The relationship of hip muscle performance to leg, ankle and foot injuries: a systematic review

Nili Steinberg, Gali Dar, Martin Dunlop, Jamie GAIDA

    Research output: Contribution to journalArticle

    5 Citations (Scopus)

    Abstract

    Objectives: Hip control affects movement and muscle firing patterns in the leg, ankle and foot, and may contribute to overuse injuries. Muscle performance can be measured as strength, endurance or muscle activation patterns. Our objective was to systematically review whether hip muscle performance is associated with leg, ankle and foot injuries. Data sources: A structured and comprehensive search of six medical literature databases was combined with forward and backward citation tracking (AMED, CINAHL, EMBASE, Medline, Scopus and SportDiscus). Study selection: Eligible studies measured hip muscle performance in individuals with musculoskeletal injuries below the tibial tuberosity, using dynamometry or electromyography (EMG). All studies compared an injured group with a control group or compared the injured and non-injured limb in the same individual. Data extraction: Data was extracted from each study independently by two authors. Data synthesis: Twenty case-control and four prospective studies (n = 24) met the inclusion criteria. Injury classifications included chronic ankle instability (n = 18), Achilles tendinopathy (n = 2), medial tibial stress syndrome and tibial stress fracture (n = 1), posterior tibial tendon dysfunction (n = 1), and exertional medial tibial pain (n = 2). Eleven of the studies revealed differences in hip muscle performance indicating less strength, delayed onset activation and decreased duration of activation in the injured groups. Two studies found evidence for differences between groups only in some of their measurements. Three out of the four prospective studies revealed that hip muscle performance was not a risk factor for leg, ankle and foot injuries. Conclusions: This review provides limited evidence that hip muscle performance variables are related to leg, ankle and foot injuries. Emerging evidence indicates this might be a result of the injury rather than a contributor to the injury.

    Original languageEnglish
    Pages (from-to)49-63
    Number of pages15
    JournalThe Physician and Sportsmedicine
    Volume45
    Issue number1
    DOIs
    Publication statusPublished - 2 Jan 2017

    Fingerprint

    Leg Injuries
    Foot Injuries
    Ankle Injuries
    Hip
    Muscles
    Wounds and Injuries
    Ankle
    Medial Tibial Stress Syndrome
    Posterior Tibial Tendon Dysfunction
    Prospective Studies
    Cumulative Trauma Disorders
    Tendinopathy
    Stress Fractures
    Tibial Fractures
    Information Storage and Retrieval
    Electromyography
    Foot
    Leg
    Extremities
    Databases

    Cite this

    Steinberg, Nili ; Dar, Gali ; Dunlop, Martin ; GAIDA, Jamie. / The relationship of hip muscle performance to leg, ankle and foot injuries: a systematic review. In: The Physician and Sportsmedicine. 2017 ; Vol. 45, No. 1. pp. 49-63.
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    The relationship of hip muscle performance to leg, ankle and foot injuries: a systematic review. / Steinberg, Nili; Dar, Gali; Dunlop, Martin; GAIDA, Jamie.

    In: The Physician and Sportsmedicine, Vol. 45, No. 1, 02.01.2017, p. 49-63.

    Research output: Contribution to journalArticle

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