Concurrent Criterion-related Validity, Reliability, and Responsiveness to Treatment of the Figure-of-Four Position for Measurement of Anterior Hip Joint Structures Tightness

J Manipulative Physiol Ther. 2018 Nov-Dec;41(9):780-788. doi: 10.1016/j.jmpt.2018.04.004. Epub 2019 Feb 19.

Abstract

Objective: The objective of this study was to examine the intra- and intertester reliability, concurrent criterion-related validity, and responsiveness to treatment of the "figure-of-four" position.

Methods: A total of 52 asymptomatic male soccer players participated in this study. The intraclass correlation coefficient (2, 1) was used to determine intra- and intertester reliability of the figure-of-four position. Pearson product moment correlation coefficients examining the association between the figure-of-four position and goniometric measurements of hip extension and external rotation were used to establish concurrent validity. To evaluate responsiveness to treatment, the figure-of-four position was assessed by a blinded examiner before and immediately after the application of a stretching technique or control intervention.

Results: Excellent reliability (intraclass correlation coefficient > 0.75) was obtained for both intra- and intertester reliability of the figure-of-four position. Overall, the figure-of-four position and goniometric measurements of both hip extension and external rotation were significantly correlated. However, no significant treatment effects were observed for the figure-of-four position.

Conclusion: The results of this study demonstrated that the figure-of-four position is a reliable and valid way to obtain information on tightness of anterior hip joint structures in male soccer players. However, responsiveness to treatment of the figure-of-four position should be questioned.

Keywords: Hip Joint; Muscle Stretching Exercises; Range of Motion, Articular; Reproducibility of Results.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Biomechanical Phenomena
  • Female
  • Hip Joint / physiology*
  • Humans
  • Male
  • Muscle, Skeletal / physiology*
  • Range of Motion, Articular / physiology*
  • Reproducibility of Results
  • Rotation
  • Soccer / physiology*