Effects of Self-stretching with Mobilization on Hip Range of Motion in Individuals with Hip Internal Rotation Deficits

2021 ◽  
Vol 1 (1) ◽  
pp. 45-53
Author(s):  
Dong-Kyu Lee ◽  
In-Joon Uh
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Hip Range Of Motion ◽  
Hip Internal Rotation

Reliability of hip internal rotation range of motion measurement using a digital inclinometer

2014 ◽  
Vol 23 (9) ◽  
pp. 2562-2567 ◽  
Author(s):  
David A. Krause ◽  
John H. Hollman ◽  
Aaron J. Krych ◽  
Michael M. Kalisvaart ◽  
Bruce A. Levy
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Motion Measurement ◽  
Digital Inclinometer ◽  
Hip Internal Rotation

scholarly journals The immediate effect of ipsilateral and contralateral sacroiliac joint manipulation on the hip range of motion and kicking velocity in soccer players

2015 ◽  
Author(s):  
◽  
Zia ul Mustafa Rehman
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Sacroiliac Joint ◽  
Ordinal Data ◽  
External Rotation ◽  
Intervention Group ◽  
Soccer Players ◽  
Hip Range Of Motion ◽  
Flexion Extension ◽  
The Right

Background There is a close biomechanical relationship that exists between the sacroiliac and hip joints. It is essential to have optimum hip range of motion originating from the pelvis in both the kicking and support limbs as both limbs play a role in achieving a high speed kicking velocity. Due to the strenuous activity of soccer players, both hip ranges of motion may be decreased, thus predisposing the player to injuries. This may also affect the kicking velocity. The effects of sacroiliac joint manipulation on hip range of motion and kicking velocity were investigated. Objectives The objective of this study was to determine the effect of ipsilateral sacroiliac joint manipulation versus contralateral sacroiliac joint manipulation on bilateral hip range of motion and kicking velocity. Methods There were three groups of twenty soccer players. The ipsilateral sacroiliac joint manipulation group, the contralateral sacroiliac joint manipulation group, and the sham laser intervention group. The case history, physical, regional, lumbar and hip exams were done in the Chiropractic Day Clinic. The hip ranges of motion were measured pre- and post- Chiropractic manipulation in all three groups on both limbs in the Fred Crookes Sports Centre (Durban University of Technology). Hip ranges of motion were measured by the Saunders (The Saunders Group, Chaska, MN) digital inclinometer. The kicking velocity of all players were measured pre- and post- manipulation by a speed sport radar gun (Bushnell Speedster Speed Gun; Bushnell Inc, Lenexa, KS). This was a purposive, investigational study trial where the data was reduced and analysed with the help of a statistician, using the statistical software SPSS version 20.0.The statistical aspect of the research encompassed the following: descriptive statistics used Fischer values, Eta tests, frequency, cross-tabulation tables and various types of graphs (bar charts, scatter graphs etc.); Inferential statistics used Pearson’s and/or Spearman’s correlations at a significance level of 0.05; testing of hypotheses used chi-square tests for nominal data and ordinal data at a level of significance of 0.05. Results The ipsilateral group showed statistically significant results for the right hip in flexion, extension, internal rotation and external rotation, as well as for extension, internal rotation and external rotation in the left hip. The contralateral group showed statistically significant results for the right hip in extension, internal rotation and external rotation, as well as for extension and internal rotation in the left hip. There was a statistically significant improvement in the kicking velocity of the ipsilateral and contralateral group after treatment. There was a strong association between the perception changes to the actual kicking velocity in the soccer players. There was a correlation between the change in hip range of motion and change in kicking velocity, however statistically it was not significant. Conclusion The manipulation of ipsilateral or contralateral sacroiliac joint has an effect on the right and left hip range of motion

scholarly journals Reliability of hip range of motion measurement among experienced arthroscopic hip preservation surgeons

2019 ◽  
Vol 7 (1) ◽  
pp. 77-84 ◽  
Author(s):  
Joshua D Harris ◽  
Richard C Mather ◽  
Shane J Nho ◽  
John P Salvo ◽  
Allston J Stubbs ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Pelvic Tilt ◽  
External Rotation ◽  
Level Of Evidence ◽  
Motion Measurement ◽  
Hip Range Of Motion ◽  
Asymptomatic Volunteers ◽  
Hip Flexion ◽  
Hip Internal Rotation ◽  
Intra Class Correlation Coefficient

