Effects of Hip Muscle Resistance Training With and Without Feedback on Trunk, Pelvis, and Lower Extremity Motions

Document Type : Research Paper

Authors

Department of Sport Injury and Corrective Exercises, Faculty of Physical Education and Sports Sciences, Kharazmi University, Tehran, Iran.

Abstract

Introduction: The present study aimed to compare hip muscle resistance training with and without feedback on trunk, pelvis, and lower extremity motions in frontal and sagittal planes among active females with dynamic valgus.
Materials and Methods: Twenty-Nine active females (Mean±SD age: 22.8±2.4 years, height: 1.70±0.6 m, weight: 69±7.1 kg) were randomly assigned to a hip muscle resistance training with feedback group (n=15) or a hip muscle resistance training without feedback group (n=14). Both training programs lasted 6 weeks (3 sessions/week). The peak angles of lateral trunk flexion, contralateral pelvic drop, hip flexion, knee flexion, and valgus during single-leg drop landing and single-leg vertical drop jump were assessed in the research participants at baseline and 6 weeks post-training. Unipodal functional screening tests were captured with two standard digital video cameras.
Results: After 6 weeks, significant differences were observed in knee valgus and lateral trunk flexion, contralateral pelvic drop, and knee flexion angles, i.e., compared between hip muscle resistance training with feedback and hip muscle resistance training without feedback (P<0.05), except for non-dominant leg hip flexion in single-leg vertical drop jump (P>0.05).
Conclusion: In the explored active females with dynamic valgus, hip muscle resistance training with feedback seems to be better at improving trunk, pelvis, and lower extremity motions in frontal and sagittal planes, compared to hip muscle resistance training without feedback; however, no significant difference was observed concerning hip flexion during single-leg vertical drop jump between the study groups.

