Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
권호 표지
DOI QR코드

DOI QR Code

Relationship Between the Number of Hip Abduction Performance With Contralateral Adduction in Side-lying and the Lateral Pelvic Shift Distance During One-leg Lifting

  • Do-eun Lee (Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Jun-hee Kim (Kinetic Ergocise Based on Movement Analysis Laboratory) ;
  • Gyeong-tae Gwak (Kinetic Ergocise Based on Movement Analysis Laboratory) ;
  • Young-soo Weon (Department of Physical Therapy, The Graduate School, Yonsei University) ;
  • Oh-yun Kwon (Kinetic Ergocise Based on Movement Analysis Laboratory)
  • Received : 2023.03.02
  • Accepted : 2023.04.26
  • Published : 2023.05.20
Download PDF
⟨ Previous Next ⟩

Abstract

Background: The gluteus medius (Gmed) plays a critical role in maintaining frontal plane stability of the pelvis during functional activities, such as one-leg lifting. Side-lying hip abduction (SHA) has been used as a dynamic test to evaluate Gmed function. However, the abduction force of the lower leg against the floor is not controlled during SHA. Therefore, hip abduction performance with contralateral adduction in the side-lying position (HAPCA) can be proposed as an alternative method to assess performance of hip abduction. If the number of HAPCA is related to the lateral pelvic shift distance, a new quantitative measurement for hip abductor function may be presented. Objects: This study aimed to investigate the relationship between the number of successful HAPCA and the lateral pelvic shift distance during one-leg lifting. Methods: Thirty healthy participants were recruited, and lateral pelvic shift distance was measured during one-leg lifting test using two-dimensional analysis. The number of successful HAPCA was counted when participants touched both target bars at the beat of a metronome. Results: There was a negative correlation between the number of HAPCA and lateral pelvic shift distance during one-leg lifting (r = -0.630, p < 0.05). The number of HAPCA accounted for 39.7% of the variance in the lateral pelvic shift distance during one-leg lifting (F = 18.454, p < 0.001). Conclusion: The number of successful HAPCA is significantly correlated with lateral pelvic shift distance during one-leg lifting. This finding suggests that HAPCA can be proposed as a new measurement for hip abductor performance and more research is needed on its relationship with hip abductor strength.

