論文

査読有り 国際誌
2020年3月

Hip abductor muscle weakness and slowed turning motion in people with knee osteoarthritis

JOURNAL OF BIOMECHANICS
  • Hirotaka Iijima
  • ,
  • Ayanori Yorozu
  • ,
  • Yusuke Suzuki
  • ,
  • Ryo Eguchi
  • ,
  • Tomoki Aoyama
  • ,
  • Masaki Takahashi

101
開始ページ
109652
終了ページ
109652
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.jbiomech.2020.109652
出版者・発行元
ELSEVIER SCI LTD

Laser range sensor-based timed up and go (laser-TUG) test can evaluate performance in TUG subtasks (sit-to-walk [STW], walking a short distance, and turning). This study aimed to test the hypothesis that weaker hip abductor muscle strength is more significantly associated with slowed turning speed than with the other TUG subtasks (STW and straight walking) after controlling for quadriceps muscle strength in patients with knee osteoarthritis (OA). Community-dwelling participants with knee OA (Kellgren and Lawrence [K&L] grade >= 1; mean age, 68.6 years; 70.3% women) underwent laser-TUG. Spatiotemporal gait parameters in TUG and the TUG subtasks were evaluated as outcome measures. The isometric muscle strength of the hip abductor and quadriceps was measured using a hand-held dynamometer. Multiple linear regression analysis was performed to examine the relationship between muscle strength as an independent variable and spatiotemporal parameters as dependent variables. The relative importance of hip abductor muscle strength was determined using the percentages of unique variance. Participants with weaker hip abductor muscle strength demonstrated 0.094 m/s slower turning speed after adjustment for covariates including quadriceps muscle strength. The unique variance explained by hip abductor muscle strength in turning speed was 2.1%. However, no significant relationships were confirmed between weak hip abductor muscle strength and the time to perform TUG and the straight walking (forward and return) phase. These findings indicate that turning motion may be more sensitive to aggravated hip abductor muscle weakness and may show better response to hip muscle strengthening exercises. Longitudinal studies are warranted to elucidate this issue. (C) 2020 Elsevier Ltd. All rights reserved.

リンク情報
DOI
https://doi.org/10.1016/j.jbiomech.2020.109652
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32019677
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000517653300002&DestApp=WOS_CPL
ID情報
  • DOI : 10.1016/j.jbiomech.2020.109652
  • ISSN : 0021-9290
  • eISSN : 1873-2380
  • PubMed ID : 32019677
  • Web of Science ID : WOS:000517653300002

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