The effects of acute experimental hip muscle pain on dynamic single-limb balance performance in healthy middle-aged adults.
Identifieur interne : 001578 ( Main/Merge ); précédent : 001577; suivant : 001579The effects of acute experimental hip muscle pain on dynamic single-limb balance performance in healthy middle-aged adults.
Auteurs : Anna L. Hatton [Australie] ; François Hug [France] ; Sarah H. Chen [Australie] ; Christine Reid [Australie] ; Nicole A. Sorensen [Australie] ; Kylie Tucker [Australie]Source :
- Gait & posture [ 1879-2219 ] ; 2016.
Abstract
Middle-aged adults with painful hip conditions show balance impairments that are consistent with an increased risk of falls. Pathological changes at the hip, accompanied by pain, may accelerate pre-existing age-related balance deficits present in midlife. To consider the influence of pain alone, we investigated the effects of acute experimental hip muscle pain on dynamic single-limb balance in middle-aged adults. Thirty-four healthy adults aged 40-60 years formed two groups (Group-1: n=16; Group-2: n=18). Participants performed four tasks: Reactive Sideways Stepping (ReactSide); Star Excursion Balance Test (SEBT); Step Test; Single-Limb Squat; before and after an injection of hypertonic saline into the right gluteus medius muscle (Group-1) or ∼5min rest (Group-2). Balance measures included the range and standard deviation of centre of pressure (CoP) movement in mediolateral and anterior-posterior directions, and CoP total path velocity (ReactSide, Squat); reach distance (SEBT); and number of completed steps (Step Test). Data were assessed using three-way analysis of variance. Motor outcomes were altered during the second repetition of tasks irrespective of exposure to experimental hip muscle pain or rest, with reduced SEBT anterior reach (-1.2±4.1cm, P=0.027); greater step number during Step Test (1.5±1.7 steps, P<0.001); and slower CoP velocity during Single-Limb Squat (-4.9±9.4mms(-1), P=0.024). Factors other than the presence of pain may play a greater role in balance impairments in middle-aged adults with hip pathologies.
DOI: 10.1016/j.gaitpost.2016.09.007
PubMed: 27649511
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<front><div type="abstract" xml:lang="en">Middle-aged adults with painful hip conditions show balance impairments that are consistent with an increased risk of falls. Pathological changes at the hip, accompanied by pain, may accelerate pre-existing age-related balance deficits present in midlife. To consider the influence of pain alone, we investigated the effects of acute experimental hip muscle pain on dynamic single-limb balance in middle-aged adults. Thirty-four healthy adults aged 40-60 years formed two groups (Group-1: n=16; Group-2: n=18). Participants performed four tasks: Reactive Sideways Stepping (ReactSide); Star Excursion Balance Test (SEBT); Step Test; Single-Limb Squat; before and after an injection of hypertonic saline into the right gluteus medius muscle (Group-1) or ∼5min rest (Group-2). Balance measures included the range and standard deviation of centre of pressure (CoP) movement in mediolateral and anterior-posterior directions, and CoP total path velocity (ReactSide, Squat); reach distance (SEBT); and number of completed steps (Step Test). Data were assessed using three-way analysis of variance. Motor outcomes were altered during the second repetition of tasks irrespective of exposure to experimental hip muscle pain or rest, with reduced SEBT anterior reach (-1.2±4.1cm, P=0.027); greater step number during Step Test (1.5±1.7 steps, P<0.001); and slower CoP velocity during Single-Limb Squat (-4.9±9.4mms(-1), P=0.024). Factors other than the presence of pain may play a greater role in balance impairments in middle-aged adults with hip pathologies.</div>
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