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Effects of Compliance on Trunk and Hip Integrative Neuromuscular Training on Hip Abductor Strength in Female Athletes

Sugimoto, Dai1,2,3,4; Myer, Gregory D.1,2,3,5,7; Bush, Heather M.6; Hewett, Timothy E.1,2,5,7,8,9

Journal of Strength & Conditioning Research: May 2014 - Volume 28 - Issue 5 - p 1187–1194
doi: 10.1097/JSC.0000000000000228
Original Research

Abstract: Sugimoto, D, Myer, GD, Bush, HM, and Hewett, TE. Effects of compliance on trunk and hip integrative neuromuscular training on hip abductor strength in female athletes. J Strength Cond Res 28(5): 1187–1194, 2014—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.

1Division of Sports Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio;

2Sports Medicine Biodynamics Center and Human Performance Laboratory, Cincinnati, Ohio;

3The Michele Center for Sports Injury Prevention, Waltham, Massachusetts;

4Division of Sports Medicine, Boston Children's Hospital, Boston, Massachusetts;

5Department of Pediatrics and Orthopaedic Surgery, University of Cincinnati, Cincinnati, Ohio;

6Department of Biostatistics, College of Public Health, University of Kentucky, Lexington, Kentucky;

7Sports Medicine Sports Health & Performance Institute, The Ohio State University, Columbus, Ohio;

8Athletic Training Division, The Ohio State University, Columbus, Ohio; and

9Departments of Physiology and Cell Biology, Orthopaedic Surgery Family Medicine and Biomedical Engineering, Sports Medicine, The Ohio State University, Columbus, Ohio

Address correspondence to Timothy E. Hewett,

Copyright © 2014 by the National Strength & Conditioning Association.