Keywords

References

  1. Kaeding CC, Léger-St-Jean B, Magnussen RA. Epidemiology and diagnosis of anterior cruciate ligament injuries. Clinics in Sports Medicine. 2017; 36(1):1-8. [DOI:10.1016/j.csm.2016.08.001] [PMID]
  2. Buller LT, Best MJ, Baraga MG, Kaplan LD. Trends in anterior cruciate ligament reconstruction in the united states. Orthopaedic Journal of Sports Medicine. 2015; 3(1):2325967114563664. [DOI:10.1177/2325967114563664] [PMID] [PMCID]
  3. Majewski M, Susanne H, Klaus S. Epidemiology of athletic knee injuries: A 10-year study. The Knee. 2006; 13(3):184-8. [DOI:10.1016/j.knee.2006.01.005] [PMID]
  4. Turner C, Crow S, Crowther T, Keating B, Saupan T, Pyfer J, et al. Preventing non-contact ACL injuries in female athletes: What can we learn from dancers? Physical Therapy in Sport. 2018; 31:1-8. [DOI:10.1016/j.ptsp.2017.12.002] [PMID]
  5. Maetzel A, Krahn M, Naglie G. The cost effectiveness of rofecoxib and celecoxib in patients with osteoarthritis or rheumatoid arthritis. Arthritis and Rheumatism. 2003; 49(3):283-92. [DOI:10.1002/art.11121] [PMID]
  6. Heebner NR, Rafferty DM, Wohleber MF, Simonson AJ, Lovalekar M, Reinert A, et al. Landing kinematics and kinetics at the knee during different landing tasks. Journal of Athletic Training. 2017; 52(12):1101-8. [DOI:10.4085/1062-6050-52.11.25] [PMID] [PMCID]
  7. Leroux T, Wasserstein D, Dwyer T, Ogilvie-Harris DJ, Marks PH, Bach Jr BR, et al. The epidemiology of revision anterior cruciate ligament reconstruction in Ontario, Canada. The American Journal of Sports Medicine. 2014; 42(11):2666-72. [DOI:10.1177/0363546514548165] [PMID]
  8. Maykut JN, Taylor-Haas JA, Paterno MV, DiCesare CA, Ford KR. Concurrent validity and reliability of 2d kinematic analysis of frontal plane motion during running. International Journal of Sports Physical Therapy. 2015; 10(2):136-46. [PMID] [PMCID]
  9. Dingenen B, Malfait B, Vanrenterghem J, Verschueren SMP, Staes FF. The reliability and validity of the measurement of lateral trunk motion in two-dimensional video analysis during unipodal functional screening tests in elite female athletes. Physical Therapy in Sport. 2014; 15(2):117-23. [DOI:10.1016/j.ptsp.2013.05.001] [PMID]
  10. Benjaminse A, Gokeler A, Dowling AV, Faigenbaum A, Ford KR, Hewett TE, et al. Optimization of the anterior cruciate ligament injury prevention paradigm: Novel feedback techniques to enhance motor learning and reduce injury risk. The Journal of Orthopaedic and Sports Physical Therapy. 2015; 45(3):170-82. [DOI:10.2519/jospt.2015.4986] [PMID]
  11. Wulf G. Attentional focus and motor learning: A review of 15 years. International Review of sport and Exercise Psychology. 2013; 6(1):77-104. [DOI:10.1080/1750984X.2012.723728]
  12. Lindblom H, Waldén M, Carlfjord S, Hägglund M. Limited positive effects on jump-landing technique in girls but not in boys after 8 weeks of injury prevention exercise training in youth football. Knee Surgery, Sports Traumatology, Arthroscopy. 2020; 28(2):528-37. [DOI:10.1007/s00167-019-05721-x] [PMID] [PMCID]
  13. Voight M, Page P, Chidester M, Hardiek L, Macko S, Sexton Z, et al. The impact of hip abduction elastic-resisted neuromuscular feedback on frontal plane knee kinematics in female volleyball athletes. Journal of Performance Health Research. 2017; 1(2):23-30. [DOI:10.25036/jphr.2017.1.2.voight]
  14. Ugalde V, Brockman C, Bailowitz Z, Pollard CD. Single leg squat test and its relationship to dynamic knee valgus and injury risk screening. PM & R: The Journal of Injury, Function, and Rehabilitation. 2015; 7(3):229-35. [DOI:10.1016/j.pmrj.2014.08.361] [PMID]
  15. Ford KR, Nguyen AD, Dischiavi SL, Hegedus EJ, Zuk EF, Taylor JB. An evidence-based review of hip-focused neuromuscular exercise interventions to address dynamic lower extremity valgus. Open Access Journal of Sports Medicine. 2015; 6:291-303. [DOI:10.2147/OAJSM.S72432] [PMID] [PMCID]
  16. Ward RE, Fong Yan A, Orishimo KF, Kremenic IJ, Hagins M, Liederbach M, et al. Comparison of lower limb stiffness between male and female dancers and athletes during drop jump landings. Scandinavian journal of Medicine & Science in Sports. 2019; 29(1):71-81. [DOI:10.1111/sms.13309] [PMID]
  17. Stensrud S, Myklebust G, Kristianslund E, Bahr R, Krosshaug T. Correlation between two-dimensional video analysis and subjective assessment in evaluating knee control among elite female team handball players. British Journal of Sports Medicine. 2011; 45(7):589-95. [DOI:10.1136/bjsm.2010.078287] [PMID]
  18. Dix J, Marsh S, Dingenen B, Malliaras P. The relationship between hip muscle strength and dynamic knee valgus in asymptomatic females: A systematic review. Physical Therapy in Sport. 2019; 37:197-209. [DOI:10.1016/j.ptsp.2018.05.015] [PMID]
  19. Herrington L, Alenezi F, Alzhrani M, Alrayani H, Jones R. The reliability and criterion validity of 2D video assessment of single leg squat and hop landing. Journal of Electromyography and Kinesiology. 2017; 34:80-5. [DOI:10.1016/j.jelekin.2017.04.004] [PMID]
  20. Ageberg E, Bennell KL, Hunt MA, Simic M, Roos EM, Creaby MW. Validity and inter-rater reliability of medio-lateral knee motion observed during a single-limb mini squat. BMC Musculoskeletal Disorders. 2010; 11:265. [DOI:10.1186/1471-2474-11-265] [PMID] [PMCID]
