The DOI matches its Crossref record; 36 of the 36 references it cites were found in a registry or an index.
Performance on the Single-Leg Squat Task Indicates Hip Abductor Muscle Function
Abstract
Background: Contemporary clinical expertise and emerging research in anterior knee pain indicate that treatment of hip muscle function will result in greater effects, if such treatments can be provided to those with hip muscle dysfunction. Thus, it is imperative to develop and evaluate a clinical assessment tool that is capable of identifying people with poor hip muscle function. Hypothesis: The clinical assessment of single-leg squat performance will have acceptable inter- and intrarater reliability. Furthermore, people with good performance on the single-leg squat will have better hip muscle function (earlier onset of gluteus medius activity and greater lateral trunk, hip abduction, and external rotation strength) than people with poor performance. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: A consensus panel of 5 experienced clinicians developed criteria to rate the performance of a single-leg squat task as “good,” “fair,” or “poor.” The panel rated the performance of 34 asymptomatic participants (mean ± SD: age, 24 ± 5 y; height, 1.69 ± 0.10 m; weight, 65.0 ± 10.7 kg), and these ratings served as the standard. The ratings of 3 different clinicians were compared with those of the consensus panel ratings (interrater reliability) and to their own rating on 2 occasions (intrarater reliability). For the participants rated as good performers (n = 9) and poor performers (n = 12), hip muscle strength (hip abduction, external rotation, and trunk side bridge) and onset timing of anterior (AGM) and posterior gluteus medius (PGM) electromyographic activity were compared. Results: Concurrency with the consensus panel was excellent to substantial for the 3 raters (agreement 87%-73%; κ = 0.800-0.600). Similarly, intrarater agreement was excellent to substantial (agreement 87%-73%; κ = 0.800-0.613). Participants rated as good performers had significantly earlier onset timing of AGM (mean difference, –152; 95% confidence interval [CI], –258 to –48 ms) and PGM (mean difference, –115; 95% CI, –227 to –3 ms) electromyographic activity than those who were rated as poor performers. The good performers also exhibited greater hip abduction torque (mean difference, 0.47; 95% CI, 0.10-0.83 N·m·Bw −1 ) and trunk side flexion force (mean difference, 1.08; 95% CI, 0.25-1.91 N·Bw −1 ). There was no difference in hip external rotation torque ( P > .05) between the 2 groups. Conclusion: Targeted treatments, although considered ideal, rely on the capacity to identify subgroups of people with chronic anterior knee pain who might respond optimally to a given treatment component. Clinical assessment of performance on the single-leg squat task is a reliable tool that may be used to identify people with hip muscle dysfunction.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“An equivalent approach was adopted by Crossley and colleagues, 11 who reported excellent interrater agreement (80-87% k ¼ 0.700-0.800) for similarly qualified physiotherapists.”
From Lower-Limb Kinematics of Single-Leg Squat Performance in Young Adults (2014) · cites this paper as [11]
In the citing paper
“Commensurate with previous investigations, 1,11-13 and to most closely resemble clinical practice, squat depth was not standardized.”
From Lower-Limb Kinematics of Single-Leg Squat Performance in Young Adults (2014) · cites this paper as [11]
Citations
Cites
2 retracted
Exercise therapy for patellofemoral pain syndrome
Heintjes, E. M., Berger, M. Y., Bierma‐Zeinstra, S., Bernsen, R. M. D., Verhaar, J. A. N., & Koes, B. W. (2003) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003472 · Cited by 202
RetractedOrthotic devices for treating patellofemoral pain syndrome
D’hondt, N. E., Struijs, P. A. A., Kerkhoffs, G. M. M. J., Verheul, C., Lysens, R., Aufdemkampe, G., & van Dijk, C. N. (2002) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002267 · Cited by 72
RetractedFoundations of clinical research application to practice
Portney, L. (1993) · Medical Entomology and Zoology · Cited by 1,135
Core Stability Measures as Risk Factors for Lower Extremity Injury in Athletes
Leetun, D., Ireland, M. L., Willson, J. D., Ballantyne, B. T., & DAVIS, I. M. (2004) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000128145.75199.c3 · Cited by 1,016
