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Hip Adduction Test

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1. Reduced Hip Adduction Is Associated With Improved Function After Movement-Pattern Training in Young People With Chronic Hip Joint Pain. (PubMed)

, and magnetic resonance imaging to measure femoral head sphericity using the alpha angle. Paired t tests assessed change from pretreatment to posttreatment. Spearman correlations assessed associations. Results There was significant improvement in MHHS and HOOS scores (P≤.02), adduction motion (P = .045), and abductor strength (P = .01) from pretreatment to posttreatment. Reduction in hip adduction motion (r = -0.67, P<.01) and lower body mass index (r = -0.38, P = .049) correlated with MHHS improvement (...) Reduced Hip Adduction Is Associated With Improved Function After Movement-Pattern Training in Young People With Chronic Hip Joint Pain. Study Design Ancillary analysis, time-controlled randomized clinical trial. Background Movement-pattern training (MPT) has been shown to improve function among patients with chronic hip joint pain (CHJP). Objective To determine the association among treatment outcomes and mechanical factors associated with CHJP. Methods Twenty-eight patients with CHJP, 18 to 40

2018 The Journal of orthopaedic and sports physical therapy

2. Effect of combined actions of hip adduction/abduction on the force generation and maintenance of pelvic floor muscles in healthy women. (PubMed)

window (N), and PFM force loss (N.s). We compared both conditions gradients in 30% and 50% by paired t-tests. All variables did not differ between hip conditions both in 30% and 50% of maximum hip force (p>.05). PFM contraction combined with isometric hip abduction did not increase vaginal force in healthy and nulliparous women compared to PFM contraction combined with isometric hip adduction. Therefore, so far, the use of hip adduction or abduction in PFM training and treatments are not justified (...) Effect of combined actions of hip adduction/abduction on the force generation and maintenance of pelvic floor muscles in healthy women. Pelvic floor muscle (PFM) force and coordination are related to urinary incontinence severity and to sexual satisfaction. Health professionals frequently combine classic PFM exercises with hip adduction/abduction contraction to treat these disorders, but the real benefits of this practice are still unknown. Based on a theoretical anatomy approach whereby

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2017 PLoS ONE

3. DYNAMIC HIP ADDUCTION, ABDUCTION AND ABDOMINAL EXERCISES FROM THE HOLMICH GROIN-INJURY PREVENTION PROGRAM ARE INTENSE ENOUGH TO BE CONSIDERED STRENGTHENING EXERCISES – A CROSS-SECTIONAL STUDY (PubMed)

DYNAMIC HIP ADDUCTION, ABDUCTION AND ABDOMINAL EXERCISES FROM THE HOLMICH GROIN-INJURY PREVENTION PROGRAM ARE INTENSE ENOUGH TO BE CONSIDERED STRENGTHENING EXERCISES – A CROSS-SECTIONAL STUDY Training intensity is an important variable in strength training and above 80% of one repetition maximum is recommended for promoting strength for athletes. Four dynamic and two isometric on-field exercises are included in the Hölmich groin-injury prevention study that initially failed to show (...) adductor longus, gluteus medius, rectus abdominis and external obliques during isometric adduction against a football placed between the ankles (IBA), isometric adduction against a football placed between the knees (IBK), folding knife (FK), cross-country skiing on one leg (CCS), adduction partner (ADP) and abduction partner (ABP). The EMG-signals were normalized (nEMG) to an isometric maximal voluntary contraction for each tested muscle.Adductor longus activity during IBA was 84% nEMG (95% CI: 70-98

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2017 International journal of sports physical therapy

4. Including the Copenhagen Adduction Exercise in the FIFA 11+ Provides Missing Eccentric Hip Adduction Strength Effect in Male Soccer Players: A Randomized Controlled Trial. (PubMed)

completed eccentric strength and sprint testing before and after the intervention. Per-protocol analyses were performed, and 12 players were excluded due to low compliance (<67% of sessions completed). The main outcome was eccentric hip adduction strength (N·m/kg).Between-group analyses revealed a significantly greater increase in eccentric hip adduction strength of 0.29 Nm/kg (8.9%; P = .01) in favor of the group performing the Copenhagen adduction exercise, whereas no within-group change was noted (...) Including the Copenhagen Adduction Exercise in the FIFA 11+ Provides Missing Eccentric Hip Adduction Strength Effect in Male Soccer Players: A Randomized Controlled Trial. The FIFA 11+ was developed as a complete warm-up program to prevent injuries in soccer players. Although reduced hip adduction strength is associated with groin injuries, none of the exercises included in the FIFA 11+ seem to specifically target hip adduction strength.To investigate the effect on eccentric hip adduction

