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EXAMINING THE CORRELATION BETWEEN HIP ADDUCTOR MUSCLE STRENGTH, CORE STABILIZATION, AND LOWER EXTREMITY PERFORMANCE IN HEALTHY INDIVIDUALS

Year 2024, Volume: 35 Issue: 2, 224 - 235, 27.08.2024
https://doi.org/10.21653/tjpr.1323153

Abstract

Purpose: This study aimed to investigate the correlation between hip adductor muscle strength and endurance, core stabilization, and lower extremity performance.
Methodsː One hundred thirty-three healthy individuals were included in the study. Bilateral hip adductor muscle strength was evaluated with a compression test by using a sphygmomanometer, and endurance was evaluated by the number of hip adduction repetitions for each extremity performed in the side-lying position in one minute. Core stabilization was evaluated by the endurance of the trunk muscles (the time of maintaining the flexion of the trunk 60 degrees, the lateral bridge position, and the trunk extension against gravity). Lower extremity dynamic balance (Y balance test) and performance (single-leg and triple-crossover hop test) were also evaluated.
Resultsː A positive and moderate correlation was found between hip adductor muscle strength and endurance of nondominant (r=0.529, p<0.001) and dominant (r=0.355, p<0.001) trunk lateral flexors on the lower extremity side, dominant single-leg hop test (r=0.314, p<0.001), and dominant (r=0.362, p<0.001) and nondominant (r=0.331, p<0.001) triple-crossover hop test. A negative and low level of correlation was found between hip adductor muscle strength and dominant (r=-0.235, p=0.007) and nondominant (r=-0.244, p=0.005) Y balance test total scores, and dominant (r=-0.167, p=0.055) and nondominant (r=-0.186, p=0.032) Y balance test posteromedial scores.
Conclusionː Hip adductor muscle strength and endurance were significantly correlated with core stabilization, lower extremity dynamic balance and performance, and hip adductor muscle strength, balance, and performance test scores were affected by gender.

