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Biomechanical Alterations in Athletes with Femoroacetabular Impingement Syndrome During Sport-Related Tasks

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2019, Master of Science, Ohio State University, Anatomy.
Introduction: Femoroacetabular impingement syndrome (FAIS) is common in athletic populations. Athletes with FAIS have reported modifying their movement in an attempt to maintain a high level of sport participation. Movement modifications associates with FAIS have been observed in a variety of daily activities including walking and squatting. However, little data on the biomechanics of individuals with FAIS during a sports-related drop vertical jump (DVJ) task have been published. A clinically observed kinematic ankle reversal is suspected to be a potential movement modification that may have an effect on hip function during this task. Objective: The purpose of this study was to (1) characterize differences in biomechanical patterns, including an ankle reversal, between athletes with FAIS and athletes without FAIS during a DVJ and (2) identify any relationships between lower-limb biomechanics and self-reported function in athletes with FAIS during a DVJ. Methods: Athletes with FAIS (n = 32) who were scheduled for arthroscopic surgery and a control group (n = 13) underwent three-dimensional motion analysis during a DVJ task. Sagittal plane hip, knee, and ankle kinematics and kinetics were compared between groups and limbs using a two-by-two (group-by-limb) ANOVA. A kinematic ankle reversal was identified and a two-by-two (group-by-reversal status) ANOVA was used to determine any effect on biomechanical variables. Athletes with FAIS completed the HOS-ADL and HOS-S to quantify self-reported function. Spearman rank correlations were performed in order to identify any relationship between sagittal plane biomechanics in athletes with FAIS and self-reported function. Results: Athletes with FAIS demonstrated a higher peak ankle dorsiflexion moment than athletes without FAIS. Athletes with an ankle reversal demonstrated greater hip and knee joint excursion than individuals without an ankle reversal. Spearman rank correlations identified no significant relationship (p > 0.05) between the sagittal biomechanics of athletes with FAIS and their HOS-ADL or HOS-S scores. Conclusion: Athletes with FAIS demonstrate movement modifications in the sagittal plane during sport-related tasks when compared to healthy controls. Though the kinematic ankle reversal is not specific to athletes with FAIS, it effects the biomechanics of the lower-limb. The observed alterations in biomechanics were not associated with hip function. Movement modifications in one plane likely translate to additional planes and thus, understanding these modifications and how they affect function could be a target for future treatment. The findings of this current study support the theory of movement modification during sport-related tasks in individuals with FAIS.
Stephanie Di Stasi, PhD, PT, OCS (Advisor)
Kirk McHugh, PhD (Advisor)
Laura Boucher, PhD, AT (Committee Member)
90 p.

Recommended Citations

Citations

  • Korth, K. (2019). Biomechanical Alterations in Athletes with Femoroacetabular Impingement Syndrome During Sport-Related Tasks [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1555492080332422

    APA Style (7th edition)

  • Korth, Kolin. Biomechanical Alterations in Athletes with Femoroacetabular Impingement Syndrome During Sport-Related Tasks. 2019. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1555492080332422.

    MLA Style (8th edition)

  • Korth, Kolin. "Biomechanical Alterations in Athletes with Femoroacetabular Impingement Syndrome During Sport-Related Tasks." Master's thesis, Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1555492080332422

    Chicago Manual of Style (17th edition)