Volume 21, Issue 25 (9-2023)                   RSMT 2023, 21(25): 114-129 | Back to browse issues page

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Sebyani M, Minoonejad H, Shirzad E, Alizadeh M. Effect of Changing the Muscles Activation Patterns in Prone Hip Extension on Kinematical Variables Affecting the Hamstring Injury. RSMT 2023; 21 (25) :114-129
URL: http://jsmt.khu.ac.ir/article-1-573-en.html
Tehran University , h.minoonejad@ut.ac.ir
Abstract:   (813 Views)
The Prone Hip Extension test (PHE) is used to evaluate the quality of motor control in the lumbopelvic region. Because of the similarity of this test to the walking and running pattern, it seems that muscle interaction in this test is important in hamstring injury. Therefore, this study aimed to investigate the effect of changing the activation patterns of muscles in prone hip extension on kinematical variables affecting hamstring injury. 28 male soccer players participated in this study. The prone hip extension test was used to evaluate and classify subjects, and based on the activation pattern, they were divided into two groups: normal pattern (N=14) and altered pattern (N=14). We used the Myon electromyography device to evaluate the prone hip extension test muscles activation pattern. Also, the kinematic evaluation of running was done on a treadmill at a speed of 20 km/h. Two-dimensional and three-dimensional video analyses were used to extract kinematic data (pelvic tilt, trunk lateral flexion, and trunk flexion). The range of motion in a running cycle and the amount of each variable at the moment of initial foot contact were used. An Independent t-test was used to analyze the data. The results of this research showed that there is a significant difference in the amount of trunk lateral flexion (p= 0/002), and trunk flexion (p= 0/024) at the moment of the initial foot contact and the range of motion of trunk lateral flexion (p=0/019), and trunk flexion (p=0/035) and pelvic tilt (p=0/008) in a running cycle between the changed pattern group and the normal group. The results of this research showed that changing the pattern of muscle activation in the prone hip extension test can increase the risk of a hamstring injury.
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Type of Study: Research | Subject: آسیب شناسی و حرکات اصلاحی
Received: 2023/04/12 | Accepted: 2023/05/17 | Published: 2023/09/1

1. Porter T, Rushton A.(2015) The efficacy of exercise in preventing injury in adult male football: a systematic review of randomised controlled trials. Sports medicine-open. 1(1):1-12. [DOI:10.1186/s40798-014-0004-6]
2. O'Sullivan L, Tanaka MJ.(2021) Sex-based differences in hamstring injury risk factors. Journal of Women's Sports Medicine.;1(1):20-9. [DOI:10.53646/jwsm.v1i1.8]
3. Pizzari T, Green B, van Dyk N.(2020) Extrinsic and intrinsic risk factors associated with hamstring injury. Prevention and Rehabilitation of Hamstring Injuries. 83-115. [DOI:10.1007/978-3-030-31638-9_4]
4. Rudisill SS, Varady NH, Kucharik MP, Eberlin CT, Martin SD.(2022) Evidence-based hamstring injury prevention and risk factor management: A systematic review and meta-analysis of randomized controlled trials. The American Journal of Sports Medicine.03635465221083998. [DOI:10.1177/03635465221083998]
5. Ekstrand J, Waldén M, Hägglund M.(2016) Hamstring injuries have increased by 4% annually in men's professional football, since 2001: a 13-year longitudinal analysis of the UEFA Elite Club injury study. British journal of sports medicine. 50(12):731-7. [DOI:10.1136/bjsports-2015-095359]
6. Sebyani M, Alizadeh M.(2020) Review of Effectiveness of Hamstring Injuries Prevention Protocols in Soccer. The Scientific Journal of Rehabilitation Medicine. 9(3):297-307.(in persian)