References

  • Roux AVD, Evenson KR, McGinn AP, Brown DG, Moore L, Brines S, et al. Availability of recreational resources and physical activity in adults. Am J Public Health. 2007;93(3):493-499.
  • Crockett M, Aherne E, O'Reilly M, Sugrue G, Cashman J, Kavanagh E. Groin pain in athletes: A review of diagnosis and management. Surg Technol Int. 2015;26:275-282.
  • Esteve E, Rathleff MS, Bagur-Calafat C, Urrútia G, Thorborg K. Prevention of groin injuries in sports: A systematic review with meta-analysis of randomized controlled trials. Br J Sports Med. 2015;49(12):785-791.
  • Nicholas SJ, Tyler TF. Adductor muscle strains in sport. Sports Med. 2002;32(5):339-344.
  • Nicola TL, Jewison DJ. The anatomy and biomechanics of running. Clin Sports Med. 2012;31:187–201.
  • Magee DJ. Orthopedic Physical Assessment, 6th ed. St. Elsevier, St. Louis. 2014.
  • Mcgrath TM, Waddington G, Scarvell JM, Ball NB, Creer R, Woods K, et al. The effect of limb dominance on lower limb functional performance--a systematic review. J Sports Sci. 2016;34(4):289-302.
  • Suchomel TJ, Nimphius S, Stone MH. The importance of muscular strength in athletic performance. Sports Med. 2016;46(10):1419-1449.
  • Kollock R, Van Lunen BL, Ringleb SI, Oñate JA. Measures of functional performance and their association with hip and thigh strength. J Athl Train. 2015;50(1):14-22.
  • Kea J, Kramer J, Forwell L, Birmingham T. Hip action-adduction strength and one-leg hop tests: test-retest reliability and relationship to function in elite ice hockey players. J Orthop Sports Phys Ther. 2001;31(8):446-45.
  • Van Melick N, Meddeler BM, Hoogeboom TJ, Nijhuis-van der Sanden MW, van Cingel RE. How to determine leg dominance: The agreement between self-reported and observed performance in healthy adults. PloS one. 2017;12(12):e0189876.
  • Buchheit MM, Wallace J, Bode M, Poulos N. Monitoring post-match lower-limb recovery in elite Australian Rules Football using a groin squeeze strength test. Sport Perf Sci Rep. 2017;7:1-3.
  • Van Cant J, Dumont G, Pitance L, Demoulin C, Feipel V. Test-retest reliability of two clinical tests for the assessment of hip abductor endurance in healthy females. IJSPT. 2016;11(1):24-33.
  • Huxel Bliven KC, Anderson BE. Core stability training for injury prevention. Sports Health. 2013;5(6):514-522.
  • Kramer TA, Sacko RS, Pfeifer CE, Gatens DR, Goins JM, Stodden DF. The Assciation Between The Functional Movement Screentm, Y-Balance Test and Physical Performance Tests In Male and Female High School Athletes. Int J Sports Phys Ther. 2019 Dec;14(6):911-919.
  • Myers BA, Jenkins WL, Killian C, Rundquist P. Normative data for hop tests in high school and collegiate basketball and soccer players. Int J Sports Phys Ther. 2014 Oct;9(5):596-603.
  • Smith J, De Phillipo N, Azizi S, McCabe A, Beverine C, Orendurff M, et al. The lower extremity grading system (legs) to evaluate baseline lower extremity performance in high school athletes. Int J Sports Phys Ther. 2018 Jun;13(3):401-409.
  • Green SB, Salkind NJ, Akey TM. Methods for controlling type I error across multiple hypothesis tests. In: Using SPSS for Windows. Analyzing and Understanding Data. Upper Saddle River, NJ: Practice Hall. 2000;395–396.
  • Bonney E, Ferguson G, Smits-Engelsman B. Relationship between body mass index, cardiorespiratory and musculoskeletal fitness among South African adolescent girls. Int J Environ Res Public Health. 2018;15(6):1087-1099.
  • Chang CM, Hwang FM, Chi SC. The association between body mass index and physical fitness of normal weight/overweight/obese university students. Int J Environ Res Public Health. 2020;17(15): 5391-5409.
  • Bazett-Jones DM, Cobb SC, Joshi MN, Cashin SE, Earl JE. Normalizing hip muscle strength: establishing body-size-independent measurements. Arch Phys Med Rehabil. 2011;92(1):76-82.
  • Kang MH, Kim SY, Kang MJ, Yoon SH, Oh JS. Effects of isometric hip movements on electromyographic activities of the trunk muscles during plank exercises. J Phys Ther. 2016;28(8):2373-2375.
  • Rivera CE. Core and lumbopelvic stabilization in runners. Phys Med Rehabil Clin N Am. 2016;27(1):319-337.
  • Lee D, Park J, Lee S. Effects of bridge exercise on trunk core muscle activity with respect to sling height and hip joint abduction and adduction. J Phys Ther Sci. 2015;27(6):1997-1999.
  • Kim SY, Kang MH, Kim ER, Jung IG, Seo EY, Oh JS. Comparison of EMG activity on abdominal muscles during plank exercise with unilateral and bilateral additional isometric hip adduction. J Electromyogr Kinesiol. 2016;30:9-14.
  • Matsunaga N, Aoki K, Kaneoka K. Comparison of modular control during side cutting before and after fatigue. Appl Bionics Biomech. 2021;2021:8860207.
  • Kafri M, Hutzler Y, Korsensky O, Laufer Y. Functional performance and balance in the oldest-old. J Geriatr Phys Ther. 2019;42(3):183-188.
  • Fusco A, Giancotti GF, Fuchs PX, Wagner H, da Silva RA, Cortis C. Y balance test: Are we doing it right?. J Sci Med Sport. 2020;23(2):194-199.
  • Salas-Gomez D, Fernandez-Gorgojo M, Sanchez-Juan P, Bercero EL, Perez-Núñez MI, Barbado D. Quantifying balance deficit in people with ankle fracture six months after surgical intervention through the Y-Balance test. Gait Posture. 2022;95:249-255.
  • Muehlbauer T, Gollhofer A, Granacher U. Associations between measures of balance and lower-extremity muscle strength/power in healthy individuals across the lifespan: a systematic review and meta-analysis. Sports Med. 2015;45(12):1671-1692.
  • Pereira C, Silva RAD, de Oliveira MR, Souza RD, Borges RJ,Vieira ER. Effect of body mass index and fat mass on balance force platform measurements during a one-legged stance in older adults. Aging Clin Exp Res. 2018;30:441–447.
  • Riemann BL, Davies GJ. Limb, sex, and anthropometric factors influencing normative data for the biodex balance system SD athlete single leg stability test. Athl Train Sports Health Care 2013;5:224–232.
  • Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function - part 1. Int J Sports Phys Ther. 2014;9(3):396-409.
  • Kivlan BR, Carcia CR, Clemente FR, Phelps AL, Martin RL. Reliability and validity of functional: performance tests in dancers with hip dysfunction. Int J Sports. 2013;8(4):360-369.
  • Palomino-Devia C, González-Jurado JA, Ramos-Parraci CA. Body composition and physical fitness in Colombian high school students from Ibague. Biomédica. 2017;37(3):408-415.
  • Hannigan JJ, Osternig LR, Chou LS. Sex-Specific Relationships between hip strength and hip, pelvis, and trunk kinematics in healthy runners. J Appl Biomech. 2018;34(1):76-81.
  • Dwyer MK, Boudreau SN, Mattacola CG, Uhl T L, Lattermann C. Comparison of lower extremity kinematics and hip muscle activation during rehabilitation tasks between sexes. J Athl Train. 2010;45(2):181-190.

