RELIABILITY OF TWO METHODS OF CLINICAL EXAMINATION OF THE FLEXIBILITY OF THE HIP ADDUCTOR MUSCLES |
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Authors: | Antonio Cejudo Francisco Ayala Pilar Sainz De Baranda Fernando Santonja |
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Institution: | 1.INACUA Sports Centre, Murcia, Spain.;2.Sports Research Centre, Miguel Hernández University of Elche, Alicante, Spain. ISEN University Formation, center affiliate to the University of Murcia;3.Faculty of Sport Sciences and Physical Activity, University of Murcia, Spain.;4.Faculty of Medicine, University of Murcia. Department of Traumatology, V. de la Arrixaca University Hospital, Murcia, Spain |
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Abstract: | BackgroundAn inadequate level of flexibility of the adductor muscles is one of the most critical risk factors for chronic groin pain and strains. However, measurement methods of adductor muscle flexibility are not well defined.PurposeTo determine the inter‐session reliability of the biarticular and monoarticular adductor muscle flexibility measures obtained from passive hip abduction with the knee flexed over the edge of the plinth test (PHA) and the passive hip abduction test at 90° of hip flexion (PHA90°).Study designClinical Measurement Reliability study.MethodsFifty healthy recreational athletes participated in this study. All participants performed the PHA and PHA90° on four different occasions, with a two‐week interval between testing sessions. Reliability was examined through the change in the mean between consecutive pairs of testing sessions (ChM), standard error of measurement expressed in absolute values (SEM) and as a percentage of the mean score (%SEM), minimal detectable change at 95% confidence interval (MDC95), and intraclass correlation coefficients (ICC2,k).ResultsThe findings showed negligible or trivial ChM values for the two adductor flexibility measures analyzed (<2°). Furthermore, the SEM and MDC95 were 2.1° and 5.9° and 2.2° and 6.2° for the measures obtained from the PHA and PHA90°, respectively, with %SEM scores lower than 5% and ICC scores higher than 0.90.ConclusionThe findings from this study suggest that the adductor muscle flexibility measures analyzed have good to excellent inter‐session reliability in recreational athletes. Thus, clinicians can be 95% confident that an observed change between two measures larger than 5.9° and 6.2° for the flexibility measures obtained from the PHA and PHA90°, respectively, would indicate a real change in muscle flexibility.Level of evidence2 |
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Keywords: | Groin injury muscle strain physical therapy range of motion reproducibility |
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