Sagittal alignment and mobility of the thoracolumbar spine are associated with radiographic progression of secondary hip osteoarthritis

Tateuchi, Hiroshige; Akiyama, Haruhiko; Goto, Koji; So, KF; Kuroda, Yutaka; Ichihashi, Noriaki

doi:10.1016/j.joca.2017.12.005

Cited by 27 publications

(36 citation statements)

References 54 publications

(65 reference statements)

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“…Changes in the postural alignment observed in hip OA are not only related to the disturbed balance of the entire body and low back pain, but may also promote hip OA progression. A prospective cohort study of patients with pre-to advanced stage hip OA reported that anterior spinal inclination excluding the pelvis was a risk factor for subsequent hip OA progression 21 ) . Spinal malalignment may cause changes in the mechanical environment of the hip joint that, in turn, may lead to OA progression.…”

Section: Postural Alignment and Hip Oa Progressionmentioning

confidence: 99%

“…Spinal malalignment may cause changes in the mechanical environment of the hip joint that, in turn, may lead to OA progression. In addition, spinal dysfunction, such as decreased mobility of the thoracolumbar spine, may influence hip OA progression 21 ) . Decreased spinal mobility interferes with the aforementioned compensatory mechanisms for the disrupted balance in the standing posture.…”

Section: Postural Alignment and Hip Oa Progressionmentioning

confidence: 99%

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Gait- and postural-alignment-related prognostic factors for hip and knee osteoarthritis: Toward the prevention of osteoarthritis progression

Tateuchi

2019

Phys Ther Res

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Osteoarthritis (OA) is a chronic progressive disease, and thus, prevention of this progression is an important issue. Currently, there is little evidence of the effect of exercise therapy for the prevention of hip and knee OA progression. An understanding of prognostic factors is the basis for the prevention of progression. Previous research indicates that in case of knee OA, abnormalities in knee alignment (varus or valgus) while standing, varus thrust during walking, increased knee flexion in the early stance phase, abnormal displacement of the femur in relation to the tibia, and an increase in knee adduction and flexion moment are risk factors for disease progression. At the same time, the prognostic factors in hip OA are anterior spinal inclination while standing, decreased mobility of the thoracolumbar spine, and increased cumulative hip loading during daily walking. Further research is required to investigate these prognostic factors, particularly the modifiable factors, to analyze the relationships between these factors, and to verify the structural and clinical efficacy of modifying these factors through interventions.

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Section: Postural Alignment and Hip Oa Progressionmentioning

confidence: 99%

Section: Postural Alignment and Hip Oa Progressionmentioning

confidence: 99%

Gait- and postural-alignment-related prognostic factors for hip and knee osteoarthritis: Toward the prevention of osteoarthritis progression

Tateuchi

2019

Phys Ther Res

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“…Details of postural and gait assessment were described elsewhere 8,9 . Briefly, spinal alignment in the sagittal plane was measured using the Spinal Mouse a , which is a reliable and valid non-invasive device to measure spinal alignment and RoM [17][18][19] .…”

Section: Postural Assessmentmentioning

confidence: 99%

“…Patients with hip OA also show abnormalities in gait such as slow gait speed, short stride length, and decreased hip motions and hip joint moments in three dimensions 6,7 . Gait-and posture-related factors such as inclination of the spine in standing and excessive hip loading during gait have been shown to be associated with radiographic progression of hip OA 8,9 . Clinical progression is not necessarily related to the radiographic progression in OA 10 .…”

mentioning

confidence: 99%

Gait- and Posture-Related Factors Associated With Changes in Hip Pain and Physical Function in Patients With Secondary Hip Osteoarthritis: A Prospective Cohort Study

