Assessment of postural stability in women with hip osteoarthritis: A case–control study

Słomka, Bartosz; Rongies, Witold; Sierdziński, Janusz; Dolecki, Włodzimierz; Worwag, Marta; Trzepla, Ewa

doi:10.1016/j.aott.2018.07.006

Cited by 9 publications

(9 citation statements)

References 28 publications

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“…Lord reported in a sample of 95 elderly individuals that postural stability is signi cantly associated with decline in proprioception and vibration sense of the lower extremity [10]. Slomka reported that the generalized sensomotor de cit, a lack of proprioceptive information, and loss of neuromuscular control due to the degenerative process may lead to balance problems in osteoarthritis patients [11].…”

Section: Discussionmentioning

confidence: 99%

“…Kaplan reported the existence of an age-related change in proprioception and static joint position sensation in women and provides a basis for further investigation of contributory factors of musculoskeletal trauma in the elderly [4]. Studies have also reported that postural stability is associated with joint position sense [10] and that patients with hip osteoarthritis have impaired joint position sense, which affects their posture and body balance [11]. When the joint capsule and joint…”

Section: Introductionmentioning

confidence: 99%

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Factors Affecting Hip Rotation Angles in Total Hip Arthroplasty

Tateiwa

Masaoka

Ishida

et al. 2020

Preprint

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BackgroundSome patients undergoing total hip arthroplasty (THA) show postoperative changes in hip rotation. We investigated changes in the hip rotation angles of patients in the standing position before and after THA and the factors associated with such changes.MethodsParticipants included 77 patients (82 joints) who underwent primary THA for hip osteoarthritis. There were 17 joints in men and 65 joints in women, and the mean age at the time of surgery was 65.7 years. Standing hip rotation angles and hip internal/external rotation ranges of motion (ROM) were measured before and 2 weeks after THA to compare preoperative and postoperative measurements. For radiographic measurements, acetabular and cup anteversion, neck and stem anteversion, combined anteversion (CA), and leg length discrepancy were measured before and after THA to investigate the factors associated with changes in standing hip rotation angles.ResultsRegarding standing hip rotation angles, external rotation was 6.9° ± 4.1° before THA and 2.0° ± 2.4° after THA, showing a shift in the internal rotation direction (P = < .0001). The degree of change in standing hip rotation angles before and after THA was found to be negatively correlated with the degree of change in cup anteversion (- 0.429, P = < .0001) and CA (- 0.3012, P = .0063).ConclusionPostoperative changes in standing hip rotation following THA were considered associated with extra-articular position sense, rather than intra-articular position sense, to maintain the balance between the pelvis and proximal femur affected by the angles of the placed implant components.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors Affecting Hip Rotation Angles in Total Hip Arthroplasty

Tateiwa

Masaoka

Ishida

et al. 2020

Preprint

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“…In addition to gait impairments, several studies have shown impairments in postural control in people with HOA ( Truszczyńska et al, 2016 ; Picorelli et al, 2018 ; Slomka et al, 2019 ), which have partly been attributed to a loss of proprioception ( Slomka et al, 2019 ). Proprioception strongly relies on the afferent information of a group of mechanoreceptors ( Gardner, 2021 ), of which there is a significantly lower number in the hip joint capsule, labrum and femoral head ligament of people with HOA ( Moraes et al, 2011 ).…”

Section: Introductionmentioning

confidence: 99%

Effects of Hip Bracing on Gait Biomechanics, Pain and Function in Subjects With Mild to Moderate Hip Osteoarthritis

Steingrebe

Stetter

Sell

et al. 2022

Front. Bioeng. Biotechnol.

