Top

Published in:

Open Access 01-12-2021 | Overweight | Research

Three-dimensional motion analysis of ten common Asian sitting positions in daily living and factors affect range of hip motions

Authors: Phob Ganokroj, Jirayu Chaowalitwong, Pichitpol Kerdsomnuek, Narumol Sudjai, Pisit Lertwanich, Bavornrat Vanadurongwan

Published in: BMC Musculoskeletal Disorders | Issue 1/2021

Abstract

Background

Sitting involves many activities of daily life and requires most motion in the hip joint. Asians have more hip flexion and external rotation motions than Westerners owing to cultural and lifestyle differences. Being aware of the normal range of hip motion is essential in clinical practice. Limited research has focused on the hip motions of common sitting positions. The objective was to determine the hip motions of 10 common sitting positions, and to determine whether gender or being overweight affects the range of hip motions.

Methods

An experimental cross-sectional study was conducted to determine hip motions by using a standard, three-dimensional, motion-analysis system. Healthy subjects performed 10 sitting positions during 3 trials. All hip-kinematic data were measured on the dominant leg of each participant, except for the right- and left-monk positions (both hips were analyzed). Density plots were constructed and statistical analyses were performed to detect the differences between groups (male and female; non-overweight and overweight).

Results

The 48 participants comprised 24 males and 24 females. Most were right-leg dominant (45 participants, 93.8%). Of the 22 participants in the overweight group (body mass index ≥23 kg/m²), 18 (75%) were male. Squatting showed the highest flexion angle (99.7°, 47.3°–122°). Cross-legged sitting had the highest abduction angle (28.9°, 9.9°–45.7°) and the largest external rotation angle (62°, 37.6°–81.7°). In the female group, there were trends toward a greater flexion angle (4 out of 10 sitting positions) and a smaller abduction angle (6 out of 9 positions), with P values < 0.05. As to body weight, the overweight participants had a smaller flexion angle but a greater abduction angle, with 5 out of 9 positions having a P value < 0.05. Kinematic data of the transverse plane revealed that the heterogeneity of the rotational angles depended on the sitting position.

Conclusions

This study provided the functional hip motions of common Asian sitting positions. The kinematic data can be utilized in clinical practice as reference values to determine safe positions. Gender and being overweight affected the hip angles in the sagittal and frontal planes.

Trial registration

Number TCTR20181021004, retrospectively registered at the Thai Clinical Trials Registry (http//:www.clinicaltrials.in.th).

Mulholland SJ, Wyss UP. Activities of daily living in non-Western cultures: range of motion requirements for hip and knee joint implants. Int J Rehabil Res. 2001;24(3):191–8. https://doi.org/10.1097/00004356-200109000-00004.CrossRefPubMed

Hoaglund FT, Yau AC, Wong WL. Osteoarthritis of the hip and other joints in southern Chinese in Hong Kong. J Bone Joint Surg Am. 1973;55(3):545–57. https://doi.org/10.2106/00004623-197355030-00010.CrossRefPubMed

Ahlberg A, Moussa M, Al-Nahdi M. On geographical variations in the normal range of joint motion. Clin Orthop Relat Res. 1988;234:229–31.

Johnston RC, Smidt GL. Hip motion measurements for selected activities of daily living. Clin Orthop Relat Res. 1970;72:205–15.PubMed

Davis KE, Ritter MA, Berend ME, Meding JB. The importance of range of motion after total hip arthroplasty. Clin Orthop Relat Res. 2007;465:180–4. https://doi.org/10.1097/BLO.0b013e31815c5a64.CrossRefPubMed

Beck M, Kalhor M, Leunig M, Ganz R. Hip morphology influences the pattern of damage to the acetabular cartilage: femoroacetabular impingement as a cause of early osteoarthritis of the hip. J Bone Joint Surg Br. 2005;87(7):1012–8.CrossRefPubMed

Hemmerich A, Brown H, Smith S, Marthandam SS, Wyss UP. Hip, knee, and ankle kinematics of high range of motion activities of daily living. J Orthop Res. 2006;24(4):770–81. https://doi.org/10.1002/jor.20114.CrossRefPubMed

Zhou H, Liu A, Wang D, Zeng X, Wei S, Wang C. Kinematics of lower limbs of healthy Chinese people sitting cross-legged. Prosthetics Orthot Int. 2013;37(5):369–74. https://doi.org/10.1177/0309364612470964.CrossRef

Zhou H, Wang DM, Liu TR, Zeng XS, Wang CT. Kinematics of hip, knee, ankle of the young and elderly Chinese people during kneeling activity. J Zhejiang Univ Sci B. 2012;13(10):831–8. https://doi.org/10.1631/jzus.B1100355.CrossRefPubMedPubMedCentral

10.

Kapoor A, Mishra SK, Dewangan SK, Mody BS. Range of movements of lower limb joints in cross-legged sitting posture. J Arthroplast. 2008;23(3):451–3. https://doi.org/10.1016/j.arth.2007.04.008.CrossRef

11.

Bell AL, Brand RA, Pedersen DR. Prediction of hip joint Centre location from external landmarks. Hum Mov Sci. 1989;8(1):3–16. https://doi.org/10.1016/0167-9457(89)90020-1.CrossRef

12.

