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Could the Evaluation of Muscle Strength Imbalances Be Used as a Predictor of Total Hip Arthroplasty?
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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8150769/ https://www.ncbi.nlm.nih.gov/pubmed/34064961 http://dx.doi.org/10.3390/ijerph18105082 |
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author | Vodička, Tomáš Bozděch, Michal Gimunová, Marta Svobodová, Lenka Zháněl, Jiří Czyż, Stanisław Henryk |
author_facet | Vodička, Tomáš Bozděch, Michal Gimunová, Marta Svobodová, Lenka Zháněl, Jiří Czyż, Stanisław Henryk |
author_sort | Vodička, Tomáš |
collection | PubMed |
description | 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 R(2) = 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. |
format | Online Article Text |
id | pubmed-8150769 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-81507692021-05-27 Could the Evaluation of Muscle Strength Imbalances Be Used as a Predictor of Total Hip Arthroplasty? Vodička, Tomáš Bozděch, Michal Gimunová, Marta Svobodová, Lenka Zháněl, Jiří Czyż, Stanisław Henryk Int J Environ Res Public Health Article 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 R(2) = 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. MDPI 2021-05-11 /pmc/articles/PMC8150769/ /pubmed/34064961 http://dx.doi.org/10.3390/ijerph18105082 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Vodička, Tomáš Bozděch, Michal Gimunová, Marta Svobodová, Lenka Zháněl, Jiří Czyż, Stanisław Henryk Could the Evaluation of Muscle Strength Imbalances Be Used as a Predictor of Total Hip Arthroplasty? |
title | Could the Evaluation of Muscle Strength Imbalances Be Used as a Predictor of Total Hip Arthroplasty? |
title_full | Could the Evaluation of Muscle Strength Imbalances Be Used as a Predictor of Total Hip Arthroplasty? |
title_fullStr | Could the Evaluation of Muscle Strength Imbalances Be Used as a Predictor of Total Hip Arthroplasty? |
title_full_unstemmed | Could the Evaluation of Muscle Strength Imbalances Be Used as a Predictor of Total Hip Arthroplasty? |
title_short | Could the Evaluation of Muscle Strength Imbalances Be Used as a Predictor of Total Hip Arthroplasty? |
title_sort | could the evaluation of muscle strength imbalances be used as a predictor of total hip arthroplasty? |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8150769/ https://www.ncbi.nlm.nih.gov/pubmed/34064961 http://dx.doi.org/10.3390/ijerph18105082 |
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