Hip Muscle Weakness and Overuse Injuries in Recreational Runners

Niemuth, Paul E.; Johnson, Robert J.; Myers, Marcella; Thieman, Thomas J.

doi:10.1097/00042752-200501000-00004

Cited by 217 publications

(169 citation statements)

References 38 publications

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“…After 8 weeks of rehabilitation, the mean LEFS scores of all participants improved 12 points, surpassing the 8-point minimal detectable change suggested in previous research. 36 The LEFS has been used to determine self-reported improvements in function following therapeutic intervention for patients with PFPS. In one study, 22 participants completed 1 of 2 four-week interventions for PFPS focused on either just quadriceps exercises or a combination of hip and quadriceps exercises.…”

Section: Primary Outcome Measuresmentioning

confidence: 99%

“…Several authors have reported that females with PFPS demonstrate weaknesses of the hip external rotators and hip abductors. 11,17,26,30,31,36,37 During functional activities, especially single-leg activities, the hip muscles prevent hip adduction and internal rotation, which may result in dysfunctional lower extremity joint alignment and can lead to the development of PFPS. 20 …”

mentioning

confidence: 99%

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Hip Strengthening Prior to Functional Exercises Reduces Pain Sooner Than Quadriceps Strengthening in Females With Patellofemoral Pain Syndrome: A Randomized Clinical Trial

Dolak¹,

Silkman²,

McKeon³

et al. 2011

Journal of Orthopaedic & Sports Physical Therapy

174

223

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Study Design Randomized clinical trial. Objectives To determine if females with patellofemoral pain syndrome (PFPS) who perform hip strengthening prior to functional exercises demonstrate greater improvements than females who perform quadriceps strengthening prior to the same functional exercises. Background Although PFPS has previously been attributed to quadriceps dysfunction, more recent research has linked this condition to impairment of the hip musculature. Lower extremity strengthening has been deemed an effective intervention. However, research has often examined weight-bearing exercises, making it unclear if increased strength in the hip, quadriceps, or both is beneficial. Methods Thirty-three females with PFPS performed either initial hip strengthening (hip group) or initial quadriceps strengthening (quad group) for 4 weeks, prior to 4 weeks of a similar program of functional weight-bearing exercises. Self-reported pain, function, and functional strength were measured. Isometric strength was assessed for hip abductors, external rotators, and knee extensors. A mixed-model analysis of variance was used to determine group differences over time. Results After 4 weeks, there was less mean ± SD pain in the hip group (2.4 ± 2.0) than in the quad group (4.1 ± 2.5) (P = .035). From baseline to 8 weeks, the hip group demonstrated a 21% increase (P<.001) in hip abductor strength, while that remained unchanged in the quad group. All participants demonstrated improved subjective function (P<.006), objective function (P<.001), and hip external rotator strength (P = .004) from baseline to testing at 8 weeks. Conclusion Both rehabilitation approaches improved function and reduced pain. For patients with PFPS, initial hip strengthening may allow an earlier dissipation of pain than exercises focused on the quadriceps. Level of Evidence Therapy, level 2b-. J Orthop Sports Phys Ther 2011;41(8):560–570. Epub 7 June 2011. doi:10.2519/jospt.2011.3499

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Section: Primary Outcome Measuresmentioning

confidence: 99%

mentioning

confidence: 99%

Hip Strengthening Prior to Functional Exercises Reduces Pain Sooner Than Quadriceps Strengthening in Females With Patellofemoral Pain Syndrome: A Randomized Clinical Trial

Dolak¹,

Silkman²,

McKeon³

et al. 2011

Journal of Orthopaedic & Sports Physical Therapy

174

223

View full text Add to dashboard Cite

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“…No previous research has examined the effect of neck pain duration on lower trapezius strength; however, research on hip muscle strength supports the current findings that strength deficits and symptom duration are not correlated. 28 Niemuth et al 28 found no significant interaction between hip muscle strength and duration of symptoms in recreational runners.…”

Section: Right-sided Symptoms 15mentioning

confidence: 98%

Lower Trapezius Muscle Strength in Individuals With Unilateral Neck Pain

Petersen

Wyatt²

2011

J Orthop Sports Phys Ther

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“…The actions of these segments differ: the anterior GM fiber is involved in hip abduction and internal rotation and assists flexion; the middle GM fiber is involved only in abduction of the hip; and the posterior fiber is involved in hip abduction and external rotation, and assists extension 6,7) . Weakness or injury of the GM is associated with many lower limb pathologies, including patellofemoral pain syndrome, iliotibial band friction syndrome, anterior cruciate ligament injury and lower-back pain 1,[8][9][10] ; it is also origin of abductor lurch or gluteus medius lurch and Trendelenburg gait 11) . Compared to males, females are almost twice as likely to sustain a running injury, such as patellofemoral pain syndrome, iliotibial band syndrome or gluteus medius injury 12,13) .…”

Section: Introductionmentioning

confidence: 99%

EMG Analysis of Gluteus Medius Subdivisions during Modified Unilateral Biofeedback Exercises for the Lower Limbs

Heo

Yoo

et al. 2013

J Phys Ther Sci

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Abstract.[Purpose] The purpose of this study was to investigate the activation of subdivisions of the gluteus medius during modified unilateral weight-bearing exercises using a pressure-biofeedback unit in order to suggest the most effective exercise method.[Subjects] We recruited 15 healthy adult females with no pain in the gluteus medius and no other orthopedic problems in the lower limbs.[Methods] The enrolled individuals performed four modified unilateral biofeedback exercises: wall-press with adduction force, WP-ADD; wall-press with abduction force, WP-ABD; wall-squat with adduction force, WS-ADD; and wall-squat with abduction force.[Results] The anterior and middle fibers of the gluteus medius were highly activated during WP-ADD, and the posterior fiber of the gluteus medius was activated during WS-ABD.[Conclusion] These results suggest that weight-bearing exercises for gluteus medius strengthening should be more specific, and chosen based on the characteristics of each subdivision.

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Hip Muscle Weakness and Overuse Injuries in Recreational Runners

Cited by 217 publications

References 38 publications

Hip Strengthening Prior to Functional Exercises Reduces Pain Sooner Than Quadriceps Strengthening in Females With Patellofemoral Pain Syndrome: A Randomized Clinical Trial

Hip Strengthening Prior to Functional Exercises Reduces Pain Sooner Than Quadriceps Strengthening in Females With Patellofemoral Pain Syndrome: A Randomized Clinical Trial

Lower Trapezius Muscle Strength in Individuals With Unilateral Neck Pain

EMG Analysis of Gluteus Medius Subdivisions during Modified Unilateral Biofeedback Exercises for the Lower Limbs

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