Impact of Abdominal Muscle-Induced Fatigue on Hip Muscle Performance and Functional Balance in Healthy Adults

Overview

The study is based on the theory that the abdominal muscles contribute to transverse and frontal plane torques that complement hip abductor torque, as both muscle groups act in the same counterclockwise direction within the proposed biomechanical model. Through their role in trunk and pelvic stabilization, the abdominal muscles help optimize the mechanical environment in which the hip abductors operate, potentially enhancing their effective torque production during functional tasks. This shared torque direction suggests a functional interdependence between core and hip musculature, whereby deficits or fatigue in the abdominal muscles may compromise hip abductor performance and load distribution at the hip joint. Clinically, this relationship supports the integration of abdominal muscle assessment and targeted core rehabilitation into the evaluation and management of hip-related injuries, with the potential to improve movement control, reduce injury risk, and enhance treatment outcomes. A quasi-experimental, within-subject study conducted at the Isokinetic Laboratory, Faculty of Physical Therapy, Cairo University, to examine the effect of abdominal muscle-induced fatigue on hip muscle strength, endurance, and functional balance. Seventy healthy male college students aged 20-25 years will be assessed before and after an isokinetic abdominal fatigue protocol using an isokinetic dynamometer. Outcome measures include isokinetic hip muscle strength and endurance, as well as balance assessed by the Single Leg Stance Test and Star Excursion Balance Test. The study procedure consists of participant preparation, baseline assessment, abdominal muscle fatigue induction, and immediate post-fatigue reassessment. Sample size was determined using G\*Power to ensure adequate statistical power, and data will be analyzed using one-way within-subject MANOVA with significance set at p \< 0.05. This study holds critical importance for advancing both biomechanical theory and clinical practice by directly investigating a key, yet under-quantified, link in the human kinetic chain: the specific impact of abdominal muscle fatigue on hip muscle performance and functional balance. By employing instrumented (Isokinetic dynamometer, star excursion balance test and single leg stance test)., pre- and post-fatigue measurements in a healthy non-athletic population, it will generate novel empirical evidence clarifying how core endurance directly influences proximal stability and distal function. Clinically, the outcomes promise to transform assessment and rehabilitation paradigms-shifting focus from isolated hip treatment toward integrated core-hip strategies-ultimately informing more effective injury prevention programs, optimizing movement efficiency, and enhancing rehabilitation outcomes for both athletic and general populations.

Interventions

• Other Isokinetic Dynamometer for fatiguing abdominal muscles and assessing hip Muscle Performance, and balance assessment using star excursion test and single leg balance test
  To assess physical performance, this study utilizes three specialized tools to measure strength, endurance, and balance. The isokinetic dynamometer serves as the clinical "gold standard" for quantifying muscle performance, providing highly standardized and sensitive data to induce abdominal muscle fatigue and evaluate the strength and endurance of the hip musculature. For balance assessment, the study uses the Star Excursion Balance Test (SEBT) to measure dynamic postural control; by recording t

Primary outcome measures

• Hip Abductors Muscle Strength [Time frame: One week]
• Hip Extensor Muscle Strength [Time frame: One week]
• Hip Flexor Muscle Strength [Time frame: One Week]
• Hip Adductor Muscle Strength [Time frame: One Week]

Secondary outcome measures (6)

• Hip Abductor Endurance Test [Time frame: One Week]
• Hip Extensor Endurance Testing [Time frame: One Week]
• Hip Flexor Endurance Testing [Time frame: One Week]
• Hip Adductor Endurance Testing [Time frame: One Week]
• Balance Testing Using Star Excursion test [Time frame: One week]
• Balance Testing Using Single Leg Stance Test [Time frame: One Week]

Eligibility criteria

Inclusion criteria

• Healthy colleague male students aged 20-25 years (Cerda et al., 2018).
• No history of low back, hip, knee or pelvic surgery in past year (Hietamo et al., 2021).
• Physically able to perform isokinetic contractions against isokinetic dynamometer (Babiloni et al., 2025).
• Body mass index (BMI) from 18 to 25 (Milanese et al., 2025).
• Abdominal and Hip manual muscle test of 4 or above (Ciesla et al.,2011).

Exclusion criteria

• Current musculoskeletal pain in trunk, hip, or lower limb (Hietamo et al., 2021).
• Neurological disorders affecting balance (e.g vertebra basilar insufficiency) or muscle performance (Pongmala et al., 2024).
• Recent participation (48-72 h) in strenuous trunk/hip exercise that might confound fatigue measures (Foucher et al., 2021).
• Participation in athletic activities (Elliott et al., 2021).

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Observational model

Other

Study locations

Egypt · 1 center

• Degla Palms — Giza

Identifiers

NCT: NCT07577011 · P.T.REC/012/006299

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