scholarly journals Body response to primary joint replacement after proximal femur injuries in patients with an increased body mass index (preliminary study)

2020 ◽  
Vol 26 (1) ◽  
pp. 18-22
Author(s):  
H.Zh. Han ◽  
◽  
I.F. Akhtiamov ◽  
G.G. Garifullov ◽  
G.M. Faizrakhmanova ◽  
...  
2019 ◽  
Vol 9 (20) ◽  
pp. 4416 ◽  
Author(s):  
Dimas Adiputra ◽  
Mohd Azizi Abdul Rahman ◽  
Ubaidillah ◽  
Saiful Amri Mazlan ◽  
Nurhazimah Nazmi ◽  
...  

This paper aims to present a preliminary study of control reference parameters for stance assistance among different subjects and walking speeds using a passive-controlled ankle foot orthosis. Four young male able-bodied subjects with varying body mass indexes (23.842 ± 4.827) walked in three walking speeds of 1, 3, and 5 km/h. Two control references, average ankle torque (aMa), and ankle angular velocity (aω), which can be implemented using a magnetorheological brake, were measured. Regression analysis was conducted to identify suitable control references in the three different phases of the stance. The results showed that aω has greater correlation (p) with body mass index and walking speed compared to aMa in the whole stance phase (p1(aω) = 0.666 > p1(aMa) = 0.560, p2(aω) = 0.837 > p2(aMa) = 0.277, and p3(aω) = 0.839 > p3(aMa) = 0.369). The estimation standard error (Se) of the aMa was found to be generally higher than of aω (Se1(aMa) = 2.251 > Se1(aω) = 0.786, Se2(aMa) = 1.236 > Se2(aω) = 0.231, Se3(aMa) = 0.696 < Se3(aω) = 0.755). Future studies should perform aω estimation based on body mass index and walking speed, as suggested by the higher correlation and lower standard error as compared to aMa. The number of subjects and walking speed scenarios should also be increased to reduce the standard error of control reference parameters estimation.


Author(s):  
Sol Lim ◽  
Yue Luo ◽  
Sheila Ebert ◽  
Monica L. H. Jones ◽  
Oliver Varban ◽  
...  

This study investigated the effect of obstacles of different heights on task performance and compensatory movements of six individuals with a body mass index (BMI) ≥ 30kg/m2. Obstacle heights were increased from 36cm to 66cm in 5cm increments using a method of limits. Video-based task analysis was used to develop a conceptual model of obstacle clearance and compensatory movements in response to the postural challenge of increasing obstacle heights. Results from the task analysis were used to identify temporal and kinematic performance measures of dynamic balance and postural control. Changes in obstacle clearance performance and compensatory movements may indicate heightened fall risk and could be mitigated by accessible design and assistive support features in the environment.


2001 ◽  
Vol 119 (2) ◽  
pp. 48-53 ◽  
Author(s):  
Ana Claudia Ramalho ◽  
Marise Lazaretti-Castro ◽  
Omar Hauache ◽  
José Gilberto Vieira ◽  
Edmilson Takata ◽  
...  

CONTEXT: It is believed that about 25% of menopausal women in the USA will exhibit some kind of fracture as a consequence of osteoporosis. Fractures of the proximal femur are associated with a greater number of deaths and disabilities and higher medical expenses than all the other osteoporotic fractures together. OBJECTIVE: To study the clinical and epidemiological features of patients with proximal femur fracture in hospitals in São Paulo. DESIGN: Transversal and retrospective study. LOCAL: Hospital São Paulo and Hospital Servidor Público Estadual "Francisco Morato Oliveira". PARTICIPANTS: Patients aged sixty-five years or more hospitalized because of proximal femur fracture, from March to November 1996 (N = 73). This group was compared to patients of the same age without fracture of the proximal femur. INTERVENTION: Evaluation of weight, height, body mass index; lifestyle habits (physical activity at home, ingestion of dairy calcium, drinking of coffee, smoking habit), gynecological history (ages at menarche and menopause, number of pregnancies and lactations), previous morbidity, use of medications, history of previous fractures, family history of osteoporosis. MEASUREMENT: The comparison of the different data regarding lifestyle habits between the two groups was made using the chi-squared test. Other data were analyzed using the Mann -- Whitney test. P £ 0.05 was considered significant. RESULTS: We noted a predominance of proximal femur fracture among females in relation to males (a female/male ratio of 3.3:1) with a progressive increase in the frequency of proximal femur fracture with age in both sexes. The group with proximal femur fracture, in comparison with the control group, showed a lower body mass index, less physical activity, and a greater number of pregnancies and lactations. Other data were not different. CONCLUSION: In accordance with the literature, we found a predomination of proximal femur fracture in women in relation to men, and a favorable effect of higher body mass index and physical activity for decreasing the frequency of proximal femur fracture. We also discuss the role of pregnancies and lactation on the frequency of proximal femur fracture.


2008 ◽  
Vol 68 (4) ◽  
pp. 536-540 ◽  
Author(s):  
J Franklin ◽  
T Ingvarsson ◽  
M Englund ◽  
L S Lohmander

Objective:To examine the association between body mass index (BMI) and osteoarthritis (OA) leading to total hip (THR) or knee (TKR) joint replacement.Methods:Case–control study design. All patients still living in Iceland who had had a THR or TKR resulting from OA before the end of 2002 were invited to participate. First-degree relatives of participating patients served as controls. A total of 1473 patients (872 women) and 1103 controls (599 women), all born between 1910 and 1939 and who had answered a questionnaire including questions about height and weight, were analysed. A randomly selected sample, representative of the Icelandic population, was used as a secondary control group.Results:The OR, adjusted for age, occupation and presence of hand OA, for having a THR was 1.1 (95% CI 0.9 to 1.5) for overweight men and 1.7 (95% CI 1.0 to 2.9) for obese men. The OR for having a TKR was 1.7 (95% CI 1.1 to 2.6) for overweight men and 5.3 (95% CI 2.8 to 10.1) for obese men. The OR for having a THR was 1.0 (95% CI 0.8 to 1.3) for overweight women and 1.0 (95% CI 0.6 to 1.5) for obese women. The OR for having a TKR was 1.6 (95% CI 1.1 to 2.2) for overweight women and 4.0 (95% CI 2.6 to 6.1) for obese women.Conclusion:This study supports a positive association between high BMI and TKR in both sexes, but for THR the association with BMI seems to be weaker, and possibly negligible for women.


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