LOWER BACK AND HIP MUSCLES STRENGTH AND KNEE PAIN IN RECREATIONAL RUNNERS

Authors

  • Ladawan Chutimakul -
  • Chanawat Sanpasitt

Keywords:

Recreational Runners, Knee Pain, Lower Back Muscle Strength, Hip Muscle Strength

Abstract

             Knee pain is the most common problem in runners. The core muscular strength is a related factor. This research aimed to compare the strength of lower back muscles, hip muscles in the group of recreational runners with and without knee pain. The research was conducted on the basis of retrospective descriptive study. The research participants included 44 runners aged 18-35 years, divided into 22 runners without knee pain and 22 runners with knee pain. Maximum isometric voluntary contraction of back extensor, trunk lateral flexor, hip extensor and hip abductor, classified into dominant side and non-dominant side were measured using a hand-held dynamometer for three times. The value of the maximum contraction was recorded. The mean, standard deviation, and data comparison were determined using the Independent T-test, with statistical significance set at 0.05 level. The study results indicated that the mean maximum isometric voluntary contraction of trunk lateral flexor, both dominant side and non-dominant side were statistically significantly different between groups, while the strength of back extensor, hip extensor, and hip abductor were not statistically significantly different between groups. The study results showed that the strength of trunk lateral flexor muscles seem to be another factor of knee pain in recreational runners. The information can be used in an exercise program for preventing or restoring knee pain in recreational runners accordingly.

References

Ag Daud, D. M., Liau, S. N., Sudi, S., Mohd Noh, M., & Khin, N. Y. (2023). A case report on core muscles training for knee osteoarthritis through core muscles activations and gait analysis. Cureus, 15(1), e33918.

American College of Sports Medicine. (2018). ACSM’s Guidelines for exercise testing and prescription. (9th ed.). Philadelphia: Wolters Kluwer.

Bolgla, L. A., Malone, T. R., Umberger, B. R., & Uhl, T. L. (2008). Hip strength and hip and knee kinematics during stair descent in females with and without patellofemoral pain syndrome. The Journal of Orthopaedic and Sports Physical Therapy, 38(1), 12-18.

Briani, R. V., Waiteman, M. C., Albuquerque, C. E. de, Gasoto, E., Segatti, G., Oliveira, C. B., Azevedo, F. M. de, & Silva, D. de O. (2019). Lower trunk muscle thickness is associated with pain in women with patellofemoral pain. Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine, 38(10), 2685-2693.

Buckthorpe, M., Stride, M., & Villa, F. D. (2019). Assessing and treating gluteus maximus weakness - a clinical commentary. International Journal of Sports Physical Therapy, 14(4), 655-669.

Chaudhari, A. M. W., VAN Horn, M. R., Monfort, S. M., Pan, X., Oñate, J. A., & Best, T. M. (2020). Reducing core stability influences lower extremity biomechanics in novice runners. Medicine and Science in Sports and Exercise, 52(6), 1347-1353.

Chevidikunnan, M. F., Al Saif, A., Gaowgzeh, R. A., & Mamdouh, K. A. (2016). Effectiveness of core muscle strengthening for improving pain and dynamic balance among female patients with patellofemoral pain syndrome. Journal of Physical Therapy Science, 28(5), 1518-1523.

De Blaiser, C., De Ridder, R., Willems, T., Danneels, L., Vanden Bossche, L., Palmans, T., & Roosen, P. (2018). Evaluating abdominal core muscle fatigue: Assessment of the validity and reliability of the prone bridging test. Scandinavian Journal of Medicine & Science in Sports, 28(2), 391-399.

Dempster, J., Dutheil, F., & Ugbolue, U. C. (2021). The Prevalence of lower extremity injuries in running and associated risk factors: a systematic review. Physical Activity and Health, 5(1), 133-145.

Drake, R. L., Vogl, A. W., Mitchell A. W. M., Tibbitts, R. M., & Richardson, P. E. (2021). Gray’s atlas of anatomy. (3rd ed.). Philadelphia, PA: Elsevier.

Ferber, R., & Macdonard, S. (2014). Running mechanics and gait analysis. (1st ed.). Human Kinetics.

Geneen, L. J., Moore, R. A., Clarke, C., Martin, D., Colvin, L. A., & Smith, B. H. (2017). Physical activity and exercise for chronic pain in adults: an overview of cochrane reviews. The Cochrane Database of Systematic Reviews, 2017(4).

Jungmalm, J., Nielsen, R. Ø., Desai, P., Karlsson, J., Hein, T., & Grau, S. (2020). Associations between biomechanical and clinical/anthropometrical factors and running-related injuries among recreational runners: a 52-week prospective cohort study. Injury Epidemiology, 7(1), 10.

Kapri, E., Mehta, M. & Singh, K. (2021) Biomechanics of running: An overview on gait cycle. International Journal of Physical Education Fitness and Sports, 10(3), 1-9.

Mentiplay, B. F., Perraton, L. G., Bower, K. J., Adair, B., Pua, Y. H., Williams, G. P., McGaw, R., & Clark, R. A. (2015). Assessment of lower limb muscle strength and power using hand-held and fixed dynamometry: a reliability and validity study. Plos One, 10(10), e0140822.

Nakagawa, T. H., Maciel, C. D., & Serrão, F. V. (2015). Trunk biomechanics and its association with hip and knee kinematics in patients with and without patellofemoral pain. Manual Therapy, 20(1), 189-193.

Na Phatthalung, A., Malarat, A., Kuna-apisit, W., & Charoensupmanee, T. (2017). Problems, needs, and guidelines in constructing a new form of basketball. Phranakhon Rajabhat Research Journal (Science and Technology), 12(1), 83-93. (In Thai)

Neamatallah, Z., Herrington, L., & Jones, R. (2020). An investigation into the role of gluteal muscle strength and EMG activity in controlling HIP and knee motion during landing tasks. Physical Therapy in Sport: Official Journal of The Association of Chartered Physiotherapists in Sports Medicine, 43, 230-235.

Nicola, T. L., & Jewison, D. J. (2012). The anatomy and biomechanics of running. Clinics in Sports Medicine, 31(2), 187-201.

Petersen, W., Rembitzki, I., & Liebau, C. (2017). Patellofemoral pain in athletes. Open Access Journal of Sports Medicine, 8, 143-154.

Rinaldi, V. G., Prill, R., Jahnke, S., Zaffagnini, S., & Becker, R. (2022). The influence of gluteal muscle strength deficits on dynamic knee valgus: a scoping review. Journal of Experimental Orthopaedics, 9(1), 81.

Van Cant, J., Declève, P., Garnier, A., & Roy, J. S. (2021). Influence of symptom frequency and severity on hip abductor strength and endurance in individuals with patellofemoral pain. Physical Therapy in Sport: Official Journal of The Association of Chartered Physiotherapists in Sports Medicine, 49, 83-89.

Published

2023-12-22

Issue

Section

บทความวิจัย (Research Article)