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2017 American Journal of Sports Medicine

5. How Useful Is the Flexion-Adduction-Internal Rotation Test for Diagnosing Femoroacetabular Impingement: A Systematic Review. (PubMed)

How Useful Is the Flexion-Adduction-Internal Rotation Test for Diagnosing Femoroacetabular Impingement: A Systematic Review. Clinicians use the flexion, adduction, and internal rotation (FADIR) test in the diagnosis of femoroacetabular impingement (FAI). However, the diagnostic utility of this test remains unclear. The purpose of this review was to determine the utility of the FADIR test in diagnosing FAI.MEDLINE, EMBASE, and PubMed were searched using relevant key terms and study screening (...) was performed in duplicate. Patient demographics, diagnostic imaging, and summary measures (eg sensitivity, specificity, etc.) of the FADIR test in patients with FAI were recorded.Eight studies of levels III (87.5%) and IV (12.5%) evidence were included. Four hundred fifty-two patients (622 hips) with a mean age of 27.0 ± 9.0 were examined. Alpha (75.1%) and/or center-edge (26.8%) angles were used to diagnose hips with FAI. X-ray (78.9%), magnetic resonance imaging (MRI) (16.2%), and computed tomography (CT

2018 Clinical Journal of Sport Medicine

6. Foot Progression Angle Walking Test: A Dynamic Diagnostic Assessment for Femoroacetabular Impingement and Hip Instability (PubMed)

and who underwent FPAW testing along with standard physical examination testing. Demographic data, including age, sex and hip laterality, were collected from each patient. FPAW testing was performed with directed internal and external foot progression angles from their baseline measurements, with a positive test reproducing pain and/or discomfort. Comparisons were then made with flexion adduction internal rotation (FADIR) and flexion abduction external rotation (FABER) tests as the designated (...) Foot Progression Angle Walking Test: A Dynamic Diagnostic Assessment for Femoroacetabular Impingement and Hip Instability Determining an accurate clinical diagnosis for nonarthritic hip pain may be challenging, as symptoms related to femoroacetabular impingement (FAI) or hip instability can be difficult to elucidate with current testing methods. In addition, commonly utilized physical examination maneuvers are static and do not include a dynamic or weightbearing assessment to reproduce activity

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2017 Orthopaedic journal of sports medicine

7. Abnormal Loading of the Hip and Knee Joints in Unilateral Hip Osteoarthritis Persists Two Years After Total Hip Replacement. (PubMed)

Abnormal Loading of the Hip and Knee Joints in Unilateral Hip Osteoarthritis Persists Two Years After Total Hip Replacement. A total hip replacement (THR) is a common and routine procedure to reduce pain and restore normal activity. Gait analysis can provide insights into functional characteristics and dynamic joint loading situation not identifiable by clinical examination or static radiographic measures. The present prospective longitudinal study tested whether 2 years after surgery a THR (...) would restore dynamic loading of the knee and hip joints in the frontal plane to normal. Instrumented gait analysis was performed shortly before surgery and approximately 2 years after THR on 15 unilateral hip osteoarthritis (OA) patients. 15 asymptomatic matched individuals were recruited as healthy controls. Results showed that abnormal joint loading persisted 2 years after THR. The 2nd external knee adduction moment in terminal stance in the affected (-34%, p = 0.002, d = 1.22) and non-affected

2018 Journal of Orthopaedic Research

8. Vastus medialis oblique and vastus lateralis activity during a double-leg semisquat with or without hip adduction in patients with patellofemoral pain syndrome. (PubMed)

in the control group. The activation of VL and VMO was recorded with surface electromyography (EMG) during double-leg semisquat (DS) and double-leg semisquat with hip adduction (DS-HA). The time domain and frequency domain indexes of the electromyography data were collected for analysis.In the study group, the time domain indexes (RMS, IEMG) and frequency domain index (MPF) of VL were significant higher than VMO in the test of DS (P < 0.05); and the time domain of VMO was significantly higher in the test (...) Vastus medialis oblique and vastus lateralis activity during a double-leg semisquat with or without hip adduction in patients with patellofemoral pain syndrome. The purpose was to investigate the effect of double-leg semisquat with hip adduction on the activation of vastus medialis oblique (VMO) and vastus lateralis (VL) in patients with patellofemoral pain syndrome (PFPS).Thirty patients with PFPS were designated to the study group, while 30 healthy matched subjects were enrolled

