The purpose of this investigation is to compare the effects of a combined hip activation and core stabilization training home exercise program (HEP) versus a hip activation training HEP alone on lower extremity (LE) frontal plane mechanics in healthy individuals. Specific Aim 1: To determine whether between- and/or within-group differences exist on the Forward Step-Down test (FSDT) when comparing a combined hip activation and core stabilization training HEP as compared to a hip activation training HEP. Specific Aim 2: To determine whether between- and/or within-group differences exist on the peak external knee abduction moment when comparing a combined hip activation and core stabilization training HEP to a hip activation training HEP. Specific Aim 3: To determine whether between- and/or within-group differences exist on gluteal and core muscle surface electromyography (sEMG) when comparing a combined hip activation and core stabilization training HEP to a hip activation training HEP. Specific Aim 4: To determine whether a dose-response relationship exists between HEP compliance and change on the FSDT, peak external knee abduction moment, and sEMG.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
34
The hip activation HEP group will receive a combination of hip musculature activation exercises used by previous researchers that show an increase in hip muscle recruitment. Each participant will perform their respective intervention program at home twice weekly for eight weeks.
The hip activation plus core stabilization HEP group will receive the same hip exercises, plus core stabilization exercises used by previous researchers. Each participant will perform their respective intervention program at home twice weekly for eight weeks.
LSU Health Sciences Center at Shreveport
Shreveport, Louisiana, United States
Forward Step Down Test (FSDT)
Rating on the FSDT (0-6; 0-1 = good movement quality, 2-3 = moderate movement quality, 4 or more = poor movement quality).
Time frame: Pre- and post-eight week intervention
Maximal volitional isometric contraction (MVIC) via sensory electromyography (sEMG) of gluteus maximus (GMax)
MVIC (microvolts) of GMax during performance of the FSDT
Time frame: Pre- and post-eight week intervention
Mean activation of GMax via sEMG
Mean activation (% MVIC) of GMax during performance of the FSDT
Time frame: Pre- and post-eight week intervention
Peak activation of GMax via sEMG
Peak activation (%MVIC) of GMax during performance of the FSDT
Time frame: Pre- and post-eight week intervention
MVIC via sEMG of gluteus medius (GMed)
MVIC (microvolts) of GMed during performance of the FSDT
Time frame: Pre- and post-eight week intervention
Mean activation of GMed via sEMG
Mean activation (% MVIC) of GMed during performance of the FSDT
Time frame: Pre- and post-eight week intervention
Peak activation of GMed via sEMG
Peak activation (% MVIC) of GMed during performance of the FSDT
Time frame: Pre- and post-eight week intervention
MVIC via of transversus abdominis (TA)
MVIC (microvolts) of TA during performance of the FSDT
Time frame: Pre- and post-eight week intervention
Mean activation of TA via sEMG
Mean activation (% MVIC) of TA during performance of the FSDT
Time frame: Pre- and post-eight week intervention
Peak activation of TA via sEMG
Peak activation (% MVIC) of TA during performance of FSDT
Time frame: Pre- and post-eight week intervention
Peak external knee abduction moment during drop landing task
Kinetic assessment of the peak external knee abduction moment (Nm/kg) during the drop landing task
Time frame: Pre- and post-eight week intervention
Compliance with Home Exercise Program
Self-reported completion of each HEP session will be recorded by the participant and then returned to the investigators post-completion
Time frame: Post-eight week intervention
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