Michael A Tevald1, Amanda Murray2, Brittney A Luc3, Kafai Lai4, David Sohn5, Brian Pietrosimone6. 1. Department of Rehabilitation Sciences, University of Toledo, 2801 W. Bancroft Street, MS #119, Toledo, OH 43606-3390, USA. Electronic address: michael.tevald@utoledo.edu. 2. Department of Rehabilitation Sciences, University of Toledo, 2801 W. Bancroft Street, MS #119, Toledo, OH 43606-3390, USA. Electronic address: Amanda.murray@ucdenver.edu. 3. Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, 209 Fetzer Hall, CB#8700, Chapel Hill, NC 27599-8700, USA. Electronic address: bluc@live.unc.edu. 4. Department of Orthopaedic Surgery, University of Toledo Orthopaedic Center, Health Science Campus, 125 Hospital Drive, MS 1094, Toledo OH 43614, USA. Electronic address: Kafai.lai@utoledo.edu. 5. Department of Orthopaedic Surgery, University of Toledo Orthopaedic Center, Health Science Campus, 125 Hospital Drive, MS 1094, Toledo OH 43614, USA. Electronic address: David.sohn@utoledo.edu. 6. Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, 209 Fetzer Hall, CB#8700, Chapel Hill, NC 27599-8700, USA. Electronic address: pietrosi@email.unc.edu.
Abstract
BACKGROUND: To investigate the clinical importance of hip abductor (HA) strength in people with knee osteoarthritis (OA), the purposes of this study were to 1) compare the association of HA strength and physical function to that of knee extensor (KE) strength and physical function, and 2) determine the reliability of the assessment of HA strength using a hand-held dynamometer. METHODS: Thirty-five individuals [58 years standard deviation 10 years old] with knee osteoarthritis participated. Physical function was assessed with performance-based [Get-Up and Go (GUG), stair climb and descent (SC), and five times chair rise (CR)] and self-reported (WOMAC function) measures. The relationship between strength and function was assessed using bivariate correlation and hierarchical multiple regression models. Reliability across sessions was assessed in 25 subjects. RESULTS: In the bivariate models, both KE and HA strength were both significantly associated with performance-based measures of function, but not WOMAC function. After controlling for anthropometric factors and KE strength in the hierarchical models, HA made significant independent contributions to the prediction of GUG and SC, but not CR or WOMAC function. The reliability of HA strength was excellent (ICC2, 3=0.94; 95% CI=0.86-0.97), while the minimum detectable change (MDC95) was 0.29Nm/kg (95% CI=0.23-0.41). CONCLUSION: HA strength can be reliably measured and is closely associated with functional performance in people with knee OA. CLINICAL RELEVANCE: These results provide preliminary evidence suggesting that HA strength may be an important rehabilitation target for the conservative management of knee OA.
BACKGROUND: To investigate the clinical importance of hip abductor (HA) strength in people with knee osteoarthritis (OA), the purposes of this study were to 1) compare the association of HA strength and physical function to that of knee extensor (KE) strength and physical function, and 2) determine the reliability of the assessment of HA strength using a hand-held dynamometer. METHODS: Thirty-five individuals [58 years standard deviation 10 years old] with knee osteoarthritis participated. Physical function was assessed with performance-based [Get-Up and Go (GUG), stair climb and descent (SC), and five times chair rise (CR)] and self-reported (WOMAC function) measures. The relationship between strength and function was assessed using bivariate correlation and hierarchical multiple regression models. Reliability across sessions was assessed in 25 subjects. RESULTS: In the bivariate models, both KE and HA strength were both significantly associated with performance-based measures of function, but not WOMAC function. After controlling for anthropometric factors and KE strength in the hierarchical models, HA made significant independent contributions to the prediction of GUG and SC, but not CR or WOMAC function. The reliability of HA strength was excellent (ICC2, 3=0.94; 95% CI=0.86-0.97), while the minimum detectable change (MDC95) was 0.29Nm/kg (95% CI=0.23-0.41). CONCLUSION: HA strength can be reliably measured and is closely associated with functional performance in people with knee OA. CLINICAL RELEVANCE: These results provide preliminary evidence suggesting that HA strength may be an important rehabilitation target for the conservative management of knee OA.
Authors: Maura D Iversen; Lori Lyn Price; Johan von Heideken; William F Harvey; Chenchen Wang Journal: BMC Musculoskelet Disord Date: 2016-07-12 Impact factor: 2.362
Authors: Brian J Loyd; Jason M Jennings; Dana L Judd; Raymond H Kim; Pamela Wolfe; Douglas A Dennis; Jennifer E Stevens-Lapsley Journal: Phys Ther Date: 2017-09-01
Authors: Brittney A Luc-Harkey; Clare E Safran-Norton; Lisa A Mandl; Jeffrey N Katz; Elena Losina Journal: BMC Musculoskelet Disord Date: 2018-07-27 Impact factor: 2.362