Loss of range of motion of the hip joint: a hypothesis for etiology of sports hernia

Author(s):  
Rohit Rambani
Author(s):  
Nadezhda I. Ishekova ◽  
◽  
Aleksandr N. Ishekov ◽  
Nadezhda A. Goryannaya

The aim of this study was to determine the functional state of the affected hip joint after hip arthroplasty and to analyse patients’ quality of life during rehabilitation. Materials and methods. The study involved patients with 3rd degree hip osteoarthritis that underwent hip replacement. The research was conducted in three stages: 1) before the operation; 2) early postoperative rehabilitation period (10th – 12th day after the operation); 3) late recovery rehabilitation period (10th – 12th week after the operation). At stages 1 and 2, we examined 140 people (mean age 57.0 ± 9.0 years), at stage 3, 43 patients (mean age 55.81 ± 7.8 years). At all three stages, the patients’ hip range of motion, hip circumference and strength endurance of the affected limb were determined. The function of the hip joint was evaluated using the Harris Hip Score, and the quality of life was estimated with the help of the SF-36 questionnaire. Results. The research revealed that during the rehabilitation period, the range of motion increased significantly, hip flexion being restored best of all. Moreover, we observed a statistically significant increase in strength endurance. However, not all indicators reached normal values by the end of the research. The patients’ quality of life improved due to better physical functioning, general health and vitality as well as lower pain intensity. However, we observed no progress in role functioning due to the emotional state. Evaluation according to the Harris Hip Score showed that before the operation 78.6 % of the patients had unsatisfactory joint function, while during the late rehabilitation period, only 20.9 %, which indicates the treatmentʼs effectiveness. For citation: Ishekova N.I., Ishekov A.N., Goryannaya N.A. Dynamics of the Functional State of the Hip Joint and Quality of Life in Patients After Hip Replacement (During Rehabilitation). Journal of Medical and Biological Research, 2021, vol. 9, no. 4, pp. 426–434. DOI: 10.37482/2687-1491-Z080


Author(s):  
MyungJin Kang ◽  
H. Sadri ◽  
L. Moccozet ◽  
N. Magnenat-Thalmann ◽  
P. Hoffmeyer

Sensors ◽  
2019 ◽  
Vol 19 (23) ◽  
pp. 5143 ◽  
Author(s):  
Lukas Adamowicz ◽  
Reed Gurchiek ◽  
Jonathan Ferri ◽  
Anna Ursiny ◽  
Niccolo Fiorentino ◽  
...  

Wearable sensor-based algorithms for estimating joint angles have seen great improvements in recent years. While the knee joint has garnered most of the attention in this area, algorithms for estimating hip joint angles are less available. Herein, we propose and validate a novel algorithm for this purpose with innovations in sensor-to-sensor orientation and sensor-to-segment alignment. The proposed approach is robust to sensor placement and does not require specific calibration motions. The accuracy of the proposed approach is established relative to optical motion capture and compared to existing methods for estimating relative orientation, hip joint angles, and range of motion (ROM) during a task designed to exercise the full hip range of motion (ROM) and fast walking using root mean square error (RMSE) and regression analysis. The RMSE of the proposed approach was less than that for existing methods when estimating sensor orientation ( 12 . 32 ∘ and 11 . 82 ∘ vs. 24 . 61 ∘ and 23 . 76 ∘ ) and flexion/extension joint angles ( 7 . 88 ∘ and 8 . 62 ∘ vs. 14 . 14 ∘ and 15 . 64 ∘ ). Also, ROM estimation error was less than 2 . 2 ∘ during the walking trial using the proposed method. These results suggest the proposed approach presents an improvement to existing methods and provides a promising technique for remote monitoring of hip joint angles.


2017 ◽  
Vol 19 (5) ◽  
pp. 0-0 ◽  
Author(s):  
Anna Świtoń ◽  
Ewa Wodka-Natkaniec ◽  
Łukasz Niedźwiedzki ◽  
Tadeusz Gaździk ◽  
Tadeusz Niedźwiedzki

Background. Coxarthrosis is a chronic musculoskeletal condition that causes severe pain and considerable limi­tation of the patient’s motor performance. Total hip arthroplasty is one of the most common and effective methods used in the treatment of advanced degenerative changes. The aim of the present study was to evaluate the activity and quality of life of patients after unilateral total hip arthroplasty. Material and methods. The study was conducted in a group of 189 patients who had undergone unilateral total hip arthroplasty. Goniometry was used to determine the range of motion of both hip joints. Patients’ physical ability and pain severity were assessed based on the Harris Hip Score (HHS) questionnaire. Results. The examination of the range of motion in the lower extremities revealed statistically significant diffe­rences in flexion (p<0.01), abduction (p=<0.01), adduction (p<0.01) and external rotation (p<0.01) between the operated and the healthy extremity. The greatest limitation of motion was demonstrated for external rotation (<14°). Approximately 14% of the patients were not able to perform this motion in their healthy hip joint, while 17.5% of them could not do so in the affected hip joint. Analysis of HHS results (mean = 79 pts) revealed that more than 50% of the patients described their functional ability and quality of life as good and excellent. It was demonstrated that 54% of patients did not suffer from pain, whereas minor or mild pain was noted in 35%. Conclusions: 1. A subjective clinical assessment of patients after total hip arthroplasty showed that their quality of life had improved. 2. It is necessary to perform physiotherapy after total hip arthroplasty, on both the operated and healthy side. 3. Exacerbation of pain and impaired activity in patients after total hip arthroplasty were associated with the female sex to a considerable extent.


Sign in / Sign up

Export Citation Format

Share Document