Abnormal Joint Loading During Gait in Persons With Hip Osteoarthritis Is Associated With Symptoms and Cartilage Lesions
| Autor: | Michael A. Samaan, Tijana Popovic, Richard B. Souza, Jan Neumann, Alan L. Zhang, Thomas M. Link, Sharmila Majumdar, Tzu-Chieh Liao |
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| Rok vydání: | 2019 |
| Předmět: |
Cartilage
Articular Male Aging HOOS Osteoarthritis Hip Weight-Bearing Gait (human) 2.1 Biological and endogenous factors Range of Motion Articular Aetiology Gait Joint loading SHOMRI Pain Research Rehabilitation General Medicine Middle Aged Magnetic Resonance Imaging Biomechanical Phenomena medicine.anatomical_structure Biomedical Imaging Hip Joint Female increased hip moment Chronic Pain musculoskeletal diseases Range of Motion Adult medicine.medical_specialty Clinical Sciences Physical Therapy Sports Therapy and Rehabilitation Article Physical medicine and rehabilitation Clinical Research Osteoarthritis medicine Hip osteoarthritis Humans Aged Hip business.industry Cartilage Arthritis moment impulse Human Movement and Sports Sciences Radiography Quality Education Cross-Sectional Studies Orthopedics Musculoskeletal Self Report business Articular |
| Zdroj: | The Journal of orthopaedic and sports physical therapy, vol 49, iss 12 J Orthop Sports Phys Ther |
| Popis: | BackgroundHip joint loading in persons with hip osteoarthritis (OA) is not well studied, and its associations with symptoms and lesions are unknown.ObjectivesTo determine whether hip joint loading differs between people with and without radiographic hip OA, and to identify its associations with patients' symptoms and cartilage morphology.MethodsForty-eight patients (28 male; mean ± SD age, 56.0 ± 12.2 years) with hip OA and 95 controls (40 male; age, 43.2 ± 13.6 years) participated in this cross-sectional analysis. Pelvic radiographs, questionnaires, magnetic resonance imaging (MRI), and gait analysis were conducted. The Hip disability and Osteoarthritis Outcome Score (HOOS) was used to assess symptoms. Cartilage morphology was graded on MRI scans using the Scoring Hip Osteoarthritis with Magnetic Resonance Imaging (SHOMRI) system. Biomechanical variables included peak external hip joint moment (Newton meters per kilogram) and moment impulses (Newton meters times milliseconds per kilogram) in all planes. Generalized estimating equations were used to compare the biomechanical characteristics between groups. In the patients with OA, associations of moment impulses with HOOS and SHOMRI scores were assessed with partial correlations.ResultsThe OA group exhibited higher peak external hip flexion and adduction moments (P |
| Databáze: | OpenAIRE |
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