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2015 BMC Musculoskeletal Disorders

9. AIUM ACR SPR SRU Practice Parameter for the Performance of an Ultrasound Examination for Detection and Assessment of Developmental Dysplasia of the Hip

to the femoral shaft, the femoral shaft is seen anteriorly, ter- minating in the femoral head, which rests on the ischium. The hip is tested for position at rest with passive abduction and adduction. The transducer is kept parallel to the femoral shaft placed in a postero- lateral position so that imaging can be accomplished while the hip is abducted and adducted (Ortolani and Barlow maneuvers). Next, gentle stress is applied to assess stability. If the relationship of the femoral head with the posterior (...) :1–5?exed and the thigh adducted (Barlow maneuver). If the femoral head is subluxated, subluxable, dislocated, or dislocatable, reducibility can be assessed by abduct- ing and externally rotating the hip (Ortolani maneu- ver). If the examiner chooses, additional views and maneuvers can be obtained. It is important that the infant be relaxed when hips are assessed for instabil- ity. Feeding the infant during the examination can increase comfort and cooperation. 8 Stress maneuvers are not performed

2018 American Institute of Ultrasound in Medicine

10. Guideline for the management of knee and hip osteoarthritis

Guideline for the management of knee and hip osteoarthritis racgp.org.au Healthy Profession. Healthy Australia. Guideline for the management of knee and hip osteoarthritis Second editionGuideline for the management of knee and hip osteoarthritis. Second edition Disclaimer The information set out in this publication is current at the date of first publication and is intended for use as a guide of a general nature only and may or may not be relevant to particular patients or circumstances. Nor (...) Practitioners. Guideline for the management of knee and hip osteoarthritis. 2nd edn. East Melbourne, Vic: RACGP , 2018. The Royal Australian College of General Practitioners Ltd 100 Wellington Parade East Melbourne, Victoria 3002 Tel 03 8699 0414 Fax 03 8699 0400 www.racgp.org.au ABN: 34 000 223 807 ISBN: 978-0-86906-500-6 First edition (Guidelines for the non-surgical management of hip and knee osteoarthritis) published 2009 Second edition published July 2018 © The Royal Australian College of General

2018 Clinical Practice Guidelines Portal

11. Eccentric and Isometric Hip Adduction Strength in Male Soccer Players With and Without Adductor-Related Groin Pain: An Assessor-Blinded Comparison (PubMed)

(adduction) were assessed with a handheld dynamometer using reliable test procedures and a blinded assessor.Eccentric hip adduction strength was lower in soccer players with adductor-related groin pain in the dominant leg (n = 21) compared with asymptomatic controls (n = 16), namely 2.47 ± 0.49 versus 3.12 ± 0.43 N·m/kg, respectively (P < .001). No other hip strength differences were observed between symptomatic players and asymptomatic controls for the dominant leg (P = .35-.84).Large eccentric hip (...) Eccentric and Isometric Hip Adduction Strength in Male Soccer Players With and Without Adductor-Related Groin Pain: An Assessor-Blinded Comparison Adductor-related pain is the most common clinical finding in soccer players with groin pain and can be a long-standing problem affecting physical function and performance. Hip adductor weakness has been suggested to be associated with this clinical entity, although it has never been investigated.To investigate whether isometric and eccentric hip

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2014 Orthopaedic journal of sports medicine

12. Gender-Dependent Differences in Hip Range of Motion and Impingement Testing in Asymptomatic College Freshman Athletes (PubMed)

Gender-Dependent Differences in Hip Range of Motion and Impingement Testing in Asymptomatic College Freshman Athletes Athletic activity is a proposed factor in the development and progression of intra-articular hip pathology. Early diagnosis and preventive treatments in "at-risk" athletes are needed.Our primary objective was to report hip range of motion (ROM) and prevalence of positive impingement testing in asymptomatic college freshman athletes. Our secondary objective was to determine (...) whether an association exists between hip ROM and a positive flexion-adduction-internal rotation (FADIR) test.Cross-sectional study.Collegiate athletic campus.Four hundred thirty (299 male, 131 female) freshman athletes reporting no current or previous hip pain.During the athletes' preseason medical screening, trained examiners performed a hip-specific exam to obtain data for hip ROM and impingement testing.Bilateral passive ROM measures included hip flexion, and hip internal and external rotation