Tateuchi

Akiyama

Goto

et al. 2019

Archives of Physical Medicine and Rehabilitation

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Title: Gait-and posture-related factors associated with changes in hip pain and physical function in patients with secondary hip osteoarthritis: a prospective cohort study ABSTRACT Objective: To identify gait-and posture-related factors associated with changes in hip pain and physical function in patients with hip osteoarthritis (OA). Design: Prospective cohort study Setting: Clinical biomechanics laboratory of a university Participants: Consecutive sample of 30 female patients with mild-to-moderate secondary hip OA. Main Outcome Measures: Hip pain (visual analog scale) and physical function (physical component summary of the 36-Item Short Form Health Survey) were measured at baseline and 12 months later. With changes in hip pain and physical function as dependent variables, linear regression analyses were performed with gait-and posture-related factors as independent variables with and without adjustment for age, joint space width, and hip pain or physical function at baseline. Posture-related factors included angle of thoracic kyphosis, lumbar lordosis, sacral inclination, spinal inclination, and spinal mobility. Gait-related factors were gait speed, steps/day, and three-dimensional hip joint angles, external hip joint moment impulses, and daily cumulative hip moments. Results: Multiple linear regression analyses showed that less hip extension (adjusted standardized B coefficient [95% CI]; −0.51 [−0.85 to −0.17]) and less external rotation angle (−0.52 [−0.88 to −0.17]) during gait were associated with worsening of hip pain. A larger thoracic kyphosis (−0.54 [−0.99 to −0.09]), less sacral anterior tilt (0.40 [0.01 to 0.79]), less thoracic spine mobility (0.59 [0.23 to 0.94]), less steps/day (0.53 [0.13 to 0.92]), and slower gait speed (0.45 [0.04 to 0.86]) were associated with deterioration of physical function. Conclusions: Gait-and posture-related factors should be considered when assessing risk and designing preventive interventions for clinical progression of secondary hip OA.

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“…Mechanical stress on the articular cartilage encourages osteoarthritis (OA) progression [ 1 – 3 ]. Hip OA decreases an individual’s range of motion [ 4 – 6 ], muscle strength [ 6 – 9 ], and physical functioning [ 10 ]; degrades their health-related quality of life [ 11 ]; and results in hip joint pain [ 5 , 6 , 12 , 13 ]. Therefore, the reduction in the mechanical stress on the hip articular cartilage is important in daily life to prevent OA morbidity and progression.…”

Section: Introductionmentioning

confidence: 99%

Effect of hip joint angle at seat-off on hip joint contact force during sit-to-stand movement: a computer simulation study

et al. 2018

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BackgroundSit-to-stand movements are a necessary part of daily life, and excessive mechanical stress on the articular cartilage has been reported to encourage the progression of osteoarthritis. Although a change in hip joint angle at seat-off may affect hip joint contact force during a sit-to-stand movement, the effect is unclear. This study aimed to examine the effect of the hip joint angle at seat-off on the hip joint contact force during a sit-to-stand movement by using a computer simulation.MethodsA musculoskeletal model was created for the computer simulation, and eight muscles were attached to each lower limb. Various sit-to-stand movements were generated using parameters (e.g., seat height and time from seat-off to standing posture) reported by previous studies. The hip joint contact force for each sit-to-stand movement was calculated. Furthermore, the effect of the hip joint angle at seat-off on the hip joint contact force during the sit-to-stand movement was examined. In this study, as the changes to the musculoskeletal model parameters affect the hip joint contact force, a sensitivity analysis was conducted.Results and conclusionsThe hip joint contact force during the sit-to-stand movement increased approximately linearly as the hip flexion angle at the seat-off increased. Moreover, the normal sit-to-stand movement and the sit-to-stand movement yielding a minimum hip joint contact force were approximately equivalent. The effect of the changes to the musculoskeletal model parameters on the main findings of this study was minimal. Thus, the main findings are robust and may help prevent the progression of hip osteoarthritis by decreasing mechanical stress, which will be explored in future studies.Electronic supplementary materialThe online version of this article (10.1186/s12938-018-0610-5) contains supplementary material, which is available to authorized users.

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Sagittal alignment and mobility of the thoracolumbar spine are associated with radiographic progression of secondary hip osteoarthritis

Abstract: The findings suggest that spinal alignment and mobility should be considered when assessing risk and designing preventive intervention for radiographic progression of secondary hip OA.

Cited by 27 publications

References 54 publications

Gait- and postural-alignment-related prognostic factors for hip and knee osteoarthritis: Toward the prevention of osteoarthritis progression

Gait- and postural-alignment-related prognostic factors for hip and knee osteoarthritis: Toward the prevention of osteoarthritis progression

Gait- and Posture-Related Factors Associated With Changes in Hip Pain and Physical Function in Patients With Secondary Hip Osteoarthritis: A Prospective Cohort Study

Effect of hip joint angle at seat-off on hip joint contact force during sit-to-stand movement: a computer simulation study

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