Journal of Research in Rehabilitation Sciences

The Effect of Hip Abductor and External Rotator Strengthening on Non-contact Lateral Ankle Sprain in Male Soccer and Futsal Players: A Randomized Controlled Trial Study

Document Type : Original Articles

Authors

1 PhD Student, Department of Sport Injury and Corrective Exercise, School of Physical Education and Sport Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

2 Professor, Department of Sport Injury and Corrective Exercise, School of Physical Education and Sport Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

3 Associate Professor, Department of Biostatistics and Epidemiology, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran

4 Associate Professor, Department of Sport Injury and Corrective Exercise, School of Physical Education and Sport Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

10.22122/jrrs.v13i2.2856

Abstract

Introduction: Ankle sprain is one of the most common injuries in sport activities. Hip abductor and external rotator weakness may compromise lower extremity alignment and balance, and increase the risk of lateral ankle sprain. The purpose of the present study was to investigate the effect of hip abductor and external rotator strengthening on non-contact lateral ankle sprain in male soccer and futsal players.Materials and Methods: This randomized controlled trial study was conducted on 200 soccer and futsal players which were randomly assigned to two groups. Control group participated in pre-season physical conditioning program which were 1 hour, 4 days a week for 8 weeks. Experimental group participated in the same program for 45 minutes and 15 minutes of selected hip abductor and external rotator strengthening program at each session. Hip abductor and external rotator strength was measured before and after 8 weeks of training. All the players were under surveillance for non-contact lateral ankle sprain during the one season of competition.Results: 8 weeks of selected hip abductor and external rotator strengthening program significantly improved hip strength more in experimental group compared to the control group. In addition, the experimental group significantly experienced less non-contact lateral ankle sprain compared to the control group.Conclusion: Adding isolated strengthening of hip abductor and external rotator to general physical conditioning program decrease the risk of non-contact lateral ankle sprain in male soccer and futsal players.