7. Sahrmann S. Concepts and principles of movement. Diagnosis and treatment of movement impairment syndromes. 2001.
8. Fyfe JJ, Opar DA, Williams MD, Shield AJ.(2013) The role of neuromuscular inhibition in hamstring strain injury recurrence. Journal of Electromyography and Kinesiology. 23(3):523-30. [DOI:10.1016/j.jelekin.2012.12.006]
9. Pellicer-Chenoll M, Serra-Añó P, Cabeza-Ruiz R, Pardo A, Aranda R, González L. (2017)Comparison of conventional hamstring/quadriceps ratio between genders in level-matched soccer players. Revista andaluza de medicina del deporte. 10(1):14-8. [DOI:10.1016/j.ramd.2015.05.002]
10. Silder A, Thelen DG, Heiderscheit BC.(2010) Effects of prior hamstring strain injury on strength, flexibility, and running mechanics. Clinical Biomechanics. 25(7):681-6. [DOI:10.1016/j.clinbiomech.2010.04.015]
11. Schuermans J, Van Tiggelen D, Danneels L, Witvrouw E.(2014) Biceps femoris and semitendinosus-teammates or competitors? New insights into hamstring injury mechanisms in male football players: a muscle functional MRI study. British journal of sports medicine. 48(22):1599-606. [DOI:10.1136/bjsports-2014-094017]
12. Lehman GJ, Lennon D, Tresidder B, Rayfield B, Poschar M.(2004) Muscle recruitment patterns during the prone leg extension. BMC Musculoskeletal Disorders. 5(1):1-5. [DOI:10.1186/1471-2474-5-3]
13. Schuermans J, Van Tiggelen D, Witvrouw E.(2017) Prone hip extension muscle recruitment is associated with hamstring injury risk in amateur soccer. International journal of sports medicine. 38(09):696-706. [DOI:10.1055/s-0043-103016]
14. Tateuchi H, Tsukagoshi R, Fukumoto Y, Akiyama H, So K, Kuroda Y, Ichihashi N. (2013) Pelvic instability and trunk and hip muscle recruitment patterns in patients with total hip arthroplasty. Journal of Electromyography and Kinesiology. 23(1):151-8. [DOI:10.1016/j.jelekin.2012.08.005]
15. Shin S-j, Kim T-y, Yoo W-g.(2013) Effects of various gait speeds on the latissimus dorsi and gluteus maximus muscles associated with the posterior oblique sling system. Journal of physical therapy science. 25(11):1391-2. [DOI:10.1589/jpts.25.1391]
16. Bruno PA, Bagust J. (2007) An investigation into motor pattern differences used during prone hip extension between subjects with and without low back pain. Clinical Chiropractic.10(2):68-80. [DOI:10.1016/j.clch.2006.10.002]
17. Murphy DR, Byfield D, McCarthy P, Humphreys K, Gregory AA, Rochon R.(2006) Interexaminer reliability of the hip extension test for suspected impaired motor control of the lumbar spine. Journal of manipulative and physiological therapeutics.29(5):374-7. [DOI:10.1016/j.jmpt.2006.04.012]
18. Emami M, Arab AM, Ghamkhar L. (2014)The activity pattern of the lumbo‐pelvic muscles during prone hip extension in athletes with and without hamstring strain injury. International journal of sports physical therapy. 9(3):312.
19. Higashihara A, Nagano Y, Takahashi K, Fukubayashi T. (2015) Effects of forward trunk lean on hamstring muscle kinematics during sprinting. Journal of sports sciences. 33(13):1366-75. [DOI:10.1080/02640414.2014.990483]
20. Schuermans J, Danneels L, Van Tiggelen D, Palmans T, Witvrouw E.(2017) Proximal neuromuscular control protects against hamstring injuries in male soccer players: a prospective study with electromyography time-series analysis during maximal sprinting. The American journal of sports medicine. 45(6):1315-25. [DOI:10.1177/0363546516687750]
21. Schuermans J, Van Tiggelen D, Palmans T, Danneels L, Witvrouw E.(2017) Deviating running kinematics and hamstring injury susceptibility in male soccer players: Cause or consequence? Gait & posture. 57:270-7. [DOI:10.1016/j.gaitpost.2017.06.268]
22. Frank C, Page P, Lardner R. Assessment and treatment of muscle imbalance: the Janda approach, Human kinetics. Search in. (2009).