Powers, C. M. (2003) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2003.33.11.639 · Cited by 1,003
Contraction of the Abdominal Muscles Associated With Movement of the Lower Limb
Hodges, P. W., & Richardson, C. A. (1997) · Physical Therapy · doi:10.1093/ptj/77.2.132 · Cited by 890
McGill, S. M., Childs, A., & Liebenson, C. (1999) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/s0003-9993(99)90087-4 · Cited by 814
Foundations of clinical research. Applications to practice
Fortney, L. (1993) · Medical Entomology and Zoology · Cited by 700
Witvrouw, E., Lysens, R., Bellemans, J., Cambier, D., & Vanderstraeten, G. (2000) · American Journal of Sports Medicine · doi:10.1177/03635465000280040701 · Cited by 659
Souza, R. B., & Powers, C. M. (2008) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2009.2885 · Cited by 619
Zeller, B. L., McCrory, J. L., Ben Kibler, W., & Uhl, T. L. (2003) · The American Journal of Sports Medicine · doi:10.1177/03635465030310032101 · Cited by 490
Dierks, T. A., MANAL, K. T., Hamill, J., & Davis, I. S. (2008) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2008.2490 · Cited by 388
Bolgla, L. A., Malone, T., Umberger, B. R., & Uhl, T. L. (2008) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2008.2462 · Cited by 377
Relationship between Hip and Knee Strength and Knee Valgus during a Single Leg Squat
Claiborne, T. L., Armstrong, C. W., Gandhi, V., & Pincivero, D. M. (2006) · Journal of Applied Biomechanics · doi:10.1123/jab.22.1.41 · Cited by 376
Core Strength and Lower Extremity Alignment during Single Leg Squats
Willson, J. D., Ireland, M. L., & Davis, I. S. (2006) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000218140.05074.fa · Cited by 359
Piva, S., Goodnite, E. A., & Childs, J. D. (2005) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2005.35.12.793 · Cited by 327
Females with patellofemoral pain syndrome have weak hip muscles: a systematic review
Prins, M. R., & van der Wurff, P. (2009) · Australian Journal of Physiotherapy · doi:10.1016/s0004-9514(09)70055-8 · Cited by 305
Reliability of measures of impairments associated with patellofemoral pain syndrome
Piva, S. R., Fitzgerald, K., Irrgang, J. J., Jones, S., Hando, B., Browder, D. A., & Childs, J. D. (2006) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-7-33 · Cited by 255
A Systematic Review of Physical Interventions for Patellofemoral Pain Syndrome
Crossley, K. M., Bennell, K. L., Green, S., & McConnell, J. (2001) · Clinical Journal of Sport Medicine · doi:10.1097/00042752-200104000-00007 · Cited by 253
Self-citationPrevention of common overuse injuries by the use of shock absorbing insoles
Schwellnus, M. P., Jordaan, G. P., & Noakes, T. D. (1990) · The American Journal of Sports Medicine · doi:10.1177/036354659001800614 · Cited by 236
Predictors of Hip Internal Rotation during Running
Souza, R. B., & Powers, C. M. (2008) · The American Journal of Sports Medicine · doi:10.1177/0363546508326711 · Cited by 234
Altered hip and trunk muscle function in individuals with patellofemoral pain
Cowan, S., Crossley, K. M., & Bennell, K. L. (2008) · British Journal of Sports Medicine · doi:10.1136/bjsm.2008.053553 · Cited by 190
Self-citationBrindle, T. J., Mattacola, C. G., & McCrory, J. L. (2003) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-003-0353-z · Cited by 185
Thorstensson, C. A., Petersson, I. F., Jacobsson, L., Boegård, T., & Roos, E. M. (2004) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2003.007583 · Cited by 177
Systematic review of the quality of randomized controlled trials for patellofemoral pain syndrome.
Bizzini, M., Childs, J. D., Piva, S., & Delitto, A. (2003) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2003.33.1.4 · Cited by 165
Predictors of Frontal Plane Knee Excursion During a Drop Land in Young Female Soccer Players
Sigward, S. M., Ota, S., & Powers, C. M. (2008) · Journal of Orthopaedic and Sports Physical Therapy · doi:10.2519/jospt.2008.2695 · Cited by 156
Lawrence, R. K., Kernozek, T. W., Miller, E. J., Torry, M. R., & Reuteman, P. (2008) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2008.02.009 · Cited by 142
Milgrom, C., Finestone, A. S., Eldad, A., & Shlamkovitch, N. (1991) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-199173070-00012 · Cited by 130
Thorstensson, C. A., Andersson, M., Jónsson, H., Saxne, T., & Petersson, I. F. (2008) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2008.095158 · Cited by 123
What Are the Validity of the Single-Leg-Squat Test and Its Relationship to Hip-Abduction Strength?