SAĞLIKLI BİREYLERDE KALÇA ADDUKTÖR KAS KUVVETİNİN, KOR STABİLİZASYONU VE ALT EKSTREMİTE PERFORMANSI İLE İLİŞKİSİNİN İNCELENMESİ

Year 2024, Volume: 35 Issue: 2, 224 - 235, 27.08.2024
https://doi.org/10.21653/tjpr.1323153

Abstract

Amaç: Bu çalışmanın amacı, kalça adduktör kas kuvveti ve enduransı ile kor stabilizasyonu ve alt ekstremite performansı arasındaki ilişkiyi araştırmaktı.
Yöntem: Çalışmaya 133 sağlıklı birey dahil edildi. Bilateral kalça adduktör kas kuvveti sfigmomanometre kullanılarak sıkıştırma testi ile, endurans ise her bir ekstremite için yan yatış pozisyonunda bir dakika içinde yapılan kalça adduksiyon tekrar sayısı ile değerlendirildi. Kor stabilizasyon, gövde kaslarının enduransı (gövdenin 60 derece fleksiyonunu, lateral köprü pozisyonunu ve yerçekimine karşı gövde ekstansiyonunu sürdürme süresi) ile değerlendirildi. Alt ekstremite dinamik dengesi (Y denge testi) ve performans (tek ayak ve üç adım çapraz sıçrama testi) değerlendirildi.
Sonuçlar: Kalça adduktör kas kuvveti ile nondominat (r=0,529, p<0,001) ve dominant (r=0,355, p<0,001) alt eksremite tarafındaki gövde lateral fleksörleri enduransları, dominant tek ayak sıçrama testi (r=0,314, p<0,001), dominant (r=0,362, p<0,001) ve nondominant (r=0.331, p<0,001) üç adım çapraz sıçrama testi skorları arasında pozitif yön ve orta düzeyde ilişki bulundu. Kalça adduktör kas kuvveti ile dominant (r=-0.235, p=0.007) ve nondominant (r=-0.244, p=0.005) Y denge testi toplam skorları ve dominant (r=-0.167, p=0.055) ve nondominant (r=-0.186, p=0.032) Y denge testi posteromedial skorları ile negatif yön ve düşük düzeyde ilişki bulundu.
Tartışma: Kalça adduktör kas kuvveti ve enduransı ile core stabilizasyon, alt ekstremite dinamik denge ve performansı arasında anlamlı ilişki bulunmuştur ve kalça adduktör kas kuvveti, denge ve performans test skorları cinsiyetten etkilenmektedir.

