The Influence of Gender on Hip Range of Motion, Hip Muscle Strength, Gluteus Medius Thickness and M-Mode Ultrasound Examination in Asymptomatic University Athletes: A Cross-Sectional Study

  1. González de la Flor, Ángel 1
  2. Romero Morales, Carlos 1
  3. García Arrabe, María 1
  4. Guerineau, Fabien 1
  5. Valera, Fermín 2
  6. Minaya Muñoz, Francisco 2
  7. García Sanz, Fernando 3
  8. Almazán-Polo, Jaime 1
  1. 1 Universidad Europea de Madrid, Spain
  2. 2 MVClinic, Spain
  3. 3 Clínica CEMTRO, Spain
Revista:
Archives of Medical Science

ISSN: 1734-1922 1896-9151

Año de publicación: 2023

Tipo: Artículo

DOI: 10.5114/AOMS/159040 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Archives of Medical Science

Resumen

IntroductionPhysical activity is a proposed factor int the development of hip pathologies in male and female. Themain objectives of this study were to investigate the influence of gender on isometric hip musclestrength, hip range of motion and gluteus medius thickness at rest, during contraction and onsetactivation.Material and methodsA cross-sectional study was carried out. Hip range of motion, hip muscle strength and gluteus mediusthickness at rest, (B-Mode) and onset activation (M-Mode) were measured in thirty asymptomaticuniversity athletes without history hip pain.ResultsA total of fifteen males (30 hips) and fifteen females (30 hips) with a mean age of 22 ± 6.5 and 20 ±2.75 years old were recruited. Females demonstrated greater hip range of motion in flexion, abductionand internal rotation in dominant and non-dominant legs (p < .05) but no differences were foundextension, adduction and external rotation (p > .05). Furthermore, females showed less isometric hipmuscle strength in hip flexion, extension, abduction, adduction, internal and external rotation (p < .05)but not in strength ratios (p > .05). In addition, female exhibited less gluteus medius thickness atmuscle contraction, less differences in rest-contaction thickness, but no differences were observed forrest thickness or contraction velocity.ConclusionsThis study found that asymptomatic female athletes demonstrated greater hip flexion, abduction andinternal rotation ROM, less isometric hip muscle strength and different gluteus medius thickness andonset activation compared with asymptomatic male athletes.

