J 2021

Could the Evaluation of Muscle Strength Imbalances Be Used as a Predictor of Total Hip Arthroplasty?

VODIČKA, Tomáš, Michal BOZDĚCH, Marta GIMUNOVÁ, Lenka SVOBODOVÁ, Jiří ZHÁNĚL et. al.

Basic information

Original name

Could the Evaluation of Muscle Strength Imbalances Be Used as a Predictor of Total Hip Arthroplasty?

Authors

VODIČKA, Tomáš (203 Czech Republic, guarantor, belonging to the institution), Michal BOZDĚCH (203 Czech Republic, belonging to the institution), Marta GIMUNOVÁ (203 Czech Republic, belonging to the institution), Lenka SVOBODOVÁ (203 Czech Republic, belonging to the institution), Jiří ZHÁNĚL (203 Czech Republic, belonging to the institution) and Stanisław Henryk CZYŻ (616 Poland, belonging to the institution)

Edition

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, Molecular Diversity Preservation International, 2021, 1661-7827

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

20601 Medical engineering

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.849 in 2019

RIV identification code

RIV/00216224:14510/21:00121570

Organization unit

Faculty of Sports Studies

UT WoS

000654829900001

Keywords in English

osteoarthritis; isokinetic dynamometry; total hip arthroplasty; muscular imbalances

Tags

Změněno: 16/5/2022 14:34, Mgr. Pavlína Roučová, DiS.

Abstract

V originále

Loss of muscle strength characterizes the period before total hip arthroplasty (THA). Little is known about whether muscle strength imbalances caused by muscle strength decline could be considered another clinical predictor for THA. This study aimed to determine whether muscle imbalances may be used as a clinical predictor for THA surgery. Thirty-six participants were enrolled in the study. Eighteen patients had THA (THA group), while 18 were healthy elders (CON group). Ipsilateral (H/Q) and bilateral (% Def) muscle imbalances of the knee were assessed. THA patients showed impairment of the extensors on the affected extremity compared to those unaffected. A comparison between the groups proved there were weakened flexors in the THA group on both extremities. A comparison of the imbalances revealed a significant bilateral imbalance of the extensors and ipsilateral imbalance of both extremities in the THA group. We computed two logistic regressions using bilateral and ipsilateral imbalance as the predictors of THA surgery. We found that bilateral extensor imbalance may be used as a predictor for THA (Nagelkerke R2 = 0.22). A decrease of the bilateral extensors imbalance by 8% decreases the probability of THA by 8%. The most interesting finding is that the evaluation of the bilateral extensor imbalance may be used as another clinical predictor for THA.

Links

MUNI/A/1396/2015, interní kód MU
Name: Pilotní ověření izokinetického intervenčního programu u pacientek trpících II. stadiem kyčelní osteoartritidy (Acronym: TEP-IZO)
Investor: Masaryk University, Category A