The Lumbopelvic-Hip Complex Contribution During Lower Extremity Screening Tests in Elite Figure Skaters

Abstract

Context Figure skating requires power and stability for takeoff and landing from multirotational jumps and various on-ice skills. Repetitive forces may cause overuse injuries distally, making lumbopelvic-hip endurance, strength, and neuromuscular control imperative. Objective To compare lumbopelvic-hip endurance and neuromuscular control in elite figure skaters between sexes and landing and nonlanding limbs using common screening tests. Design Cross-sectional study. Setting US Olympic and Paralympic Training Center. Patients or Other Participants Forty elite figure skaters (20 women, 20 men; age = 23.2 ± 4.3 years) performed the Y-balance test, single-legged squat (SLS), single-legged squat jump (SLSJ), and unilateral hip-bridge endurance test (40 right [R] landing limbs, length = 169.1 ± 12.2 cm). Main Outcome Measure(s) Normalized reach difference (% of leg length) and composite scores [(anterior + posteromedial + posterolateral)/(limb length × 3) × 100] were calculated for the Y-balance test. Skaters held the unilateral hip bridge until failure with a maximum allotted time of 120 seconds. They performed 5 SLSs and 5 SLSJs while barefoot with the contralateral limb held behind them to mimic a landing position. Both tests were scored by the number of times the patella moved medially to the first ray (medial knee displacement [MKD]). Multivariate analyses of variance with post hoc independent t tests were conducted between sexes and groups. Paired t tests were used to analyze limb differences. Results Women had a larger composite Y-balance score (R = 10.8% of leg length, P = .002; left = 10.5%, P = .001) and hip-bridge hold time (R = 26.4 seconds, P = .004; left = 28.2 seconds, P = .002) for both limbs compared with men. Men held the hip-bridge longer on their landing limb. Six skaters performed worse on their nonlanding limb during the SLS, and 11 skaters had no MKD with either the SLS or SLSJ. Conclusions Women performed better on the Y-balance and unilateral hip bridge tests. Increased MKD for some skaters during the SLS and SLSJ may have indicated hip-abductor weakness. Understanding the proximal lumbopelvic-hip variables during takeoff and landing may elucidate contributing factors to distal overuse injuries.