Analysis of Hip Range of Motion in Everyday Life: A Pilot Study

Abstract

Patients undergoing total hip arthroplasty are increasingly younger and have a higher demand concerning hip range of motion. To date, there is no clear consensus as to the amplitude of the “normal hip” in everyday life. It is also unknown if the physical examination is an accurate test for setting the values of true hip motion. The purpose of this study was: 1) to precisely determine the necessary hip joint mobility for everyday tasks in young active subjects to be used in computer simulations of prosthetic models in order to evaluate impingement and instability during their practice; 2) to assess the accuracy of passive hip range of motion measurements during clinical examination. A total of 4 healthy volunteers underwent Magnetic Resonance Imaging and 2 motion capture experiments. During experiment 1, routine activities were recorded and applied to prosthetic hip 3D models including nine cup configurations. During experiment 2, a clinical examination was performed, while the motion of the subjects was simultaneously captured. Important hip flexion (mean range 95°-107°) was measured during daily activities that could expose the prosthetic hip to impingement and instability. The error made by the clinicians during physical examination varied in the range of ±10°, except for flexion and abduction where the error was higher. This study provides useful information for the surgical planning to help restore hip mobility and stability, when dealing with young active patients. The physical examination seems to be a precise method for determining passive hip motion, if care is taken to stabilise the pelvis during hip flexion and abduction.

Periacetabular Osteotomy Restores the Typically Excessive Range of Motion in Dysplastic Hips With a Spherical Head

“…Nevertheless, the tendencies for postoperative changes in these motions were consistent with our method. In comparison to previous studies with clinical [1,5,13,14,21,29] measurement of ROM in hips with PAO, the method in the current study had the following advantages: more accurate and anatomically based quantification of ROM because clinical assessment is subject to error [2], the identification of motion patterns (anterior and posterior impingement test) instead of isolated amplitudes of ROM and the detection of the corresponding acetabular and femoral impingement zones.…”

Hip Extension Range of Motion in Lightening Position and Active Placing of the Hip Joint in Functional Position Among Young Women With and Without Low Back Pain

“…While carrying out the Janda test, similarly as during Thomas' test and Thomas' modified test, the opposite leg in the maximum bend (pulling the leg to the chest) what can cause the rotation of the pelvis against the oblong pivot, and makes the accurate measurement of the isolated movement in the hip joint impossible. This problem was also noted by other researchers [11,39]. …”

“…Pod czas wy ko ny wa nia te stu Jan dy, po dob nie jak pod czas wy ko ny wa nia te stu Tho ma sa i zmo dy fi ko wa ne go te stu Tho ma sa, no ga prze ciw na wy ko nu je mak sy mal ne zgię cie (przy cią gnię cie no gi do klat ki pier sio wej), co mo że po wo do wać ro ta cję mied nicy o oś po dłu żną i unie mo żli wia do kład ny po miar izolo wa ne go ru chu w sta wie bio dro wym. Pro blem ten za uwa ży li ta kże in ni ba da cze [11,39]. Po nad to, w potween the AHP and lower back pain was demon strated (Tab.…”

Evidence for the therapeutic effect of the organic content in Szigetvár thermal water on osteoarthritis: a double-blind, randomized, controlled clinical trial

“…Goniometry plays an essential role in the clinical measurement of range of motion (Gajdosik and Bohannon 1987;Pazira et al 2016). It is apparent from several papers that traditional plastic goniometer evaluates hip and knee joint angles efficiently and reliably; however, use of goniometer requires careful attention in evaluation (Kim 2018;Marques et al 2017;Charbonnier et al 2015;Gajdosik and Bohannon 1987;Rheault et al 1988).…”