Postural control in degenerative diseases of the hip joint
| Autor: | Edit Nagy, Kálmán Tóth, Gyongyi Horvath, Edit Sziver, Gabriella Pósa, Attila Balog, Andrea Preszner-Domjan |
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| Rok vydání: | 2015 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty genetic structures Posture Biophysics Osteoarthritis Somatosensory system Osteoarthritis Hip Postural control Arthritis Rheumatoid 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Joint capsule medicine Humans Orthopedics and Sports Medicine Displacement (orthopedic surgery) Postural Balance Balance (ability) Aged 030203 arthritis & rheumatology business.industry Middle Aged medicine.disease medicine.anatomical_structure Rheumatoid arthritis Case-Control Studies Postural stability Physical therapy Visual Perception Female Hip Joint Sensory Deprivation business 030217 neurology & neurosurgery |
| Zdroj: | Clinical biomechanics (Bristol, Avon). 35 |
| ISSN: | 1879-1271 |
| Popis: | Background Few studies investigated the postural control in patients with hip joint impairments; in some cases, balance impairments have been found, while other researchers have seen no significant changes. The goal of this study was to characterize postural stability in patients suffering from unilateral osteoarthritis or rheumatoid arthritis in different balance tasks and to reveal potential differences between the two diseases in this respect. Methods Ten patients with hip osteoarthritis (mean age: 62.3 years), 10 patients with rheumatoid arthritis (mean age: 55.4 years) and 10 healthy control subjects (mean age: 54.3 years) took part in the study. Displacement of centre of pressure was measured with a force plate in mediolateral and anteroposterior directions during two-leg standing on firm and compliant surfaces with eyes opened and closed. Findings Standing on a firm surface sway path increased significantly in the anteroposterior direction in both patient groups and in the mediolateral direction in all groups with eyes closed as compared to eyes opened condition. Standing on a compliant surface, sway paths increased significantly in both directions in all groups with eyes closed as compared to eyes opened condition; furthermore, sway paths were significantly longer with eyes closed in patients with rheumatoid arthritis in comparison with control and osteoarthritis groups. Interpretation Our data revealed that the manipulation of both visual and somatosensory information can reveal subtle impairments in balance control. Thus, this paradigm can unmask the effects of decreased proprioception due to joint capsule lesion in patients with rheumatoid arthritis. |
| Databáze: | OpenAIRE |
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