The Use of Scoring Hip Osteoarthritis with MRI as an Assessment Tool for Physiotherapeutic Treatment in Patients with Osteoarthritis of the Hip.

Autor: Lewińska A; Chair of Clinical Physiotherapy, Faculty of Rehabilitation, Jozef Pilsudski University of Physical Education in Warsaw, 00968 Warsaw, Poland., Palczewski P; 1st Department of Clinical Radiology, Faculty of Medicine, Medical University of Warsaw, 02004 Warsaw, Poland., Piłat K; 1st Department of Clinical Radiology, Faculty of Medicine, Medical University of Warsaw, 02004 Warsaw, Poland., Cieszanowski A; 2nd Department of Clinical Radiology, Faculty of Medicine, Medical University of Warsaw, 02097 Warsaw, Poland., Rongies W; Department of Rehabilitation, Faculty of Medical Sciences, Medical University of Warsaw, 02109 Warsaw, Poland.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2021 Dec 21; Vol. 11 (1). Date of Electronic Publication: 2021 Dec 21.
DOI: 10.3390/jcm11010017
Abstrakt: Rehabilitation programs are considered effective at reducing the impact of osteoarthritis (OA) of the hip; however, studies using reliable measures related to OA biomarkers to assess the effects of rehabilitation are lacking. The objective of this study was to investigate whether an MRI-based (Magnetic Resonance Imaging-based), semi-quantitative system for an OA severity assessment is feasible for the evaluation of the structural changes in the joint observed during a long-term physiotherapy program in patients with hip OA. The study group consisted of 37 adult OA patients who participated in a 12-month physiotherapy program. The Scoring hip osteoarthritis with MRI (SHOMRI) system was used to evaluate the severity of structural changes related to hip OA. Hip disability and the osteoarthritis outcome score (HOOS) and the core set of performance-based tests recommended by Osteoarthritis Research Society International were used for functional assessment. SHOMRI showed excellent inter- and intra-rater agreement, proving to be a reliable method for the evaluation of hip abnormalities. At the 12-month follow-up no statistically significant changes were observed within the hip joint; however, a trend of structural progression was detected. There was a negative correlation between most of the SHOMRI and HOOS subscales at baseline and the 12-month follow-up. Although SHOMRI provides a reliable assessment of the hip joint in patients with OA it showed a limited value in detecting significant changes over time in the patients receiving physiotherapy over a 12-month period.
Databáze: MEDLINE
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