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Purpose: The clinical outcomes of total hip arthroplasty are influenced by the correct muscle function that determines good, longterm and proper function of the artificial joint. The aim of the study was to analyze the electromyographic activity of the gluteus medius muscle in patients with hip osteoarthritis and after arthroplasty in various static weight bearing conditions, both on the affected and contralateral side. Methods: The prospective study involved 70 patients qualified for hip replacement. Patients underwent a surface electromyography of the gluteus medius muscle which involved the Trendelenburg test. The normalized results were obtained for both hips, preoperatively and 6 months after arthroplasty. Results: The only muscle activity differences were found at a full load condition of lower limb. In the preoperative assessment, the activity of the gluteus medius muscle was greater on the side qualified for surgery. After arthroplasty and the rehabilitation period, the muscle activity on the operated side decreased and significantly increased on the contralateral side. Detailed analysis of the contralateral side revealed relationship with osteoarthritis. Previous hip arthroplasty of that side resulted in lower muscle activity, similar to fully functional joints. Conclusion: The activity characteristics of the gluteus medius muscle vary depending on the condition of the joint, and the characteristics change as a result of the surgical procedure performed on both the operated and contralateral sides. These dependencies should be taken into account in the rehabilitation process, especially at the side opposite to the operated one.
Czasopismo
Rocznik
Tom
Strony
187--195
Opis fizyczny
Bibliogr. 23 poz., rys., tab.
Twórcy
autor
- Department of Orthopedics and Traumatology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland
autor
- Department of Orthopedics and Traumatology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland
autor
- Institute of Sport, Department of Human Motor Behaviour, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
autor
- Department of Functional Diagnostics and Sports Medicine, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
autor
- Department of Orthopedics and Traumatology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland
Bibliografia
- [1] DAVIS A.M., PERRUCCIO A.V., IBRAHIM S., HOGG-JOHNSON S., WONG R., STREINER D.L., BEATON D.E., CÔTÉ P., GIGNAC M.A., FLANNERY J., SCHEMITSCH E., MAHOMED N.N., BADLEY E.M., The trajectory of recovery and the inter-relationships of symptoms, activity and participation in the first year following total hip and knee replacement, Osteoarthritis Cartilage, 2011, 19, 1413–1421.
- [2] DE LUCA C.J., ADAM A., WOTIZ R., GILMORE L.D., NAWAB S.H., Decomposition of surface EMG signals, J. Neurophysiol., 2006, 96, 1646–1657.
- [3] DWYER M.K., STAFFORD K., MATTACOLA C.G., UHL T.L., GIORDANI M., Comparison of gluteus medius muscle activity during functional tasks in individuals with and without osteoarthritis of the hip joint, Clin. Biomech., 2013, 28, 757–761.
- [4] FRENCH H.P., HUANG X., CUMMISKEY A., MELDRUM D., MALONE A., Normalisation method can affect gluteus medius electromyography results during weight bearing exercises in people with hip osteoarthritis (OA): a case control study, Gait Posture, 2015, 41, 470–475.
- [5] FOUCHER K.C., WIMMER M.A., Contralateral hip and knee gait biomechanics are unchanged by total hip replacement for unilateral hip osteoarthritis, Gait Posture, 2012, 35, 61–65.
- [6] GRIMALDI A., RICHARDSON C., STANTON W., DURBRIDGE G., DONNELLY W., HIDES J., The association between degenerative hip joint pathology and size of the gluteus medius, gluteus minimus and piriformis muscles, Man. Ther., 2009, 14, 605–610.
- [7] HAJDUK G., NOWAK K., SOBOTA G., KUSZ D., KOPEĆ K., BŁASZCZAK E., CIELIŃSKI Ł., BACIK B., Kinematic gait parameters changes in patients after total knee arthroplasty. Comparison between cruciate-retaining and posterior-substituting design, Acta Bioeng. Biomech., 2016, 18, 137–142.
- [8] HARDCASTLE P., NADE S., The significance of the Trendelenburg test, J. Bone Jt. Surg., 1985, 67, 741–746.
