Advanced SearchSearch Tips
The effect of hip abductor fatigue on static balance and gait parameters
facebook(new window)  Pirnt(new window) E-mail(new window) Excel Download
 Title & Authors
The effect of hip abductor fatigue on static balance and gait parameters
Hwang, Wonjeong; Jang, Jun Ha; Huh, Minjin; Kim, Yeon Ju; Kim, Sang Won; Hong, In Ui; Lee, Mi Young;
  PDF(new window)
Objective: Hip abductors play a role in providing stability and movement to the lower limbs. The purpose of this study was to examine the effects of hip abductor fatigue on static balance and gait in the general population. Design: One group pre-test post-test design. Methods: Thirteen university students in their twenties volunteered for the study and had underwent a functional assessment. To induce fatigue, the subjects were instructed to raise their dominant lower extremity up against a load of 50% of 1 repetition maximum while producing hip abduction in a side-lying position. Subjects were instructed to maintain an abduction speed of 30 repetitions per minute to induce fatigue. Muscle fatigue was considered to be established when subjects were unable to perform hip abduction three consecutive times along with the metronome. A post-test of balance and gait was performed immediately in order to prevent fatigue recovery. The center of pressure (COP) distance area was measured using the Zebris FDM-S Multifunction Force measuring plate. Gait performance was analyzed using the GAITRite. Results: The COP distance was increased after fatigue was induced. There was a significant increase in the standard deviation of the medio-lateral and antero-posteror distance (p<0.05). Although there was no significant difference in gait parameters, there was a significant decrease in single support time after fatigue was induced (p<0.05). Conclusions: There was an increase in static balance instability and a significant decrease in single support time during gait due to hip abductor muscle fatigue.
Fatigue;Gait;Postural balance;
 Cited by
Casartelli NC, Maffiuletti NA, Item-Glatthorn JF, Staehli S, Bizzini M, Impellizzeri FM, et al. Hip muscle weakness in patients with symptomatic femoroacetabular impingement. Osteoarthritis Cartilage 2011;19:816-21. crossref(new window)

Ireland ML, Willson JD, Ballantyne BT, Davis IM. Hip strength in females with and without patellofemoral pain. J Orthop Sports Phys Ther 2003;33:671-6. crossref(new window)

Tak SJ, Lee YW, Choi WJ, Lee GH. The effects of active release technique on the gluteus medius for pain relief in persons with chronic low back pain. Phys Ther Rehabil Sci 2013;2:27-30.

Friel K, McLean N, Myers C, Caceres M. Ipsilateral hip abductor weakness after inversion ankle sprain. J Athl Train 2006;41: 74-8.

Magee DJ. Orthopedic physical assessment. 3rd ed. Philadelphia: Saunders; 1997.

Pai YC, Rogers MW, Hedman LD, Hanke TA. Alterations in weight-transfer capabilities in adults with hemiparesis. Phys Ther 1994;74:647-57; discussion 657-9. crossref(new window)

O'Dwyer C, Sainsbury D, O'Sullivan K. Gluteus medius muscle activation during isometric muscle contractions. J Sport Rehabil 2011;20:174-86. crossref(new window)

Cichanowski HR, Schmitt JS, Johnson RJ, Niemuth PE. Hip strength in collegiate female athletes with patellofemoral pain. Med Sci Sports Exerc 2007;39:1227-32. crossref(new window)

Fredericson M, Cookingham CL, Chaudhari AM, Dowdell BC, Oestreicher N, Sahrmann SA. Hip abductor weakness in distance runners with iliotibial band syndrome. Clin J Sport Med 2000; 10:169-75. crossref(new window)

Bigland-Ritchie B, Woods JJ. Changes in muscle contractile properties and neural control during human muscular fatigue. Muscle Nerve 1984;7:691-9. crossref(new window)

Enoka RM, Stuart DG. Neurobiology of muscle fatigue. J Appl Physiol (1985) 1992;72:1631-48. crossref(new window)

Balestra C, Duchateau J, Hainaut K. Effects of fatigue on the stretch reflex in a human muscle. Electroencephalogr Clin Neurophysiol 1992;85:46-52. crossref(new window)

Ribeiro F, Mota J, Oliveira J. Effect of exercise-induced fatigue on position sense of the knee in the elderly. Eur J Appl Physiol 2007;99:379-85. crossref(new window)

Gribble PA, Hertel J. Effect of lower-extremity muscle fatigue on postural control. Arch Phys Med Rehabil 2004;85:589-92. crossref(new window)

Salgado E, Ribeiro F, Oliveira J. Joint-position sense is altered by football pre-participation warm-up exercise and match induced fatigue. Knee 2015;22:243-8. crossref(new window)

Arvin M, Hoozemans MJ, Burger BJ, Rispens SM, Verschueren SM, van Dieen JH, et al. Effects of hip abductor muscle fatigue on gait control and hip position sense in healthy older adults. Gait Posture 2015;42:545-9. crossref(new window)