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2016 PM & R : the journal of injury, function, and rehabilitation

13. In vitro hip testing in the International Society of Biomechanics coordinate system (PubMed)

In vitro hip testing in the International Society of Biomechanics coordinate system Many innovative experiments are designed to answer research questions about hip biomechanics, however many fail to define a coordinate system. This makes comparisons between studies unreliable and is an unnecessary hurdle in extrapolating experimental results to clinical reality. The aim of this study was to present a specimen mounting protocol which aligns and registers hip specimens in the International (...) Society of Biomechanics (ISB) coordinate system, which is defined by bony landmarks that are identified by palpation of the patient׳s body. This would enable direct comparison between experimental testing and clinical gait analysis or radiographic studies. To represent the intact hip, four intact synthetic full-pelves with 8 full-length articulating femora were assembled and digitised to define the ISB coordinate system. Using our proposed protocol, pelvis specimens were bisected into left and right

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2016 Journal of biomechanics

14. Occupational Therapy for people Undergoing total hip replacement

the replaced hip (Restrepo et al 2011). Variations exist in clinicians’ views (Coole et al 2013, Smith and Sackley 2016) and in practice; some services now have no routine hip precautions, but where they exist, these generally advise not to flex the hip beyond 90 degrees, and to avoid adduction and 13 Royal College of Occupational Therapists 2017 The occupational therapy role rotation of the hip. Risk of dislocation can be influenced by factors such as surgical approach and whether surgery is completed (...) Occupational Therapy for people Undergoing total hip replacement Occupational therapy for adults undergoing total hip replacement Practice guideline Second Edition Royal College of Occupational TherapistsCover photographs (inset, top right) ©Tessa Fincham 1/17 Mrs Jeffries, a service user, describes her experience of total hip replacement: Total hip replacements may be a common procedure but they are always life-changing and challenging for the individual concerned. As my osteoarthritis became

2018 British Association of Occupational Therapists

15. Hip pain and mobility deficits&mdash

rotation (FABER or Patrick's) test and passive hip range of motion and hip muscle strength, including internal rotation, external rotation, flexion, extension, abduction, and adduction. ( Grade of Recommendation: A ) Interventions Patient Education Clinicians should provide patient education combined with exercise and/or manual therapy. Education should include teaching activity modification, exercise, supporting weight reduction when overweight, and methods of unloading the arthritic joints. ( Grade (...) include the WOMAC physical function subscale, the Hip disability and Osteoarthritis Outcome Score (HOOS), Lower Extremity Functional Scale (LEFS), and Harris Hip Score (HHS). ( Grade of Recommendation: A ) Activity Limitation/Physical Performance Measures To assess activity limitation, participation restrictions, and changes in the patient's level of function over the episode of care, clinicians should utilize reliable and valid physical performance measures, such as the 6-minute walk test, 30-second

2017 National Guideline Clearinghouse (partial archive)

16. Musculoskeletal Screening Tests and Bony Hip Morphology Cannot Identify Male Professional Soccer Players at Risk of Groin Injuries: A 2-Year Prospective Cohort Study. (PubMed)

. Higher (>1 SD above the mean) than normal eccentric adduction strength was associated with an increased risk for all hip/groin injuries (HR, 1.6; 95% CI, 1.0-2.5). Lower (<1 SD below the mean) than normal eccentric adduction strength was associated with an increased risk for adductor-related injuries (HR, 1.7; 95% CI, 1.0-3.0). No other musculoskeletal screening test or bony hip morphology variables were associated with the injury risk.Previous groin injuries and eccentric adduction strength were (...) Musculoskeletal Screening Tests and Bony Hip Morphology Cannot Identify Male Professional Soccer Players at Risk of Groin Injuries: A 2-Year Prospective Cohort Study. Musculoskeletal hip/groin screening tests are commonly performed to detect at-risk individuals. Bony hip morphology is considered a potential intrinsic risk factor but has not been examined prospectively.To evaluate the association between intrinsic risk factors identified from musculoskeletal and radiographic screening tests

