Is Hip Abductor Muscle Strenghth Related to Functional Capabilities in Patients with Hip Osteoarthritis?

Öz

Objective: The aim of this study is to investigate the relationship between hip abductor muscle strength and functionality in individuals with hip osteoarthritis. Method: Forty-four individuals with end-stage unilateral hip osteoarthritis having a mean age of 63.45±10.50 were included in this study. Oxford hip score (OHS), abductor muscle strength test of both hips, visual analogue scale, and timed up and go test were applied to all individuals. Results: The correlation analysis revealed a moderate level and statistically significant relation between the muscle strength of the healthy hip and the OHS (r:0.28 p:0.03), pain during activity (r:-0.41 p:0.003), and pain at rest (r:-0.33 p:0.01). Conclusion: In patients with unilateral hip osteoarthritis, a moderate relationship between healthy hip abductor muscle strength and the OHS and visual analogue scale was found. To increase the functional level of patients with hip osteoarthritis, which is reduced due to pain-related limitations of motion, strengthening the healthy hip is crucial. In addition, the reduction of pain due to hip osteoarthritis is key to achieve functionality.

Anahtar Kelimeler

• Osteoarthritis
• Hip
• Muscle Strength

Kalça Osteoartritli Hastalarda Kalça Abduktor Kas Kuvveti Fonksiyonel Beceriler ile İlişkili Midir?

Öz

Amaç: Bu çalışmanın amacı ileri seviye unilateral kalça osteoartriti olan bireylerde kalça abduktor kas kuvveti ile fonksiyonellik arasındaki ilişkiyi incelemektir. Yöntem: Çalışmamıza yaş ortalaması 63.45±10.50 olan 44 ileri seviye unilateral kalça osteoartriti olan birey dahil edildi. Tüm bireylere Oxford kalça skoru, her iki kalçaya abduktor kas kuvveti testi, görsel ağrı skalası ve süreli kalk yürü testi uygulandı. Bulgular: Yapılan korelasyon analizinin sonucuna göre sağlam kalçanın kas kuvveti ile Oxford kalça skoru (r:0.28 p:0.03), aktivite sırasında hissedilen ağrı (r:-0.41 p:0.003) ve dinlenme sırasında hissedilen ağrı (r:-0.33 p:0.01) arasında orta dereceli ve istatistiksel olarak anlamlı ilişki saptandı. Sonuç: Unilateral kalça osteoartritli bireylerin sağlam kalça abduktor kas kuvveti ile Oxford kalça skoru ve görsel ağrı skalası arasında orta seviyeli bir ilişki bulundu. Kalça osteoartritli bireylerin ağrıya bağlı hareket kısıtlılığı sebebi ile azalan fonksiyonel seviyelerinin ilerlemesinde sağlam kalçanın kuvvetlendirilmesi önem kazanmaktadır. Aynı zamanda unilateral kalça osteoartritine bağlı ağrının azalması, fonksiyonelliğin kazanılmasında belirleyicidir.

Anahtar Kelimeler

• Osteoartrit
• Kalça
• Kas kuvveti

Kaynakça

1. 1. Marks, R. (2020). Hip joint osteoarthritis pain sources and control. Pain Studies and Treatment, (8), 1-21.
2. 2. Katz, J. N., Arant, K. R., Loeser, R. F. (2021). Diagnosis and treatment of hip and knee osteoarthritis: A review. JAMA, 325(6), 568–578.
3. 3. Bilge, A., Ulusoy, R. G., Üstebay, S., & Öztürk, Ö. (2018). Osteoartrit. Kafkas J Med Sci, 8(1), 133-142.
4. 4. Wilson, J. J., & Furukawa, M. (2014). Evaluation of the patient with hip pain. American family physician, 89(1), 27–34.
5. 5. Bennell, K. (2013). Physiotherapy management of hip osteoarthritis. J Physiother, 59(3), 145-157.
6. 6. Shih, C. H., Du, Y. K., Lin, Y. H., Wu, C. C. (1994). Muscular recovery around the hip joint after total hip arthroplasty. Clin Orthop Relat Res, 94(302),115-120.
7. 7. Van Dijk, G. M., Veenhof, C., Schellevis, F., Hulsmans, H., Bakker, J. P., Arwert, H., et al. (2008). Comorbidity, limitations in activities and pain in patients with osteoarthritis of the hip or knee. BMC Musculoskeletal Disorders, 9, 95.
8. 8. Juhakoski, R., Tenhonen, S., Anttonen, T., Kauppinen, T., & Arokoski, J. P. (2008). Factors affecting self-reported pain and physical function in patients with hip osteoarthritis. Archives of physical medicine and rehabilitation, 89(6), 1066–1073.

