The relationship of hip rotation range, hip rotator strength and balance in healthy individuals

J Back Musculoskelet Rehabil. 2020;33(5):761-767. doi: 10.3233/BMR-181299.

Abstract

Background: Few studies have explored the relationship between muscle strength, range of motion (ROM), and balance in the horizontal plane of the hip joint using three-dimensional (3D) motion analysis.

Objective: We investigate the relationships of hip internal rotation (IR) and external rotation (ER) ROM, measured using a 3D motion capture system, with hip internal and external rotator strength and single-leg standing balance.

Methods: The participants were 40 healthy adults. Kinematic data on hip ROM were collected using an eight-camera motion analysis system. Hip rotational strength measurements were obtained using hand-held isometric dynamometry. A Single-leg standing test and a pendular test were conducted to evaluate static and dynamic balance ability using BioRescue.

Results: Significant correlations were found between hip strength and each variable measured during hip ROM assessments (p< 0.05). Significant positive correlations were found between the hip IR/ER strength ratio and the IR/ER ROM ratio (r= 0.72, p< 0.01). The subgroup with a normal IR/ER ratio of hip rotator strength and ROM showed significantly better dynamic balance ability than the subgroup with a hip rotator muscle imbalance (p< 0.05).

Conclusions: There is a significant relationship between hip IR/ER strength and IR/ER ROM with a normal hip IR/ER strength and ROM ratio positively affecting dynamic balance ability.

Keywords: Hip rotator muscle; dynamic balance; hip rotation range.

MeSH terms

  • Biomechanical Phenomena
  • Female
  • Healthy Volunteers
  • Hip
  • Hip Joint / physiology*
  • Humans
  • Male
  • Muscle Strength / physiology*
  • Muscle, Skeletal / physiology*
  • Postural Balance / physiology*
  • Range of Motion, Articular / physiology*
  • Rotation
  • Young Adult