Abstract The aim of this study was to determine (i) the reliability of hip range of motion measurement among experienced arthroscopic hip preservation surgeons and (ii) the magnitude of hip flexion change with posterior pelvic tilt. Five experienced arthroscopic hip preservation surgeons (5–18 years of hip surgery experience) performed passive hip range of motion (internal and external rotation), flexion (contralateral hip extended) and flexion with posterior pelvic tilt (contralateral hip maximally flexed) on five young healthy asymptomatic volunteers (three males, two females; 34.4 ± 10.7 years of age). Motion was measured via digital photography and goniometry. Inter-observer reliability was calculated via two-way mixed, single measures, intra-class correlation coefficient. Paired t-test was utilized to compare hip flexion (with contralateral hip extended) to hip flexion with posterior pelvic tilt (with contralateral hip in forced flexion). The reliabilities of measurements of hip flexion with posterior pelvic tilt and external rotation were excellent, that of hip flexion was fair, and that of hip internal rotation was poor. The magnitude of hip flexion increase with posterior pelvic tilt was 17.0° ± 3.0° (P < 0.001). The reliability of hip range of motion measurement by five experienced arthroscopic hip preservation surgeons was excellent for measures of hip flexion with posterior pelvic tilt and external rotation. Contralateral maximal hip flexion significantly increased ipsilateral hip flexion (approximately 17°). Level of Evidence: Diagnostic, level III (without consistently applied reference standard)

Intracapsular pressures in the flexion-abduction-external rotation and flexion-adduction-internal rotation tests and their comparison with classic hip range of motion: A cadaveric assessment

2021 ◽  
pp. 105526
Author(s):  
Marc-Olivier St-Pierre ◽  
Félix-Antoine Lavoie ◽  
Jean-Michel Brismée ◽  
Marion Hoffman ◽  
Mickaël Begon ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
External Rotation ◽  
Hip Range Of Motion

scholarly journals Glenohumeral and Hip Range-of-Motion and Strength Measures in Youth Baseball Athletes

2016 ◽  
Vol 51 (6) ◽  
pp. 466-473 ◽  
Author(s):  
Kelsey J. Picha ◽  
Josie L. Harding ◽  
Kellie C. Huxel Bliven
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
External Rotation ◽  
Gluteus Medius ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Hip Strength ◽  
Older Athletes ◽  
Youth Baseball ◽  
Hip Internal Rotation

Context: The repetitive demands of throwing affect glenohumeral (GH) range of motion (ROM) and strength. Less is known about hip alterations in skeletally immature athletes. Objective: To compare GH and hip ROM and strength between age, position, and side of youth baseball athletes. Design: Cross-sectional study. Setting: Multicenter testing. Patients or Other Participants: Seventy-two healthy baseball athletes. Participants' self-reported characteristics were age group (7−11 years [n = 28] or 12−18 years [n = 44]), position (pitcher [n = 22], position player [n = 47], unreported [n = 3]), and side (throwing or nonthrowing arm, lead or stance leg). Main Outcome Measure(s): Bilateral GH and hip internal- and external-rotation ROM were measured passively and summed for total arc of motion (TAM). Glenohumeral and hip rotation and gluteus medius strength were measured. Analyses included linear mixed models. Results: Glenohumeral internal rotation was less in throwing than in nonthrowing arms (P < .05) except in younger pitchers (P = .86). Compared with older athletes, younger athletes had more GH external rotation (103.3° ± 7.7° versus 97.5° ± 9.4°; P = .002), TAM (156.4° ± 8.7° versus 147.9° ± 10.9°; P = .04), and external rotation in throwing compared with nonthrowing arms (101.9° ± 1.2° versus 97.9° ± 1.1°; P < .001). Glenohumeral TAM was less in throwing than in nonthrowing arms (150.5° ± 2.1° versus 154.9° ± 1.3°; P = .01). Younger athletes had more hip internal rotation (38.9° ± 6.8° versus 31.2° ± 7.5°; P < .001) and TAM (68.4° ± 10.0° versus 60.7° ± 9.8°; P = .001) than older athletes. Lead-leg hip internal-rotation ROM was greater than in the stance leg (34.8° ± 8.9° versus 32.8° ± 7.7°; P = .01). Overall, older players were stronger than younger players (P < .05), and the throwing arm was stronger in internal rotation than the nonthrowing arm (10.12 ± 3.72 lb [4.59 ± 1.69 kg] versus 9.43 ± 3.18 lb [4.28 ± 1.44 kg]; P = .047). Conclusions: Youth baseball athletes had typical GH ROM adaptations of less internal rotation and more external rotation in the throwing versus the nonthrowing arm. Greater ROM in younger athletes may be explained by prepubertal characteristics. We obtained hip-strength values in youth baseball athletes, and as expected, older athletes were stronger.