Bell AL, Pedersen DR, Brand RA. A comparison of the accuracy of several hip center location prediction methods. J Biomech. 1990;23(6):617–21. https://doi.org/10.1016/0021-9290(90)90054-7.CrossRefPubMed

13.

Assi A, Sauret C, Massaad A, Bakouny Z, Pillet H, Skalli W, et al. Validation of hip joint center localization methods during gait analysis using 3D EOS imaging in typically developing and cerebral palsy children. Gait Posture. 2016;48(7):30–5. https://doi.org/10.1016/j.gaitpost.2016.04.028.CrossRefPubMed

14.

Davis RB, Õunpuu S, Tyburski D, Gage JR. A gait analysis data collection and reduction technique. Hum Mov Sci. 1991;10(5):575–87. https://doi.org/10.1016/0167-9457(91)90046-Z.CrossRef

15.

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;12(12):e0189876.

16.

Koo TK, Li MY. A guideline of selecting and reporting Intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155–63. https://doi.org/10.1016/j.jcm.2016.02.012.CrossRefPubMedPubMedCentral

17.

Dhiman RK, Duseja A, Chawla Y. Asians need different criteria for defining overweight and obesity. Arch Intern Med. 2005;165(9):1069–70. https://doi.org/10.1001/archinte.165.9.1069-b.CrossRefPubMed

18.

Flanagan S, Salem GJ, Wang MY, Sanker SE, Greendale GA. Squatting exercises in older adults: kinematic and kinetic comparisons. Med Sci Sports Exerc. 2003;35(4):635–43. https://doi.org/10.1249/01.MSS.0000058364.47973.06.CrossRefPubMedPubMedCentral

19.

Imam MA, Fathalla I, Holton J, Nabil M, Kashif F. Cementless Total hip replacement for the Management of Severe Developmental Dysplasia of the hip in the middle eastern population: a prospective analysis. Front Surg. 2016;3:31.CrossRefPubMedPubMedCentral

20.

Roach S, San Juan JG, Suprak DN, Lyda M. Concurrent validity of digital inclinometer and universal goniometer in assessing passive hip mobility in healthy subjects. Int J Sports Phys Ther. 2013;8(5):680–8.PubMedPubMedCentral

21.

Huffman KD, Sanford BA, Zucker-Levin AR, Williams JL, Mihalko WM. Increased hip abduction in high body mass index subjects during sit-to-stand. Gait Posture. 2015;41(2):640–5. https://doi.org/10.1016/j.gaitpost.2015.01.014.CrossRefPubMed

22.

Martin HD, Shears SA, Palmer IJ. Evaluation of the hip. Sports Med Arthrosc Rev. 2010;18(2):63–75. https://doi.org/10.1097/JSA.0b013e3181dc578a.CrossRefPubMed

23.

Amanatullah DF, Antkowiak T, Pillay K, Patel J, Refaat M, Toupadakis CA, et al. Femoroacetabular impingement: current concepts in diagnosis and treatment. Orthopedics. 2015;38(3):185–99. https://doi.org/10.3928/01477447-20150305-07.CrossRefPubMed

24.

Nabhan DC, Moreau WJ, McNamara SC, Briggs KK, Philippon MJ. Subspine hip impingement: an unusual cause of hip pain in an elite weightlifter. Curr Sports Med Rep. 2016;15(5):315–9. https://doi.org/10.1249/JSR.0000000000000291.CrossRefPubMed

25.

Miki H, Yamanashi W, Nishii T, Sato Y, Yoshikawa H, Sugano N. Anatomic hip range of motion after implantation during total hip arthroplasty as measured by a navigation system. J Arthroplast. 2007;22(7):946–52. https://doi.org/10.1016/j.arth.2007.02.004.CrossRef

Title: Three-dimensional motion analysis of ten common Asian sitting positions in daily living and factors affect range of hip motions
Authors: Phob Ganokroj
Jirayu Chaowalitwong
Pichitpol Kerdsomnuek
Narumol Sudjai
Pisit Lertwanich
Bavornrat Vanadurongwan
Publication date: 01-12-2021
Publisher: BioMed Central
Keyword: Overweight
Published in: BMC Musculoskeletal Disorders / Issue 1/2021
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-021-04487-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Three-dimensional motion analysis of ten common Asian sitting positions in daily living and factors affect range of hip motions

Abstract

Background

Methods

Results

Conclusions

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Trial registration

Please log in to get access to this content

Other articles of this Issue 1/2021

Risk analysis of pulmonary metastasis of chondrosarcoma by establishing and validating a new clinical prediction model: a clinical study based on SEER database

Evaluation of an occipito-cervico fusion with a new implant design: a biomechanical study

What are risk factors for subsequent fracture after vertebral augmentation in patients with thoracolumbar osteoporotic vertebral fractures

Atrophy patterns in isolated subscapularis lesions

Multivariate analysis of the relationship between gluteal muscle contracture and coxa valga

Pedicle screw accuracy in thoracolumbar fractures- is routine postoperative CT scan necessary?