The Evaluation of Hip Muscles in Patients Treated With One-stage Combined Procedure for Unilateral Developmental Dysplasia of the Hip: Part II: Isokinetic Muscle Strength Evaluation

Yılmaz, Serdar; Yüksel, Halil Yalçın; Akşahin, Ertuğrul; Çelebi, Levent; Ersöz, Murat; Muratli, Hasan Hilmi; Biçimoğlu, Ali

doi:10.1097/bpo.0b013e3181c6b390

Cited by 10 publications

(12 citation statements)

References 18 publications

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“…more dysplastic than in our study; furthermore, the average age of their patients was only 16 years, which might also contribute to the strength difference. 25 Finally, our dysplasia patients' 60°/second and 120°/s flexion moments were larger than the postoperative moments measured at comparable angular velocities by Yilmaz et al, 26,27 which might be explained by the subjects in those studies being children and teenagers.…”

Section: Isokinetic Dynamometry: Magnitudescontrasting

confidence: 49%

Isokinetic dynamometry and gait analysis reveal different hip joint status in patients with hip dysplasia

et al. 2018

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Although dysplasia patients have weaker hip flexion and abductor muscles than controls, their abductor muscles are sufficiently strong to ensure normal function during gait. Hence, gait analysis alone might not reveal the true, subnormal hip joint status in dysplasia patients. We suggest that comprehensive assessment of hip joint function in dysplasia patients should include more strenuous activities than gait, particularly in young(er) patients who are likely to prefer a more active lifestyle.

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Section: Isokinetic Dynamometry: Magnitudescontrasting

confidence: 49%

Isokinetic dynamometry and gait analysis reveal different hip joint status in patients with hip dysplasia

et al. 2018

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“…Muscle weakness in patients with neglected DDH is associated with typical gait compensation strategies such as an unstable trunk, increased pelvic drop, increased lateral displacement of the pelvis, decreased hip extension, and decreased internal hip abductor moment [ 12 , 13 ]. Limited research has been done concerning muscle strength in patients with DDH after THA [ 14 , 15 ]. Yilmaz et al assessed hip flexor and extensor muscle strength in young patients with DDH after THA and found asymmetry in flexor strength [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…Limited research has been done concerning muscle strength in patients with DDH after THA [ 14 , 15 ]. Yilmaz et al assessed hip flexor and extensor muscle strength in young patients with DDH after THA and found asymmetry in flexor strength [ 14 ]. Liu et al found asymmetry in hip abductor strength as a result of a weaker affected side in patients with DDH, both before and after THA surgery [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Gait symmetry and hip strength in women with developmental dysplasia following hip arthroplasty compared to healthy subjects: A cross-sectional study

et al. 2018

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IntroductionUntreated unilateral developmental dysplasia of the hip (DDH) results in asymmetry of gait and hip strength and may lead to early osteoarthritis, which is commonly treated with a total hip arthroplasty (THA). There is limited knowledge about the obtained symmetry of gait and hip strength after the THA. The objectives of this cross-sectional study were to: a) identify asymmetries between the operated and non-operated side in kinematics, kinetics and hip strength, b) analyze if increased walking speed changed the level of asymmetry in patients c) compare these results with those of healthy subjects.MethodsWomen (18–70 year) with unilateral DDH who had undergone unilateral THA were eligible for inclusion. Vicon gait analysis system was used to collect frontal and sagittal plane kinematic and kinetic parameters of the hip joint, pelvis and trunk during walking at comfortable walking speed and increased walking speed. Furthermore, hip abductor and extensor muscle strength was measured.ResultsSix patients and eight healthy subjects were included. In the patients, modest asymmetries in lower limb kinematics and kinetics were present during gait, but trunk lateral flexion asymmetry was evident. Patients’ trunk lateral flexion also differed compared to healthy subjects. Walking speed did not significantly influence the level of asymmetry. The hip abduction strength asymmetry of 23% was not statistically significant, but the muscle strength of both sides were significantly weaker than those of healthy subjects.ConclusionsIn patients with a DDH treated with an IBG THA modest asymmetries in gait kinematics and kinetics were present, with the exception of a substantial asymmetry of the trunk lateral flexion. Increased walking speed did not result in increased asymmetries in gait kinematics and kinetics. Hip muscle strength was symmetrical in patients, but significantly weaker than in healthy subjects. Trunk kinematics should be included as an outcome measure to assess the biomechanical benefits of the THA surgery after DDH.

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“…Minör zayıflık düzeyleri belgelenmiş olmasına karşın, herhangi bir fonksiyonel iş görmezlik bildirilmemiştir. [55,56]…”

Section: Medi̇yal Yaklaşimunclassified

6–18 ay arası çocuklarda gelişimsel kalça displazisi ve tedavisi

Ayanoğlu¹

2014

TOTBİD

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Emekleme çağına gelen altı aylıktan büyük çocuklarda Pavlik bandajı kullanımı çocuğun hareketlenmesine bağlı olarak etkinliğini kaybetmeye başlar. Altı aylıktan büyük çocuklarda Pavlik bandajı tedavisinin başarı oranı %50'den azdır. [1] Bu yüzden sublukse veya disloke kalçalarda sıklıkla kapalı veya gerekli olgularda açık redüksiyon uygulanır.Bir yaş altındaki GKD grubunda geçmişe göre daha az tercih edilse de, en çok tercih edilen tedavi traksiyon uygulanarak veya uygulanmadan yapılan kapalı redüksiyondur. Eğer kapalı redüksiyon başarılı olursa hasta üç ay süre ile pelvi pedal alçı ile immobilize edilir. Eğer kapalı redüksiyon başarılı olmaz ise açık redüksiyon gerçekleştirilir. Açık redüksiyon gereken 12 aylıktan

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The Evaluation of Hip Muscles in Patients Treated With One-stage Combined Procedure for Unilateral Developmental Dysplasia of the Hip: Part II: Isokinetic Muscle Strength Evaluation

Cited by 10 publications

References 18 publications

Isokinetic dynamometry and gait analysis reveal different hip joint status in patients with hip dysplasia

Isokinetic dynamometry and gait analysis reveal different hip joint status in patients with hip dysplasia

Gait symmetry and hip strength in women with developmental dysplasia following hip arthroplasty compared to healthy subjects: A cross-sectional study

6–18 ay arası çocuklarda gelişimsel kalça displazisi ve tedavisi

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