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Frontal plane kinematics predict three-dimensional hip adduction during running
Institution:1. School of Exercise Science, Australian Catholic University, Australia;2. Department of Health Sciences, Lund University, Sweden;3. Centre for Musculoskeletal Research, Mary MacKillop Institute for Health Research, Australian Catholic University, Australia;1. Division of Surgery and Interventional Science, University College London, London, United Kingdom;2. Department of Urology, University College London Hospitals NHS Foundation Trust, London, United Kingdom;3. Department of Urology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland;1. Division of Hematology/Oncology, Mayo Clinic, Jacksonville, FL;2. Clinical Chief for Genitourinary Medicine, Professor of Oncology, Roswell Park Cancer Institute, Buffalo, NY;3. Professor of Oncology, Karmanos Cancer Institute, Wayne State University, Detroit, MI;1. Department of Medical Biology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey;2. Department of Anesthesiology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey;3. Department of Urology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey;4. Department of Nephrology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey
Abstract:ObjectivesTo investigate if frontal plane kinematics are predictive of three dimensional (3D) hip adduction and hip internal rotation during running.Study designCross-sectional.SettingBiomechanics laboratory.ParticipantsThirty healthy male runners aged 18–45 years.Main outcome measuresTwo dimensional (2D) angles in the frontal plane (peak pelvic obliquity, peak hip adduction, peak femoral valgus, peak knee valgus and peak tibial valgus) and 3D hip adduction and hip internal rotation during stance phase of running were obtained.ResultsLinear regression modelling revealed that peak 2D pelvic obliquity (a drop towards the contralateral leg) and peak femoral valgus significantly predicted 88% of the variance in peak 3D hip adduction (p < 0.001). Frontal plane kinematics however, were not predictive of peak hip internal rotation in 3D (p > 0.05).ConclusionsFrontal plane kinematics, specifically contralateral pelvic drop and femoral valgus, predicted the vast majority of the variance in 3D hip adduction during the stance phase of running. This indicates that 2D video may have potential as a clinically feasible proxy for measurement of peak 3D hip adduction – a risk factor for patellofemoral pain.
Keywords:Gait  Video  Biomechanics  Movement screening
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