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Assessing movement quality using the hip and lower limb movement screen: development, reliability and potential applications

Assessing movement quality using the hip and lower limb movement screen: development, reliability and potential applications
Assessing movement quality using the hip and lower limb movement screen: development, reliability and potential applications

Background: An active lifestyle has many health benefits but intensive exercise and low grade repetitive trauma may impact the health of joints. Good quality, controlled movement, may reduce abnormal loading on joints and help prevent injury or when injuries do occur, prevent post-Traumatic osteoarthritis. Screening tools to visually assess movement quality can be used to prescribe appropriate exercise interventions to improve movement quality. An assessment tool that focuses on hip movement control is needed for use in clinical and field environments. Purpose: To describe a new screening tool that assesses control of the hip, pelvis and lower limbs, the Hip and Lower Limb Movement Screen (HLLMS), and test its intra-and inter-rater reliability. Methods: The HLLMS includes five tests: small knee bend (SKB), standing hip flexion to 110â , side-lying hip abduction with the leg laterally rotated, SKB with trunk rotation and deep squat. Reliability was tested in two samples of young footballers aged 16-19 years; intra-rater in n=20 and inter-rater reliability in n=34. Percentage agreement (PA) and First-Order Coefficient (AC1) were calculated. Results: Intra-rater reliability was excellent with almost perfect agreement for the overall HLLMS (PA 96%; AC1 0.93), with strong inter-rater reliability (PA 88%; AC1 0.82). Conclusions: The HLLMS can identify movement quality reliably in young community footballers. Poor movement patterns identified using the HLLMS are intended to inform the design of targeted exercise programs to improve movement quality and reduce injuries or prevent the progression of injuries to post-Traumatic OA.

Movement patterns, Movement screening tool, Young footballers
1793-6497
1-21
Booysen, N.
d3b6dc84-7353-44cb-9cfb-496561ea366a
Wilson, D.A.
b247ed5f-70fd-4787-be53-a223b00dc0d8
Lewis, C.L.
fa849078-f02a-4342-8a08-0261fcce3dd0
Warner, Martin
f4dce73d-fb87-4f71-a3f0-078123aa040c
Gimpel, M.
3506bd59-1100-4a05-a12d-d3a9c3b9c709
Mottram, S
1940b892-b892-4583-9005-10e48115f33d
Comerford, M.
e0a2b821-6718-43f7-827b-1e03e9583e63
Stokes, Maria
71730503-70ce-4e67-b7ea-a3e54579717f
Booysen, N.
d3b6dc84-7353-44cb-9cfb-496561ea366a
Wilson, D.A.
b247ed5f-70fd-4787-be53-a223b00dc0d8
Lewis, C.L.
fa849078-f02a-4342-8a08-0261fcce3dd0
Warner, Martin
f4dce73d-fb87-4f71-a3f0-078123aa040c
Gimpel, M.
3506bd59-1100-4a05-a12d-d3a9c3b9c709
Mottram, S
1940b892-b892-4583-9005-10e48115f33d
Comerford, M.
e0a2b821-6718-43f7-827b-1e03e9583e63
Stokes, Maria
71730503-70ce-4e67-b7ea-a3e54579717f

Booysen, N., Wilson, D.A., Lewis, C.L., Warner, Martin, Gimpel, M., Mottram, S, Comerford, M. and Stokes, Maria (2020) Assessing movement quality using the hip and lower limb movement screen: development, reliability and potential applications. Journal of Musculoskeletal Research, 22 (3 & 4), 1-21, [1950008]. (doi:10.1142/S0218957719500088).

Record type: Article

Abstract

Background: An active lifestyle has many health benefits but intensive exercise and low grade repetitive trauma may impact the health of joints. Good quality, controlled movement, may reduce abnormal loading on joints and help prevent injury or when injuries do occur, prevent post-Traumatic osteoarthritis. Screening tools to visually assess movement quality can be used to prescribe appropriate exercise interventions to improve movement quality. An assessment tool that focuses on hip movement control is needed for use in clinical and field environments. Purpose: To describe a new screening tool that assesses control of the hip, pelvis and lower limbs, the Hip and Lower Limb Movement Screen (HLLMS), and test its intra-and inter-rater reliability. Methods: The HLLMS includes five tests: small knee bend (SKB), standing hip flexion to 110â , side-lying hip abduction with the leg laterally rotated, SKB with trunk rotation and deep squat. Reliability was tested in two samples of young footballers aged 16-19 years; intra-rater in n=20 and inter-rater reliability in n=34. Percentage agreement (PA) and First-Order Coefficient (AC1) were calculated. Results: Intra-rater reliability was excellent with almost perfect agreement for the overall HLLMS (PA 96%; AC1 0.93), with strong inter-rater reliability (PA 88%; AC1 0.82). Conclusions: The HLLMS can identify movement quality reliably in young community footballers. Poor movement patterns identified using the HLLMS are intended to inform the design of targeted exercise programs to improve movement quality and reduce injuries or prevent the progression of injuries to post-Traumatic OA.

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More information

Accepted/In Press date: 13 April 2020
e-pub ahead of print date: 15 May 2020
Published date: 2020
Keywords: Movement patterns, Movement screening tool, Young footballers

Identifiers

Local EPrints ID: 439616
URI: http://eprints.soton.ac.uk/id/eprint/439616
ISSN: 1793-6497
PURE UUID: 6216b00d-3c26-402f-a87f-2224efc4cc14
ORCID for Martin Warner: ORCID iD orcid.org/0000-0002-1483-0561
ORCID for Maria Stokes: ORCID iD orcid.org/0000-0002-4204-0890

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Date deposited: 28 Apr 2020 16:30
Last modified: 17 Mar 2024 05:30

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Contributors

Author: N. Booysen
Author: D.A. Wilson
Author: C.L. Lewis
Author: Martin Warner ORCID iD
Author: M. Gimpel
Author: S Mottram
Author: M. Comerford
Author: Maria Stokes ORCID iD

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