Structure and function of the abductors in patients with hip osteoarthritis: Systematic review and meta-analysis

Marshall, Amelia Rose; Noronha, Marcos de; Zacharias, Anita; Kapakoulakis, Theo; Green, Rodney

doi:10.3233/bmr-150614

Cited by 34 publications

(34 citation statements)

References 41 publications

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“…Muscle size is associated with strength 12,13 , yet previous systematic reviews of hip pathology have found little or no differences in hip muscle size compared with matched peers 2,3 . The absence of differences in hip muscle size despite differences in strength could have several explanations.…”

Section: Introductionmentioning

confidence: 96%

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Muscle size and composition in people with articular hip pathology: a systematic review with meta-analysis

Lawrenson

Crossley

Vicenzino

et al. 2019

Osteoarthritis and Cartilage

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s u m m a r yObjective: To synthesise and evaluate the current evidence investigating muscle size and composition in non-inflammatory articular hip pathology. Methods: A systematic review of five electronic databases, using three concepts; articular hip pathology (e.g., osteoarthritis (OA)); hip muscles; and outcomes (e.g., muscle size and adiposity) was undertaken. Studies addressing non-inflammatory or non-traumatic articular hip pain, using measures of muscle size and adiposity were included and appraised for risk of bias. Data was extracted to calculate standardised mean differences (SMD) and pooled where possible for meta-analysis. Results: Thirteen cross-sectional studies were included; all studies measured muscle size and 5/13 measured adiposity. In OA, there was low to very low quality evidence of no difference in hip muscle size, compared with matched controls. In unilateral OA, there was low to very low quality evidence of smaller size in gluteus minimus (SMD À0.38; 95% confidence interval (CI) À0.74, À0.01), gluteus medius (À0.44; 95% CI: À0.83, À0.05) and gluteus maximus (À0.39; 95% CI: À0.75, À0.02) muscles in the symptomatic limb. Individual studies demonstrated non-uniform changes in muscle size in OA. No significant difference was observed in muscle size in other pathologies or in adiposity for any group. Conclusion: There is some low quality evidence that specific hip muscles are smaller in unilateral hip OA. Variation in the magnitude of differences indicate changes in size are not uniform across all muscles or stage of pathology. Studies in larger cohorts investigating muscle size and composition across the spectrum of articular pathologies are required to clarify these findings.

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Section: Introductionmentioning

confidence: 96%

“…Muscle size and composition have previously been evaluated in advanced OA 2,3 . No review of the literature has considered muscle changes with respect to different grades of pathology or across the spectrum of articular hip pathology that are purported to precede and contribute to the pathogenesis of OA.…”

Section: Introductionmentioning

confidence: 99%

Muscle size and composition in people with articular hip pathology: a systematic review with meta-analysis

Lawrenson

Crossley

Vicenzino

et al. 2019

Osteoarthritis and Cartilage

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“…The gluteus medius (GMed) and minimus (GMin) function as hip abductors and are considered to be the major stabilisers at the hip joint 8 . Hip abductor strength deficits are commonly seen in hip OA patients 9 . Weakness in muscle can be manifested as either a reduction in muscle size or muscle activity 10 .…”

Section: Introductionmentioning

confidence: 99%

Hip abductor muscle volume in hip osteoarthritis and matched controls

Zacharias

Pizzari

English

et al. 2016

Osteoarthritis and Cartilage

100

183

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“…In their systematic review, Marshall et al 25 concluded that hip abductor muscle size is similar between those with hip OA and asymptomatic participants. With close assessment of the individual studies cited in their review and another recently published study, there is some evidence to suggest that findings may be affected by the participant’s age, stage of disease, or symptom duration.…”

Section: Discussionmentioning

confidence: 99%

“…With close assessment of the individual studies cited in their review and another recently published study, there is some evidence to suggest that findings may be affected by the participant’s age, stage of disease, or symptom duration. 14, 25, 38 When comparing symptomatic limbs in those with hip OA to asymptomatic participants, Zacharias et al 38 found that individuals with advanced OA (K/L 3), had significantly smaller GMax, GMed, and GMin. However, those with mild hip OA (K/L 2), had similar muscle volume to that of asymptomatic people.…”

Section: Discussionmentioning

confidence: 99%

Hip Abductor Muscle Volume and Strength Differences Between Women With Chronic Hip Joint Pain and Asymptomatic Controls

Mastenbrook¹,

Commean²,

Hillen³

et al. 2017

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Secondary analysis, cross-sectional study Background Chronic hip joint pain (CHJP) can lead to limitations in activity participation, but the musculoskeletal factors associated with the condition are relatively unknown. Understanding the factors associated with CHJP may help develop rehabilitation strategies to improve quality of life of individuals with long-term hip pain. Objectives To compare measures of hip abductor muscle volume and hip abductor muscle strength between women with CHJP and asymptomatic controls. Methods Thirty women, 15 with CHJP and 15 matched asymptomatic controls (18–40 years of age), participated in this study. Magnetic resonance imaging was used to determine the volume of the primary hip abductor muscles, consisting of gluteus medius (GMed), gluteus minimus (GMin), a small portion of gluteus maximus (GMax), and tensor fascia latae (TFL), within a defined region of interest. Break tests were performed using a handheld dynamometer to assess hip abductor strength. During the strength test, the participant was positioned in sidelying with the involved hip in 15° abduction. Independent-sample t tests were used to compare muscle volume and strength values between those with CHJP and asymptomatic controls. Results Compared to asymptomatic controls, women with CHJP demonstrated significantly increased gluteal muscle volume (228±40cm3 versus 199±29cm3; p=.032), but decreased hip abductor strength (74.6±16.8Nm versus 93.6±20.2Nm; p=.009). There were no significant differences in TFL muscle volume between the two groups (p=.640). Conclusions Women with CHJP appear to have larger gluteal muscles, but decreased hip abductor strength compared to asymptomatic controls.

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Structure and function of the abductors in patients with hip osteoarthritis: Systematic review and meta-analysis

Abstract: Hip abductor strength is reduced in OA patients when compared to healthy controls and to the unaffected limb. Data on muscle size and activity is limited.

Cited by 34 publications

References 41 publications

Muscle size and composition in people with articular hip pathology: a systematic review with meta-analysis

Muscle size and composition in people with articular hip pathology: a systematic review with meta-analysis

Hip abductor muscle volume in hip osteoarthritis and matched controls

Hip Abductor Muscle Volume and Strength Differences Between Women With Chronic Hip Joint Pain and Asymptomatic Controls

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