Association between hip extensor muscle weakness and disability of activities of daily living in patients with early-stage knee osteoarthritis.
Association between hip extensor muscle weakness and disability of activities of daily living in patients with early-stage knee osteoarthritis.
复制标题
早期膝骨关节炎患者髋伸肌无力与日常生活活动障碍之间的关系。
DOI：
10.1007/s00296-020-04707-0
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发表时间：
2020
期刊：
影响因子：
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通讯作者：
Tomoki Aoyama.
中科院分区：
文献类型：
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作者：
Kanako Shimoura;Kaho Negoro;Natsuki Matsumura;Yu Odake;Shinichi Kawamoto;Kohei Mukaiyama;Momoko Nagai-Tanima;Tomoki Aoyama.
IntroductionThis study aims to investigate the association between hip extractor muscle weakness and performance of daily living（ADL）including stair amphibia，sit-to-stand（STS），and walking in patients with early stage knee osteoarthritis（OA）. MethodsCommunity dwelling older individuals（age ≥ 65 years and Kelling-Lawrence grade 1-2）were recruited in this cross-sectional study.使用日本膝关节骨关节炎测量方法测量进行爬楼梯、STS和行走的能力。评价最大等长膝伸肌和髋伸肌肌力。为了调查髋伸肌力量与ADL表现之间的相关性，进行了多变量逻辑分析，调整了年龄、性别和膝伸肌力量。结果本研究共纳入161名参与者。多变量logistic分析显示，较低的髋关节伸肌肌力与较高的爬楼梯困难之间存在显著相关性[比值比（OR），0.33; 95%置信区间（CI），0.11]。0.98;p< 0.05]和STS（OR，0.32; 95% CI，0.11. 0.92;p< 0.05）。髋关节伸肌肌力与行走困难之间无显著相关性（OR，0.47; 95%CI，0.14）。1.62; p= 0.23）。结论在调整膝关节伸肌肌力后，髋关节伸肌无力与早期膝关节OA患者在爬楼梯和STS过程中的困难有关。结果表明，髋关节伸肌力量可能是重要的，以改善或维持早期膝关节OA患者的ADL。
IntroductionThis study aimed to investigate the association between hip extensor muscle weakness and performance of activities of daily living (ADL) including stair ambulation, sit-to-stand (STS), and walking in patients with early-stage knee osteoarthritis (OA).MethodsCommunity-dwelling older individuals (age ≥ 65 years and Kellgren–Lawrence grade 1–2) were recruited in this cross-sectional study. The ability to perform stair ambulation, STS, and walking was measured using the Japanese Knee Osteoarthritis Measure. The maximum isometric knee extensor and hip extensor muscle strengths were evaluated. To investigate the association between hip extensor muscle strength and performance on ADL, a multivariate logistic analysis was conducted, adjusting for age, sex, and knee extensor muscle strength.ResultsA total of 161 participants were included in this study. Multivariate logistic analysis revealed a significant association between lower hip extensor muscle strength and higher presence of difficulty in stair ambulation [odds ratio (OR), 0.33; 95% confidence interval (CI), 0.11. 0.98;p< 0.05] and STS (OR, 0.32; 95% CI, 0.11. 0.92;p< 0.05). No significant association between hip extensor muscle strength and difficulty in walking was observed (OR, 0.47; 95% CI, 0.14. 1.62;p= 0.23).ConclusionsHip extensor muscle weakness was associated with difficulty during stair ambulation and STS in patients with early-stage knee OA, after adjusting for knee extensor muscle strength. The results suggest that hip extensor muscle strength may be important to improve or maintain ADL in patients with early-stage knee OA.