title: Variations in dynamic knee valgus and gluteus medius onset timing in non-athletic females related to hormonal changes during the menstrual cycle.
abstract: It has been suggested that activities of daily living could contribute to the occurrence of ACL injury in females. Currently, no studies have focused on the lower extremity behavior of a non-athletic population to compare or understand the lower extremity adeptness towards daily movements that mimic athletic tasks. Our hypothesis was that increased knee valgus angles would occur during the late follicular phase of the menstrual cycle accompanied by different onset timing of the gluteus medius muscle. In a controlled laboratory study, 23 non-athletic collegiate females participated and 15 subjects comprised the final sample for statistical analysis. Subjects performed a single leg drop landing maneuver while 3-D knee kinematics and gluteus medius muscle onset timing were assessed throughout three distinct phases of the menstrual cycle, confirmed by blood hormone analysis. In general, knee valgus angles were significantly less in the luteal phase compared to both follicular phases (p<0.005), while differences were not observed for gluteus medius onset timing (p=0.936). As a decreased knee joint valgus angle was observed during the luteal phase, it was hypothesized that the hormone progesterone could significantly influence knee kinematics during a dynamic task. However, such influence was not observed for gluteus medius EMG onset timing as a significant correlation between gluteus medius onset timing and knee valgus angle could not be determined.
authors: Department of Physical Therapy, Federal University of São Carlos, São Carlos, SP, Brazil. guilhermemanna@yahoo.com
authors: Guilherme Manna
authors: GM
authors: Cesar
authors: Vanessa Santos
authors: VS
authors: Pereira
authors: Paulo Roberto Pereira
authors: PR
authors: Santiago
authors: Benedito Galvão
authors: BG
authors: Benze
authors: Paula Hentshel Lobo
authors: PH
authors: da Costa
authors: César Ferreira
authors: CF
authors: Amorim
authors: Fabio Viadanna
authors: FV
authors: Serrão
mesh_terms: D000328:Adult; D001696:Biomechanical Phenomena / Q000502:physiology; D005260:Female; D006621:Hip Joint / Q000502:physiology*; D006801:Humans; D007719:Knee Joint / Q000002:abnormalities / Q000033:anatomy & histology / Q000502:physiology*; D008597:Menstrual Cycle / Q000502:physiology*; D018482:Muscle, Skeletal / Q000502:physiology*; D013177:Sports / Q000502:physiology; D055815:Young Adult