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Open access

Agnieszka Witke-Woźniak, Michał Wychowański, Tomasz Dąmbski, Karina Szymfel and Tomasz Kochański

Abstract

Introduction: Snapping hip syndrome (SHS) occurs in 5-10% of the global population. A back and forth skip of the tendon of the dysfunctional muscle across the osseous prominence is the most common symptom of this condition. Mainly young generation suffers from SHS. Depending on the structures that cause an audible snap, snapping hip syndrome may be classified into intra-articular and extra-articular types. The main aim of the research was to assess the strength of the major hip muscles and static balance in patients with snapping hip syndrome.

Material and methods: The research was carried out on 10 untrained females and 10 untrained males with extra-articular snapping hip syndrome. An average age was approximately 25 years. The research was conducted with the use of interview questionnaire, clinical examination, balance assessment on the JBA Staniak 4P dynamometric platform and measurements of the hip muscle strength on the JBA Staniak SPB2 set.

Results: Patients with SHS manifested an increased tension in iliotibial band, while significant weakening of internal and external rotator muscle strength was noted in women and significant weakening of external rotator muscle strength was observed in men. No correlations between hip muscles strength and stabilographic test results in patients with snapping hip syndrome were found.

Conclusions: Individuals with SHS and healthy persons demonstrate similar balance levels. The treatment of snapping hip syndrome should include: 1) restoring internal rotator muscle strength in women, 2) restoring external rotator muscle strength both in women and in men, as well as 3) restoring iliotibial band flexibility.

Open access

Michał Wychowański, Ryszard Biernat and Agnieszka Witke

Abstract

Introduction.Efficient locomotion in a wheelchair is of great importance for the life quality of people with diseases that make them unable to walk, and also in many sport disciplines for the handicapped. The aim of this study was to compare the grip strength with the force of propulsion of a constrained wheelchair for different positioning of the hand on the wheel, and to observe the influence of grip strength and static propulsion force of the wheelchair on the results of a test ride on a given box-shaped path. Materials and methods. 84 healthy subjects took part in the test (52 female and 32 male), each being a Physiotherapy student of the Joseph Rusiecki Academy in Olsztyn. The grip strength measurement was conducted using a tensometric dynamometer in a sitting position. The propelling force was measured in static conditions with a dynamometer in three different hand positions on the push rim. The ability to move efficiently on a wheelchair was assessed on a “box” shaped track with measured completion times. Results. It was observed that women have lower grip strength of both hands than men and that their middle phalanx is shorter. In both groups a significant correlation was observed between grip strength and anthropometric parameters: body height, body weight, length of middle phalanx and between grip strength of the left and right hands. It has been found that grip strength is significantly correlated with the propulsion force of the wheelchair in almost all positions of the hand on the wheel. There was no significant correlation between the force generated with the left hand on the middle of the rim and the grip strength measured with a dynamometer. Men also achieved better results during the “box” test. A significant positive correlation was observed between body mass of both male and female subjects and the time of completing the “box” test. No correlation was found between the time of completing the “box” test and the propulsion force measured in constrains. Conclusions. Men achieve higher values of propulsion force than women in all cases of hand positioning on the wheel. Both men and women achieve highest values of propulsion force when positioning the hands in front of the rim. In all measured positions the average propulsion force was higher for men. In the case of healthy people who are not accustomed to using a wheelchair, the time of completing the “box” test depended mostly on their technical abilities and not their physical strength.