Hip Abductor Strengthening With Proprioceptive Neuromuscular Facilitation

NCT05840523 | Completed

• 1 other identifier: NigdeFAltındal
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

Objectives: To compare effectiveness of strengthening hip abductors with Proprioceptive Neuromuscular Facilitation (PNF) technique and Range Of Motion (ROM) exercises on core endurance and functional performance in healthy adults using theraband. Methods: 66 sedentary healthy, male volunteers between ages 20-26 (mean age 21,68± 1,37 years) participated in study. PNF, ROM exercises applied with theraband include intervention groups. Theraband strengthening exercises were applied 3 days a week for 6 weeks, a total of 18 sessions. Intervention groups were compared with healthy control group. Participants hip abductor muscle strength was assessed with hand held dynamometer, lower extremity balance with y test, core endurance with flexor, extensor, right, left side endurance tests, global core stability with single leg squat test at baseline and at 6 weeks after exercise program.

Conditions

Sports Physical Therapy

Keywords

Exercise; Muscle strenght; Balance

Outcome Measures

Primary Outcomes (4)

• Change from baseline in Muscle strength with different exercises(PNF and ROM) at week 6

  Bilateral hip abductor isometric strength was assessed using a Hand-held Dynamometer(HHD) (Commander Power Track II; JTECH Medical Industries, Salt Lake City, UT) using the maximal isometric strength standard protocol. The participant was asked to 30 degrees hip abduct by stabilizing the pelvis in the side lying position. Three measurements were made by placing the dynamometer pad 10 cm proximal to the lateral epicondyle of the femur, and the average value was recorded in kilograms.

  6 weeks

• Change from baseline in balance with different exercises(PNF and ROM) at week 6

  It was done with Y balance test. While maintaining their balance on the dominant extremity on the test platform, the participants were asked to reach out in 3 directions (anterior-posterior, postero-medial and postero-lateral) with the tip of the other foot. 3 repetitions were made for each direction, and rest intervals of 15 seconds were given. The mean score was recorded in cm. The lower extremity length of the participants was determined by measuring the distance between the anterior superior spina iliaca and the medial malleolus with a tape measure in the supine position. Composite scoring was obtained by multiply with one hundred the reach in all directions and dividing by three leg lengths.

  6 weeks

• Change from baseline in global(functional) core with different exercises(PNF and ROM) at week 6

  It was done with the single leg squat test. Participants were asked to perform one-leg squats at 45 degrees knee flexion in 30 seconds, and the number of squats was recorded.

  6 weeks

• Change from baseline in core endurance with different exercises(PNF and ROM) at week 6

  Participants were evaluated with trunk flexion endurance, extension endurance and lateral bridge endurance tests, and the results were recorded in seconds.

  6 weeks

Study Arms (3)

Proprioceptive Neuromuscular Facilitation (PNF) Exercise Group

EXPERIMENTAL

The PNF group performed flexion-abduction-internal rotation and extension-abduction-internal rotation patterns as 15 repetitions, 2 sets. The metronome was used to fix the construction speed of the exercises (50bpm). PNF exercises were performed with EB at a metronome speed of 50bpm at a ratio of 1:2 sec. In other words, while transition from the antagonist to agonist pattern in 3 clicks, there was return from agonist to antagonist in 6 clicks.

Other: Proprioceptive Neuromuscular Facilitation exercises

Range Of Motion (ROM) Exercise Group

EXPERIMENTAL

The ROM group performed hip flexion abduction, neutral abduction and extension abduction exercises with an EB at 50bpm metronome speed in 3 sets of 10 repetitions. In both groups, 30 seconds of rest was given between exercises.

Other: The Range Of Motion exercises

Control Group

NO INTERVENTION

No exercise practice was done

Interventions

Proprioceptive Neuromuscular Facilitation exercises OTHER

The PNF group performed flexion-abduction-internal rotation and extension-abduction-internal rotation patterns as 15 repetitions, 2 sets. The metronome was used to fix the construction speed of the exercises (50bpm). PNF exercises were performed with EB at a metronome speed of 50bpm at a ratio of 1:2 sec. In other words, while transition from the antagonist to agonist pattern in 3 clicks, there was return from agonist to antagonist in 6 clicks.

