Hip muscle activity in people with hip-related pain compared to asymptomatic controls: A systematic review |
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| Affiliation: | 1. La Trobe University, School of Allied Health, Human Services, and Sport, Australia;2. University of Queensland, School of Health and Rehabilitation Sciences, Australia;3. La Trobe Sports and Exercise Medicine Research Center, La Trobe University;1. Department of Kinesiology and Health Sciences, University of Waterloo, Waterloo, ON, Canada;2. School of Physiotherapy, University of Otago, Dunedin, New Zealand;1. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bolu Abant Izzet Baysal University, Bolu, Turkey;2. Faculty of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey;3. Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Tokat Gaziosmanpasa University, Tokat, Turkey;1. Department of Bioengineering, Stanford University, Stanford, CA, United States;2. Department of Mechanical Engineering, Stanford University, Stanford, CA, United States;3. Musculoskeletal Research Lab, VA Palo Alto Healthcare System, Palo Alto, CA, United States;4. Department of Biomedical Data Science, Stanford University, Stanford, CA, United States;5. Department of Orthopaedic Surgery, Stanford University, Stanford, CA, United States;1. Center for General Education, Aichi Institute of Technology, 1247 Yachigusa, Yakusa-cho, Toyota-shi, Aichi 470-0392, Japan;2. Laboratory of Neuromuscular Biomechanics, School of Health and Sport Sciences, Chukyo University 101 Tokodachi, Kaizu-cho, Toyota-shi, Aichi 470-0393, Japan;3. Faculty of Electrical Engineering and Computer Science, University of Maribor, Koroška cesta 46, 2000 Maribor, Slovenia;1. Laboratorio de Investigación Somatosensorial y Motora, Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Chile;2. Laboratorio Integrativo de Biomecánica y Fisiología del Esfuerzo (LIBFE), Escuela de Kinesiología, Facultad de Medicina, Universidad de los Andes, Santiago, Chile;3. Departamento de Ciencias del Movimiento Humano, Facultad de Ciencias de la Salud, Universidad de Talca, Talca, Chile;4. Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile;5. Laboratory of Neuromuscular Biomechanics, School of Health and Sport Sciences, Chukyo University, Toyota, Japan;6. Centre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom |
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| Abstract: | BackgroundAltered hip and thigh muscle activity have been observed across a spectrum of articular hip pathologies, including hip osteoarthritis, femoroacetabular impingement syndrome, and labral pathology. No systematic reviews have examined muscle activity associated with hip pathology and hip-related pain across the life span. A greater understanding of impairments in hip and thigh muscle activity during functional tasks may assist in the development of targeted treatment strategies.MethodsWe conducted a systematic review using the PRISMA guidelines. A literature search was performed in five databases (MEDLINE, CINAHL, EMBASE, Sports Discuss, and PsychINFO). Studies were included that (i) investigated people with hip-related pain (femoroacetabular impingement syndrome, labral tears) or hip osteoarthritis; and (ii) reported on muscle activity using electromyography of hip and thigh muscles during functional tasks such as walking, stepping, squatting, or lunging. Two independent reviewers performed data extraction and assessed risk of bias using a modified version of the Downs and Black checklist.ResultsNon-pooled data demonstrated a limited level of evidence. Overall, differences in muscle activity appeared to be more prevalent in people with more advanced hip pathology.ConclusionsWe found that impairments in muscle activity in those with intra-articular hip pathology measured using electromyography were variable but appeared to be greater in severe hip pathology (e.g., hip OA). |
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| Keywords: | Hip-related pain Hip Osteoarthritis Electromyography Rehabilitation Walking |
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