Physical function in hip osteoarthritis: relationship to isometric knee extensor steadiness.
OBJECTIVE: To evaluate, in a community hip osteoarthritis sample, the cross-sectional associations of isometric strength and steadiness of the knee extensors and their interaction with physical performance measures of physical function. DESIGN: Cross-sectional. SETTING: Human movement laboratory of a university. PARTICIPANTS: Sixty-seven adults (27 men and 40 women; age, 61+/-10 y) with radiographically confirmed symptomatic hip osteoarthritis. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Participants performed isometric knee extensor steadiness and strength testing on a dynamometer. Physical function was assessed by using the habitual timed walk test and the self- and fast-paced stair-climbing tests. RESULTS: In the hierarchical regression models, although there were clear main effects of knee extensor steadiness on fast-paced stair performance, greater knee steadiness predictively associated with faster stair-climbing performance particularly in individuals with high knee extensor strength. In contrast, knee extensor steadiness was not related to gait speed regardless of knee extensor strength levels. CONCLUSIONS: In patients with hip OA, knee extensor steadiness was positively associated with stair-climbing performance, particularly in those with high levels of knee extensor strength. These findings are of importance in developing intervention strategies, but they call for further study.[1]References
- Physical function in hip osteoarthritis: relationship to isometric knee extensor steadiness. Pua, Y.H., Clark, R.A., Bryant, A.L. Arch. Phys. Med. Rehabil (2010) [Pubmed]
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