CORRELATION BETWEEN HIP ROTATION DYSFUNCTION AND KNEE PAIN

BACKGROUND AND AIM Hip and knee OA has been ranked as eleventh maximum contributor to global incapacity. The prevalence is expected to increase up to 25.9% by 2040. Hip arthritis reduces the mobility at the hip joint limiting flexion extension, abduction, and adduction, internal and external rotation. Similarly knee pain causes considerable disability among middle adult population affecting both proximal and distal joint (hip and ankle) respectively. Hence the present study aims to find out a correlation between Hip Rotation Dysfunction and Knee Pain METHODOLOGY A cross sectional study was conducted on patient with hip and knee pain of age in between 45 to 60 years. Ranges at the level of hip joints were assessed using goniometer. Knee pain was assessed using Visual Analog Scale. RESULT The result obtained from the study shows a moderate negative correlation between knee pain and hip internal rotation, r= -0.67 showing no significant correlation p=0.45. There is also a weak negative correlation between knee pain and hip external rotation, r= -0.37 with a p> 0.05. CONCLUSION The result obtained from the study concluded that no significant co-relationship exist between hip rotation dysfunction and knee pain, however more researches with larger number of sample size is required to further evaluate the causal relationship between the two variables.

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Glenohumeral and Hip Range-of-Motion and Strength Measures in Youth Baseball Athletes

Journal of Athletic Training ◽

10.4085/1062-6050-51.7.09 ◽

2016 ◽

Vol 51 (6) ◽

pp. 466-473 ◽

Cited By ~ 14

Author(s):

Kelsey J. Picha ◽

Josie L. Harding ◽

Kellie C. Huxel Bliven

Keyword(s):

Range Of Motion ◽

Internal Rotation ◽

External Rotation ◽

Gluteus Medius ◽

Cross Sectional Study ◽

Cross Sectional ◽

Hip Strength ◽

Older Athletes ◽

Youth Baseball ◽

Hip Internal Rotation

Context: The repetitive demands of throwing affect glenohumeral (GH) range of motion (ROM) and strength. Less is known about hip alterations in skeletally immature athletes. Objective: To compare GH and hip ROM and strength between age, position, and side of youth baseball athletes. Design: Cross-sectional study. Setting: Multicenter testing. Patients or Other Participants: Seventy-two healthy baseball athletes. Participants' self-reported characteristics were age group (7−11 years [n = 28] or 12−18 years [n = 44]), position (pitcher [n = 22], position player [n = 47], unreported [n = 3]), and side (throwing or nonthrowing arm, lead or stance leg). Main Outcome Measure(s): Bilateral GH and hip internal- and external-rotation ROM were measured passively and summed for total arc of motion (TAM). Glenohumeral and hip rotation and gluteus medius strength were measured. Analyses included linear mixed models. Results: Glenohumeral internal rotation was less in throwing than in nonthrowing arms (P < .05) except in younger pitchers (P = .86). Compared with older athletes, younger athletes had more GH external rotation (103.3° ± 7.7° versus 97.5° ± 9.4°; P = .002), TAM (156.4° ± 8.7° versus 147.9° ± 10.9°; P = .04), and external rotation in throwing compared with nonthrowing arms (101.9° ± 1.2° versus 97.9° ± 1.1°; P < .001). Glenohumeral TAM was less in throwing than in nonthrowing arms (150.5° ± 2.1° versus 154.9° ± 1.3°; P = .01). Younger athletes had more hip internal rotation (38.9° ± 6.8° versus 31.2° ± 7.5°; P < .001) and TAM (68.4° ± 10.0° versus 60.7° ± 9.8°; P = .001) than older athletes. Lead-leg hip internal-rotation ROM was greater than in the stance leg (34.8° ± 8.9° versus 32.8° ± 7.7°; P = .01). Overall, older players were stronger than younger players (P < .05), and the throwing arm was stronger in internal rotation than the nonthrowing arm (10.12 ± 3.72 lb [4.59 ± 1.69 kg] versus 9.43 ± 3.18 lb [4.28 ± 1.44 kg]; P = .047). Conclusions: Youth baseball athletes had typical GH ROM adaptations of less internal rotation and more external rotation in the throwing versus the nonthrowing arm. Greater ROM in younger athletes may be explained by prepubertal characteristics. We obtained hip-strength values in youth baseball athletes, and as expected, older athletes were stronger.