Proprioceptive Neuromuscular Facilitation (PNF) Exercise Group

The Range Of Motion exercises OTHER

The ROM group performed hip flexion abduction, neutral abduction and extension abduction exercises with an EB at 50bpm metronome speed in 3 sets of 10 repetitions. In both groups, 30 seconds of rest was given between exercises.

Range Of Motion (ROM) Exercise Group

Eligibility Criteria

• Age: 20 Years - 26 Years
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Not having any known and diagnosed health problems
• Not exercising regularly
• Not having a lower/upper extremity injury in the last three months
• Volunteering to participate in the study

You may not qualify if:

• Not to participate in exercise training more than three sessions
• Want to leave the training voluntarily
• Have experienced serious orthopedic/systemic discomfort during the training

Sponsors & Collaborators

• Nigde Omer Halisdemir University: lead

Study Sites (1)

Niğde Ömer Halisdemir University

Niğde, Turkey (Türkiye)

Location

Related Publications (20)

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  PMID: 24373699 BACKGROUND

• Park KM, Kim SY, Oh DW. Effects of the pelvic compression belt on gluteus medius, quadratus lumborum, and lumbar multifidus activities during side-lying hip abduction. J Electromyogr Kinesiol. 2010 Dec;20(6):1141-5. doi: 10.1016/j.jelekin.2010.05.009. Epub 2010 Jun 19.

  PMID: 20646935 BACKGROUND

• Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. J Orthop Sports Phys Ther. 2010 Feb;40(2):42-51. doi: 10.2519/jospt.2010.3337.

  PMID: 20118526 BACKGROUND

• Boling M, Padua D. Relationship between hip strength and trunk, hip, and knee kinematics during a jump-landing task in individuals with patellofemoral pain. Int J Sports Phys Ther. 2013 Oct;8(5):661-9.

  PMID: 24175145 BACKGROUND

• Song HS, Park SD, Kim JY. The effects of proprioceptive neuromuscular facilitation integration pattern exercise program on the fall efficacy and gait ability of the elders with experienced fall. J Exerc Rehabil. 2014 Aug 31;10(4):236-40. doi: 10.12965/jer.140141. eCollection 2014 Aug.

  PMID: 25210699 BACKGROUND

• Pozzi F, White DK, Snyder-Mackler L, Zeni JA. Restoring physical function after knee replacement: a cross sectional comparison of progressive strengthening vs standard physical therapy. Physiother Theory Pract. 2020 Jan;36(1):122-133. doi: 10.1080/09593985.2018.1479475. Epub 2018 Jun 7.

  PMID: 29877749 BACKGROUND

• Khayambashi K, Mohammadkhani Z, Ghaznavi K, Lyle MA, Powers CM. The effects of isolated hip abductor and external rotator muscle strengthening on pain, health status, and hip strength in females with patellofemoral pain: a randomized controlled trial. J Orthop Sports Phys Ther. 2012 Jan;42(1):22-9. doi: 10.2519/jospt.2012.3704. Epub 2011 Oct 25.

  PMID: 22027216 BACKGROUND

• Plisky PJ, Rauh MJ, Kaminski TW, Underwood FB. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. J Orthop Sports Phys Ther. 2006 Dec;36(12):911-9. doi: 10.2519/jospt.2006.2244.

  PMID: 17193868 BACKGROUND

• Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36(3):189-98. doi: 10.2165/00007256-200636030-00001.

  PMID: 16526831 BACKGROUND

• Rhyu HS, Kim SH, Park HS. The effects of band exercise using proprioceptive neuromuscular facilitation on muscular strength in lower extremity. J Exerc Rehabil. 2015 Feb 28;11(1):36-40. doi: 10.12965/jer.150189. eCollection 2015 Feb.

