The majority of patients were “very satisfied” (56.3%) or “satisfied” (37.5%) with the postoperative result and reported little pain (VAS 0 (0–0.5)). Conclusion Surgical treatment of acute PRFA yields excellent postoperative results in a young and highly active cohort. Hip flexion and knee extension strength was restored fully without major surgical complications. Level of evidence Retrospective cohort study; III.

scholarly journals Effect of Hip Flexion Angle on the Hamstring to Quadriceps Strength Ratio

Sports ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 43
Author(s):  
Eleftherios Kellis ◽  
Athanasios Ellinoudis ◽  
and Nikolaos Kofotolis
Keyword(s):  
Muscle Activation ◽  
Rectus Femoris ◽  
Biceps Femoris ◽  
Knee Extension ◽  
Quadriceps Strength ◽  
Flexion Angle ◽  
Electromyographic Activity ◽  
H:Q Ratio ◽  
Hip Flexion ◽  
Selection Of

The purpose of this study was to compare the hamstring to quadriceps ratio (H:Q) obtained from three different hip flexion angles. Seventy-three young athletes performed maximum isokinetic concentric and eccentric knee extension and flexion efforts at 60 °·s−1 and 240 °·s−1 from hip flexion angles of 90°, 60°, and 120°. The conventional (concentric to concentric), functional (eccentric to concentric) and mixed (eccentric at 30 °·s−1 to concentric torque at 240 °·s−1) H: Q torque ratios and the electromyographic activity from the rectus femoris and biceps femoris were analyzed. The conventional H:Q ratios and the functional H:Q ratios at 60 °·s−1 did not significantly differ between the three testing positions (p > 0.05). In contrast, testing from the 90° hip flexion angle showed a greater functional torque ratio at 240 °·s−1 and a mixed H:Q torque ratio compared with the other two positions (p < 0.05). The hip flexion angle did not influence the recorded muscle activation signals (p > 0.05). For the range of hip flexion angles tested, routine isokinetic assessment of conventional H:Q ratio and functional H:Q ratio at slow speed is not angle-dependent. Should assessment of the functional H:Q ratio at fast angular velocity or the mixed ratio is required, then selection of hip flexion angle is important.

Computer-based estimation of the hip joint reaction force and hip flexion angle in three different sitting configurations

2017 ◽  
Vol 63 ◽  
pp. 99-105 ◽  
Author(s):  
J. Van Houcke ◽  
A. Schouten ◽  
G. Steenackers ◽  
D. Vandermeulen ◽  
C. Pattyn ◽  
...  
Keyword(s):  
Hip Joint ◽  
Reaction Force ◽  
Flexion Angle ◽  
Joint Reaction Force ◽  
Computer Based ◽  
Hip Flexion ◽  
Joint Reaction

scholarly journals Evaluation of Sagittal Spine-Pelvis-Lower Limb Alignment in Elderly Women with Pelvic Retroversion while Standing and Walking Using a Three-Dimensional Musculoskeletal Model

2017 ◽  
Vol 11 (4) ◽  
pp. 562-569 ◽  
Author(s):  
Ken Sasaki ◽  
Michio Hongo ◽  
Naohisa Miyakoshi ◽  
Toshiki Matsunaga ◽  
Shin Yamada ◽  
...  
Keyword(s):  
Hip Joint ◽  
Lower Limb ◽  
Elderly Women ◽  
Sagittal Alignment ◽  
Three Dimensional ◽  
Musculoskeletal Model ◽  
Flexion Angle ◽  
Radiographic Measurement ◽  
Compensatory Mechanism ◽  
Hip Flexion

