Hip Strength as a Predictor of Ankle Sprains in Male Soccer Players: A Prospective Study

Powers, Christopher M.; Ghoddosi, Navid; Straub, Rachel K.; Khayambashi, Khalil

doi:10.4085/1062-6050-52.11.18

Cited by 46 publications

(42 citation statements)

References 44 publications

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“…Although sagittal plane pelvic deviation was not found being a significant risk factor for lower extremity injuries, the relationship between excessive pelvic tilt and low‐back injuries should be investigated more thoroughly in future studies. Impaired hip strength has been suggested to also increase the risk of ankle injuries, but in our study, we did not observe association between pelvic control and ankle injury risk.…”

Section: Discussionmentioning

confidence: 99%

“…20 This study showed that decreased anterior-posterior control of the pelvis among baseball pitchers is related to long time loss due to injuries but did not differentiate between injured body parts. 20 Furthermore, impaired hip strength has been suggested to increase the risk of ankle injuries, 21 but prospective studies are scarce, and results have been partly conflicting. 22 More studies are needed to determine the role of hip and pelvic control to the risk of LE injuries, especially to the knee and ankle.…”

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confidence: 99%

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Altered hip control during a standing knee‐lift test is associated with increased risk of knee injuries

Leppänen

Rossi

Parkkari

et al. 2020

Scandinavian Med Sci Sports

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A few prospective studies have investigated hip and pelvic control as a risk factor for lower extremity (LE) injuries. The purpose of this study was to investigate whether deficits in hip and lumbopelvic control during standing knee‐lift test are associated with increased risk of acute knee and LE injuries in youth team sports. At baseline, 258 basketball and floorball players (aged 12‐21 years) participated in a standing knee‐lift test using 3‐dimensional motion analysis. Two trials per leg were recorded from each participant. Peak sagittal plane pelvic tilt and frontal plane pelvic drop/hike were measured. Both continuous and categorical variables were analyzed. New non‐contact LE injuries, and match and training exposure, were recorded for 12 months. Seventy acute LE injuries were registered. Of these, 17 were knee injuries (eight ACL ruptures) and 35 ankle injuries. Risk factor analyses showed that increased contralateral pelvic hike was significantly associated with knee injury risk when using categorical variable (HR for high vs low group 4.07; 95% CI 1.32‐12.6). Furthermore, significant association was found between high lateral pelvic hike angles and ACL injury risk in female players (HR for high vs low group 9.10; 95% CI 1.10‐75.2). Poor combined sensitivity and specificity of the test was observed. In conclusion, increased contralateral pelvic hike is associated with non‐contact knee injury risk among young team sport players and non‐contact ACL injuries among female players. More research to determine the role of pelvic control as a risk factor for knee injuries is needed.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Altered hip control during a standing knee‐lift test is associated with increased risk of knee injuries

Leppänen

Rossi

Parkkari

et al. 2020

Scandinavian Med Sci Sports

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“…These factors withstanding, study findings based on kinematic and subject perception data provide encouraging results. Non-contact knee injuries in all athletes, but particularly among females are known to be associated with excessive, or poorly controlled frontal plane knee motion (1,3,4,45). Although compression garment use above the knee has not been found to improve proprioception through dynamometer target angle position tests, these findings likely differ considerably from the knee joint neuromuscular control demands associated with functional movements (46).…”

Section: Limitationsmentioning

confidence: 99%

“…Poorly controlled dynamic knee valgus (frontal plane knee motion) during activities greatly increases non-contact knee injury risk, particularly among athletic girls and women (1)(2)(3). The combination of poorly controlled, hip adduction-internal rotation and knee abduction that occurs with the sudden single leg loading of many athletic maneuvers can transmit injurious loads to the medial collateral ligament, medial meniscus, and anterior cruciate ligament and may also contribute to lateral patello-femoral joint disloca-tion (1)(2)(3). Previous studies have evaluated how knee brace or sleeve use can help prevent knee injury (5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

Distal Thigh Compression Garment Improves Female Athlete Knee Control and Sports Movement Safety Perceptions