Referencias bibliográficas

  • 1. Griffin DR, Dickenson EJ, O’Donnell J, Agricola R, Awan T, Beck M, et al. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): An international consensus statement. Br J Sports Med. 2016 Oct;50(19):1169–76.
  • 2. Arnold DR, Keene JS, Blankenbaker DG, DeSmet AA. Hip pain referral patterns in patients with labral tears: analysis based on intra-articular anesthetic injections, hip arthroscopy, and a new pain “circle” diagram. Phys Sport. 2011;39(1):29–35. Preprint
  • 3. Grimaldi A, Mellor R, Hodges P, Bennell K, Wajswelner H, Vicenzino B. Gluteal Tendinopathy: A Review of Mechanisms, Assessment and Management. Sports Med. 2015 Aug;45(8):1107–19.
  • 4. Battaglia PJ, D’Angelo K, Kettner NW. Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging. J Chiropr Med. 2016;15(4):281– 374
  • 5. Frasson VB, Vaz MA, Morales AB, Torresan A, Telöken MA, Gusmão PDF, et al. Hip muscle weakness and reduced joint range of motion in patients with femoroacetabular impingement syndrome: a case-control study. Brazilian J Phys Ther. 2020;24(1):39–45.
  • 6. Reiman MP, Agricola R, Kemp JL, Heerey JJ, Weir A, Van Klij P, et al. Consensus recommendations on the classification, definition and diagnostic criteria of hip-related pain in young and middle-aged active adults from the International Hip-related Pain Research Network, Zurich 2018. Br J Sports Med. 383 2020;1–11.
  • 7. Lewis CL, Loverro KL, Khuu A. Kinematic Differences During Single-Leg Step385 Down Between Individuals With Femoroacetabular Impingement Syndrome and Individuals Without Hip Pain. J Orthop Sports Phys Ther. 2018 Apr;48(4):270–9.
  • 8. Neumann DA. Kinesiology of the hip: a focus on muscular actions. J Orthop Sports Phys Ther. 2010 Feb;40(2):82–94.
  • 9. Whiler L, Fong M, Kim S, Ly A, Qin Y, Yeung E, et al. Gluteus Medius and Minimus Muscle Structure, Strength, and Function in Healthy Adults: Brief Report. Physiother Can. 2017;69(3):212–6.
  • 10. Grimaldi A, Richardson C, Durbridge G, Donnelly W, Darnell R, Hides J. The Preprint association between degenerative hip joint pathology and size of the gluteus maximus and tensor fascia lata muscles. Man Ther. 2009 Dec;14(6):611–7.
  • 11. Romero-Morales C, Bravo-Aguilar M, Ruiz-Ruiz B, Almazán-Polo J, López396 López D, Blanco-Morales M, et al. Current advances and research in ultrasound imaging to the assessment and management of musculoskeletal disorders. Dis Mon. 2021 Mar;67(3):101050.
  • 12. Canosa-Carro L, López-López D, García-Bermejo P, Navarro-Flores E, de Labra C, Romero-Morales C. Ultrasonographic features of the intrinsic foot muscles in patients with and without plantar fasciitis: a novel case-control research study. https://doi.org/10.5114/aoms/143122
  • 13. Vandenbroucke JP, von Elm E, Altman DG, G?tzsche PC, Mulrow CD, Pocock SJ, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and elaboration. Int J Surg. 2014;12(12):1500–24.
  • 14. Helsinki WMAD of. Ethical principles for medical research involving human subjects. J Am Coll Dent. 2014;81(3):14–8.
  • 15. Garrow JS. Quetelet index as indicator of obesity. Lancet (London, England). 1986;1(8491):1219.
  • 16. Herrington L. Assessment of the degree of pelvic tilt within a normal asymptomatic population. Man Ther. 2011 Jun;16(6):646–8.
  • 17. Lerch S, Kasperczyk A, Warnecke J, Berndt T, Rühmann O. Evaluation of Cam414 type femoroacetabular impingement by ultrasound. Int Orthop. 2013;37(5):783–8.
  • 18. Lerch S, Kasperczyk A, Berndt T, Rühmann O, Ru O. Ultrasound is as reliable as plain radiographs in the diagnosis of cam-type femoroacetabular impingement. Preprint Arch Orthop Trauma Surg. 2016;136(10):1437–43.
  • 19. Dieterich A, Petzke F, Pickard C, Davey P, Falla D. Differentiation of gluteus medius and minimus activity in weight bearing and non-weight bearing exercises by M-mode ultrasound imaging. Man Ther. 2015 Oct;20(5):715–22.
  • 20. Schneider CA, Rasband WS, Eliceiri KW. NIH Image to ImageJ: 25 years of image analysis. Nat Methods [Internet]. 2012 Jun 28;9:671. Available from: http://dx.doi.org/10.1038/nmeth.2089
  • 21. Buelga-Suarez J, Alba-Martin P, Cuenca-Zaldívar N, García-Escudero M, Bierge-Sanclemente P, Almazán-Polo J, et al. Test-Retest Reliability of Ultrasonographic Measurements from the Rectus Femoris Muscle 1-5 Years after Anterior Cruciate Ligament Reconstruction in the Ipsilateral and Contralateral Legs: An Observational, Case-Control Study. J Clin Med. 2022 Mar;11(7).
