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While neonatal animal studies indicate detrimental relationships between inactive lower extremities and hip development and dysplasia, no research has explored infant hip biomechanics experimentally. This study evaluated hip joint position and lower\u2010extremity muscle activity of healthy infants in common body positions, baby gear, and orthopedic devices used to treat hip dysplasia (the Pavlik harness and the Rhino cruiser abduction brace). Surface electromyography (EMG) and marker\u2010based motion capture recorded lower\u2010extremity muscle activity and kinematics of 22 healthy full\u2010term infants (4.2\u2009\u00b1\u20091.6 months, 13 M\/9 F) during five conditions: Pavlik harness, Rhino brace, inward\u2010facing soft\u2010structured baby carrier, held in arms facing inwards, and a standard car seat. Mean filtered EMG signal, time when muscles were active, and hip position (angles) were calculated. Compared to the Pavlik harness, infants exhibited similar adductor activity (but lower hamstring and gluteus maximus activity) in the Rhino abduction brace, similar adductor and gluteus maximus activity (but lower quadriceps and hamstring activity) in the baby carrier, similar but highly variable muscle activity in\u2010arms, and significantly lower muscle activity in the car seat. Hip position was similar between the baby carrier and the Pavlik harness. This novel infant biomechanics study illustrates the potential benefits of using inward\u2010facing soft\u2010structured baby carriers for healthy hip development and highlights the potential negative impact of using supine\u2010lying container\u2010type devices such as car seats for prolonged periods of time. Further study is needed to understand the full picture of how body position impacts infant musculoskeletal development.<\/jats:p>","DOI":"10.1002\/jor.24818","type":"journal-article","created":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T17:51:43Z","timestamp":1596217903000},"page":"941-949","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Exploring infant hip position and muscle activity in common baby gear and orthopedic devices"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1320-3950","authenticated-orcid":false,"given":"Safeer F.","family":"Siddicky","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery College of Medicine The University of Arkansas for Medical Sciences Little Rock Arkansas"},{"name":"Mechanical and Biomedical Engineering Department College of Engineering Boise State University Boise Idaho"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junsig","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery College of Medicine The University of Arkansas for Medical Sciences Little Rock Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brien","family":"Rabenhorst","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery College of Medicine The University of Arkansas for Medical Sciences Little Rock Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Buchele","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery College of Medicine The University of Arkansas for Medical Sciences Little Rock Arkansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4441-5411","authenticated-orcid":false,"given":"Erin M.","family":"Mannen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery College of Medicine The University of Arkansas for Medical Sciences Little Rock Arkansas"},{"name":"Mechanical and Biomedical Engineering Department College of Engineering Boise State University Boise Idaho"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-013-2838-3"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/17453670710015201"},{"issue":"341","key":"e_1_2_7_4_1","article-title":"The functional method of treatment using a harness with stirrups as the primary method of conservative therapy for infants with congenital dislocation of the hip","volume":"89","author":"Pavlik A","year":"1957","journal-title":"Zeitschrift fur Orthopadie und Ihre Grenzgebeit"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200105000-00017"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000574"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0309364617740236"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000000025"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-011-0370-2"},{"issue":"3","key":"e_1_2_7_10_1","first-page":"1383","article-title":"Reduction in motor performance of premature infants with congenital dislocation of the hip following application of pavlik harness","volume":"28","author":"Yu J","year":"2017","journal-title":"Biomed Res"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181b2f200"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01210"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2013.03.031"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2015.03.031"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.22606"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.23361"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.24146"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.22622"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00720"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.76B3.8175854"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198365060-00006"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/8625721"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(86)90012-6"},{"key":"e_1_2_7_24_1","unstructured":"NorrisB WilsonJR1995. 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