References

  • Roux AVD, Evenson KR, McGinn AP, Brown DG, Moore L, Brines S, et al. Availability of recreational resources and physical activity in adults. Am J Public Health. 2007;93(3):493-499.
  • Crockett M, Aherne E, O'Reilly M, Sugrue G, Cashman J, Kavanagh E. Groin pain in athletes: A review of diagnosis and management. Surg Technol Int. 2015;26:275-282.
  • Esteve E, Rathleff MS, Bagur-Calafat C, Urrútia G, Thorborg K. Prevention of groin injuries in sports: A systematic review with meta-analysis of randomized controlled trials. Br J Sports Med. 2015;49(12):785-791.
  • Nicholas SJ, Tyler TF. Adductor muscle strains in sport. Sports Med. 2002;32(5):339-344.
  • Nicola TL, Jewison DJ. The anatomy and biomechanics of running. Clin Sports Med. 2012;31:187–201.
  • Magee DJ. Orthopedic Physical Assessment, 6th ed. St. Elsevier, St. Louis. 2014.
  • Mcgrath TM, Waddington G, Scarvell JM, Ball NB, Creer R, Woods K, et al. The effect of limb dominance on lower limb functional performance--a systematic review. J Sports Sci. 2016;34(4):289-302.
  • Suchomel TJ, Nimphius S, Stone MH. The importance of muscular strength in athletic performance. Sports Med. 2016;46(10):1419-1449.
  • Kollock R, Van Lunen BL, Ringleb SI, Oñate JA. Measures of functional performance and their association with hip and thigh strength. J Athl Train. 2015;50(1):14-22.
  • Kea J, Kramer J, Forwell L, Birmingham T. Hip action-adduction strength and one-leg hop tests: test-retest reliability and relationship to function in elite ice hockey players. J Orthop Sports Phys Ther. 2001;31(8):446-45.
  • Van Melick N, Meddeler BM, Hoogeboom TJ, Nijhuis-van der Sanden MW, van Cingel RE. How to determine leg dominance: The agreement between self-reported and observed performance in healthy adults. PloS one. 2017;12(12):e0189876.
  • Buchheit MM, Wallace J, Bode M, Poulos N. Monitoring post-match lower-limb recovery in elite Australian Rules Football using a groin squeeze strength test. Sport Perf Sci Rep. 2017;7:1-3.
  • Van Cant J, Dumont G, Pitance L, Demoulin C, Feipel V. Test-retest reliability of two clinical tests for the assessment of hip abductor endurance in healthy females. IJSPT. 2016;11(1):24-33.
  • Huxel Bliven KC, Anderson BE. Core stability training for injury prevention. Sports Health. 2013;5(6):514-522.
  • Kramer TA, Sacko RS, Pfeifer CE, Gatens DR, Goins JM, Stodden DF. The Assciation Between The Functional Movement Screentm, Y-Balance Test and Physical Performance Tests In Male and Female High School Athletes. Int J Sports Phys Ther. 2019 Dec;14(6):911-919.
  • Myers BA, Jenkins WL, Killian C, Rundquist P. Normative data for hop tests in high school and collegiate basketball and soccer players. Int J Sports Phys Ther. 2014 Oct;9(5):596-603.
  • Smith J, De Phillipo N, Azizi S, McCabe A, Beverine C, Orendurff M, et al. The lower extremity grading system (legs) to evaluate baseline lower extremity performance in high school athletes. Int J Sports Phys Ther. 2018 Jun;13(3):401-409.
  • Green SB, Salkind NJ, Akey TM. Methods for controlling type I error across multiple hypothesis tests. In: Using SPSS for Windows. Analyzing and Understanding Data. Upper Saddle River, NJ: Practice Hall. 2000;395–396.
  • Bonney E, Ferguson G, Smits-Engelsman B. Relationship between body mass index, cardiorespiratory and musculoskeletal fitness among South African adolescent girls. Int J Environ Res Public Health. 2018;15(6):1087-1099.
