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Showing 2 results for Khayambashi

N Jamali, Kh Khayambashi, Sh Lenjannejadian, H Esmaeili,
Volume 18, Issue 19 (7-2020)
Abstract

Although hip muscle strengthening has been reported as an effective way to decrease PFPS symptoms, however its effect on lower extremity kinematics is less clear. The current study was done with the aim of investigating the effect of hip abductor and external rotator muscles strengthening exercises on lower extremity kinematics in static and dynamic states. In a randomized controlled trial, 33 patients with patellofemoral pain (PFP) were randomly assigned into exercise (8 female, 30±6.8 y/o, 23.8±2.6 BMI and 8 male, 31.2±7 y/o, 25.6±1.5 BMI) and control (9 female, 29.9±7.3 y/o, 23.2±3.2 BMI and 8 male, 32±6 y/o, 25.5±1.9 BMI) groups. In exercise group they received hip abductor and external rotator strengthening exercises by thera-band 3 times per week for 12 weeks under supervision by a physiotherapist. The control group did not receive any training intervention. Hip muscles strength and kinematics in static and dynamic states, were assessed at baseline and post-intervention. Repeated measures ANOVA by using SPSS were applied to assess the effects of the exercise on measured variables (α=0/05). After 12 weeks of strengthening program, by an increase in abductor muscle strength in women from 19.6 to 26.4 %BW (P=0.000) and in men from 29.9 to 38.1 %BW (P=0.003), and in hip external rotator muscles in women from 13.2 to 16.9 %BW (P=0.024) and in men from 26.3 to 34.9 %BW (P=0.000), dynamic knee valgus angle during single-legged squat improved in women from 170 to 174.6 degrees (P=0.018) and in men from 171.8 to 176.8 degrees (P=0.017) and contralateral pelvic drop angle during stair descending improved only in women from 7.9 to 6 degrees (P=0.04) in the exercise group. No significant difference was observed at quadriceps angle (P≥0.05). The findings suggest that hip muscles strengthening can alter the lower extremity kinematics, in dynamic state, at the frontal plane, and it might be said that due to these changes following hip abductor and external rotator muscles strengthening exercises by thera-band, the symptoms of PFP improve more consistent.

Azadeh Doroodgar, Khalil Khayambashi, Shahram Lenjannejadian, Ghasem Yadegarfar,
Volume 19, Issue 21 (9-2021)
Abstract

Hamstrings (Hams) to Quadriceps (Quadr) strength ratio is known as a risk factor for Anterior Cruciate Ligament (ACL) injury and affects by knee and hip flexion angles. Gluteus Maximus (Gmax) muscle acts as a synergist for Hams in hip extension in a closed kinetic chain. The aim of this study was to investigate the effect of Gmax strengthening exercises on the kinetic and kinematic risk factors of ACL injury when single-leg landing from a jump. 25 volunteer women aged 18-30 years were assigned into control (n =13) and experimental (n =12) groups. Maximum isometric strength of Gmax, hip and knee joint angles and ground reaction force (GRF) was measured at landing, by dynamometer, 2D imaging and foot scan respectively,. After 8 weeks of 3 sessions of Gmax resistance training, Following the significant within-subject difference for GRF (F=5.245, P=0.032) by using Two-way mixed model ANOVA, Pre and post-test Differences were significant with 16.63% decrease (P= 0.038, t=2.354). Differences between pre and post-test peak force, time to peak, mean joint angles, impact and load rate were not significant (α = 0.05). According to a 4.55% and 3.47% increase in Gmax strength and time to peak force, and considering the fact that at the beginning of landing, the mechanical advantage of Hams is lower than that of Gmax, the risk of ACL injury could be reduced by reducing GRF following an increase in the Gmax strength.



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