The effects of acute experimental hip muscle pain on dynamic single-limb balance performance in healthy middle-aged adults.
Identifieur interne : 001688 ( PubMed/Curation ); précédent : 001687; suivant : 001689The 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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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></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">27649511</PMID><DateCreated><Year>2016</Year><Month>09</Month><Day>20</Day></DateCreated><DateRevised><Year>2017</Year><Month>09</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-2219</ISSN><JournalIssue CitedMedium="Internet"><Volume>50</Volume><PubDate><Year>2016</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Gait & posture</Title><ISOAbbreviation>Gait Posture</ISOAbbreviation></Journal><ArticleTitle>The effects of acute experimental hip muscle pain on dynamic single-limb balance performance in healthy middle-aged adults.</ArticleTitle><Pagination><MedlinePgn>201-206</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0966-6362(16)30534-3</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.gaitpost.2016.09.007</ELocationID><Abstract><AbstractText>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.</AbstractText><CopyrightInformation>Copyright © 2016 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hatton</LastName><ForeName>Anna L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia. Electronic address: a.hatton1@uq.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hug</LastName><ForeName>François</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Laboratory "Movement, Interaction, Performance" (EA 4334), University of Nantes, Nantes, France. Electronic address: francois.hug@univ-nantes.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Sarah H</ForeName><Initials>SH</Initials><AffiliationInfo><Affiliation>School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia. Electronic address: chenhuiwensarah@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Reid</LastName><ForeName>Christine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia. Electronic address: christine.reid@uqconnect.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sorensen</LastName><ForeName>Nicole A</ForeName><Initials>NA</Initials><AffiliationInfo><Affiliation>School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia. Electronic address: nicole.sorensen1@uqconnect.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tucker</LastName><ForeName>Kylie</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>School of Biomedical Sciences, The University of Queensland, Brisbane, Australia. 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