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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 exerciseand low grade repetitive traumamay impact the health of joints. Good quality,controlledmovement,may reduceabnormal loading on jointsand help prevent injuryor when injuries do occur,prevent post-traumatic osteoarthritis. Screening tools to visually assess movement quality can be usedto prescribe appropriateexerciseinterventionsto improve movement quality. An assessment tool that focuses on hip movement control is neededfor use in clinical and field environments.

Purpose: to describe anew 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 fivetests: small knee bend (SKB), standing hip flexion to 110°,side-lying hip abduction with the leg laterally rotated, SKB with trunk rotationanddeep squat. Reliability was tested in two samples of young footballers aged 16-19 years; intra-rater in n=20 and inter-rater reliabilityin n=14.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), withstronginter-rater reliability (PA 88%; AC1 0.82).

Conclusions:the HLLMS can identifymovement quality reliably in young community footballers. Poor movement patterns identified using the HLLMSareintended to informthe design of targeted exercise programmes to improve movement quality andreduceinjuries or prevent the progression ofinjuries topost-traumatic OA.
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, M.B.
8e523fc5-43dc-4d2d-a9d7-d69400e28d91
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, M.B.
8e523fc5-43dc-4d2d-a9d7-d69400e28d91
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, M.B., 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. (doi:10.1142/S0218957719500088).

Record type: Article

Abstract

Background:an active lifestyle has many health benefits but intensive exerciseand low grade repetitive traumamay impact the health of joints. Good quality,controlledmovement,may reduceabnormal loading on jointsand help prevent injuryor when injuries do occur,prevent post-traumatic osteoarthritis. Screening tools to visually assess movement quality can be usedto prescribe appropriateexerciseinterventionsto improve movement quality. An assessment tool that focuses on hip movement control is neededfor use in clinical and field environments.

Purpose: to describe anew 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 fivetests: small knee bend (SKB), standing hip flexion to 110°,side-lying hip abduction with the leg laterally rotated, SKB with trunk rotationanddeep squat. Reliability was tested in two samples of young footballers aged 16-19 years; intra-rater in n=20 and inter-rater reliabilityin n=14.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), withstronginter-rater reliability (PA 88%; AC1 0.82).

Conclusions:the HLLMS can identifymovement quality reliably in young community footballers. Poor movement patterns identified using the HLLMSareintended to informthe design of targeted exercise programmes to improve movement quality andreduceinjuries or prevent the progression ofinjuries topost-traumatic OA.

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Accepted/In Press date: 13 April 2020
e-pub ahead of print date: 15 May 2020
Published date: 2020

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 Maria Stokes: ORCID iD orcid.org/0000-0002-4204-0890

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Date deposited: 28 Apr 2020 16:30
Last modified: 01 Jul 2020 00:27

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Contributors

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

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