9. 9. Murphy, N. J., Eyles, J. P., & Hunter, D. J. (2016). Hip osteoarthritis: etiopathogenesis and implications for management. Adv Ther, 33(11), 1921-1946.
10. 10. Grimaldi, A., Richardson, C., Durbridge, G., Donnelly, W., Darnell, R., & Hides, J. (2009). The association between degenerative hip joint pathology and size of the gluteus maximus and tensor fascia lata muscles. Manual therapy, 14(6), 611–617.
11. 11. Nelson, A. E., Allen, K. D., Golightly, Y. M., Goode, A. P., & Jordan, J. M. (2014). A systematic review of recommendations and guidelines for the management of osteoarthritis: The chronic osteoarthritis management initiative of the U.S. bone and joint initiative. Seminars in arthritis and rheumatism, 43(6), 701–712.
12. 12. Krauß, I., Steinhilber, B., Haupt, G., Miller, R., Martus, P., & Janßen, P. (2014). Exercise therapy in hip osteoarthritis--a randomized controlled trial. Deutsches Arzteblatt international, 111(35-36), 592– 599.
13. 13. Steinhilber, B., Haupt, G., Miller, R., Janssen, P., & Krauss, I. (2017). Exercise therapy in patients with hip osteoarthritis: Effect on hip muscle strength and safety aspects of exercise-results of a randomized controlled trial. Modern rheumatology, 27(3), 493–502.
14. 14. Goh, S. L., Persson, M. S., Stocks, J., Hou, Y., Welton, N. J., Lin, J., et al. (2019). Relative efficacy of different exercises for pain, function, performance and quality of life in knee and hip osteoarthritis: systematic review and network meta-analysis. Sports Med., 49(5), 743-761.
15. 15. Meyer, C. A., Wesseling, M., Corten, K., Nieuwenhuys, A., Monari, D., Simon, J. P., et al. (2018). Hip movement pathomechanics of patients with hip osteoarthritis aim at reducing hip joint loading on the osteoarthritic side. Gait Posture, 59, 11-17.
16. 16. Rasch, A., Dalén, N., & Berg, H. E. (2010). Muscle strength, gait, and balance in 20 patients with hip osteoarthritis followed for 2 years after THA. Acta Orthop., 81(2), 183-188.
17. 17. Murray, D. W., Fitzpatrick, R., Rogers, K., Pandit, H., Beard, D. J., Carr, A. J., et al. (2007). The use of the Oxford hip and knee scores. J Bone Joint Surg Br, 89(8), 1010-1014.
18. 18. Dobson, F. (2014). Timed Up and Go test in musculoskeletal conditions. J Physiother, 61(1), 47-47.
19. 19. Revill, S. I., Robinson, J. O., Rosen, M., & Hogg, M. I. (1976). The reliability of a linear analogue for evaluating pain. Anaesthesia, 31(9), 1191-1198.
20. 20. Thorborg, K., Petersen, J., Magnusson, S. P., & Hölmich, P. (2010). Clinical assessment of hip strength using a hand‐held dynamometer is reliable. Scand j Med Sci Sports, 20(3), 493-501.
21. 21. Lu, Y. M., Lin, J. H., Hsiao, S. F., Liu, M. F., Chen, S. M., & Lue, Y. J. (2011). The relative and absolute reliability of leg muscle strength testing by a handheld dynamometer. J Strength Cond Res,25(4), 1065-1071.
22. 22. Nilsdotter, A., & Bremander, A. (2011). Measures of hip function and symptoms: Harris hip score (HHS), hip disability and osteoarthritis outcome score (HOOS), Oxford hip score (OHS), Lequesne index of severity for osteoarthritis of the hip (LISOH), and American Academy of orthopedic surgeons (AAOS) hip and knee questionnaire. Arthritis Care Res, 63(S11), S200-S207.
