The relationship of hip muscle performance to leg, ankle and foot injuries

NewsBot · Jan 10, 2017

Members do not see these Ads. Sign Up.
The relationship of hip muscle performance to leg, ankle and foot injuries: a systematic review.
Steinberg N, Dar G, Dunlop M, Gaida JE
Phys Sportsmed. 2017 Jan 9. doi: 10.1080/00913847.2017.1280370.

OBJECTIVES:
Hip control affects movement and muscle firing patterns in the leg, ankle and foot, and may contribute to overuse injuries. Muscle performance can be measured as strength, endurance or muscle activation patterns. Our objective was to systematically review whether hip muscle performance is associated with leg, ankle and foot injuries.
DATA SOURCES:
A structured and comprehensive search of six medical literature databases was combined with forward and backward citation tracking (AMED, CINAHL, EMBASE, Medline, Scopus and SportDiscus).
STUDY SELECTION:
Eligible studies measured hip muscle performance in individuals with musculoskeletal injuries below the tibial tuberosity, using dynamometry or electromyography (EMG). All studies compared an injured group with a control group or compared the injured and non-injured limb in the same individual.
DATA EXTRACTION:
Data was extracted from each study independently by two authors.
DATA SYNTHESIS:
Twenty case-control and four prospective studies (n=24) met the inclusion criteria. Injury classifications included chronic ankle instability (n=18), Achilles tendinopathy (n=2), medial tibial stress syndrome and tibial stress fracture (n=1), posterior tibial tendon dysfunction (n=1), and exertional medial tibial pain (n=2). Eleven of the studies revealed differences in hip muscle performance indicating less strength, delayed onset activation and decreased duration of activation in the injured groups. Two studies found evidence for differences between groups only in some of their measurements. Three out of the four prospective studies revealed that hip muscle performance was not a risk factor for leg, ankle and foot injuries.
CONCLUSIONS:
This review provides limited evidence that hip muscle performance variables are related to leg, ankle and foot injuries. Emerging evidence indicates this might be a result of the injury rather than a contributor to the injury.
Click to expand...

Admin2 · Jan 10, 2017

Related Topics:
Proximal influences in medial tibial stress syndrome
Patellofemoral pain and asymmetrical hip rotation
Hip Abductor Strength And Lower Extremity Running Related Injury
Hip Strengthening For Plantar Fasciitis

mike weber · Jan 10, 2017

The Physio community explodes

Craig Payne · Jan 10, 2017

This: Emerging evidence indicates this might be a result of the injury rather than a contributor to the injury. .... I blogged about that last week! Its called 'limping'.

NewsBot · Jul 29, 2018

Hip and Pelvis Biomechanics during
Running as Risk Factors for Injury in
Collegiate Runners: A Prospective
Monique Mokha, Dustin Gatens
Journal of Exercise and Nutrition

Introduction Running-related injury (RRI) rates are high and
reoccurring with most RRIs classified as overuse. Faulty
running biomechanics have been linked to RRI risk in adult,
recreational runners. The purpose of this study was to determine
if hip and pelvis running biomechanics could predict RRI in a
group of collegiate runners.
Methods. Eight female and four male healthy, NCAA Division
II cross country runners participated in this prospective study.
Runners underwent 3D motion analysis of their kinematics
[peak hip adduction (HADD), hip internal rotation (HIR),
contralateral pelvis drop (CPD)] prior to the season’s start. RRI
were tracked for an academic year by the teams’ certified
athletic trainer via an electronic medical record. Pearson Chisquare
analyses were used to determine if RRI could be
predicted by HADD, HIR, and CPD, p<.05.
Results. Nine runners (75.0%) sustained a total of 27 lower
extremity RRI. Runners with excessive HADD were more
likely to sustain a RRI (χ(3)=13.496, p=.036). Injured runners
had greater HADD peak motion than non-injured, 12.2+4.70 vs
7.4+4.700
, respectively. HIR and CPD were not significant
predictors of RRI, p>.05.
Conclusion. Increased HADD is a risk factor for RRI in
collegiate runners. Runners may benefit from pre-season
motion analysis to identify pathomechanics.
Click to expand...

NewsBot The Admin that posts the news.

Admin2 Administrator Staff Member

mike weber MVP

Craig Payne Moderator

NewsBot The Admin that posts the news.

Relationship between plantar pressure distribution and the intrinsic foot muscles

Relationship Between Plantar Callosity and Foot Deformity in Hallux Valgus

Relationship between physical status and musculoskeletal injuries in children

Relationship between Severs disease and calcaneal maturity

Deep Band of the Lateral Plantar Aponeurosis and Its Relationship With the Lateral Plantar Nerve

Relationship between foot arch flexibility and medial-lateral ground reaction force

Relationship of tibial torsion and knee angles to hallux valgus

Share This Page