Open AccessEffects of Compliance on Trunk and Hip Integrative Neuromuscular Training on Hip Abductor Strength in Female Athletes
Author(s) -
Dai Sugimoto,
Gregory D. Myer,
Heather Bush,
Timothy E. Hewett
Publication year - 2014
Publication title -
journal of strength and conditioning research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.569
H-Index - 128
eISSN - 1533-4287
pISSN - 1064-8011
DOI - 10.1097/jsc.0000000000000228
Subject(s) - trunk , medicine , physical therapy , athletes , compliance (psychology) , physical medicine and rehabilitation , strength training , core stability , psychology , social psychology , ecology , biology
Recent studies demonstrate the link between reduced hip abductor strength and increased risk for knee injury such as patellofemoral pain syndrome in women athletes. Meta-analytic reports indicate that the efficacy of integrative neuromuscular training (INT) is associated with compliance to the prescribed programming. Thus, the purpose was to investigate the compliance effects of a trunk and hip-focused INT exercises on hip abductor strength in young women athletes. In a controlled laboratory study design, 21 high school women volleyball players (mean age = 15.6 ± 1.4 years, weight = 64.0 ± 7.4 kg, height = 171.5 ± 7.0 cm) completed isokinetic hip abductor strength testing in pre- and postintervention, which consisted of 5 phases of supervised progressive trunk and hip-focused INT exercises twice a week for 10 weeks. The compliance effects were analyzed based on the changed hip abductor strength values between pre- and postintervention and 3 different compliance groups using 1-way analysis of variance and Pearson's correlation coefficients. The participants in the high-compliance group demonstrated significant hip abductor peak torque increases compared with noncompliance group (p = 0.02), but not between moderate-compliance and noncompliance groups (p = 0.27). The moderate correlation coefficient value (r = 0.56) was recorded between the isokinetic hip abductor peak torque changes and the 3 compliance groups. Because of the observed significant effects and moderate linear association, the effectiveness of a trunk and hip-focused INT protocol to improve hip abduction strength seems dependent on compliance. Compliance of trunk and hip-focused INT is an important aspect of increasing hip abductor strength increase in young women athletes.