Advertisement
Basic Science| Volume 33, ISSUE 7, P2306-2311, July 2018

Position of the Hip in Yoga

Published:February 23, 2018DOI:https://doi.org/10.1016/j.arth.2018.02.070

      Abstract

      Background

      Yoga is growing in popularity as a form of exercise throughout the world. Orthopedic patients participate in yoga, yet little is known about the ranges-of-motion of the hip within various yoga poses. Orthopedic surgeons are unsure about what potential positions their patients are placing their hips during a yoga practice. The aim of this study is to quantify the degree of hip motion with common yoga poses.

      Methods

      Twenty healthy, regular practitioners of yoga performed 11 different yoga poses in a standardized fashion. Motion analysis was used to capture range-of-motion of the hip during each pose.

      Results

      Many yoga poses put the hip in extremes of motion. Poses such as downward dog, forward fold, seated twist, and pigeon stressed the hip in flexion. Warrior 1, warrior 2, crescent lunge, pigeon, and triangle stressed the hip in extension. Eagle and seated twist put the hip in higher adduction, while half moon, eagle, and triangle produced more hip internal rotation.

      Conclusion

      Many poses were found to reach extremes of hip motion. This study may help guide the orthopedic surgeon in counseling hip arthroplasty and hip impingement patients about yoga-related activity. By knowing which poses potentially stress the hip in particular planes of motion, surgeons may better inform their patients who are returning to yoga after injury or surgery.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The Journal of Arthroplasty
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Cramer H.
        • Ward L.
        • Steel A.
        • Lauche R.
        • Dobos G.
        • Zhang Y.
        Prevalence, patterns, and predictors of yoga use: results of a U.S. nationally representative survey.
        Am J Prev Med. 2016; 50: 230-235https://doi.org/10.1016/j.amepre.2015.07.037
        • Chang D.G.
        • Holt J.A.
        • Sklar M.
        • Groessl E.J.
        Yoga as a treatment for chronic low back pain: a systematic review of the literature.
        J Orthop Rheumatol. 2016; 3: 1-8
        • Cramer H.
        • Lauche R.
        • Haller H.
        • Dobos G.
        A systematic review and meta-analysis of yoga for low back pain.
        Clin J Pain. 2013; 29: 450-460https://doi.org/10.1097/AJP.0b013e31825e1492
        • Emara K.
        • Samir W.
        • Motasem el H.
        • Ghafar K.A.
        Conservative treatment for mild femoroacetabular impingement.
        J Orthop Surg (Hong Kong). 2011; 19: 41-45https://doi.org/10.1177/230949901101900109
        • Wright A.A.
        • Hegedus E.J.
        • Taylor J.B.
        • Dischiavi S.L.
        • Stubbs A.J.
        Non-operative management of femoroacetabular impingement: a prospective, randomized controlled clinical trial pilot study.
        J Sci Med Sport. 2016; 19: 716-721
        • Amanatullah D.F.
        • Antkowiak T.
        • Pillay K.
        • Patel J.
        • Refaat M.
        • Toupadakis C.A.
        • et al.
        Femoroacetabular impingement: current concepts in diagnosis and treatment.
        Orthopedics. 2015; 38: 185-199https://doi.org/10.3928/01477447-20150305-07
        • Hartfiel N.
        • Clarke G.
        • Havenhand J.
        • Phillips C.
        • Edwards R.T.
        Cost-effectiveness of yoga for managing musculoskeletal conditions in the workplace.
        Occup Med (Lond). 2017; 67: 687-695https://doi.org/10.1093/occmed/kqx161
        • Ni M.
        • Mooney K.
        • Harriell K.
        • Balachandran A.
        • Signorile J.
        Core muscle function during specific yoga poses.
        Complement Ther Med. 2014; 22: 235-243https://doi.org/10.1016/j.ctim.2014.01.007
        • Malkani A.L.
        • Ong K.L.
        • Lau E.
        • Kurtz S.M.
        • Justice B.J.
        • Manley M.T.
        Early- and late-term dislocation risk after primary hip arthroplasty in the Medicare population.
