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Updated: Feb 5, 2026

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Sex Differences During Star Excursion Balance Test in Individuals With Chronic Hip-Related Groin Pain.

Cameron Swick1, Michael D Harris1,2,3, Fan Zhang4

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|February 3, 2026
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Summary

Females with chronic hip-related groin pain exhibit distinct movement patterns during the modified star excursion balance test, including greater hip adduction and pelvic drop compared to males.

Keywords:
Y-balance testbiomechanicsdynamic balancedynamic postural controlfemoroacetabular impingement

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Area of Science:

  • Biomechanics
  • Orthopedics
  • Sports Medicine

Background:

  • Chronic hip-related groin pain is linked to impaired dynamic postural control.
  • Previous research has not detailed the specific kinematics and kinetics in this population.
  • Sex-based differences in hip kinematics and loading are known, but trunk involvement is less understood.

Purpose of the Study:

  • To investigate sex differences in trunk, hip, and pelvis kinematics.
  • To examine sex differences in hip joint loading during the modified star excursion balance test (mSEBT).
  • To compare movement strategies between males and females with chronic hip-related groin pain.

Main Methods:

  • A cross-sectional study involving patients with chronic hip-related groin pain.
  • Participants performed three trials of the mSEBT in anterior, posteromedial, and posterolateral directions.
  • Motion capture and force plates were used to collect kinematic and kinetic data of the hip, pelvis, and trunk.

Main Results:

  • Females showed greater hip adduction during anterior and posteromedial reaches compared to males.
  • Females exhibited larger contralateral pelvic drop in the anterior direction.
  • Females displayed smaller trunk flexion and hip flexion moments in specific directions.

Conclusions:

  • Movement strategies during the mSEBT differ significantly between sexes in individuals with chronic hip-related groin pain.
  • Females utilize greater hip adduction and contralateral pelvic drop.
  • Males and females demonstrate distinct trunk and hip loading patterns, impacting rehabilitation strategies.