  • Chang CM, Hwang FM, Chi SC. The association between body mass index and physical fitness of normal weight/overweight/obese university students. Int J Environ Res Public Health. 2020;17(15): 5391-5409.
  • Bazett-Jones DM, Cobb SC, Joshi MN, Cashin SE, Earl JE. Normalizing hip muscle strength: establishing body-size-independent measurements. Arch Phys Med Rehabil. 2011;92(1):76-82.
  • Kang MH, Kim SY, Kang MJ, Yoon SH, Oh JS. Effects of isometric hip movements on electromyographic activities of the trunk muscles during plank exercises. J Phys Ther. 2016;28(8):2373-2375.
  • Rivera CE. Core and lumbopelvic stabilization in runners. Phys Med Rehabil Clin N Am. 2016;27(1):319-337.
  • Lee D, Park J, Lee S. Effects of bridge exercise on trunk core muscle activity with respect to sling height and hip joint abduction and adduction. J Phys Ther Sci. 2015;27(6):1997-1999.
  • Kim SY, Kang MH, Kim ER, Jung IG, Seo EY, Oh JS. Comparison of EMG activity on abdominal muscles during plank exercise with unilateral and bilateral additional isometric hip adduction. J Electromyogr Kinesiol. 2016;30:9-14.
  • Matsunaga N, Aoki K, Kaneoka K. Comparison of modular control during side cutting before and after fatigue. Appl Bionics Biomech. 2021;2021:8860207.
  • Kafri M, Hutzler Y, Korsensky O, Laufer Y. Functional performance and balance in the oldest-old. J Geriatr Phys Ther. 2019;42(3):183-188.
  • Fusco A, Giancotti GF, Fuchs PX, Wagner H, da Silva RA, Cortis C. Y balance test: Are we doing it right?. J Sci Med Sport. 2020;23(2):194-199.
  • Salas-Gomez D, Fernandez-Gorgojo M, Sanchez-Juan P, Bercero EL, Perez-Núñez MI, Barbado D. Quantifying balance deficit in people with ankle fracture six months after surgical intervention through the Y-Balance test. Gait Posture. 2022;95:249-255.
  • Muehlbauer T, Gollhofer A, Granacher U. Associations between measures of balance and lower-extremity muscle strength/power in healthy individuals across the lifespan: a systematic review and meta-analysis. Sports Med. 2015;45(12):1671-1692.
  • Pereira C, Silva RAD, de Oliveira MR, Souza RD, Borges RJ,Vieira ER. Effect of body mass index and fat mass on balance force platform measurements during a one-legged stance in older adults. Aging Clin Exp Res. 2018;30:441–447.
  • Riemann BL, Davies GJ. Limb, sex, and anthropometric factors influencing normative data for the biodex balance system SD athlete single leg stability test. Athl Train Sports Health Care 2013;5:224–232.
  • Cook G, Burton L, Hoogenboom BJ, Voight M. Functional movement screening: the use of fundamental movements as an assessment of function - part 1. Int J Sports Phys Ther. 2014;9(3):396-409.
  • Kivlan BR, Carcia CR, Clemente FR, Phelps AL, Martin RL. Reliability and validity of functional: performance tests in dancers with hip dysfunction. Int J Sports. 2013;8(4):360-369.
  • Palomino-Devia C, González-Jurado JA, Ramos-Parraci CA. Body composition and physical fitness in Colombian high school students from Ibague. Biomédica. 2017;37(3):408-415.
  • Hannigan JJ, Osternig LR, Chou LS. Sex-Specific Relationships between hip strength and hip, pelvis, and trunk kinematics in healthy runners. J Appl Biomech. 2018;34(1):76-81.
  • Dwyer MK, Boudreau SN, Mattacola CG, Uhl T L, Lattermann C. Comparison of lower extremity kinematics and hip muscle activation during rehabilitation tasks between sexes. J Athl Train. 2010;45(2):181-190.
There are 37 citations in total.