23. 23. Tuğay, B. U., Tuğay, N., Güney, H., Hazar, Z., Yüksel, İ., & Atilla, B. (2015). Cross-cultural adaptation and validation of the Turkish version of Oxford hip score. Archives of orthopaedic and trauma surgery, 135(6), 879–889.
24. 24. Nunnaly, J. C. Psychometric theory 3E. (1994) New York: TaTa McGraw-Hill Education.
25. 25. Suetta, C., Aagaard, P., Magnusson, S. P., Andersen, L. L., Sipilä, S., Rosted, A., et al. (2007). Muscle size, neuromuscular activation, and rapid force characteristics in elderly men and women: effects of unilateral long-term disuse due to hip-osteoarthritis. Journal of Applied Physiology, 102(3), 942–948.
26. 26. Zacharias, A., Green, R. A., Semciw, A., English, D. J., Kapakoulakis, T., & Pizzari, T. (2018). Atrophy of hip abductor muscles is related to clinical severity in a hip osteoarthritis population. Clin Anat, 31(4), 507-513.
27. 27. Kawano, T., Nankaku, M., Murao, M., Goto, K., Kuroda, Y., Kawai, T., et al. (2021). Functional characteristics associated with hip abductor torque in severe hip osteoarthritis. Musculoskelet Sci Pract, 55, 102431.
28. 28. Zeni, J., Jr, Abujaber, S., Pozzi, F., & Raisis, L. (2014). Relationship between strength, pain, and different measures of functional ability in patients with end-stage hip osteoarthritis. Arthritis Care & Research, 66(10), 1506–1512.
29. 29. Dalén, N., Rasch, A., Berg, H. E. (2005). Test methods to detect hip and knee muscle weakness and gait disturbance in patients with hip osteoarthritis. Archives of Physical Medicine and Rehabilitation, 86(12), 2371–2376.
30. 30. Arokoski, M. H., Arokoski, J. P., Haara, M., Kankaanpää, M., Vesterinen, M., Niemitukia, L. H., et al. (2002). Hip muscle strength and muscle cross sectional area in men with and without hip osteoarthritis. J Rheumatol., 29(10), 2185-2195.
31. 31. Marshall, A. R., Noronha, M. D., Zacharias, A., Kapakoulakis, T., & Green, R. (2016). Structure and function of the abductors in patients with hip osteoarthritis: Systematic review and meta-analysis. J Back and Musculoskelet Rehabil, 29(2), 191-204.
32. 32. Yuksel, E., Unver, B., Kalkan, S., & Karatosun, V. (2021). Reliability and minimal detectable change of the 2-minute walk test and Timed Up and Go test in patients with total hip arthroplasty. Hip International : The Journal of Clinical and Experimental Research on Hip Pathology and Therapy, 31(1), 43–49.
33. 33. Arnold, C. M., & Faulkner, R. A. (2007). The history of falls and the association of the timed up and go test to falls and near-falls in older adults with hip osteoarthritis. BMC Geriatrics, 7, 17.
34. 34. Gasparutto, X., Gueugnon, M., Laroche, D., Martz, P., Hannouche, D., & Armand, S. (2021). Which functional tasks present the largest deficits for patients with total hip arthroplasty before and six months after surgery? A study of the timed up-and-go test phases. PloS one, 16(9), e0255037.
35. 35. Holstege, M. S., Lindeboom, R., & Lucas, C. (2011). Preoperative quadriceps strength as a predictor for short-term functional outcome after total hip replacement. Archives of Physical Medicine and Rehabilitation, 92(2), 236–241.