Effects of Ankle Joint Angles and Surrounding Muscles on Hip Joint Musculature

<b>Background/Objectives</b>: Hip abductor weakness is a common issue in patients with lower back pain, knee osteoarthritis, and hip disorders, and compromises pelvic stability, gait control, and function. Side-lying hip abduction exercises are widely used as safe and effective interventions for patients unable to perform high-load or weight-bearing activities. However, the influence of ankle joint angles and distal muscle activity on the hip abductor muscles remains unclear. This study aimed to investigate the effects of ankle joint angles and activation states on unilateral right hip abductor strength and muscle activity. <b>Methods</b>: Fifteen healthy male adults (29.1 ± 5.4 years) participated. Surface electromyography (EMG) was used to measure the activity of the tensor fasciae latae (TFL), gluteus medius (G-med), gluteus maximus, tibialis anterior, and medial gas-trocnemius muscles. Hip abduction strength was evaluated in a side-lying position with the ankle positioned at three angles (neutral, dorsiflexion, and plantarflexion) and in three activation states (no activation, maximal dorsiflexion, and maximal plantarflexion). Two-factor (3 × 3) repeated measures ANOVA was used to analyze strength and EMG activity. <b>Results</b>: ANOVA revealed a significant interaction effect. The results of the simple main effects showed significantly higher hip abduction strength in dorsiflexion than in the neutral position and plantarflexion (<i>p</i> < 0.001). TFL and G-med EMG activities peaked during dorsiflexion, particularly under maximal dorsiflexion. <b>Conclusions</b>: These findings suggest that dorsiflexion enhances hip abductor strength and activity by increasing fascial tension (lateral line and superficial backline) and improving limb alignment. This approach may provide effective rehabilitation strategies. This is a load-adjustable training recovery approach that should be confirmed with future intervention studies.