Fatigue-Induced Hip-Abductor Weakness and Changes in Biomechanical Risk Factors for Running-Related Injuries

Abstract

Context Despite overlap between hip-abductor (HABD) weakness and fatigue-induced changes in running, the interaction of these theorized contributors to running injuries has been underevaluated. Objective To assess the effects of a fatiguing run on HABD torque and evaluate the correlation between HABD torque and previously identified running-related injury pathomechanics while participants were rested or fatigued. Design Crossover study. Setting Laboratory. Patients or Other Participants A total of 38 healthy, physically active males (age = 21.61 ± 4.02 years, height = 1.78 ± 0.08 m, body mass = 76.00 ± 12.39 kg). Intervention(s) Data collection consisted of rested-state collection, a fatiguing treadmill-run protocol, and fatigued-state collection. For the HABD measures, side-lying handheld-dynamometer isometric tests were performed and converted to torque using femur length. For the gait analysis, kinematic (240 Hz) and kinetic (960 Hz) running (4.0 m/s) data were collected for 3 trials. The fatigue protocol involved a graded exercise test and 80% o2max run to exhaustion. Immediately after the run, fatigued-state measures were obtained. Main Outcome Measure(s) Variables of interest were HABD torque and peak angles, velocities, and moments for hip and knee adduction and internal rotation. Differences between conditions were compared using paired t tests. Pearson correlation coefficients were calculated to evaluate relationships between HABD torque and biomechanical variables. Results Fatigue decreased HABD torque and increased hip-adduction angle, knee-adduction velocity, and hip and knee internal-rotation velocities and moments (all P values < .05). In the rested state, HABD torque was correlated with hip-adduction velocity (r = –0.322, P = .049). In the fatigued state, HABD torque was correlated with hip-adduction velocity (r = –0.393, P = .015), hip internal-rotation velocity (r = –0.410, P = .01), and knee-adduction angle (r = 0.385, P = .017) and velocity (r = −0.378, P = .019). Conclusions Changes in joint velocities due to fatigue and correlations between HABD torque and hip- and knee-joint velocities highlight the need to consider not only the quantity of HABD strength but also the rate of eccentric control of HABDs.