Document Detail


Functioning and disability in patients with hip osteoarthritis with mild to moderate pain.
MedLine Citation:
PMID:  20811166     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Cross-sectional study.
OBJECTIVE: To compare functioning and disability in patients with hip osteoarthritis (OA) not candidates for surgery, to a matched control group, and thereby to examine the relationship between the functioning and disability components used in this study in patients with hip OA.
BACKGROUND: It is well known that patients with severe hip OA have deficits in functioning and disability. However, in patients with hip OA not candidates for surgery, the knowledge regarding functioning and disability is sparse.
METHODS: Twenty-six patients (12 men, 14 women; mean age, 60 years) with radiographic and symptomatic hip OA were matched to 26 controls without hip pain. The following variables were measured: muscle strength using isokinetic peak force, hip passive range of motion, submaximal aerobic capacity using a cycling test, walking ability using the 6-minute walk test, self-reported pain, stiffness, and physical function using the Western Ontario and McMaster University Osteoarthritis Index, and health-related quality of life using the SF-36.
RESULTS: The patients with hip OA had mild to moderate pain, as indicated by the Western Ontario and McMaster University Osteoarthritis Index, and significantly lower knee extension strength (mean difference [95% confidence interval {CI}]: -19.5 [-34.3, -4.7] Nm). Hip range of motion was significantly less in the patients with hip OA, with mean (95% CI) differences of -10° (-14°, -6°) for extension, -18° (-26°, -11°) for flexion, -9° (-14°, -4°) for abduction, -2° (-5°, 0°) for adduction, -16° (-23°, -9°) for internal rotation, and -21° (-28°, -14°) for external rotation. The patients with hip OA walked a significantly shorter distance in 6 minutes (mean difference, -75 m; 95% CI: -131, -20 m). There were no significant differences in hip extension/flexion, knee flexion, ankle dorsiflexion/plantar flexion muscle strength, or aerobic capacity between the 2 groups. There were significant associations between body function and activity components.
CONCLUSION: Physical therapists should consider including quadriceps-strengthening and hip range-of-motion exercises when developing rehabilitation programs for patients with hip OA, with mild to moderate pain, aiming to improve functioning and reduce disability.
Authors:
Karin Rydevik; Linda Fernandes; Lars Nordsletten; May Arna Risberg
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of orthopaedic and sports physical therapy     Volume:  40     ISSN:  0190-6011     ISO Abbreviation:  J Orthop Sports Phys Ther     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-06     Completed Date:  2010-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7908150     Medline TA:  J Orthop Sports Phys Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  616-24     Citation Subset:  IM    
Affiliation:
Norwegian Research Center for Active Rehabilitation (NAR), Department of Orthopedics, Oslo University Hospital and Hjelp24 Norwegian Sports Medicine Clinic (Hjelp24 NIMI), Oslo, Norway. karin.rydevik@hjelp24.no
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Case-Control Studies
Cross-Sectional Studies
Disability Evaluation*
Female
Humans
Lower Extremity
Male
Middle Aged
Muscle Strength
Muscle Weakness / etiology*
Osteoarthritis, Hip / complications*
Oxygen Consumption
Pain Measurement*
Quality of Life
Range of Motion, Articular*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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