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Accuracy of movement quality screening to document effects of neuromuscular control retraining exercises in a young ex-footballer with hip and groin symptoms: A proof of concept case study

Accuracy of movement quality screening to document effects of neuromuscular control retraining exercises in a young ex-footballer with hip and groin symptoms: A proof of concept case study
Accuracy of movement quality screening to document effects of neuromuscular control retraining exercises in a young ex-footballer with hip and groin symptoms: A proof of concept case study
Hip and groin pain is common in footballers and altering movement patterns can reduce symptoms. Observational tests of movement control are thought to identify abnormal movement patterns, but their accuracy needs yet to be confirmed by comparison with an objective measure. To assess the accuracy, using 3D motion analysis, of observational movement control tests and their ability to detect changes, and document changes in symptoms following a neuromuscular control exercise programme in an ex-footballer with hip and groin pain. A 25-year-old male with chronic bilateral hip and groin pain had their movement control ability rated and kinematic data collected using 3D motion analysis while performing Small Knee Bend (SKB) and SKB with Rotation (SKB Rot) tests pre-and post-neuromuscular control exercise training. Movement control was rated as at fault if they were unable to control specific trunk and pelvic movements during the tests. The Copenhagen Hip and Groin Outcome Score (HAGOS) was used to assess symptoms. Following the intervention, observational rating during the SKB test improved from fault to no fault for anterior pelvic tilt, which decreased by 17° and 16° during right and left leg SKB tests respectively. The HAGOS symptoms subsection improved from 36% to 61%. Observational movement screening ratings were supported by 3-D motion analysis. These findings indicate that the screening tool was accurate for detecting improvements in trunk and pelvic movement control following an exercise programme in an ex-footballer who had presented with hip and groin pain.
0306-9877
116-120
Wilson, David A.
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Booysen, Nadine
fb84e148-0594-45ed-9eab-22ae99ab916e
Dainese, Paolo
7e34577e-d473-4866-b850-a07c8ddd2759
Heller, Markus O.
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Stokes, Maria
71730503-70ce-4e67-b7ea-a3e54579717f
Warner, Martin B.
f4dce73d-fb87-4f71-a3f0-078123aa040c
Wilson, David A.
b7c8de5f-2a5c-40f8-938a-89ee5d08cabc
Booysen, Nadine
fb84e148-0594-45ed-9eab-22ae99ab916e
Dainese, Paolo
7e34577e-d473-4866-b850-a07c8ddd2759
Heller, Markus O.
3da19d2a-f34d-4ff1-8a34-9b5a7e695829
Stokes, Maria
71730503-70ce-4e67-b7ea-a3e54579717f
Warner, Martin B.
f4dce73d-fb87-4f71-a3f0-078123aa040c

Wilson, David A., Booysen, Nadine, Dainese, Paolo, Heller, Markus O., Stokes, Maria and Warner, Martin B. (2018) Accuracy of movement quality screening to document effects of neuromuscular control retraining exercises in a young ex-footballer with hip and groin symptoms: A proof of concept case study. Medical Hypotheses, 120, 116-120. (doi:10.1016/j.mehy.2018.08.027).

Record type: Article

Abstract

Hip and groin pain is common in footballers and altering movement patterns can reduce symptoms. Observational tests of movement control are thought to identify abnormal movement patterns, but their accuracy needs yet to be confirmed by comparison with an objective measure. To assess the accuracy, using 3D motion analysis, of observational movement control tests and their ability to detect changes, and document changes in symptoms following a neuromuscular control exercise programme in an ex-footballer with hip and groin pain. A 25-year-old male with chronic bilateral hip and groin pain had their movement control ability rated and kinematic data collected using 3D motion analysis while performing Small Knee Bend (SKB) and SKB with Rotation (SKB Rot) tests pre-and post-neuromuscular control exercise training. Movement control was rated as at fault if they were unable to control specific trunk and pelvic movements during the tests. The Copenhagen Hip and Groin Outcome Score (HAGOS) was used to assess symptoms. Following the intervention, observational rating during the SKB test improved from fault to no fault for anterior pelvic tilt, which decreased by 17° and 16° during right and left leg SKB tests respectively. The HAGOS symptoms subsection improved from 36% to 61%. Observational movement screening ratings were supported by 3-D motion analysis. These findings indicate that the screening tool was accurate for detecting improvements in trunk and pelvic movement control following an exercise programme in an ex-footballer who had presented with hip and groin pain.

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Accuracy of movement quality screening to document effects of neuromuscular control retraining exercises in a young ex-footballer with hip and groin symptoms: a proof of concept case study - Accepted Manuscript
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Accepted/In Press date: 30 August 2018
e-pub ahead of print date: 31 August 2018
Published date: November 2018

Identifiers

Local EPrints ID: 423347
URI: http://eprints.soton.ac.uk/id/eprint/423347
ISSN: 0306-9877
PURE UUID: 8217b844-8fcb-4c7f-a82e-4e8d66ac3988
ORCID for Nadine Booysen: ORCID iD orcid.org/0000-0001-8798-2411
ORCID for Markus O. Heller: ORCID iD orcid.org/0000-0002-7879-1135
ORCID for Maria Stokes: ORCID iD orcid.org/0000-0002-4204-0890
ORCID for Martin B. Warner: ORCID iD orcid.org/0000-0002-1483-0561

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Date deposited: 20 Sep 2018 16:30
Last modified: 17 Dec 2019 05:14

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