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Background: The lower limb constitutes a complex motor system consisting of interdependent components. Any feet disorder may cause disturbances in the biomechanics of the entire lower limb and in consequence can lead to joint degeneration and affect gait. Methods: Participants were divided into two groups. The research group consisted of n = 60 patients with hip osteoarthritis, aged 52-84 and the control group consisted of n = 32 individuals without hip osteoarthritis, aged 50-74. A dynamic pedobarographic analysis was conducted using a RSScan® International Footscan system-a two-meter-long plantar pressure platform with an interface box. Upon completion of the measurement, results were printed and foot deformity was assessed using: Wejsflog index, Clarke's angle, hallux Valgus ALFA angle, pronation-supination index. Results: The research group had a significantly lower mean Wejsflog index compared to the control group (2.32 vs 2.59). Results showed also that Hallux Valgus ALFA angle was significantly higher and Clarke's angle significantly lower in the research group when compared to the control group. Conclusions: Foot deformities are significantly more common among patients with hip osteoarthritis. Fallen medial longitudinal arch, fallen transverse arch and hallux valgus are factors to consider in prevention and treatment of hip osteoarthritis.
BACKGROUND: Osteoarthritis is one of the most common joint disorders. It causes pain, stiffness and a decreased range of motion which have a significant impact on daily activities and gait, consequently leading to disability. OBJECTIVE : The aim of this study is to compare hip mobilization with non-weight bearing exercises. METHODS: A total of 57 females aged between 55–65 were divided into 2 groups. In the control group non-weight bearing exercises were conducted, whereas the research group received hip mobilization. RESULTS: The Lequesne index significantly improved in the research group as compared with the control group. Hip function improved both in the control and research groups. Active hip extension increased by 0.54, while active abduction rose by 2.14 after non-weight bearing exercises. In the control group after mobilization both passive and active hip extension increased significantly by 3.53, active abduction by 5 and passive by 4.41, while active and passive internal rotation by 3.82 and 4.56, respectively. In both groups pain decreased. CONCLUSIONS: Mobilization increases hip range of motion, decreases pain and improves hip function more than non-weight bearing exercises.
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