<sec><title>Study Design</title><p>In vivo biomechanical study using a three-dimensional (3D) musculoskeletal model for elderly individuals with or without pelvic retroversion.</p></sec><sec><title>Purpose</title><p>To evaluate the effect of pelvic retroversion on the sagittal alignment of the spine, pelvis, and lower limb in elderly females while standing and walking.</p></sec><sec><title>Overview of Literature</title><p>Patients with hip–spine syndrome have concurrent hip-joint and spine diseases. However, the dynamic sagittal alignment between the hip joint and spine has rarely been investigated. We used a 3D musculoskeletal model to evaluate global spinopelvic parameters, including spinal inclination and pelvic tilt (PT).</p></sec><sec><title>Methods</title><p>A total of 32 ambulant females (mean age=78 years) without assistance were enrolled in the study. On the basis of the radiographic measurement for PT, participants were divided into the pelvic retroversion group (R-group; PT≥20°) and the normal group (N-group; PT&lt;20°). A 3D musculoskeletal motion analysis system was used to analyze the calculated value for the alignment of spine, pelvis, and lower limb, including calculated (C)-PT, sagittal vertical axis (C-SVA), pelvic incidence, lumbar lordosis, T1 pelvic angle (C-TPA), as well as knee and hip flexion angles while standing and walking.</p></sec><sec><title>Results</title><p>While standing, C-PT and C-TPA in the R-group were significantly larger than those in the N-group. Hip angle was significantly smaller in the R-group than in the N-group, unlike knee angle, which did not show difference. While walking, C-SVA and C-TPA were significantly increased, whereas C-PT decreased compared with those while standing. The maximum hip-flexion angle was significantly smaller in the R-group than in the N-group. There was a significant correlation between the radiographic and calculated parameters.</p></sec><sec><title>Conclusions</title><p>The 3D musculoskeletal model was useful in evaluating the sagittal alignment of the spine, pelvis, and leg. Spinopelvic sagittal alignment showed deterioration while walking. C-PT was significantly decreased while walking in the R-group, indicating possible compensatory mechanisms attempting to increase coverage of the femoral head. The reduction in the hip flexion angle in the R-group was also considered as a compensatory mechanism.</p></sec>

scholarly journals Comparison of Muscle Activation and Kinematics in 6-RM Squatting With Low and High Barbell Placement

2020 ◽  
Vol 74 (1) ◽  
pp. 131-142
Author(s):  
Roland van den Tillaar ◽  
Eric Helms
Keyword(s):  
Knee Flexion ◽  
Average Velocity ◽  
Muscle Activation ◽  
Joint Kinematics ◽  
Flexion Angle ◽  
Knee Flexion Angle ◽  
Muscular Development ◽  
Hip Flexion ◽  
Maximal Capacity ◽  
Over Time

Abstract The aim of this study was to compare 6-RM muscle activation and kinematics in back squats with low and high barbell placements. Twelve resistance-trained males (23.5 ± 2.6 years, 86.8 ± 21.3 kg, 1.81 ± 0.08 m) with a minimum of 2 years of squatting experience performed a 6-RM using high and low barbell placements while muscle activation of eight muscles and joint kinematics were measured. During high barbell placement squats, lifting time was longer, with lower average velocity than low barbell placement. This was accompanied by a lesser knee flexion angle at the lowest point of the squat, and larger hip flexion angles during high, compared to low barbell squats. Furthermore, peak angular ankle, knee and hip velocities in the descending phase developed differently between conditions. No significant differences in muscle activation were found between conditions. Thus, our data suggests gross muscular adaptations between barbell placements may be similar over time, and therefore, from a muscular development standpoint, both squat styles are valid. Furthermore, unlike the low barbell placement, fatigue may manifest earlier itself in the high barbell squats during 6-RMs as sets progress toward a lifter’s maximal capacity, altering kinematics, especially in the last repetition.

scholarly journals The Effect of Prolonged Running on the Symmetry of Biomechanical Variables of the Lower Limb Joints

Symmetry ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 720
Author(s):  
Zixiang Gao ◽  
Qichang Mei ◽  
Gusztáv Fekete ◽  
Julien S Baker ◽  
Yaodong Gu
Keyword(s):  
Lower Limb ◽  
Force Plate ◽  
Knee Extension ◽  
Lower Limbs ◽  
Flexion Angle ◽  
Camera Motion ◽  
Long Distance ◽  
Therapy Assessment ◽  
Long Distance Running ◽  
Hip Flexion

The aim of this study was to examine whether there are kinematic and kinetic differences in the lower limb and whether the symmetry of the lower extremities is different after prolonged-running. Fifteen healthy male amateur runners (age: 22 ± 1 years, height: 173 ± 8 cm, mass: 65 ± 7 kg, BMI: 21.62 ± 2 kg/m2) were recruited as participants for this study. A Vicon eight-camera motion capture system and Kistler force plate were used to collect kinematic and kinetic parameters. A motorized treadmill, 15-point Borg scale and heart rate bands were used to monitor fatigue during a running-induced fatigue protocol. Paired sample T tests were used to check statistical difference (p = 0.05) between the lower limbs and the symmetry changes in pre-fatigue and post-fatigue running sessions. The symmetry angle (SA) of the knee flexion angle, hip flexion angle and hip extension angle in post-fatigue was significantly greater than in pre-fatigue, increasing by 4.32%, 10.71%, and 23.12%, respectively. Moreover, the SA of hip flexion moment increased by 2.61%. However, the knee extension velocity and hip flexion velocity became more symmetrical than in pre-fatigue (p < 0.05), the SA decreased by 5.91% and 5.45%, respectively. Differences in limb function during post-fatigue may lead to changes of symmetry in the lower limbs. The variables of asymmetry may be used as a compensation mechanism to maintain gait stability. Physical therapy assessment of fatigue injuries and long-distance running training programs may want to consider the changes in symmetry due to limb dominance.