Association Between ACL Injury and Restricted Hip Range of Motion Among Athletes: A Case Control Study

2020 ◽  
Author(s):  
Diego Escudeiro ◽  
Aires Duarte Junior ◽  
Luiz Gabriel Betoni Guglielmetti ◽  
Marcos Vaz de Lima ◽  
Pedro Baches Jorge ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Public Health Problem ◽  
Acl Injury ◽  
Categorical Variables ◽  
Control Group ◽  
Continuous Variables ◽  
Acl Injuries ◽  
Knee Ligament ◽  
Hip Range Of Motion

Abstract Background: Anterior cruciate ligament (ACL) rupture is the most common knee ligament injury worldwide, and it is considered as a public health problem because of its high incidence and both short- and long-term consequences. Recently, the scientific literature has shown a trend in the study of post-injury treatments and the possible risk factors associated with the causes of these injuries to facilitate the understanding of the mechanisms of this injury and assist in the elaboration of preventive measures, especially for athletes or practitioners of physical activities. This study compared the hip range of motion (ROM) measurements of athletes depending on the presence of ipsilateral ACL injury. Methods: Athletes diagnosed with previous ACL injury were selected for the case group, and those with other injuries were selected for the control group. Data regarding participants’ histories, ages, genders, and the sports practiced were collected. All participants underwent hip ROM measurements using a goniometer. Hip radiographs were taken to measure the Alpha (α) and Wiberg (w) angles. For the statistical analysis, the means and standard deviations were calculated for continuous variables, and frequencies (percentages) were calculated for dichotomous variables. A p-value less than 5% was defined as significant. Student's t-tests were used for continuous variables, and chi-square tests was used for categorical variables.Results: A total of 77 participants were included: 47 athletes with ACL injuries and 30 with other musculoskeletal injuries. The mean age was 24.7 years, and 46.7% were female. No between-group differences were found with regard to the baseline characteristics. Most of the athletes played futsal (50.6%) followed by soccer (29.8%). The cases presented with significant reductions in hip internal rotation (IR; 24.1° versus 32.50°, p < 0.0005) and the internal rotation associated with external rotation (IR + ER; 69.9° versus 78.5°, p = 0.005) ROMs as well as a significant increase in the w radiographic angle (38.7° versus 32.4°, p < 0.0005).Conclusion: ROM measurements of hip IR, IR + ER, IR values less than 30°, and the w radiographic angle might be associated with previous ipsilateral ACL injuries among athletes.Trial registration: Registered at Brazilian Clinical Trials Registry (ReBec) as RBR-6g87mn on 04 August 2020 (retrospectively registered). http://www.ensaiosclinicos.gov.br/rg/RBR-6g87mn/

The Influence of Hip Structure on Functional Valgus Collapse During a Single-Leg Forward Landing in Females

2019 ◽  
Vol 35 (6) ◽  
pp. 370-376
Author(s):  
Jennifer A. Hogg ◽  
Randy J. Schmitz ◽  
Sandra J. Shultz
Keyword(s):  
Internal Rotation ◽  
External Rotation ◽  
Three Dimensional ◽  
Femoral Anteversion ◽  
3 Dimensional ◽  
Hip Range Of Motion ◽  
Peak Knee ◽  
Knee Abduction ◽  
The Individual ◽  
Hip Internal Rotation