        J Arthroplasty. 2010; 25: 21-25https://doi.org/10.1016/j.arth.2010.04.014
        • Goel A.
        • Lau E.C.
        • Ong K.L.
        • Berry D.J.
        • Malkani A.L.
        Dislocation rates following primary total hip arthroplasty have plateaued in the Medicare population.
        J Arthroplasty. 2015; 30: 743-746https://doi.org/10.1016/j.arth.2014.11.012
        • Haynes J.A.
        • Stambough J.B.
        • Sassoon A.A.
        • Johnson S.R.
        • Clohisy J.C.
        • Nunley R.M.
        Contemporary surgical indications and referral trends in revision total hip arthroplasty: a 10-year review.
        J Arthroplasty. 2016; 31: 622-625https://doi.org/10.1016/j.arth.2015.09.026
        • Wera G.D.
        • Ting N.T.
        • Moric M.
        • Paprosky W.G.
        • Sporer S.M.
        • Della Valle C.J.
        Classification and management of the unstable total hip arthroplasty.
        J Arthroplasty. 2012; 27: 710-715https://doi.org/10.1016/j.arth.2011.09.010
        • Smith T.O.
        • Jepson P.
        • Beswick A.
        • Sands G.
        • Drummond A.
        • Davis E.T.
        • et al.
        Assistive devices, hip precautions, environmental modifications and training to prevent dislocation and improve function after hip arthroplasty.
        Cochrane Database Syst Rev. 2016; 7: CD010815https://doi.org/10.1002/14651858.CD010815.pub2
        • Schmidt-Braekling T.
        • Waldstein W.
        • Akalin E.
        • Benavente P.
        • Frykberg B.
        • Boettner F.
        Minimal invasive posterior hip arthroplasty: are 6 weeks of hip precautions really necessary?.
        Arch Orthop Trauma Surg. 2015; 135: 271-274https://doi.org/10.1007/s00402-014-2146-x
        • Restrepo C.
        • Mortazavi S.M.
        • Brothers J.
        • Parvizi J.
        • Rothman R.H.
        Hip dislocation: are hip precautions necessary in anterior approaches?.
        Clin Orthop Relat Res. 2011; 469: 417-422https://doi.org/10.1007/s11999-010-1668-y
        • Peak E.L.
        • Parvizi J.
        • Ciminiello M.
        • Purtill J.J.
        • Sharkey P.F.
        • Hozac W.J.
        • et al.
        The role of patient restrictions in reducing the prevalence of early dislocation following total hip arthroplasty: a randomized, prospective study.
        J Bone Joint Surg. 2005; 87: 247-253https://doi.org/10.2106/JBJS.C.01513
        • van der Weegen W.
        • Kornuijt A.
        • Das D.
        Do lifestyle restrictions and precautions prevent dislocation after total hip arthroplasty? A systematic review and meta-analysis of the literature.
        Clin Rehabil. 2016; 30: 329-339https://doi.org/10.1177/0269215515579421
        • Barnsley L.
        • Barnsley L.
        • Page R.
        Are hip precautions necessary post total hip arthroplasty? A systematic review.
        Geriatr Orthop Surg Rehabil. 2015; 6: 230-235https://doi.org/10.1177/2151458515584640
        • Kornuijt A.
        • Das D.
        • Sijbesma T.
        • van der Weegen W.
        The rate of dislocation is not increased when minimal precautions are used after total hip arthroplasty using the posterolateral approach.
        Bone Joint J. 2016; 98: 589-594https://doi.org/10.1302/0301620X.98B5.36701
        • Bradley B.M.
        • Moul S.J.
        • Doyle F.J.
        • Wilson M.J.
        Return to sporting activity after total hip arthroplasty—a survey of members of the British Hip Society.
        J Arthroplasty. 2017; 32: 898-902https://doi.org/10.1016/j.arth.2016.09.019
        • Carter A.H.
        • Sheehan E.C.
        • Mortazavi S.M.J.
        • Purtill J.J.
        • Sharkey P.F.
        • Parvizi J.
        Revision for recurrent instability: what are the predictors of failure?.
        J Arthroplasty. 2011; 26: 46-52https://doi.org/10.1016/j.arth.2011.03.021
        • Lum Z.C.
        • Coury J.G.
        • Cohen J.L.
        • Dorr L.D.
        The current knowledge on spinopelvic mobility.
        J Arthroplasty. 2017; 33: 291-296https://doi.org/10.1016/j.arth.2017.08.013