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The purpose of this study is to objectively assess the effects of hip bump manipulation (HBM) on a healthy population aged 18-45 years. We hypothesize that the HBM will improve hip internal rotation passive range of motion, improve the strength of the hip external rotators, decrease compensatory motions in hip flexion during active range of motion, and improve bipodal landing mechanics.
Human participants will be analyzed to determine whether the manipulation produces the intended clinical outcomes. While clinicians commonly use this technique, its effectiveness has yet to be substantiated through research. This technique is a high velocity low amplitude thrust to the greater trochanter which theorizes the quick stretch of the external rotator muscles and may improve a malpositioned femoral head within the acetabulum. These improvements may positively affect functional movements such as bipodal landing.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A: Intervention | Experimental | Hip Bump Manipulation (UFIR) |
|
| Group B: Control | Sham Comparator | Iliac Crest Bump Sham Manipulation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hip Bump Manipulation | Procedure | This technique is a high velocity low amplitude thrust (HVLAT) directly posterior to the greater trochanter which theorizes the quick stretch of the external rotator muscles and may improve a malpositioned femoral head within the acetabulum. |
| Measure | Description | Time Frame |
|---|---|---|
| Hip External Rotation Strength | Measured with ActivForce Handheld Dynamometry. 3 trials for an average Mean Voluntary Isometric Contraction | "From pre-intervention to post-intervention within a single session lasting approximately 20 minutes." |
| Hip Internal Rotation Range of Motion | Hip Internal rotation measured in a seat position 90/90 position. Measured with IPhone Digital Goniometry. 3 trials with a calculated average | "From pre-intervention to post-intervention within a single session lasting approximately 20 minutes." |
| Hip EMG Muscle Activation | Delsys Trigno Wireless System will be used to monitor changes in muscle activation between the Tensor Fascia Latae, Gluteus Medius, and Gluteus Maximus. During seated isometric external rotation contraction and bipodal landing. EMG will be retrieved on the 2nd attempt out of 3 trials. | "From pre-intervention to post-intervention within a single session lasting approximately 20 minutes." |
| Bipodal Landing | Kinvent K-Delta Force Plates used to measure changes in bipodal landing mechanics including force distribution, time to stabilization, etc. 3 trials will be conducted to present average values | "From pre-intervention to post-intervention within a single session lasting approximately 20 minutes." |
| Measure | Description | Time Frame |
|---|---|---|
| Hip Deviation with Active Assisted Hip Flexion Range of Motion | Deviation resulting in excessive abduction and external rotation during knee to chest active assisted range of motion. Video recording before and after to observe changes pre and post intervention. | "From pre-intervention to post-intervention within a single session lasting approximately 20 minutes." |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Karl Rusch, B.S., DSc, DPT | Contact | (845) 848-6046 | karl.rusch@duny.edu | |
| Stephen Rodriguez, B.S., DSc, MPS PT, DPT | Contact | (845) 848-6047 | stephen.rodriguez@duny.edu |
| Name | Affiliation | Role |
|---|---|---|
| Ayse Edeer, B.S., M.S., Ph.D. | Dominican University New York | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dominican University New York | Recruiting | Orangeburg | New York | 10962 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29287067 | Background | van Melick N, Meddeler BM, Hoogeboom TJ, Nijhuis-van der Sanden MWG, van Cingel REH. How to determine leg dominance: The agreement between self-reported and observed performance in healthy adults. PLoS One. 2017 Dec 29;12(12):e0189876. doi: 10.1371/journal.pone.0189876. eCollection 2017. | |
| 35197646 | Background |
| Label | URL |
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De-identified individual participant data, including demographic information and outcome measures, will be made publicly available as part of the research publication. All personal identifiers will be removed, and any video recordings of movement deviations will either not be shared or will have faces obscured to maintain participant privacy. Data will be provided in a format consistent with ethical guidelines and institutional requirements.
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| ID | Term |
|---|---|
| C005703 | salicylhydroxamic acid |
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Two-Arm Parallel Group Randomized Controlled Trial (RCT) Group A: Intervention Group B: Control (Sham)
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| Sham (No Treatment) | Procedure | Iliac Crest Sham Manipulation |
|
| Hip External Rotation Range of Motion | Measured to compare the change in External and Internal Rotation range of motion relationship. Measure with iPhone Digital Goniometry. 3 trials will be conducted to present an average value of ROM | "From pre-intervention to post-intervention within a single session lasting approximately 20 minutes." |
| Kazemi M, Leguard SH, Lilja S, Mahaise S. A clinical crossover trial of the effect of manipulative therapy on pain and passive and active range of motion of the painful hip. J Can Chiropr Assoc. 2021 Dec;65(3):318-329. |
| 28900559 | Background | Bazett-Jones DM, Tylinksi T, Krstic J, Stromquist A, Sparks J. PEAK HIP MUSCLE TORQUE MEASUREMENTS ARE INFLUENCED BY SAGITTAL PLANE HIP POSITION. Int J Sports Phys Ther. 2017 Aug;12(4):535-542. |
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