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Females with hip-related pain display altered lower limb mechanics compared to their healthy counterparts in a drop jump task

  • Madeline Grosklos
    Correspondence
    Corresponding author at: Jameson Crane Sports Medicine Institute, 2835 Fred Taylor Dr., Suite 3200, Columbus, OH 43202, USA.
    Affiliations
    Department of Biomedical Engineering, The Ohio State University, 140 W 19th Ave, Columbus, OH 43210, USA

    Jameson Crane Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH 43202, USA
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  • Cara L Lewis
    Affiliations
    Department of Physical Therapy & Athletic Training, College of Health & Rehabilitation Sciences: Sargent College, Boston University, 635 Commonwealth Ave, Boston, MA 02215, USA
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  • Author Footnotes
    1 Present Address: Director of Research & Assistant Professor, West Virginia University, School of Medicine, Division of Athletic Training, 1 Medical Center Dr., Morgantown, WV, USA, 26506.
    Kate Jochimsen
    Footnotes
    1 Present Address: Director of Research & Assistant Professor, West Virginia University, School of Medicine, Division of Athletic Training, 1 Medical Center Dr., Morgantown, WV, USA, 26506.
    Affiliations
    Jameson Crane Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH 43202, USA
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  • Jennifer Perry
    Affiliations
    Jameson Crane Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH 43202, USA
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  • Author Footnotes
    2 Present Address: Hip Preservation and Hip Reconstruction, Orthopaedic ONE, 6840 Perimeter Dr., Dublin, OH, USA, 43016.
    Thomas J Ellis
    Footnotes
    2 Present Address: Hip Preservation and Hip Reconstruction, Orthopaedic ONE, 6840 Perimeter Dr., Dublin, OH, USA, 43016.
    Affiliations
    Department of Orthopaedics, The Ohio State University, 2835 Fred Taylor Dr, Columbus, OH 43202, USA
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  • William K Vasileff
    Affiliations
    Department of Orthopaedics, The Ohio State University, 2835 Fred Taylor Dr, Columbus, OH 43202, USA
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  • Megan Elwood
    Affiliations
    Division of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, 453 W 10th Ave, Columbus, OH 43210, USA
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  • Stephanie Di Stasi
    Affiliations
    Jameson Crane Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, 2835 Fred Taylor Dr, Columbus, OH 43202, USA

    Division of Physical Therapy, School of Health and Rehabilitation Sciences, The Ohio State University, 453 W 10th Ave, Columbus, OH 43210, USA
    Search for articles by this author
  • Author Footnotes
    1 Present Address: Director of Research & Assistant Professor, West Virginia University, School of Medicine, Division of Athletic Training, 1 Medical Center Dr., Morgantown, WV, USA, 26506.
    2 Present Address: Hip Preservation and Hip Reconstruction, Orthopaedic ONE, 6840 Perimeter Dr., Dublin, OH, USA, 43016.

      Highlights

      • Drop jump kinematics differ between those with hip pain and controls.
      • Females with hip pain show less hip and knee flexion compared to female controls.
      • Males with hip pain did not differ in kinematics from male controls.
      • Sex-specific movement patterns exist in those with hip-related pain.

      Abstract

      Background

      Hip-related pain describes femoroacetabular impingement syndrome, acetabular dysplasia, and other hip pain conditions without clear morphological features. Movement strategies in this population, notably sex-related patterns, are poorly understood and may provide insights into why females report more pain and worse function. This study examined the sex-related differences during a drop vertical jump task between those with hip-related pain and healthy controls.

      Methods

      Patients with hip-related pain and healthy controls completed five repetitions of a drop jump while their kinematics and kinetics were recorded using a motion capture system and force plates. Hip, knee, and ankle joint angles and external joint moments during landing were used in general estimating equations for comparison of group by sex by limb interactions. Time series data were further investigated using statistical parametric mapping. Findings: Females with hip-related pain had 9.1° less hip flexion (P = .041) and 9.2° less knee flexion (P = .024) than healthy females, and 8.3° less knee flexion than male counterparts with hip-related pain (P = .039). Males demonstrated 1.4° less hip flexion on the affected side compared to their uninvolved side (P = .004). Statistical parametric mapping results showed significant differences in knee flexion angle for females with hip-related pain compared to healthy females (P = .042). There were no significant differences in hip, knee, or ankle moments.

      Interpretation

      Females with hip-related pain showed kinematic patterns distinct from healthy controls. Sex may be an important variable of interest in characterizing movement impairments in this population and movement impairments may be an appropriate target for intervention for these patients.

      Keywords

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