Association between hip extensor muscle weakness and disability of activities of daily living in patients with early-stage knee osteoarthritis

Introduction This study aimed to investigate the association between hip extensor muscle weakness and performance of activities of daily living (ADL) including stair ambulation, sit-to-stand (STS), and walking in patients with early-stage knee osteoarthritis (OA). Methods Community-dwelling older in...

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Veröffentlicht in:Rheumatology international 2020-12, Vol.40 (12), p.2065-2070
Hauptverfasser: Shimoura, Kanako, Negoro, Kaho, Matsumura, Natsuki, Odake, Yu, Kawamoto, Shinichi, Mukaiyama, Kohei, Nagai-Tanima, Momoko, Aoyama, Tomoki
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container_end_page 2070
container_issue 12
container_start_page 2065
container_title Rheumatology international
container_volume 40
creator Shimoura, Kanako
Negoro, Kaho
Matsumura, Natsuki
Odake, Yu
Kawamoto, Shinichi
Mukaiyama, Kohei
Nagai-Tanima, Momoko
Aoyama, Tomoki
description Introduction This study aimed to investigate the association between hip extensor muscle weakness and performance of activities of daily living (ADL) including stair ambulation, sit-to-stand (STS), and walking in patients with early-stage knee osteoarthritis (OA). Methods Community-dwelling older individuals (age ≥ 65 years and Kellgren–Lawrence grade 1–2) were recruited in this cross-sectional study. The ability to perform stair ambulation, STS, and walking was measured using the Japanese Knee Osteoarthritis Measure. The maximum isometric knee extensor and hip extensor muscle strengths were evaluated. To investigate the association between hip extensor muscle strength and performance on ADL, a multivariate logistic analysis was conducted, adjusting for age, sex, and knee extensor muscle strength. Results A total of 161 participants were included in this study. Multivariate logistic analysis revealed a significant association between lower hip extensor muscle strength and higher presence of difficulty in stair ambulation [odds ratio (OR), 0.33; 95% confidence interval (CI), 0.11. 0.98; p  
doi_str_mv 10.1007/s00296-020-04707-0
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Methods Community-dwelling older individuals (age ≥ 65 years and Kellgren–Lawrence grade 1–2) were recruited in this cross-sectional study. The ability to perform stair ambulation, STS, and walking was measured using the Japanese Knee Osteoarthritis Measure. The maximum isometric knee extensor and hip extensor muscle strengths were evaluated. To investigate the association between hip extensor muscle strength and performance on ADL, a multivariate logistic analysis was conducted, adjusting for age, sex, and knee extensor muscle strength. Results A total of 161 participants were included in this study. Multivariate logistic analysis revealed a significant association between lower hip extensor muscle strength and higher presence of difficulty in stair ambulation [odds ratio (OR), 0.33; 95% confidence interval (CI), 0.11. 0.98; p  &lt; 0.05] and STS (OR, 0.32; 95% CI, 0.11. 0.92; p  &lt; 0.05). No significant association between hip extensor muscle strength and difficulty in walking was observed (OR, 0.47; 95% CI, 0.14. 1.62; p  = 0.23). Conclusions Hip extensor muscle weakness was associated with difficulty during stair ambulation and STS in patients with early-stage knee OA, after adjusting for knee extensor muscle strength. The results suggest that hip extensor muscle strength may be important to improve or maintain ADL in patients with early-stage knee OA.</description><identifier>ISSN: 0172-8172</identifier><identifier>EISSN: 1437-160X</identifier><identifier>DOI: 10.1007/s00296-020-04707-0</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Activities of daily living ; Arthritis ; Medicine ; Medicine &amp; Public Health ; Observational Research ; Osteoarthritis ; Rheumatology</subject><ispartof>Rheumatology international, 2020-12, Vol.40 (12), p.2065-2070</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-a55dcbd8568309f4f138132a98f5b58c72a44effda58d36cd0d167da92648453</citedby><cites>FETCH-LOGICAL-c352t-a55dcbd8568309f4f138132a98f5b58c72a44effda58d36cd0d167da92648453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00296-020-04707-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00296-020-04707-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids></links><search><creatorcontrib>Shimoura, Kanako</creatorcontrib><creatorcontrib>Negoro, Kaho</creatorcontrib><creatorcontrib>Matsumura, Natsuki</creatorcontrib><creatorcontrib>Odake, Yu</creatorcontrib><creatorcontrib>Kawamoto, Shinichi</creatorcontrib><creatorcontrib>Mukaiyama, Kohei</creatorcontrib><creatorcontrib>Nagai-Tanima, Momoko</creatorcontrib><creatorcontrib>Aoyama, Tomoki</creatorcontrib><title>Association between hip extensor muscle weakness and disability of activities of daily living in patients with early-stage knee osteoarthritis</title><title>Rheumatology