- [9] HODT-BILLINGTON C., HELBOSTAD J.L., VERVAAT W., ROGNSVÅG T., MOE-NILSSEN R., Criteria of gait asymmetry in patients with hip osteoarthritis, Physiother. Theory Pract., 2012, 28, 134–141.
- [10] JACOBS C.A., LEWIS M., BOLGLA L.A., CHRISTENSEN C.P., NITZ A.J., UHL T.L., Electromyographic analysis of hip abductor exercises performed by a sample of total hip arthroplasty patients, J. Arthroplasty, 2009, 24, 1130–1136.
- [11] JIANG N., PENG L., AL-QWBANI M., XIE G.P., YANG Q.M., CHAI Y., ZHANG Q., YU B., Femoral version, neck-shaft angle, and acetabular anteversion in Chinese Han population: a retrospective analysis of 466 healthy adults, Medicine (Baltimore), 2015, 94, e891.
- [12] JUDD D.L., DENNIS D.A., THOMAS A.C., WOLFE P., DAYTON M.R., STEVENS-LAPSLEY J.E., Muscle strength and functional recovery during the first year after THA, Clin. Orthop. Relat. Res., 2014, 472, 654–664.
- [13] KOPEĆ K., KUSZ D., SOBOTA G., NOWAK K., MIERZWIŃSKI M., NOWAK M., Gait analysis in patients after unilateral hip arthroplasty, Ortop. Traumatol. Rehabil., 2015, 17, 39–50.
- [14] LING S.M., CONWIT R.A., TALBOT L., SHERMACK M., WOOD J.E., DREDGE E.M., WEEKS M.J., ABERNETHY D.R., METTER E.J., Electromyographic patterns suggest changes in motor unit physiology associated with early osteoarthritis of the knee, Osteoarthritis Cartilage, 2007, 15, 1134–1140.
- [15] MACADAM P., CRONIN J., CONTRERAS B., An examination of gluteal muscle activity associated with dynamic hip abduction and hip external rotation exercise: a systematic review, Int. J. Sports Phys. Ther., 2015, 10, 573–591.
- [16] MARSHALL A.R., NORONHA M., ZACHARIAS A., KAPAKOULAKIS T., GREEN R., Structure and function of the abductors in patients with hip osteoarthritis: Systematic review and meta-analysis, J. Back Musculoskelet. Rehabil., 2016, 29, 191–204.
- [17] MARUYAMA M., FEINBERG J.R., CAPELLO W.N., D’ANTONIO J.A., The Frank Stinchfield Award: Morphologic features of the acetabulum and femur: anteversion angle and implant positioning, Clin. Orthop. Relat. Res., 2001, 393, 52–65.
- [18] MEEKINS G.D., SO Y., QUAN D., American Association of Neuromuscular and Electrodiagnostic Medicine evidencedbased review: use of surface electromyography in the diagnosis and study of neuromuscular disorders, Muscle Nerve, 2008, 38, 1219–1224.
- [19] PAI V.S., Significance of the Trendelenburg test in total hip arthroplasty. Influence of lateral approaches, J. Arthroplasty, 1996, 11, 174–179.
- [20] REIMAN M.P., BOLGLA L.A., LOUDON J.K., A literature review of studies evaluating gluteus maximus and gluteus medius activation during rehabilitation exercises, Physiother. Theory Pract., 2012, 28, 257–268.
- [21] SIMS K.J., RICHARDSON C.A., BRAUER S.G., Investigation of hip abductor activation in subjects with clinical unilateral hip osteoarthritis, Ann. Rheum. Dis., 2002, 61, 687–692.
- [22] STANISZ A., Przystępny kurs statystyki z zastosowaniem STATISTICA PL na przykładach z medycyny, T. 2. Modele liniowe i nieliniowe, Statsoft Polska, 2007.
- [23] YANG Y., ZUO J., LIU T., XIAO J., LIU S., GAO Z., Morphological Analysis of True Acetabulum in Hip Dysplasia (Crowe Classes I–IV) Via 3-D Implantation Simulation, J. Bone Joint Surg. Am., 2017, 6, e92.
Uwagi
Opracowanie rekordu ze środków MNiSW, umowa nr SONP/SP/546092/2022 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2024).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-8fd675ed-f0b3-45e2-b6b0-dd7660a03a72