The role of hip abductor strength on the frontal plane of gait in subjects with medial knee osteoarthritis

Author(s)

Approbato Selistre, Luiz Fernando ^[1] ; Goncalves, Glaucia Helena ^[1] ; Nakagawa, Theresa Helissa ^[1] ; Petrella, Marina ^[1] ; Jones, Richard Keith ^[2] ; Mattiello, Stela Marcia ^[1]

Affiliation

^[1] Univ Fed Sao Carlos, Dept Fisioterapia, Km 235 Rodovia Washington Luis, BR-13565905 Sao Carlos, SP - Brazil

^[2] Univ Salford, Sch Hlth Sci, Brian Blatchford Bldg, Salford, Lancs - England

• Document type: Journal article
• Source: PHYSIOTHERAPY RESEARCH INTERNATIONAL; v. 24, n. 4 OCT 2019.
• Web of Science Citations: 0

Abstract

Objective This study aimed to investigate the relationship of hip abductor strength with external hip and knee adduction moments, pain and physical function, and trunk, pelvis, and hip kinematics in the frontal plane during walking in subjects with medial knee osteoarthritis. Methods Twenty-five subjects with medial knee osteoarthritis were evaluated through an isokinetic strength test for hip abductor, three-dimensional gait analysis (kinetics and kinematics), and pain and physical function scores. Regression models were used to control the influence of other parameters such as pain, age, gender, severity, walking speed, mass, and height. Results No relationship was found of hip abductor strength with peak of external knee adduction moment and knee adduction angular impulse. Hip abductor strength explained 17% of contralateral pelvic drop and 21% of hip adduction angle. In addition, hip abductor strength explained 4% and 1% of the variance in the WOMAC physical function score and 40-m fast paced walk test, respectively. Conclusion Considering the relationship of hip abductor strength with contralateral pelvic drop and hip adduction angle, specific exercises might improve physical function and lower limb dynamic alignment during gait. (AU)

• FAPESP's process: 13/23644-0 - Knee adduction moment during gait, hip abductor torque, biomarkers: study of knee osteoarthritis progression
• Grantee: Luiz Fernando Approbato Selistre
• Support Opportunities: Scholarships in Brazil - Doctorate
• FAPESP's process: 15/05033-0 - The relationship of foot kinematics on medial load in individuals with medial compartment osteoarthritis: implications for biomechanical response of interventions
• Grantee: Luiz Fernando Approbato Selistre
• Support Opportunities: Scholarships abroad - Research Internship - Doctorate