scholarly journals Development of an on-field injury screening test using wearable sensor technology

2020 ◽  
Vol 8 (9_suppl7) ◽  
pp. 2325967120S0051
Author(s):  
Pinar Melodi Caliskan ◽  
Anne Benjaminse ◽  
Alli Gokeler
Keyword(s):  
Knee Flexion ◽  
Motor Coordination ◽  
Knee Extension ◽  
Ankle Dorsiflexion ◽  
Hip Abduction ◽  
Knee Abduction ◽  
Hip Flexion ◽  
Injury Screening ◽  
Coordination Patterns ◽  
Hip Extension

Introduction: Injuries of the anterior cruciate ligament (ACL) commonly occur during complex game situations when the athlete encounters multiple factors such as ball, opponent, field position, and game strategy (Grooms et al., 2018). Many of the current traditional injury screening programs are performed within a predictable, fixed or ‘closed’ environment which do not represent real game situations that require high neurocognitive demands (Dingenen & Gokeler, 2017; Grooms et al., 2018). A complementary approach to lab-based settings is necessary to incorporate the demands of the complex athletic environments. By using wearable sensor technology, we aim to develop an on-field injury screening test in elite youth male soccer players. Investigating the individual differences in motor coordination patterns of the players during sport-specific tasks might enhance our understanding of how ACL injuries occur. Hypotheses: We hypothesized that the motor coordination patterns of the players would be affected when they perform under different conditions manipulated with constraints (task and environmental). Methods: A football-specific test setup was created to analyse the kinematic and performance measures of a group of 17 male youth elite football players aged 15 years (height = 164 ± 9 cm, mass = 50.9± 7.4 kg). The players were grouped into two and measured on two consecutive days. All the players were instructed to complete the test setup (4 conditions, 5 trials) as fast as possible. Condition 1 includes no constraint, condition 2 includes a task constraint (football dummies), condition 3 includes an environmental constraint (stroboscopic glasses) (SENAPTEC, Beaverton, Oregon) and condition 4 includes both task and environmental constraints. 3-D kinematics of the hip, knee, ankle joints were captured using Xsens wearable full-body sensor suits (Xsens, MVN Link version, Enschede, The Netherlands). MATLAB (MATLAB R2019a, The MathWorks Inc., Massachusetts) was used to process and analyse the kinematic data. Data from condition 1 was determined as reference behavior/condition to be compared to other conditions. Kinematic data are presented in attitude vectors (ATV). Results: In total, 81% of the players demonstrated a significant difference (P < 0.05) in angles of hip, knee and ankle joints when performing under different conditions. The percentage of players with increased comparison-based joint movements as follows; condition 1 to condition 2 comparison; 41% hip flexion, 59% hip extension, 53% hip abduction, 47% hip adduction, 62% knee flexion, 38% knee extension, 59% knee abduction, 41% knee adduction, 47% ankle dorsiflexion, 53% ankle plantarflexion, condition 1 to condition 3 comparison; 35% hip flexion, 65% hip extension, 47% hip abduction, 53% hip adduction, 50% knee flexion, 50% knee extension, 41% knee abduction, 59% knee adduction, 59% ankle dorsiflexion, 41% ankle plantarflexion and condition 1 to condition 4 comparison; 31% hip flexion, 69% hip extension, 38% hip abduction, 62% hip adduction, 60% knee flexion, 40% knee extension, 44% knee abduction, 56% knee adduction, 69% ankle dorsiflexion, 31% ankle plantarflexion. Conclusion: The result of this pilot study demonstrated that manipulating task with different constraints caused significant changes in players’ motor coordination patterns which supported the hypothesis of our study. Our findings suggest to develop ACL injury screening tests in a sport-specific setting.

