Anita Zacharias1, Tania Pizzari2, Adam I Semciw2, Daniel J English3, Theo Kapakoulakis4, Rodney A Green5. 1. Department of Pharmacy and Biomedical Sciences, College of Science, Health and Engineering, La Trobe University, Victoria, Australia; Sport, Exercise and Rehabilitation Research Focus Area, La Trobe University, Victoria, Australia. Electronic address: a.zacharias@latrobe.edu.au. 2. Sport, Exercise and Rehabilitation Research Focus Area, La Trobe University, Victoria, Australia; La Trobe University Sports and Exercise Medicine Research Centre, Victoria, Australia. 3. Department of Pharmacy and Biomedical Sciences, College of Science, Health and Engineering, La Trobe University, Victoria, Australia; Fusion Physiotherapy, Bendigo, Victoria, Australia. 4. Bendigo Health Care Group, Bendigo, Victoria, Australia. 5. Department of Pharmacy and Biomedical Sciences, College of Science, Health and Engineering, La Trobe University, Victoria, Australia; Sport, Exercise and Rehabilitation Research Focus Area, La Trobe University, Victoria, Australia.
Abstract
BACKGROUND: Altered gluteus minimus (GMin) activity has been identified in people with hip osteoarthritis (OA) during gait with some evidence of altered gluteus medius (GMed) activity in patients with advanced OA. It is not known whether these muscles also exhibit altered activity during other functional tasks. RESEARCH QUESTION: Does gluteal muscle activity during stepping tasks differ between people with hip OA and healthy older adults? METHODS: Participants included 20 people with unilateral hip OA and 20 age-and sex-matched controls. Muscle activity in the three segments within GMed and two segments of GMin were examined using intramuscular electromyography during step-up, step-down and side-step tasks. RESULTS: Participants in the OA group demonstrated reduced muscle activity early in the step-up task and a later time to peak activity in most muscle segments. Greater activity was identified in anterior GMin in people with hip OA during the side-step task. A delay in time to peak activity was identified in most muscle segments in people with OA during the side-step task. SIGNIFICANCE: For participants with OA, reduced activity in most muscle segments and increased time spent in double limb stance during the step-up task could reflect the decreased strength and pain associated with single limb stance on the affected limb. This study provides further evidence of altered function of the deep gluteal muscles in people with hip OA and highlights the importance of addressing these muscles in rehabilitation.
BACKGROUND: Altered gluteus minimus (GMin) activity has been identified in people with hip osteoarthritis (OA) during gait with some evidence of altered gluteus medius (GMed) activity in patients with advanced OA. It is not known whether these muscles also exhibit altered activity during other functional tasks. RESEARCH QUESTION: Does gluteal muscle activity during stepping tasks differ between people with hip OA and healthy older adults? METHODS:Participants included 20 people with unilateral hip OA and 20 age-and sex-matched controls. Muscle activity in the three segments within GMed and two segments of GMin were examined using intramuscular electromyography during step-up, step-down and side-step tasks. RESULTS:Participants in the OA group demonstrated reduced muscle activity early in the step-up task and a later time to peak activity in most muscle segments. Greater activity was identified in anterior GMin in people with hip OA during the side-step task. A delay in time to peak activity was identified in most muscle segments in people with OA during the side-step task. SIGNIFICANCE: For participants with OA, reduced activity in most muscle segments and increased time spent in double limb stance during the step-up task could reflect the decreased strength and pain associated with single limb stance on the affected limb. This study provides further evidence of altered function of the deep gluteal muscles in people with hip OA and highlights the importance of addressing these muscles in rehabilitation.
Authors: Kristen Koch; Adam I Semciw; Paul K Commean; Travis J Hillen; G Kelley Fitzgerald; John C Clohisy; Marcie Harris-Hayes Journal: J Orthop Res Date: 2021-08-18 Impact factor: 3.102