Can local muscles augment stability in the hip? A narrative literature review

Retchford, T. H., Crossley, K. M., Grimaldi, A., Kemp, J. L. and Cowan, S. M. (2013) Can local muscles augment stability in the hip? A narrative literature review. Journal of Musculoskeletal and Neuronal Interactions, 13 1: 1-12.

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Name Description MIMEType Size Downloads
Author Retchford, T. H.
Crossley, K. M.
Grimaldi, A.
Kemp, J. L.
Cowan, S. M.
Title Can local muscles augment stability in the hip? A narrative literature review
Journal name Journal of Musculoskeletal and Neuronal Interactions   Check publisher's open access policy
ISSN 1108-7161
Publication date 2013-03
Year available 2013
Sub-type Critical review of research, literature review, critical commentary
Volume 13
Issue 1
Start page 1
End page 12
Total pages 12
Place of publication Greece
Publisher The International Society of Musculoskeletal and Neuronal Interactions
Collection year 2014
Language eng
Formatted abstract
Hip pain and dysfunction are increasingly recognised as important causes of morbidity in younger and older adults. Pathology compromising the passive stability of the hip joint, including acetabular labral injury, may lead to increased femoral head translation, greater joint contact pressures and ultimately degenerative hip disease. Activation of hip muscles may play an important role in augmenting the stability in the normal and the passively unstable hip. Research at other joints suggests that the local, rather than global, muscles are well suited to provide subtle joint compression, limiting translation, with minimal metabolic cost. Based on the known characteristics of local muscles and the limited research available on hip muscles, it is proposed that the local hip muscles; quadratus femoris, gluteus minimus, gemelli, obturator internus and externus, iliocapsularis and the deep fibres of iliopsoas, may be primary stabilisers of the hip joint. Interventions aimed at restoring isolated neuromuscular function of the primary hip stabilisers may be considered when treating people with passive hip instability prior to commencing global muscle rehabilitation. Finally, further research is needed to investigate the potential association between function of the hip muscles (including muscles likely to have a role in stabilising the hip) and hip pathology affecting hip stability such as acetabular labral lesions.
Keyword Hip joint
Hip instability
Hip muscle control
Deep hip external rotator muscles
Cross-sectional area
Finite-element model
Prolonged bed rest
Femoroacetabular impingement
Acetabular labrum
Transversus abdominis
Gluteus minimus
Lumbar spine
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
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