Hip strength does not correlate with hip and knee biomechanics during single-leg tasks: A systematic review with meta-analysis and evidence gap map

Abstract

We systematically reviewed and synthesized the evidence for the relationship between hip strength and hip and knee biomechanics during single-leg tasks in uninjured and injured populations. We searched CINAHL, EMBASE, PubMed, SportDiscus, and Web of Science from inception to July 2024. We included cross-sectional studies with uninjured and/or injured participants that reported correlations between hip strength and hip or knee kinematics during a single-leg task. We identified 41 articles that reported the correlations between hip strength and hip or knee kinematics during a single–leg task for uninjured (n = 33) and/or injured (n = 12) populations. We identified moderate–to-strong evidence for no-to-poor relationships between most hip strength and hip and knee kinematics during a single-leg task for uninjured (r = –0.33–0.45) and injured populations (r = –0.24–0.24). We observed limited-to-moderate evidence for fair-to-moderate negative relationships between concentric and eccentric hip abduction strength and hip adduction (r = –0.52) and knee abduction kinematics (r = –0.45–0.59) for uninjured populations. Isometric hip strength may not play as important of a role in controlling lower extremity motion during single-leg tasks as previously perceived, but isokinetic strength may be a better indicator of lower extremity motion during single-leg tasks. Trial Registration:PROSPERO#CRD42020153166.