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Hip Osteoarthritis (HOA) is a common joint disease with serious impact on the quality of life of the affected persons. Additionally, persons with HOA often show alterations in gait biomechanics. Developing effective conservative treatment strategies is of paramount importance, as joint replacement is only indicated for end-stage HOA. In contrast to knee osteoarthritis, little is known about the effectiveness of hip bracing for the management of HOA. Studies analysing mechanically unloading hip braces partly showed beneficial results. However, methodological limitations of these studies, such as small sample sizes or lack of control groups, limit the applicability of the results. Additionally, mechanically unloading braces might impose restrictions on motion and comfort and thus, might not be suitable for people with only mild or moderate symptoms. The aim of this study was to comprehensively quantify the effects of unilateral HOA as well as functional hip bracing on gait biomechanics, pain, proprioception and functional capacity in people with mild to moderate HOA. Hip and pelvis biomechanics during walking were analysed in 21 subjects with mild to moderate HOA under three bracing conditions: unbraced, immediately after brace application and after 1 week of brace usage. Additionally, pain, hip proprioception and functional capacity were assessed. A matched group of 21 healthy subjects was included as reference. Kinematic and kinetic data were collected using a 16-camera infrared motion capturing system and two force plates. Visual analogue scales, an angle reproduction test and a 6-min walking test were applied to measure pain, hip proprioception and functional capacity, respectively. Subjects with HOA walked slower, with reduced step length, sagittal hip range of motion and peak extension angle and had a reduced functional capacity. After 1 week of brace application step length, walking speed and functional capacity were significantly increased. Additionally, pain perception was significantly lower in the intervention period. These results encourage the application of functional hip braces in the management of mild to moderate HOA. However, as key parameters of HOA gait such as a reduced peak extension angle remained unchanged, the underlying mechanisms remain partly unclear and have to be considered in the future.

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“…The SLS test was found to be correlated with the strength of the gluteus medius 6) , the quadriceps, the hamstrings 7) , and the plantar flexors 8) . On the other hand, SLS was affected by somatosensory information 9,10) . In this context, previous studies reported that SLS was affected by vibration and tactile sensitivity 11) and that the triceps surae muscles could alter the perception of the ankle joint position 12) .…”

Section: Introductionmentioning

confidence: 99%

“…In this context, previous studies reported that SLS was affected by vibration and tactile sensitivity 11) and that the triceps surae muscles could alter the perception of the ankle joint position 12) . Moreover, it has been indicated that the lack of proprioceptive information in hip OA patients leads to a loss of neuromuscular control 9) . It is believed that the SLS test for hip stability assessment adjusts for the effect of lower extremity muscle activity 10,13) and somatosensory perception 11,12) .…”

Section: Introductionmentioning

confidence: 99%

Relationship between single-leg stance test with light touch and hip muscle strength in healthy young adults

et al. 2021

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This study investigated the relationship between the single-leg stance test with light touch and hip rotator muscle strength. [Participants and Methods] Thirty-one healthy young adults participated in the study. A single leg stance test with light touch was performed to evaluate the participants' static balance ability. The duration that an individual could successfully perform the single leg stance test with light touch in the eyes open was measured. The participants were instructed to slightly touch their right index fingertip on the digital scale. The hip muscle strength of the internal rotators and external rotators were measured by the isometric peak torque. The internal/external rotator strength ratio was calculated by dividing the strength of the internal rotator by that of the external rotator.[Results] The hip external rotator muscle strength was higher in males than in females. Moreover, there was a significant correlation between the single-leg stance test with light touch and hip external rotator muscle strength in males and between the single leg stance test with light touch and hip internal rotator muscle strength in females. Furthermore, a significant positive correlation was found between the single leg stance test with light touch and hip internal rotator/external rotator ratio in males. [Conclusion] We concluded that the single leg stance test with light touch is a useful tool to evaluate static hip muscle strength.

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Assessment of postural stability in women with hip osteoarthritis: A case–control study

Cited by 9 publications

References 28 publications

Factors Affecting Hip Rotation Angles in Total Hip Arthroplasty

Factors Affecting Hip Rotation Angles in Total Hip Arthroplasty

Effects of Hip Bracing on Gait Biomechanics, Pain and Function in Subjects With Mild to Moderate Hip Osteoarthritis

Relationship between single-leg stance test with light touch and hip muscle strength in healthy young adults

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