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Curling
Published in R. C. Richard Davison, Paul M. Smith, James Hopker, Michael J. Price, Florentina Hettinga, Garry Tew, Lindsay Bottoms, Sport and Exercise Physiology Testing Guidelines: Volume I – Sport Testing, 2022
David Leith, Helen M. Collins, Audrey Duncan
Modified Thomas test (Figure 8.2.1A), which assesses flexibility of the hip flexors: The athlete sits on the end of a plinth before rolling back to supine, pulling both knees into the chest, ensuring a flat lumbar spine and posteriorly rotated pelvis;Holding the contralateral hip in maximal flexion, the test limb is lowered towards the floor;Hip flexion, knee flexion and hip abduction angles are measured reflecting iliopsoas, quadriceps and tensor fascia lata/iliotibial band length, respectively.FABER Test (Figure 8.2.1B), which assesses multidirectional hip ROM: With the athlete supine, the lateral ankle is rested on the contralateral thigh, proximal to the knee, in a figure-4 position;Stabilising the contralateral anterior superior iliac spine, light overpressure is applied to the ipsilateral medial knee until end ROM is met;The perpendicular distance from the lateral femoral epicondyle to the table is measured.
Rehabilitation after Trauma
Published in Ian Greaves, Keith Porter, Jeff Garner, Trauma Care Manual, 2021
Ian Greaves, Keith Porter, Jeff Garner
Musculoskeletal rehabilitation requires an understanding of the complications following trauma and how these will affect recovery. The following should be taken into account when planning rehabilitation: Immediate deficits due to the primary injury and the need for reduced weight bearingPotential secondary musculoskeletal complications, including deconditioning, reduced joint mobility, loss of muscle mass and endurance, loss of balance, coordination and bone strengthPain and dependence upon pharmacological analgesia (particularly opioids)Low mood and anxiety Taking pelvic fracture as an example, considerable time is required for healing whilst not weight bearing. This may lead to secondary loss of hip range and the development of tight hip flexors, weak hip adductors and loss of balance. All of these factors will adversely affect the patient’s eventual ability to mobilize and yet all can be prevented by experienced rehabilitation specialists working with the surgical team.
STRIVE Principles
Published in James Crossley, Functional Exercise and Rehabilitation, 2021
Rather than performing a standard hip-flexor stretch, for example, it would be more effective to ‘drive’ hip-extension by asking a client to step-backwards while at the same time reaching the arms upwards towards the ceiling (see Figure 4.5). Driving the arms upwards prevents the trunk from bending forwards. This task-orientated movement drives a powerful extension of the hip, stretching the hip-flexor muscles.
Altered muscle strength and flexibility among a subgroup of women with chronic nonspecific low back pain: Cross-sectional case-control study
Published in Physiotherapy Theory and Practice, 2023
Sima Vatandoost, Rahman Sheikhhoseini, Behnam Akhbari, Mahyar Salavati, Mohammadreza Pourahmadi, Maryam Farhang, Kieran O’Sullivan
This was assessed using a universal two-arm goniometer (Ghamat Pooyan Co, Tehran, Iran). The specifications of the device were 360° goniometer face and the accuracy of 1°. Hip flexor flexibility was measured using the Thomas test (Kendall et al., 1993). The participant laid supine, using both arms to flex both knees with trunk position fixed by strap, then the patient lowered the tested limb toward the table. The examiner did not apply any additional pressure on the anterior thigh and just relied on the participant relaxing. Subsequently, the angle between the longitudinal axis of the trunk and the thigh on that side was measured. To measure hamstring flexibility, the participant was positioned supine on a plinth, and the non-test leg was on the plinth with the knee extended. Using a strap to maintain the vertical position of the thigh and 90° of flexion in the hip joint, participants kept their ankle in a neutral position, and extended the knee until they felt a tolerable stretch and strong resistance of the hamstrings. The examiner measured the angle between the longitudinal axis of the thigh and the leg (Shepherd, Winter, and Gordon, 2017).
Imaging changes following surgery for ischiofemoral impingement
Published in Baylor University Medical Center Proceedings, 2023
Munif Hatem, Richard Feng, Jordan Teel, Hal David Martin
Atrophy of the iliacus and psoas muscles has been reported following iliopsoas tenotomy in association with hip arthroscopy.11,12 However, these studies reported no significant difference in the mHHS relative to the amount of atrophy.11,12 In the present study, no correlation between the mHHS and the amount of iliopsoas atrophy was observed. The primary function of the iliopsoas muscle is hip flexion, and tenotomy or detachment from the LT could result in hip flexion weakness. In the present study, one patient reported hip flexion weakness in the early postoperative period, which was resolved at 4-month follow-up. Previous studies have reported improvement of hip flexor weakness by at least 8 weeks postoperatively after iliopsoas tendon release.13,14 Brandenburg et al reported a 19% reduction in seated hip flexion strength following iliopsoas tenotomy at the level of the hip joint.15 Those authors also reported no significant difference in hip flexion strength in the supine position when comparing the operated with the nonoperated side.15 The reinsertion of the iliopsoas onto the femur following the LT resection could prevent flexor weakness. While the technique for iliopsoas reinsertion following LT resection is published, clinical results on hip flexor strength are not reported.16
The impact of nonoperative hip and core injuries on National Football League athlete performance
Published in The Physician and Sportsmedicine, 2023
Joseph S. Tramer, Toufic R Jildeh, Joshua P Castle, Patrick Buckley, Caden Nowak, Kelechi R. Okoroha
Hip and core injuries in the NFL account for approximately 10% of NFL injuries; the majority are classified as muscle strains [9,10]. In fact, hip flexor strains occurred 268 times over a 10 year period in the NFL, and were the most common hip injury [10]. Football players are particularly vulnerable to core injuries such as rib fractures or contusions, back stiffness as well as abdominal/oblique strains, and athletic pubalgia due to the physical nature of the game [11,12]. Prior studies have examined the effect of surgical intervention on groin injuries, showing that operative intervention for athletic pubalgia led to significantly shorter career length and games per season compared to matched controls [13]; however, the impact of nonoperative hip and core injuries on NFL player performance has not been elucidated.