Keywords

References

  1. Flack NA, Nicholson HD, Woodley SJ. The anatomy of the hip abductor muscles. Clin Anat 2014;27(2):241-53. https://doi.org/10.1002/ca.22248
  2. Earl JE. Gluteus medius activity during 3 variations of isometric single-leg stance. J Sport Rehabil 2005;14(1):1-11. https://doi.org/10.1123/jsr.14.1.1
  3. Presswood L, Cronin J, Keogh JWL, Whatman C. Gluteus medius: applied anatomy, dysfunction, assessment, and progressive strengthening. Strength Cond J 2008;30(5):41-53. https://doi.org/10.1519/SSC.0b013e318187f19a
  4. de Marche Baldon R, Lobato DFM, Carvalho LP, Santiago PRP, Benze BG, Serrao FV. Relationship between eccentric hip torque and lower-limb kinematics: gender differences. J Appl Biomech 2011;27(3):223-32.
  5. Ferber R, Davis IM, Williams DS 3rd. Gender differences in lower extremity mechanics during running. Clin Biomech (Bristol, Avon) 2003;18(4):350-7. https://doi.org/10.1016/S0268-0033(03)00025-1
  6. Dwyer MK, Stafford K, Mattacola CG, Uhl TL, Giordani M. Comparison of gluteus medius muscle activity during functional tasks in individuals with and without osteoarthritis of the hip joint. Clin Biomech (Bristol, Avon) 2013;28(7):757-61. https://doi.org/10.1016/j.clinbiomech.2013.07.007
  7. Zacharias A, Pizzari T, Semciw AI, English DJ, Kapakoulakis T, Green RA. Comparison of gluteus medius and minimus activity during gait in people with hip osteoarthritis and matched controls. Scand J Med Sci Sports 2019;29(5):696-705. https://doi.org/10.1111/sms.13379
  8. Ganderton C, Pizzari T, Harle T, Cook J, Semciw A. A comparison of gluteus medius, gluteus minimus and tensor facia latae muscle activation during gait in post-menopausal women with and without greater trochanteric pain syndrome. J Electromyogr Kinesiol 2017;33:39-47. https://doi.org/10.1016/j.jelekin.2017.01.004
  9. Hardcastle P, Nade S. The significance of the Trendelenburg test. J Bone Joint Surg Br 1985;67(5):741-6. https://doi.org/10.1302/0301-620X.67B5.4055873
  10. Neumann DA. Kinesiology of the musculoskeletal system: foundations for physical rehabilitation. Mosby; 2002;597.
  11. Youdas JW, Mraz ST, Norstad BJ, Schinke JJ, Hollman JH. Determining meaningful changes in pelvic-on-femoral position during the Trendelenburg test. J Sport Rehabil 2007;16(4):326-35. https://doi.org/10.1123/jsr.16.4.326
  12. Allison K, Bennell KL, Grimaldi A, Vicenzino B, Wrigley TV, Hodges PW. Single leg stance control in individuals with symptomatic gluteal tendinopathy. Gait Posture 2016;49:108-13. https://doi.org/10.1016/j.gaitpost.2016.06.020
  13. Takacs J, Hunt MA. The effect of contralateral pelvic drop and trunk lean on frontal plane knee biomechanics during single limb standing. J Biomech 2012;45(16):2791-6. https://doi.org/10.1016/j.jbiomech.2012.08.041
  14. Kendall KD, Emery CA, Wiley JP, Ferber R. The effect of the addition of hip strengthening exercises to a lumbopelvic exercise programme for the treatment of non-specific low back pain: a randomized controlled trial. J Sci Med Sport 2015;18(6):626-31. https://doi.org/10.1016/j.jsams.2014.11.006
  15. Penney T, Ploughman M, Austin MW, Behm DG, Byrne JM. Determining the activation of gluteus medius and the validity of the single leg stance test in chronic, nonspecific low back pain. Arch Phys Med Rehabil 2014;95(10):1969-76. https://doi.org/10.1016/j.apmr.2014.06.009
  16. Sahrmann S. Diagnosis and treatment of movement impairment syndromes. W.B. Saunders; 2001.
  17. Comerford M, Mottram S. Kinetic control: the management of uncontrolled movement. Elsevier; 2012.
  18. Luomajoki H, Kool J, de Bruin ED, Airaksinen O. Reliability of movement control tests in the lumbar spine. BMC Musculoskelet Disord 2007;8:90.
  19. Kim T, Je W, Hwang B. Effects of pelvic compression belt on three-dimensional motions of pelvic and trunk during one leg standing. J Musculoskelet Sci Technol 2019;3(1):22-5. https://doi.org/10.29273/jmst.2019.3.1.22
  20. Dingenen B, Staes FF, Santermans L, Steurs L, Eerdekens M, Geentjens J, et al. Are two-dimensional measured frontal plane angles related to three-dimensional measured kinematic profiles during running? Phys Ther Sport 2018;29:84-92. https://doi.org/10.1016/j.ptsp.2017.02.001
  21. Distefano LJ, Blackburn JT, Marshall SW, Padua DA. Gluteal muscle activation during common therapeutic exercises. J Orthop Sports Phys Ther 2009;39(7):532-40. https://doi.org/10.2519/jospt.2009.2796
  22. Kendall KD, Schmidt C, Ferber R. The relationship between hip-abductor strength and the magnitude of pelvic drop in patients with low back pain. J Sport Rehabil 2010;19(4):422-35. https://doi.org/10.1123/jsr.19.4.422
  23. Boyle KL. Managing a female patient with left low back pain and sacroiliac joint pain with therapeutic exercise: a case report. Physiother Can 2011;63(2):154-63. https://doi.org/10.3138/ptc.2009-37
  24. Lee D. The pelvic girdle: an approach to the examination and treatment of the lumbo-pelvic-hip region. 2nd ed. Churchill Livingstone; 1999;183.
  25. Kim HU, Kwon OY, Yi CH, Cynn HS, Choi HS. Effect of contralateral hip adduction on activity of lumbar stabilizers and pelvic lateral tilting during hip abduction in side-lying. Phys Ther Korea 2013;20(4):16-21. https://doi.org/10.12674/ptk.2013.20.4.016
  26. Kim HU, Choi BR, Kim SJ, Lee WH, Kwon OY. Effect of contralateral hip adduction on muscle thicknesses of lumbar stabilizers and pelvic lateral tilting during hip abduction in sidelying. Phys Ther Korea 2012;19(1):19-27. https://doi.org/10.12674/ptk.2012.19.1.019
  27. Grimaldi A. Assessing lateral stability of the hip and pelvis. Man Ther 2011;16(1):26-32. https://doi.org/10.1016/j.math.2010.08.005
  28. Schneider CA, Rasband WS, Eliceiri KW. NIH image to ImageJ: 25 years of image analysis. Nat Methods 2012;9(7):671-5. https://doi.org/10.1038/nmeth.2089
  29. Cynn HS, Oh JS, Kwon OY, Yi CH. Effects of lumbar stabilization using a pressure biofeedback unit on muscle activity and lateral pelvic tilt during hip abduction in sidelying. Arch Phys Med Rehabil 2006;87(11):1454-8. https://doi.org/10.1016/j.apmr.2006.08.327
  30. Mukaka MM. Statistics corner: a guide to appropriate use of correlation coefficient in medical research. Malawi Med J 2012;24(3):69-71.
  31. DiMattia MA, Livengood AL, Uhl TL, Mattacola CG, Malone TR. What are the validity of the single-leg-squat test and its relationship to hip-abduction strength? J Sport Rehabil 2005;14(2):108-23. https://doi.org/10.1123/jsr.14.2.108
  32. Stickler L, Finley M, Gulgin H. Relationship between hip and core strength and frontal plane alignment during a single leg squat. Phys Ther Sport 2015;16(1):66-71. https://doi.org/10.1016/j.ptsp.2014.05.002
  33. Kendall KD, Patel C, Wiley JP, Pohl MB, Emery CA, Ferber R. Steps toward the validation of the Trendelenburg test: the effect of experimentally reduced hip abductor muscle function on frontal plane mechanics. Clin J Sport Med 2013;23(1):45-51. https://doi.org/10.1097/JSM.0b013e31825e66a1
  34. Youdas JW, Madson TJ, Hollman JH. Usefulness of the Trendelenburg test for identification of patients with hip joint osteoarthritis. Physiother Theory Pract 2010;26(3):184-94. https://doi.org/10.3109/09593980902750857
  35. Egol KA, Leucht P. Proximal femur fractures: an evidence-based approach to evaluation and management. Springer; 2017.