Boschert

Nyland

Matsuno

et al. 2020

Muscle Ligaments and Tendons J

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Introduction. This study measured knee frontal plane projection angle (FPPA) and sports safety and performance perceptions of female athletes during a single leg forward hop down and stabilization (SLFHS) for 3 conditions (standard knee sleeve, no device and distal thigh compression garment (DTCG)). The hypothesis was that the DTCG group would display superior dynamic knee valgus FPPA compared to the standard knee sleeve and no device groups. Methods. Eighteen healthy college athletes participated in this prospective cohort study with a randomized device order. FPPA was measured during SLFHS using two-dimensional biomechanical techniques to estimate dynamic knee valgus loading. A 10-cm visual analog scale survey collected data regarding subject perceived knee control, sports movement capability and overall satisfaction for each condition. Pearson correlations delineated knee valgus, safety and performance relationship perceptions (p < 0.05). Results. Mean/maximum dynamic knee valgus FPPA was lowest during the DTCG condition (8.7 ± 6°/12.2 ± 7°), or a 19.4%/21.3% range of motion reduction compared to the standard knee sleeve (10.8 ± 7°/15.5 ± 8°) and a 21.6%/17% reduction compared to the no device (11.1 ± 7°/14.7 ± 7°) conditions. Chi-square tests revealed that the T:25 group displayed a greater proportion of subjects with a "1" score (≤threshold value) than the standard knee brace or no device groups for both mean (one-sided p value = 0.02) and maximal (one-side p value = 0.049 FPPA). In relationship to maximum dynamic knee valgus FPPA, the DTCG was the best overall condition (r = 0.61, p = 0.007), relating more strongly to perceived knee control (r = 0.63, p = 0.005) and sports movement capability (r = 0.64, p = 0.004). Conclusions. Compared to standard knee sleeve and no knee device conditions, the T:25 device provided better dynamic knee valgus FPPA control and stronger subject perceptions of best overall condition, knee control and sports movement capability.

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“…Increased peak knee abduction angles (also known as knee valgus position) has been identified as a common predisposition to noncontact anterior cruciate ligament injury, patellofemoral pain, medial tibial stress syndrome, chronic ankle instability, and noncontact ankle sprains. [1][2][3][4][5][6][7][8][9][10][11] Weak hip external rotator and abductors are hypothesized to increase hip internal rotation and adduction, which increases peak knee abduction angles during running and landing. 1,[7][8][9][10][12][13][14][15][16][17] For this reason, recent research has focused on identifying relationships between hip strength (i.e.…”

Section: Introductionmentioning

confidence: 99%

Force and EMG Comparison between a weight-bearing clinical assessment of hip strength assessment and non-weightbearing tasks

Sigmund¹,

Earl-Boehm²

2020

JSMAHS

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Purpose: Altered hip strength is a risk factor for lower extremity injury but its relationship to biomechanical dysfunction is debated. Hip strength assessment methods are criticized for using unidirectional, non-weight-bearing positions which may not be representative of athletic activity and may affect comparison to biomechanical analysis of athletic tasks. A weight-bearing task may better represent hip muscle function during these movements. The aim of this study was to identify EMG and force differences for a clinical weight-bearing method of hip strength (the squat-hold) to traditional non-weight-bearing maximal voluntary isometric contractions (MVICs) for hip abduction, extension, and external rotation. Methods: Twenty-nine healthy volunteers (23 female, 6 male; 23.3±5.8 years) performed the squat-hold, sidelying abduction, prone extension, and seated hip external rotation MVICs. The squat-hold was performed by exerting a bilateral, maximal force against a rigid strap encircling both knees in a semi-squatted position. Surface electromyography (EMG) recorded peak activation of the gluteus medius (GMed), gluteus maximus (Gmax), and tensor fascia lata (TFL) and a handheld dynamometer simultaneously measured force during all tasks. Peak activation was compared between the squat-hold and each MVIC using paired t-tests. Force was compared across tasks using a one-way ANOVA. Results: Greater force was observed during the squat-hold than the external rotation MVIC, but abduction and extension MVICs yielded greater force than the squat-hold. GMax activation was higher during the squat-hold than the external rotation task. TFL activation was higher during the abduction MVIC than the squat-hold but GMed activation was similar across tasks. Peak GMax activation was similar between the extension MVIC and squat-hold. Conclusions: Squat-hold force may have been reduced due to altered gluteal moment arms, which affected the length-tension relationship. Clinicians should consider the squat-hold as an alternative assessment of external rotation force, but should continue to assess abduction and extension force with MVICs. Researchers should examine positions optimizing length-tension relationships to better relate motor function and movement patterns.

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Hip Strength as a Predictor of Ankle Sprains in Male Soccer Players: A Prospective Study

Abstract: Reduced isometric hip-abductor strength predisposed competitive male soccer players to noncontact lateral ankle sprains.

Cited by 46 publications

References 44 publications

Altered hip control during a standing knee‐lift test is associated with increased risk of knee injuries

Altered hip control during a standing knee‐lift test is associated with increased risk of knee injuries

Distal Thigh Compression Garment Improves Female Athlete Knee Control and Sports Movement Safety Perceptions

Force and EMG Comparison between a weight-bearing clinical assessment of hip strength assessment and non-weightbearing tasks

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