international</title><addtitle>Rheumatol Int</addtitle><description>Introduction This study aimed to investigate the association between hip extensor muscle weakness and performance of activities of daily living (ADL) including stair ambulation, sit-to-stand (STS), and walking in patients with early-stage knee osteoarthritis (OA). Methods Community-dwelling older individuals (age ≥ 65 years and Kellgren–Lawrence grade 1–2) were recruited in this cross-sectional study. The ability to perform stair ambulation, STS, and walking was measured using the Japanese Knee Osteoarthritis Measure. The maximum isometric knee extensor and hip extensor muscle strengths were evaluated. To investigate the association between hip extensor muscle strength and performance on ADL, a multivariate logistic analysis was conducted, adjusting for age, sex, and knee extensor muscle strength. Results A total of 161 participants were included in this study. Multivariate logistic analysis revealed a significant association between lower hip extensor muscle strength and higher presence of difficulty in stair ambulation [odds ratio (OR), 0.33; 95% confidence interval (CI), 0.11. 0.98; p  &lt; 0.05] and STS (OR, 0.32; 95% CI, 0.11. 0.92; p  &lt; 0.05). No significant association between hip extensor muscle strength and difficulty in walking was observed (OR, 0.47; 95% CI, 0.14. 1.62; p  = 0.23). Conclusions Hip extensor muscle weakness was associated with difficulty during stair ambulation and STS in patients with early-stage knee OA, after adjusting for knee extensor muscle strength. The results suggest that hip extensor muscle strength may be important to improve or maintain ADL in patients with early-stage knee OA.</description><subject>Activities of daily living</subject><subject>Arthritis</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Observational Research</subject><subject>Osteoarthritis</subject><subject>Rheumatology</subject><issn>0172-8172</issn><issn>1437-160X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kcuKVDEQhoMo2I6-gKuAGzdHK5eTk14OgzcYcDMLdyGd1OnOeDppU2nbfgmf2YwtCC7cVFHh-z8CP2MvBbwRANNbApBrM4CEAfQE0wCP2EpoNQ3CwJfHbAVikoPt4yl7RnQP_TYGVuznNVEJybdUMt9gOyFmvksHjj8aZiqV748UFuQn9F8zEnGfI4-J_CYtqZ15mbkPLX1PLSE9XNGn5cyX_pK3PGV-6G7MjfgptR1HX5fzQM1vkXcf8kINi69tV7uBnrMns18IX_zZV-zu_bu7m4_D7ecPn26ub4egRtkGP44xbKIdjVWwnvUslBVK-rWdx81owyS91jjP0Y82KhMiRGGm6NfSaKtHdcVeX7SHWr4dkZrbJwq4LD5jOZKTWhtjJguqo6_-Qe_Lseb-uU5NwggrQHdKXqhQC1HF2R1q2vt6dgLcQ0Pu0pDrDbnfDTnoIXUJUYfzFutf9X9SvwCXA5a8</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Shimoura, Kanako</creator><creator>Negoro, Kaho</creator><creator>Matsumura, Natsuki</creator><creator>Odake, Yu</creator><creator>Kawamoto, Shinichi</creator><creator>Mukaiyama, Kohei</creator><creator>Nagai-Tanima, Momoko</creator><creator>Aoyama, Tomoki</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20201201</creationdate><title>Association between hip extensor muscle weakness and disability of activities of daily living in patients with early-stage knee osteoarthritis</title><author>Shimoura, Kanako ; 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Methods Community-dwelling older individuals (age ≥ 65 years and Kellgren–Lawrence grade 1–2) were recruited in this cross-sectional study. The ability to perform stair ambulation, STS, and walking was measured using the Japanese Knee Osteoarthritis Measure. The maximum isometric knee extensor and hip extensor muscle strengths were evaluated. To investigate the association between hip extensor muscle strength and performance on ADL, a multivariate logistic analysis was conducted, adjusting for age, sex, and knee extensor muscle strength. Results A total of 161 participants were included in this study. Multivariate logistic analysis revealed a significant association between lower hip extensor muscle strength and higher presence of difficulty in stair ambulation [odds ratio (OR), 0.33; 95% confidence interval (CI), 0.11. 0.98; p  &lt; 0.05] and STS (OR, 0.32; 95% CI, 0.11. 0.92; p  &lt; 0.05). No significant association between hip extensor muscle strength and difficulty in walking was observed (OR, 0.47; 95% CI, 0.14. 1.62; p  = 0.23). Conclusions Hip extensor muscle weakness was associated with difficulty during stair ambulation and STS in patients with early-stage knee OA, after adjusting for knee extensor muscle strength. The results suggest that hip extensor muscle strength may be important to improve or maintain ADL in patients with early-stage knee OA.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1007/s00296-020-04707-0</doi><tpages>6</tpages></addata></record>
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subjects Activities of daily living
Arthritis
Medicine
Medicine & Public Health
Observational Research
Osteoarthritis
Rheumatology
title Association between hip extensor muscle weakness and disability of activities of daily living in patients with early-stage knee osteoarthritis
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