  • 22. Thorborg K, Petersen J, Magnusson SP, Hölmich P. Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scand J Med Sci Sport. 2010;20(3):493–501.
  • 23. Ishoi L, Holmich P, Thorborg K. Measures of hip muscle strength and rate of force development using a fixated handheld dynamometer: intra-tester intra-day reliability of a clinical set up. Int J Sports Phys Ther. 2019;14(5):715–23.
  • 24. Sisto SA, Dyson-Hudson T. Dynamometry testing in spinal cord injury. J Rehabil Res Dev. 2007;44(1):123–36.
  • 25. Roach S, San Juan JG, Suprak DN, Lyda M. Concurrent validity of digital inclinometer and universal goniometer in assessing passive hip mobility in healthy subjects. Int J Sports Phys Ther. 2013 Oct;8(5):680–8.
  • 26. Lakens D. Calculating and reporting effect sizes to facilitate cumulative science: Preprint a practical primer for t-tests and ANOVAs. Front Psychol. 2013 Nov;4:863.
  • 27. Tak I, Engelaar L, Gouttebarge V, Barendrecht M, Van Den Heuvel S, Kerkhoffs G, et al. Is lower hip range of motion a risk factor for groin pain in athletes? A systematic review with clinical applications. Br J Sports Med. 2017;51(22):1611– 21.
  • 28. Chadayammuri V, Garabekyan T, Bedi A, Pascual-Garrido C, Rhodes J, O’Hara J, et al. Passive Hip Range of Motion Predicts Femoral Torsion and Acetabular Version. J Bone Joint Surg Am. 2016 Jan;98(2):127–34.
  • 29. Kraeutler MJ, Chadayammuri V, Garabekyan T, Mei-Dan O. Femoral Version Abnormalities Significantly Outweigh Effect of Cam Impingement on Hip Internal Rotation. J Bone Jt Surg. 2018 Feb;100(3):205–10.
  • 30. Czuppon S, Prather H, Hunt DM, Steger-May K, Bloom NJ, Clohisy JC, et al. Gender-Dependent Differences in Hip Range of Motion and Impingement Testing in Asymptomatic College Freshman Athletes. PM R. 2017 Jul;9(7):660– 7.
  • 31. Simoneau GG, Hoenig KJ, Lepley JE, Papanek PE. Influence of hip position and gender on active hip internal and external rotation. J Orthop Sports Phys Ther. 1998;28(3):158–64.
  • 32. Nakahara I, Takao M, Sakai T, Nishii T, Yoshikawa H, Sugano N. Gender differences in 3D morphology and bony impingement of human hips. J Orthop Res Off Publ Orthop Res Soc. 2011 Mar;29(3):333–9.
  • 33. Audenaert EA, Peeters I, Vigneron L, Baelde N, Pattyn C. Hip morphological characteristics and range of internal rotation in femoroacetabular impingement. Am J Sports Med. 2012;40(6):1329–36.
  • 34. Cheatham S, Hanney WJ, Kolber MJ. Hip range of motion in recreational wight Preprint training participants: a descriptive report. Int J Sports Phys Ther. 2017 Oct;12(5):764–73.
  • 35. D’Lima DD, Urquhart AG, Buehler KO, Walker RH, Colwell CWJ. The effect of the orientation of the acetabular and femoral components on the range of motion of the hip at different head-neck ratios. J Bone Joint Surg Am. 2000 Mar;82(3):315–21.
  • 36. Freke MDMD, Kemp J, Svege I, Risberg MAMA, Semciw A, Crossley KMKM. Physical impairments in symptomatic femoroacetabular impingement: A systematic review of the evidence. Br J Sports Med. 2016 Oct;50(19):1180.
  • 37. Rafn BS, Tang L, Nielsen MP, Branci S, Hölmich P, Thorborg K. Hip Strength Testing of Soccer Players with Long-Standing Hip and Groin Pain: What are the Clinical Implications of Pain during Testing? Clin J Sport Med. 2016;26(3):210– 5.
  • 38. Serner A, Mosler AB, Tol JL, Bahr R, Weir A. Mechanisms of acute adductor longus injuries in male football players: A systematic visual video analysis. Br J Sports Med. 2019;53(3):158–64.
  • 39. Dieterich A V, Deshon L, Pickard CM, Strauss GR, McKay J. Separate assessment of gluteus medius and minimus: B-mode or M-mode ultrasound? Physiother Theory Pract. 2014 Aug;30(6):438–43.
  • 40. Whittaker JL, Emery CA. Sonographic measures of the gluteus medius, gluteus minimus, and vastus medialis muscles. J Orthop Sports Phys Ther. 2014 Aug;44(8):627–32.
  • 41. Dieterich A V, Deshon L, Strauss GR, McKay J, Pickard CM. M-Mode Ultrasound Reveals Earlier Gluteus Minimus Activity in Individuals With Chronic Hip Pain During a Step-down Task. J Orthop Sports Phys Ther. 2016 Preprint Apr;46(4):277–85, A1-2.
  • 42. Romero-Morales C, Calvo-Lobo C, Navarro-Flores E, Mazoteras-Pardo V, García-Bermejo P, López-López D, et al. M-Mode Ultrasound Examination of Soleus Muscle in Healthy Subjects: Intra- and Inter-Rater Reliability Study. Healthc (Basel, Switzerland). 2020 Dec;8(4).
  • 43. De-la-Cruz-Torres B, Navarro-Flores E, López-López D, Romero-Morales C. Ultrasound Imaging Evaluation of Textural Features in Athletes with Soleus Pathology-A Novel Case-Control Study. Int J Environ Res Public Health. 2021 Feb;18(4).