Details

Primary Language English
Subjects Physiotherapy
Journal Section Araştırma Makaleleri
Authors

Nevriye Ünal Süzer 0000-0002-8049-5714

Nihal Büker 0000-0001-7259-7983

Akın Süzer 0000-0003-2435-9539

Publication Date August 27, 2024
Published in Issue Year 2024 Volume: 35 Issue: 2

Cite

APA Ünal Süzer, N., Büker, N., & Süzer, A. (2024). EXAMINING THE CORRELATION BETWEEN HIP ADDUCTOR MUSCLE STRENGTH, CORE STABILIZATION, AND LOWER EXTREMITY PERFORMANCE IN HEALTHY INDIVIDUALS. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 35(2), 224-235. https://doi.org/10.21653/tjpr.1323153
AMA Ünal Süzer N, Büker N, Süzer A. EXAMINING THE CORRELATION BETWEEN HIP ADDUCTOR MUSCLE STRENGTH, CORE STABILIZATION, AND LOWER EXTREMITY PERFORMANCE IN HEALTHY INDIVIDUALS. Turk J Physiother Rehabil. August 2024;35(2):224-235. doi:10.21653/tjpr.1323153
Chicago Ünal Süzer, Nevriye, Nihal Büker, and Akın Süzer. “EXAMINING THE CORRELATION BETWEEN HIP ADDUCTOR MUSCLE STRENGTH, CORE STABILIZATION, AND LOWER EXTREMITY PERFORMANCE IN HEALTHY INDIVIDUALS”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 35, no. 2 (August 2024): 224-35. https://doi.org/10.21653/tjpr.1323153.
EndNote Ünal Süzer N, Büker N, Süzer A (August 1, 2024) EXAMINING THE CORRELATION BETWEEN HIP ADDUCTOR MUSCLE STRENGTH, CORE STABILIZATION, AND LOWER EXTREMITY PERFORMANCE IN HEALTHY INDIVIDUALS. Türk Fizyoterapi ve Rehabilitasyon Dergisi 35 2 224–235.
IEEE N. Ünal Süzer, N. Büker, and A. Süzer, “EXAMINING THE CORRELATION BETWEEN HIP ADDUCTOR MUSCLE STRENGTH, CORE STABILIZATION, AND LOWER EXTREMITY PERFORMANCE IN HEALTHY INDIVIDUALS”, Turk J Physiother Rehabil, vol. 35, no. 2, pp. 224–235, 2024, doi: 10.21653/tjpr.1323153.
ISNAD Ünal Süzer, Nevriye et al. “EXAMINING THE CORRELATION BETWEEN HIP ADDUCTOR MUSCLE STRENGTH, CORE STABILIZATION, AND LOWER EXTREMITY PERFORMANCE IN HEALTHY INDIVIDUALS”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 35/2 (August 2024), 224-235. https://doi.org/10.21653/tjpr.1323153.
JAMA Ünal Süzer N, Büker N, Süzer A. EXAMINING THE CORRELATION BETWEEN HIP ADDUCTOR MUSCLE STRENGTH, CORE STABILIZATION, AND LOWER EXTREMITY PERFORMANCE IN HEALTHY INDIVIDUALS. Turk J Physiother Rehabil. 2024;35:224–235.
MLA Ünal Süzer, Nevriye et al. “EXAMINING THE CORRELATION BETWEEN HIP ADDUCTOR MUSCLE STRENGTH, CORE STABILIZATION, AND LOWER EXTREMITY PERFORMANCE IN HEALTHY INDIVIDUALS”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, vol. 35, no. 2, 2024, pp. 224-35, doi:10.21653/tjpr.1323153.
Vancouver Ünal Süzer N, Büker N, Süzer A. EXAMINING THE CORRELATION BETWEEN HIP ADDUCTOR MUSCLE STRENGTH, CORE STABILIZATION, AND LOWER EXTREMITY PERFORMANCE IN HEALTHY INDIVIDUALS. Turk J Physiother Rehabil. 2024;35(2):224-35.