Miller PK, Bird AM. Localized muscle fatigue and dynamic balance. Percept Mot Skills 1976;42:135-8. crossref(new window)

Reimer RC 3rd, Wikstrom EA. Functional fatigue of the hip and ankle musculature cause similar alterations in single leg stance postural control. J Sci Med Sport 2010;13:161-6. crossref(new window)

Bellew JW, Fenter PC. Control of balance differs after knee or ankle fatigue in older women. Arch Phys Med Rehabil 2006; 87:1486-9. crossref(new window)

Letafatkar K, Alizadeh MH, Kordi MR. The effect of exhausting exercise induced muscular fatigue on functional stability. J Social Sci 2009;5:416-22.

Patrek MF, Kernozek TW, Willson JD, Wright GA, Doberstein ST. Hip-abductor fatigue and single-leg landing mechanics in women athletes. J Athl Train 2011;46:31-42. crossref(new window)

Seo DI, Kim E, Fahs CA, Rossow L, Young K, Ferguson SL, et al. Reliability of the one-repetition maximum test based on muscle group and gender. J Sports Sci Med 2012;11:221-5.

Lee SP, Powers C. Fatigue of the hip abductors results in increased medial-lateral center of pressure excursion and altered peroneus longus activation during a unipedal landing task. Clin Biomech (Bristol, Avon) 2013;28:524-9. crossref(new window)

Muehlbauer T, Roth R, Mueller S, Granacher U. Intra and intersession reliability of balance measures during one-leg standing in young adults. J Strength Cond Res 2011;25:2228-34. crossref(new window)

Bilney B, Morris M, Webster K. Concurrent related validity of the GAITRite walkway system for quantification of the spatial and temporal parameters of gait. Gait Posture 2003;17:68-74. crossref(new window)

van Uden CJ, Besser MP. Test-retest reliability of temporal and spatial gait characteristics measured with an instrumented walkway system (GAITRite). BMC Musculoskelet Disord 2004;5: 13. crossref(new window)

Bisson EJ, McEwen D, Lajoie Y, Bilodeau M. Effects of ankle and hip muscle fatigue on postural sway and attentional demands during unipedal stance. Gait Posture 2011;33:83-7. crossref(new window)

Forestier N, Teasdale N, Nougier V. Alteration of the position sense at the ankle induced by muscular fatigue in humans. Med Sci Sports Exerc 2002;34:117-22.

Hiemstra LA, Lo IK, Fowler PJ. Effect of fatigue on knee proprioception: implications for dynamic stabilization. J Orthop Sports Phys Ther 2001;31:598-605. crossref(new window)

Gribble PA, Hertel J. Effect of hip and ankle muscle fatigue on unipedal postural control. J Electromyogr Kinesiol 2004;14: 641-6. crossref(new window)

Pandy MG, Lin YC, Kim HJ. Muscle coordination of mediolateral balance in normal walking. J Biomech 2010;43:2055-64. crossref(new window)

Jacobs CA, Uhl TL, Mattacola CG, Shapiro R, Rayens WS. Hip abductor function and lower extremity landing kinematics: sex differences. J Athl Train 2007;42:76-83.

Heinert BL, Kernozek TW, Greany JF, Fater DC. Hip abductor weakness and lower extremity kinematics during running. J Sport Rehabil 2008;17:243-56. crossref(new window)

Lewinson RT, Worobets JT, Stefanyshyn DJ. The relationship between maximal hip abductor strength and resultant loading at the knee during walking. Proc Inst Mech Eng H 2014;228: 1258-63. crossref(new window)

Kurz I, Berezowski E, Melzer I. Frontal plane instability following rapid voluntary stepping: effects of age and a concurrent cognitive task. J Gerontol A Biol Sci Med Sci 2013;68:1402-8. crossref(new window)

Nankaku M, Tsuboyama T, Kakinoki R, Kawanabe K, Kanzaki H, Mito Y, et al. Gait analysis of patients in early stages after total hip arthroplasty: effect of lateral trunk displacement on walking efficiency. J Orthop Sci 2007;12:550-4. crossref(new window)

Bauer CM, Groger I, Rupprecht R, Marcar VL, GaBmann KG. Prediction of future falls in a community dwelling older adult population using instrumented balance and gait analysis. Z Gerontol Geriatr 2015. doi: 10.1007/s00391-015-0885-0. [Epub ahead of print] crossref(new window)

Jenkins ME, Almeida QJ, Spaulding SJ, van Oostveen RB, Holmes JD, Johnson AM, et al. Plantar cutaneous sensory stimulation improves single-limb support time, and EMG activation patterns among individuals with Parkinson's disease. Parkinsonism Relat Disord 2009;15:697-702. crossref(new window)