23. Bruno PA, Millar DP, Goertzen DA. (2014) Inter-rater agreement, sensitivity, and specificity of the prone hip extension test and active straight leg raise test. Chiropractic & manual therapies. 22(1):1-8. [DOI:10.1186/2045-709X-22-23]
24. Daly C, McCarthy Persson U, Twycross‐Lewis R, Woledge R, Morrissey D.(2016) The biomechanics of running in athletes with previous hamstring injury: A case‐control study. Scandinavian journal of medicine & science in sports. 26(4):413-20. [DOI:10.1111/sms.12464]
25. Dingenen B, Barton C, Janssen T, Benoit A, Malliaras P.(2018) Test-retest reliability of two-dimensional video analysis during running. Physical therapy in Sport. 33:40-7. [DOI:10.1016/j.ptsp.2018.06.009]
26. Bolink S, Naisas H, Senden R, Essers H, Heyligers I, Meijer K, Grimm B.(2016) Validity of an inertial measurement unit to assess pelvic orientation angles during gait, sit-stand transfers and step-up transfers: Comparison with an optoelectronic motion capture system. Medical engineering & physics. 38(3):225-31. [DOI:10.1016/j.medengphy.2015.11.009]
27. Buganè F, Benedetti MG, D'Angeli V, Leardini A.(2014) Estimation of pelvis kinematics in level walking based on a single inertial sensor positioned close to the sacrum: validation on healthy subjects with stereophotogrammetric system. Biomedical engineering online. 13(1):1-15. [DOI:10.1186/1475-925X-13-146]
28. Woods C, Hawkins R, Maltby S, Hulse M, Thomas A, Hodson A.(2004) The Football Association Medical Research Programme: an audit of injuries in professional football-analysis of hamstring injuries. British journal of sports medicine. 38(1):36-41. [DOI:10.1136/bjsm.2002.002352]
29. Chumanov ES, Heiderscheit BC, Thelen DG.(2007) The effect of speed and influence of individual muscles on hamstring mechanics during the swing phase of sprinting. Journal of biomechanics. 40(16):3555-62. [DOI:10.1016/j.jbiomech.2007.05.026]
30. Schache AG, Bennell KL, Blanch PD, Wrigley TV.(1999) The coordinated movement of the lumbo-pelvic-hip complex during running: a literature review. Gait & posture. 10(1):30-47. [DOI:10.1016/S0966-6362(99)00025-9]
31. Sherry MA, Best TM.(2004) A comparison of 2 rehabilitation programs in the treatment of acute hamstring strains. Journal of Orthopaedic & Sports Physical Therapy. 34(3):116-25. [DOI:10.2519/jospt.2004.34.3.116]
32. Panayi S. (2010) The need for lumbar-pelvic assessment in the resolution of chronic hamstring strain. Journal of bodywork and movement therapies. 14(3):294-8. [DOI:10.1016/j.jbmt.2009.08.004]
33. Alizadeh S, Mattes K.(2019) How anterior pelvic tilt affects the lower extremity kinematics during the late swing phase in soccer players while running: A time series analysis. Human Movement Science. 66:459-66. [DOI:10.1016/j.humov.2019.06.001]
34. Arnold AS, Salinas S, Hakawa DJ, Delp SL.(2000) Accuracy of muscle moment arms estimated from MRI-based musculoskeletal models of the lower extremity. Computer Aided Surgery. 19(2):108-25. [DOI:10.3109/10929080009148877]
35. Kumazaki T, Ehara Y, Sakai T.(2012) Anatomy and physiology of hamstring injury. International journal of sports medicine. 33(12):950-4. [DOI:10.1055/s-0032-1311593]
36. Lieberman DE, Raichlen DA, Pontzer H, Bramble DM, Cutright-Smith E.(2006) The human gluteus maximus and its role in running. Journal of Experimental Biology. 209(11):2143-55. [DOI:10.1242/jeb.02255]
37. Snijders C, Vleeming A, Stoeckart R.(1993) Transfer of lumbosacral load to iliac bones and legs: Part 1: Biomechanics of self-bracing of the sacroiliac joints and its significance for treatment and exercise. Clinical biomechanics. 8(6):285-94. [DOI:10.1016/0268-0033(93)90002-Y]
38. Agresta CE. The influence of the back functional line on lower extremity frontal plane kinematics and kinematic predictors of loading during running: Temple University; (2015).
39. Smith MMF, Bonacci J, Mendis MD, Christie C, Rotstein A, Hides JA.(2017) Gluteus medius activation during running is a risk factor for season hamstring injuries in elite footballers. Journal of science and medicine in sport. 20(2):159-63. [DOI:10.1016/j.jsams.2016.07.004]
40. Jeffreys I. (2013) Developing speed: Human Kinetics

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