Keywords

  1. Clark M, Lucett S, National Academy of Sports Medicine. NASM essentials of corrective exercise training. Philadelphia, PA: Lippincott Williams and Wilkins; 2010. p. 2-8.
  2. Sheth P, Yu B, Laskowski ER, An KN. Ankle disk training influences reaction times of selected muscles in a simulated ankle sprain. Am J Sports Med 1997; 25(4): 538-43.
  3. Doherty C, Delahunt E, Caulfield B, Hertel J, Ryan J, Bleakley C. The incidence and prevalence of ankle sprain injury: A systematic review and meta-analysis of prospective epidemiological studies. Sports Med 2014; 44(1): 123-40.
  4. Docherty CL, Valovich McLeod TC, Shultz SJ. Postural control deficits in participants with functional ankle instability as measured by the balance error scoring system. Clin J Sport Med 2006; 16(3): 203-8.
  5. Hosea TM, Carey CC, Harrer MF. The gender issue: epidemiology of ankle injuries in athletes who participate in basketball. Clin Orthop Relat Res 2000; (372): 45-9.
  6. Dvorak J, Junge A, Chomiak J, Graf-Baumann T, Peterson L, Rosch D, et al. Risk factor analysis for injuries in football players. Possibilities for a prevention program. Am J Sports Med 2000; 28(5 Suppl): S69-S74.
  7. Joseph M, Tiberio D, Baird JL, Trojian TH, Anderson JM, Kraemer WJ, et al. Knee valgus during drop jumps in National Collegiate Athletic Association Division I female athletes: the effect of a medial post. Am J Sports Med 2008; 36(2): 285-9.
  8. Imwalle LE, Myer GD, Ford KR, Hewett TE. Relationship between hip and knee kinematics in athletic women during cutting maneuvers: a possible link to noncontact anterior cruciate ligament injury and prevention. J Strength Cond Res 2009; 23(8): 2223-30.
  9. Friel K, McLean N, Myers C, Caceres M. Ipsilateral hip abductor weakness after inversion ankle sprain. J Athl Train 2006; 41(1): 74-8.
  10. Boden BP, Torg JS, Knowles SB, Hewett TE. Video analysis of anterior cruciate ligament injury: Abnormalities in hip and ankle kinematics. Am J Sports Med 2009; 37(2): 252-9.
  11. Lin CF, Liu H, Gros MT, Weinhold P, Garrett WE, Yu B. Biomechanical risk factors of non-contact ACL injuries: A stochastic biomechanical modeling study. J Sport Health Sci 2012; 1(1): 36-42.
  12. Gribble PA, Hertel J. Effect of hip and ankle muscle fatigue on unipedal postural control. J Electromyogr Kinesiol 2004; 14(6): 641-6.
  13. Hewett TE, Myer GD, Ford KR, Heidt RS, Jr., Colosimo AJ, McLean SG, et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: A prospective study. Am J Sports Med 2005; 33(4): 492-501.
  14. Dai B, Mao D, Garrett WE, Yu B. Anterior cruciate ligament injuries in soccer: Loading mechanisms, risk factors, and prevention programs. J Sport Health Sci 2014; 3(4): 299-306.
  15. Lee SP, Powers CM. Individuals with diminished hip abductor muscle strength exhibit altered ankle biomechanics and neuromuscular activation during unipedal balance tasks. Gait Posture 2014; 39(3): 933-8.
  16. Goo YM, Kim DY, Kim TH. The effects of hip external rotator exercises and toe-spread exercises on lower extremity muscle activities during stair-walking in subjects with pronated foot. J Phys Ther Sci 2016; 28(3): 816-9.
  17. Nadler SF, Malanga GA, DePrince M, Stitik TP, Feinberg JH. The relationship between lower extremity injury, low back pain, and hip muscle strength in male and female collegiate athletes. Clin J Sport Med 2000; 10(2): 89-97.
  18. Doggett DR, Blair DF, Sallee BE, Noble AG. The role of hip abductor strength in ankle sprains among high school physical education students. J Athl Train April 2001; 36(2 Suppl): 18-20.
  19. Tyler TF, McHugh MP, Mirabella MR, Mullaney MJ, Nicholas SJ. Risk factors for noncontact ankle sprains in high school football players: the role of previous ankle sprains and body mass index. Am J Sports Med 2006; 34(3): 471-5.
  20. Snyder KR, Earl JE, O'Connor KM, Ebersole KT. Resistance training is accompanied by increases in hip strength and changes in lower extremity biomechanics during running. Clin Biomech (Bristol, Avon) 2009; 24(1): 26-34.
  21. Bell-Jenje T, Olivier B, Wood W, Rogers S, Green A, McKinon W. The association between loss of ankle dorsiflexion range of movement, and hip adduction and internal rotation during a step down test. Man Ther 2016; 21: 256-61.
  22. Patton MQ. Qualitative evaluation and research methods. 2nd ed. Thousand Oaks, UK: SAGE Publications; 1990. p. 56-86.
  23. 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; 42(1): 22-9.
  24. Wikholm JB, Bohannon RW. Hand-held dynamometer measurements: Tester strength makes a difference. J Orthop Sports Phys Ther 1991; 13(4): 191-8.
  25. Denton TP, Jones MA, Saunders SW. Test-retest reliability of isometric hip muscle strength measured using handheld dynamometry: a pilot study. Australian Medical Student Journal 2014; 5(1): 44-8.
  26. De Ridder R, Witvrouw E, Dolphens M, Roosen P, Van Ginckel A.. Hip strength as an intrinsic risk factor for lateral ankle sprains in youth soccer players: A 3-season prospective study. Am J Sports Med 2017; 45(2): 410-6.
  27. McHugh MP, Tyler TF, Tetro DT, Mullaney MJ, Nicholas SJ. Risk factors for noncontact ankle sprains in high school athletes: The role of hip strength and balance ability. Am J Sports Med 2006; 34(3): 464-70.
  28. Straub RK, Khayambashi K, Ghoddosi N, Powers CM. Hip abductor strength predicts lateral non-contact ankle sprains in male soccer players: A prospective study. Med Sci Sports Exerc 2016; 48(5S): 18-9.
  29. Malloy PJ, Morgan AM, Meinerz CM, Geiser CF, Kipp K. Hip external rotator strength is associated with better dynamic control of the lower extremity during landing tasks. J Strength Cond Res 2016; 30(1): 282-91.
Journal of Research in Rehabilitation Sciences
Volume 13, Issue 2 - Serial Number 2
June 2017
Pages 87-94