2018 American Journal of Sports Medicine

17. Metasul Monoblock Component™ Cup in a Hip Resurfacing Application With the Durom® Hip Resurfacing Femoral Component

Inflammatory Arthritis Post-traumatic; Arthrosis Diagnostic Test: Serum Metal ion levels determined to monitor changes in chromium and cobalt levels Not Applicable Detailed Description: This is a multi-center, prospective, non-controlled post market surveillance study. The objective of this study is to obtain survival and outcome data on the Zimmer Hip Resurfacing System. This will be assessed by analysis of standard scoring systems, radiographs and adverse event records. Data will be used to monitor pain (...) , 2020 Resource links provided by the National Library of Medicine related topics: available for: Arms and Interventions Go to Arm Intervention/treatment Experimental: Patients who received Metasul Monoblock in hip resurfacing Patients who recieved the Zimmer Hip Resurfacing System utilising the Metasul Monoblock Component™ Cup in a Hip Resurfacing Application with the Durom® Hip Resurfacing Femoral Component and whose Serum metal ion levels is being measured. Diagnostic Test: Serum Metal ion levels

2018 Clinical Trials

18. Digital Biofeedback System Versus Conventional Home-based Rehabilitation After Total Hip Replacement Hip Replacement

-and-Go (TUG) test between in comparison with the pre-operative score. Secondary outcomes will be measured in terms of: a) Hip Osteoarthritis Outcome Score (HOOS); b) range of motion of the hip joint (lying flexion/abduction; standing flexion/adbuction/hyperextension) Condition or disease Intervention/treatment Phase Hip Osteoarthritis Hip Arthrosis Device: Digital biofeedback system Other: Conventional home-based rehabilitation Not Applicable Study Design Go to Layout table for study information (...) to these sessions is not mandatory. Other: Conventional home-based rehabilitation Patients will perform 3 weekly rehabilitation sessions, with a duration of 1 hour, for 8 weeks, provided by a physical therapist. The rehabilitation program will respect the following principles: STAGE 1 (Weeks 0-6) Soft tissue massage Active assisted mobilization of the hip joint to increase range of motion (avoiding internal rotation and adduction) Gait training with bilateral assistive devices Isometric exercises progressing

2017 Clinical Trials

19. THE ASSOCIATIONS BETWEEN HIP STRENGTH AND HIP KINEMATICS DURING A SINGLE LEG HOP IN RECREATIONAL ATHLETES POST ACL RECONSTRUCTION COMPARED TO HEALTHY CONTROLS (PubMed)

in the healthy control group.Independent t-tests revealed that participants post ACL reconstruction exhibited less hip extensor strength (0.18 N/Ht*BW vs. 0.25 N/Ht*BW, p=<.01) and landed with greater hip adduction (9.0 º vs. 0.8 º, p=<.01) compared with their healthy counterparts. In the ACL group, Pearson's r demonstrated a moderate and indirect relationship (r=-.62, p=.03) between hip extensor strength and maximum hip abduction/adduction angle in the involved limb. A moderate and direct relationship (...) during the landing of a single leg hop. Hip extensor and abductor isometric force production was measured using a hand-held dynamometer and normalized to participants' height and weight. Dependent and independent t-tests were used to analyze for any potential differences in hip strength or kinematics within and between groups, respectively. Pearson's r was used to demonstrate potential associations between hip strength and hip kinematics for both limbs in the ACL group and the right limb

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2017 International journal of sports physical therapy

20. Dynamic radiostereometric analysis for evaluation of hip joint pathomechanics (PubMed)

°, SD 2.7) after ACH surgery. Mean adduction of 3.9° before and 2.7° after ACH surgery was unchanged (p = 0.48, Δ-1.2°; SD 4.3). Mean flexion angles during dRSA tests were 82.4° before and 80.8° after ACH surgery, which were similar (p = 0.18, Δ-1.6°, SD = 2.7). No correlation between volume of removed bone and ROM was observed.A small increase in internal rotation, but not in adduction, was observed after arthroscopic cheilectomy and -rim trimming in cadaver hips. The hip flexion angle of the FADIR (...) and CT-bone models were created. dRSA recordings of the hip joints were acquired at five frames/s during passive flexion, adduction to stop, and internal rotation to stop (FADIR). ACH was performed and dRSA was repeated. dRSA images were analyzed using model-based RSA. Hip joint kinematics before and after ACH were compared pairwise. The volume of removed bone was quantified and compared to the postoperative range of motion (ROM).Mean hip internal rotation increased from 19.1 to 21.9° (p = 0.04, Δ2.8

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2017 Journal of experimental orthopaedics

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