  21. Cohen J. The t test for means. Statistical power analysis for the behavioral sciences. Mahwah: Lawrence Erlbaum Associates; 1987. https://books.google.com/books?id=8wBHAAAAMAAJ&dq
  22. Omi Y, Sugimoto D, Kuriyama S, Kurihara T, Miyamoto K, Yun S, et al. Effect of hip-focused injury prevention training for anterior cruciate ligament injury reduction in female basketball players: A 12-year prospective intervention study. The American Journal of Sports Medicine. 2018; 46(4):852-61. [DOI:10.1177/0363546517749474] [PMID]
  23. Pollard CD, Sigward SM, Powers CM. ACL injury prevention training results in modification of hip and knee mechanics during a drop-landing task. Orthopaedic Journal of Sports Medicine. 2017; 5(9):2325967117726267. [DOI:10.1177/2325967117726267] [PMID] [PMCID]
  24. Taylor JB, Nguyen AD, Shultz SJ, Ford KR. Hip biomechanics differ in responders and non-responders to an ACL injury prevention program. Knee Surgery, Sports Traumatology, Arthroscopy. 2020; 28(4):1236-45. [DOI:10.1007/s00167-018-5158-1] [PMID]
  25. Borin SH, Bueno B, Gonelli PRG, Moreno MA. Effects of hip muscle strengthening program on functional responses of athletes submitted to reconstruction of the anterior cruciate ligament. Journal of Exercise Physiology Online. 2017; 20(3):79-87. https://www.researchgate.netigament
  26. Dos’Santos T, Thomas C, Comfort P, Jones PA. The effect of training interventions on change of direction biomechanics associated with increased anterior cruciate ligament loading: A scoping review. Sports Medicine. 2019; 49(12):1837-59. [DOI:10.1007/s40279-019-01171-0] [PMID] [PMCID]
  27. Neilson V, Ward S, Hume P, Lewis G, McDaid A. Effects of augmented feedback on training jump landing tasks for ACL injury prevention: A systematic review and meta-analysis. Physical Therapy in Sport. 2019; 39:126-35. [DOI:10.1016/j.ptsp.2019.07.004] [PMID]
  28. Haines M, Murray AM, Glaviano NR, Gokeler A, Norte GE. Restricting ankle dorsiflexion does not mitigate the benefits of external focus of attention on landing biomechanics in healthy females. Human Movement Science. 2020; 74:102719. [DOI:10.1016/j.humov.2020.102719] [PMID]
  29. Herman DC, Oñate JA, Weinhold PS, Guskiewicz KM, Garrett WE, Yu B, et al. The effects of feedback with and without strength training on lower extremity biomechanics. The American Journal of Sports Medicine. 2009; 37(7):1301-8. [DOI:10.1177/0363546509332253] [PMID]
  30. Di Stasi S, Myer GD, Hewett TE. Neuromuscular training to target deficits associated with second anterior cruciate ligament injury. Journal of Orthopaedic & Sports Physical Therapy. 2013; 43(11):777-92. [DOI:10.2519/jospt.2013.4693] [PMID] [PMCID]
  31. Hewett TE, Ford KR, Xu YY, Khoury J, Myer GD. Effectiveness of neuromuscular training based on the neuromuscular risk profile. The American Journal of Sports Medicine. 2017; 45(9):2142-7. [DOI:10.1177/0363546517700128] [PMID] [PMCID]
  32. Willson JD, Davis IS. Lower extremity strength and mechanics during jumping in women with patellofemoral pain. Journal of Sport Rehabilitation. 2009; 18(1):76-90. [DOI:10.1123/jsr.18.1.76] [PMID]
  33. Willson JD, Petrowitz I, Butler RJ, Kernozek TW. Male and female gluteal muscle activity and lower extremity kinematics during running. Clinical Biomechanics. 2012; 27(10):1052-7. [DOI:10.1016/j.clinbiomech.2012.08.008] [PMID]
  34. Nunes A, Cattuzzo MT, Faigenbaum AD, Mortatti AL. Effects of integrative neuromuscular training and detraining on countermovement jump performance in youth volleyball players. Journal of Strength and Conditioning Research. 2019; 10:1-6. [DOI:10.1519/JSC.0000000000003092] [PMID]
  35. Zazulak BT, Hewett TE, Reeves NP, Goldberg B, Cholewicki J. Deficits in neuromuscular control of the trunk predict knee injury risk: Prospective biomechanical-epidemiologic study. The American Journal of Sports Medicine. 2007; 35(7):1123-30. [DOI:10.1177/0363546507301585] [PMID]
  36. Leetun DT, Ireland ML, Willson JD, Ballantyne BT, Davis IM. Core stability measures as risk factors for lower extremity injury in athletes. Medicine & Science in Sports & Exercise. 2004; 36(6):926-34. [DOI:10.1249/01.MSS.0000128145.75199.C3] [PMID]
  37. Zazulak BT, Ponce PL, Straub SJ, Medvecky MJ, Avedisian L, Hewett TE. Gender comparison of hip muscle activity during single-leg landing. Journal of Orthopaedic & Sports Physical Therapy. 2005; 35(5):292-9. [DOI:10.2519/jospt.2005.35.5.292] [PMID]
  38. De Blaiser C, Roosen P, Willems T, De Bleecker C, Vermeulen S, Danneels L, et al. The role of core stability in the development of non-contact acute lower extremity injuries in an athletic population: A prospective study. Physical Therapy in Sport. 2021; 47:165-72. [DOI:10.1016/j.ptsp.2020.11.035] [PMID]
  39. Ireland ML, Willson JD, Ballantyne BT, Davis IM. Hip strength in females with and without patellofemoral pain. Journal of Orthopaedic & Sports Physical Therapy. 2003; 33(11):671-6. [DOI:10.2519/jospt.2003.33.11.671] [PMID]
  40. Powers CM, Fisher B. Mechanisms underlying ACL injury-prevention training: the brain-behavior relationship. Journal of Athletic Training. 2010; 45(5):513-5. [DOI:10.4085/1062-6050-45.5.513] [PMID] [PMCID]
Sport Sciences and Health Research
Volume 12, Issue 1
January 2020
Pages 15-24

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