Relationship between Hip and Knee Strength and Knee Valgus during a Single Leg Squat

2006 ◽  
Vol 22 (1) ◽  
pp. 41-50 ◽  
Author(s):  
Tina L. Claiborne ◽  
Charles W. Armstrong ◽  
Varsha Gandhi ◽  
Danny M. Pincivero
Keyword(s):  
Knee Flexion ◽  
Frontal Plane ◽  
Peak Torque ◽  
Knee Extension ◽  
Valgus Knee ◽  
Knee Motion ◽  
Knee Strength ◽  
Flexion Extension ◽  
Hip Abduction ◽  
Single Leg Squat

The purpose of this study was to determine the relationship between hip and knee strength, and valgus knee motion during a single leg squat. Thirty healthy adults (15 men, 15 women) stood on their preferred foot, squatted to approximately 60 deg of knee flexion, and returned to the standing position. Frontal plane knee motion was evaluated using 3-D motion analysis. During Session 2, isokinetic (60 deg/sec) concentric and eccentric hip (abduction/adduction, flexion/extension, and internal/external rotation) and knee (flexion/extension) strength was evaluated. The results demonstrated that hip abduction (r2= 0.13), knee flexion (r2= 0.18), and knee extension (r2= 0.14) peak torque were significant predictors of frontal plane knee motion. Significant negative correlations showed that individuals with greater hip abduction (r= –0.37), knee flexion (r= –0.43), and knee extension (r= –0.37) peak torque exhibited less motion toward the valgus direction. Men exhibited significantly greater absolute peak torque for all motions, excluding eccentric internal rotation. When normalized to body mass, men demonstrated significantly greater strength than women for concentric hip adduction and flexion, knee flexion and extension, and eccentric hip extension. The major findings demonstrate a significant role of hip muscle strength in the control of frontal plane knee motion.

Effects of Prophylactic Knee Bracing on Lower Limb Kinematics, Kinetics, and Energetics During Double-Leg Drop Landing at 2 Heights

2016 ◽  
Vol 44 (7) ◽  
pp. 1753-1761 ◽  
Author(s):  
Katie A. Ewing ◽  
Rezaul K. Begg ◽  
Mary P. Galea ◽  
Peter V.S. Lee
Keyword(s):  
Knee Flexion ◽  
Knee Extension ◽  
Flexion Angle ◽  
Initial Contact ◽  
Knee Brace ◽  
Acl Injuries ◽  
Negative Power ◽  
Peak Knee ◽  
Knee Braces ◽  
Biomechanical Factors

Background: Anterior cruciate ligament (ACL) injuries commonly occur during landing maneuvers. Prophylactic knee braces were introduced to reduce the risk of ACL injuries, but their effectiveness is debated. Hypotheses: We hypothesized that bracing would improve biomechanical factors previously related to the risk of ACL injuries, such as increased hip and knee flexion angles at initial contact and at peak vertical ground-reaction force (GRF), increased ankle plantar flexion angles at initial contact, decreased peak GRFs, and decreased peak knee extension moment. We also hypothesized that bracing would increase the negative power and work of the hip joint and would decrease the negative power and work of the knee and ankle joints. Study Design: Controlled laboratory study. Methods: Three-dimensional motion and force plate data were collected from 8 female and 7 male recreational athletes performing double-leg drop landings from 0.30 m and 0.60 m with and without a prophylactic knee brace. GRFs, joint angles, moments, power, and work were calculated for each athlete with and without a knee brace. Results: Prophylactic knee bracing increased the hip flexion angle at peak GRF by 5.56° ( P < .001), knee flexion angle at peak GRF by 4.75° ( P = .001), and peak hip extension moment by 0.44 N·m/kg ( P < .001). Bracing also increased the peak hip negative power by 4.89 W/kg ( P = .002) and hip negative work by 0.14 J/kg ( P = .001) but did not result in significant differences in the energetics of the knee and ankle. No differences in peak GRFs and peak knee extension moment were observed with bracing. Conclusion: The application of a prophylactic knee brace resulted in improvements in important biomechanical factors associated with the risk of ACL injuries. Clinical Relevance: Prophylactic knee braces may help reduce the risk of noncontact knee injuries in recreational and professional athletes while playing sports. Further studies should investigate different types of prophylactic knee braces in conjunction with existing training interventions so that the sports medicine community can better assess the effectiveness of prophylactic knee bracing.

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