DiMattia, M. A., Livengood, A. L., Uhl, T. L., Mattacola, C. G., & Malone, T. R. (2005) · Journal of Sport Rehabilitation · doi:10.1123/jsr.14.2.108 · Cited by 115
Chmielewski, T. L., Hodges, M. J., Horodyski, M., Bishop, M. D., Conrad, B. P., & Tillman, S. M. (2007) · Journal of Orthopaedic & Sports Physical Therapy · doi:10.2519/jospt.2007.2457 · Cited by 113
Hetsroni, I., Finestone, A. S., Milgrom, C., Sira, D. B., Nyska, M., Radeva-Petrova, D. R., & Ayalon, M. (2006) · Journal of Bone and Joint Surgery - British Volume · doi:10.1302/0301-620x.88b7.17826 · Cited by 80
Relationship between hip strength and frontal plane posture of the knee during a forward lunge
Thijs, Y., Tiggelen, D. V., Willems, T. M., Clercq, D. D., & Witvrouw, E. (2007) · British Journal of Sports Medicine · doi:10.1136/bjsm.2007.037374 · Cited by 77
Does gender influence neuromotor control of the knee and hip?
Cowan, S., & Crossley, K. M. (2007) · Journal of Electromyography and Kinesiology · doi:10.1016/j.jelekin.2007.07.009 · Cited by 39
Self-citationThe Incidence And Occupational Outcome Of Overuse Anterior Knee Pain During Army Recruit Training
Wills, A. K., Ramasamy, A., Ewins, D. J., & Etherington, J. (2004) · Journal of the Royal Army Medical Corps · doi:10.1136/jramc-150-04-07 · Cited by 38
Exercise Prescription and Patellofemoral Pain: Evidence for Rehabilitation
Bolgla, L. A., & Malone, T. (2005) · Journal of Sport Rehabilitation · doi:10.1123/jsr.14.1.72 · Cited by 29
Cited by
Sorted by citations
Barber-Westin, S. D., & Noyes, F. R. (2011) · Arthroscopy The Journal of Arthroscopic and Related Surgery · doi:10.1016/j.arthro.2011.09.009 · Cited by 574
Petersen, W., Ellermann, A., Gösele-Koppenburg, A., Best, R., Rembitzki, I., Brüggemann, G., & Liebau, C. (2013) · Knee Surgery, Sports Traumatology, Arthroscopy · doi:10.1007/s00167-013-2759-6 · Cited by 191
The Disabled Throwing Shoulder: Spectrum of Pathology—10‐Year Update
Kibler, W. B., Kuhn, J. E. “., Wilk, K. E., Sciascia, A. D., Moore, S. D., Laudner, K. G., Ellenbecker, T. S., Thigpen, C., & Uhl, T. L. (2012) · Arthroscopy The Journal of Arthroscopic and Related Surgery · doi:10.1016/j.arthro.2012.10.009 · Cited by 275
Barber-Westin, S. D., & Noyes, F. R. (2011) · The Physician and Sportsmedicine · doi:10.3810/psm.2011.09.1926 · Cited by 237
Return to play following ACL reconstruction: a systematic review about strength deficits
Petersen, W. J., Taheri, P., Forkel, P., & Zantop, T. (2014) · Archives of Orthopaedic and Trauma Surgery · doi:10.1007/s00402-014-1992-x · Cited by 237
Metadata
- Authors
- Crossley, K. M., Zhang, W.-J., Schache, A. G., Bryant, A., & Cowan, S. M.
- Affiliations
- The University of Melbourne (AU)
- Venue
- The American Journal of Sports Medicine
- Publisher
- SAGE Publications
- Published
- 2011-02-18
- Volume
- 39
- Issue
- 4
- Pages
- 866-873
- ISSN
- 0363-5465 (ISSN-L)
- 1552-3365
- OpenAlex
- W1993627110
- Cited by
- 360
- References
- 36
- Citations by year
- 2026: 14 · 2025: 19 · 2024: 30 · 2023: 18 · 2022: 22 · 2021: 22 · 2020: 19 · 2019: 32 · 2018: 33 · 2017: 23 · 2016: 27 · 2015: 29 · 2014: 30 · 2013: 18 · 2012: 19
- FWCI
- 13.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Sports Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
- Health Sciences › Medicine › Surgery › Hip disorders and treatments
- Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
- Keywords
- single-leg squat, gluteus medius, hip abductor strength, hip external rotation strength, anterior knee pain, inter-rater reliability, intra-rater reliability, clinical assessment tools, electromyography, hip muscle strength, trunk lateral flexion
- MeSH terms
- Adult, Exercise Test, Female, Hip Joint, Humans, Male, Muscular Diseases, Task Performance and Analysis, Reproducibility of Results, Cohort Studies, Muscle, Skeletal, Muscle Strength, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review