  PMID: 25830142 BACKGROUND

• 17. Kang DH, Lee WH, Lim S, Kim YY, An SW, Kwon CG, Lee GH, Choi NR, Lee NY, Kim BM, Kim JH, Chung EJ. The effect of hip joint exercise using an elastic band on dynamic balance, agility and flexibility in healthy subjects: a randomized controlled trial Phys Ther Rehabil Sci 2016; 5(4):198-204.

  BACKGROUND

• Gottlieb GL, Agarwal GC. Modulation of postural reflexes by voluntary movement. II. Modulation at an inactive joint. J Neurol Neurosurg Psychiatry. 1973 Aug;36(4):540-6. doi: 10.1136/jnnp.36.4.540.

  PMID: 4354398 BACKGROUND

• 20. Adler S, Beckers D, Buck M: PNF in practice, Springer, Berlin, 2008, s.127-162.

  BACKGROUND

• Jakobsen MD, Sundstrup E, Andersen CH, Aagaard P, Andersen LL. Muscle activity during leg strengthening exercise using free weights and elastic resistance: effects of ballistic vs controlled contractions. Hum Mov Sci. 2013 Feb;32(1):65-78. doi: 10.1016/j.humov.2012.07.002. Epub 2012 Dec 8.

  PMID: 23231756 BACKGROUND

• 22. Kofotolis N, Kellis E. Cross-training effects of a proprioceptive neuromuscular facilitation exercise programme on knee musculature. Phys Ther Sport 2007; 8: 109-116.

  BACKGROUND

• Ju SK, Yoo WG. Comparison of anterior gluteus medius fiber activation during general exercises and PNF exercises. J Phys Ther Sci. 2017 Mar;29(3):476-477. doi: 10.1589/jpts.29.476. Epub 2017 Mar 22.

  PMID: 28356634 BACKGROUND

• 24. DiMattia MA, Livengood AL, Uhl TL, Mattacola CG, Malone TR. What Are the Validity of the Single-Leg-Squat Test and Its Relationship to Hip-Abduction Strength? J Sport Rehabil 2005; 14 (2): 108-123.

  BACKGROUND

• DeFOREST BA, Cantrell GS, Schilling BK. Muscle Activity in Single- vs. Double-Leg Squats. Int J Exerc Sci. 2014 Oct 1;7(4):302-310. doi: 10.70252/MXVZ7653. eCollection 2014.

  PMID: 27182408 BACKGROUND

• Wilson BR, Robertson KE, Burnham JM, Yonz MC, Ireland ML, Noehren B. The Relationship Between Hip Strength and the Y Balance Test. J Sport Rehabil. 2018 Sep 1;27(5):445-450. doi: 10.1123/jsr.2016-0187. Epub 2018 Jul 20.

  PMID: 28714790 BACKGROUND

• Ambegaonkar JP, Mettinger LM, Caswell SV, Burtt A, Cortes N. Relationships between core endurance, hip strength, and balance in collegiate female athletes. Int J Sports Phys Ther. 2014 Oct;9(5):604-16.

  PMID: 25328823 BACKGROUND

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Nihal Büker, Prof. Dr

  Pamukkale Üniversity Physical Theraphy and Rehabilitation Faculty TURKEY

  STUDY DIRECTOR

• Feyza Altındal, PhD

  Niğde Ömer Halisdemir Üniversity Physical Theraphy and Rehabilitation Departmant TURKEY

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants were randomly divided into three groups using the sealed envelope method (on the evaluation day, participants chose one of the sealed envelopes and determined the treatment group).
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Participants were randomly divided into three groups using the sealed envelope method (on the evaluation day, participants chose one of the sealed envelopes and determined the treatment group). Group I comprised the Proprioceptive Neuromuscular Facilitation (PNF) group, Group II the Range of Motion(ROM) group, and Group III the Control (CG) group. Evaluations were made at baseline and at sixth week.

Study Record Dates

• First Submitted: August 31, 2022
• First Posted: May 3, 2023
• Study Start: September 17, 2019
• Primary Completion: February 17, 2020
• Study Completion: July 17, 2020
• Last Updated: May 3, 2023

Record last verified: 2023-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)