ASSESSMENT OF IN VIVO MECHANICAL MUSCLE FUNCTION IN PATIENTS WITH OSTEOARTHRITIS (OA) OF THE HIP; RELIABILITY

Publikation: Bidrag til bog/antologi/rapportKonferenceabstrakt i proceedingsForskning

INTRODUCTION

Muscle function in patients with hip OA is not well-studied. We established a new setup of tests in order to monitor patients before and after surgery with total hip arthroplasty (THA). A test-retest protocol was designed to evaluate the reproducibility of single- and multi-joint strength and power a novel setup.

MATERIAL AND METHODS

Isokinetic contractions for both knee and hip muscles were performed. Reliability for isometric muscle contractions in vivo was recorded and evaluated by use of within subject variability (CVW-S), Spearman correlation and Limits of Agreement (LoA). Both explosive muscle force characteristics (Rate of force development) and maximal isometric force (MVC) were obtained for the affected (aff) and non-affected (n-aff) leg (only data MVC for affected side in this abstract). 20 patients, (age 55.9 ± 4.8; height 174 ± 8; BMI 27.1 ± 4.5) with unilateral hip OA participated in a test-retest after 8w at 10w post op.

 

RESULTS

 

Table 1: Patient test - retest reliability (Maximal Isometric Muscle Torque) for aff-side

AFF-leg

Test (8W)

Mean ± SD

  • (Nmkg-1)

Test (10W)

Mean ± SD

  • (Nmkg-1)

Δmean

  • (Nmkg-1)

 

CVws

 

Spearman

± SE

 

LoA

 

Knee EXT

1.32 ± 0.38

1.41 ± 0.35

-0.09 ± 0.16

-6.5 %

0.88 ± 0.05

-0.40 : 0.20

Knee FLX

0.63 ± 0.23

0.65 ± 0.17

-0.02 ± 0.10

-3.8 %

0.87 ± 0.05

-0.22 : 0.17

Hip ADD

1.28 ± 0.32

1.34 ± 0.37

-0.07 ± 0.12

-5.1 %

0.93 ± 0.03

-0.29 : 0.16

Hip ABD

1.35 ± 0.28

1.47 ± 0.35

-0.11 ± 0.14

-8.0 %

0.84 ± 0.07

-0.39 : 0.16

Hip EXT

1.86 ± 0.44

2.07 ± 0.57

-0.20 ± 0.24

-9.9 %

0.82 ± 0.07

-0.67 : 0.26

Hip FLX

1.09 ± 0.31

1.23 ± 0.33

-0.15 ± 0.13

-12.8 %

0.82 ± 0.06

-0.40 : 0.11

 

Test-retest showed good CV's for all except hip flexion.

 

CONCLUSIONS

Our novel setup of muscle tests showed overall good CV's, which is promising for further studies on the patient group.

OriginalsprogEngelsk
TitelProceedings Årsmøde 2009 Dansk Ortopædisk Selskab
Antal sider1
Publikationsdato2009
StatusUdgivet - 2009
Eksternt udgivetJa
BegivenhedDansk Ortopædisk Selskab - Odense, Danmark
Varighed: 29 apr. 20091 maj 2009

Konference

KonferenceDansk Ortopædisk Selskab
LandDanmark
ByOdense
Periode29/04/200901/05/2009

ID: 252057439