Clinical femoral anteversion (Craig test) and hip range of motion (ROM) have been associated with valgus collapse, but their clinical usefulness in predicting biomechanics is unknown. Our purpose was to determine the individual and combined predictive power of femoral anteversion and passive hip ROM on 3-dimensional valgus collapse (hip internal rotation and adduction, knee rotation, and abduction) during a single-leg forward landing in females. Femoral anteversion and passive hip ROM were measured on 20 females (24.9 [4.1] y, 168.7 [8.0] cm, 63.8 [11.6] kg). Three-dimensional kinematics and kinetics were collected over 5 trials of the task. Each variable was averaged across trials. Backward, stepwise regressions determined the extent to which our independent variables were associated with valgus collapse. The combination of greater hip internal and external rotation ROM (partial r = .52 and .56) predicted greater peak knee internal rotation moment (R2 = .38, P = .02). Less hip internal rotation ROM (partial r = −.44) predicted greater peak knee abduction moments (R2 = .20, P = .05). Greater total hip ROM (internal and external rotation ROM) was not consistently associated with combined motions of valgus collapse but was indicative of isolated knee moments. Passive hip ROM is more associated with knee moments than is femoral anteversion as measured with Craig test.

scholarly journals Less hip range of motion is associated with a greater alpha angle in people with longstanding hip and groin pain

2021 ◽  
Author(s):  
August Estberger ◽  
Anders Pålsson ◽  
Ioannis Kostogiannis ◽  
Eva Ageberg
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Sensitivity And Specificity ◽  
Groin Pain ◽  
External Rotation ◽  
Alpha Angle ◽  
Good Sensitivity ◽  
Level Of Evidence ◽  
Hip Range Of Motion ◽  
Hip Flexion

Abstract Purpose A higher alpha angle has been proposed to correlate with lower hip range of motion, but the association in people with longstanding hip and groin pain is currently unclear. The aims were to: (1) assess the association between range of motion and alpha angle in patients with longstanding hip and groin pain; (2) examine if a cut-off value in range of motion variables could identify patients with an alpha angle above or below 60°. Methods Seventy-two participants were consecutively recruited from an orthopaedic department after referral for hip- and groin-related pain. Passive hip range of motion was measured in flexion, internal rotation with 90° hip flexion, internal rotation in neutral hip position, external rotation with 90° hip flexion, and abduction. The alpha angle was calculated from a frog-leg lateral radiograph. Linear regression examined the association between range of motion and alpha angle, and an ROC-curve analysis was performed to identify the sensitivity and specificity of range of motion cut-offs. Results Lower range of motion in internal rotation in flexion, external rotation, and abduction were associated with higher alpha angle. Internal rotation of 27° or less displayed good sensitivity (81%) and specificity (85%) to detect an alpha angle above 60°, while a cut-off of 41° in external rotation and 27° in abduction showed a sensitivity of 72% and specificity of 50% and 60%, respectively. Conclusion Less internal rotation in flexion, external rotation, and abduction are associated with a greater alpha angle in a cohort of people with longstanding hip and groin pain. A cut-off of 27° in internal rotation has good sensitivity and specificity to identify people with an alpha angle above or below 60° and have the potential to be used in the clinical setting to identify patients that require further imaging, or that are unlikely to have cam morphology. Level of evidence II.

scholarly journals Evaluation of hip internal and external rotation range of motion as an injury risk factor for hip, abdominal and groin injuries in professional baseball players

2015 ◽  
Vol 7 (4) ◽  
Author(s):  
Xinning Li ◽  
Richard Ma ◽  
Hanbing Zhou ◽  
Matthew Thompson ◽  
Courtney Dawson ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Internal Rotation ◽  
Injury Risk ◽  
External Rotation ◽  
Professional Organization ◽  
Hamstring Injury ◽  
Professional Baseball ◽  
Baseball Players ◽  
N 93 ◽  
Hip Internal Rotation

Normal hip range of motion (ROM) is essential in running and transfer of energy from lower to upper extremities during overhead throwing. Dysfunctional hip ROM may alter lower extremity kinematics and predispose athletes to hip and groin injuries. The purpose of this study is characterize hip internal/external ROM (Arc) and its effect on the risk of hip, hamstring, and groin injuries in professional baseball players. Bilateral hip internal and external ROM was measured on all baseball players (N=201) in one professional organization (major and minor league) during spring training. Players were organized according to their respective positions. All injuries were documented prospectively for an entire MLB season (2010 to 2011). Data was analyzed according to position and injuries during the season. Total number of players (N=201) with an average age of 24±3.6 (range=17-37). Both pitchers (N=93) and catchers (N=22) had significantly decreased mean hip internal rotation and overall hip arc of motion compared to the positional players (N=86). Players with hip, groin, and hamstring injury also had decreased hip rotation arc when compared to the normal group. Overall, there is a correlation between decreased hip internal rotation and total arc of motion with hip, hamstring, and groin injuries.

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