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Effects of Sarcopenia and Sarcopenic Obesity on Joint Pain and Degenerative Osteoarthritis in Postmenopausal Women

10.21203/rs.3.rs-1155240/v1 ◽

2021 ◽

Author(s):

Hye In Kim ◽

So Hyun Ahn ◽

Yup Kim ◽

Ji Eun Lee ◽

Seok Kyo Seo

Keyword(s):

Postmenopausal Women ◽

Knee Pain ◽

Cross Sectional Study ◽

Obese Group ◽

Sarcopenic Obesity ◽

Obese Women ◽

Cross Sectional ◽

Knee Oa ◽

Health And Nutrition ◽

One Year

Abstract This study aimed to identify the prevalence of sarcopenia, obesity, and sarcopenic obesity and examine their association with radiographic knee osteoarthritis (OA) and knee pain in Korean menopausal women. This cross-sectional study utilized the data from Korean National Health and Nutrition Examination Surveys 2009–2011. The participants were categorized based on body composition. The prevalence of radiographic knee OA and knee pain was calculated. The effect of hormone therapy (HT) was also evaluated. The prevalence of radiographic knee OA, knee pain, and both were all highest in the sarcopenic obese group and lowest in the non-sarcopenic non-obese group. Without sarcopenia, obese women showed higher ratio of radiographic knee OA. With sarcopenia, the coexistence of obesity presented higher ratio of radiographic knee OA, knee pain, and both compared to sarcopenia without obesity. The use of HT for more than one year was not associated with radiographic knee OA, knee pain, or both. Obesity with sarcopenia had greater effect on knee OA compared to obesity without sarcopenia. Moreover, HT use for more than one year was not associated with the prevalence of knee OA. Therefore, more efforts should focus on reducing body fat and increasing muscle in postmenopausal women with knee OA.

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Estimating the Prevalence of Knee Pain and the Association between Illness Perception Profiles and Self-Management Strategies in the Frederiksberg Cohort of Elderly Individuals with Knee Pain: A Cross-Sectional Study

Journal of Clinical Medicine ◽

10.3390/jcm10040668 ◽

2021 ◽

Vol 10 (4) ◽

pp. 668

Author(s):

Elisabeth Ginnerup-Nielsen ◽

Robin Christensen ◽

Berit L Heitmann ◽

Roy D. Altman ◽

Lyn March ◽

...

Keyword(s):

Knee Pain ◽

Illness Perceptions ◽

Management Strategies ◽

Illness Perception ◽

Cross Sectional Study ◽

Self Management ◽

Cross Sectional ◽

Knee Oa ◽

Illness Perception Questionnaire ◽

Increased Risk

Knee pain is an early sign of later incident radiographic knee osteoarthritis (OA). However, the prevalence of knee pain in the general population is unknown. Additionally, it is unknown how people with knee pain choose to self-manage the condition and if the perception of the illness affects these choices. In this study, 9086 citizens between 60–69 years old in the municipality of Frederiksberg, Copenhagen, Denmark, were surveyed, of which 4292 responded. The prevalence of knee pain was estimated, and associations between illness perceptions (brief illness perception questionnaire [B-IPQ]), self-management strategies, and knee symptoms were assessed. The prevalence of knee pain was 21.4% of which 40.5% reported to use no self-management strategies (non-users). These non-users perceived their knee pain as less threatening and reported less severe symptoms than users of self-management strategies. Further, we found that a more positive illness perception was associated with less severe knee symptoms. In conclusion, among Danes aged 60–69 years, the knee pain prevalence is 21.4%, of which 40.5% use no treatment and perceive the condition as non-threatening. These non-users with knee pain represent a subpopulation being at increased risk of developing knee OA later in life, and there is a potential preventive gain in identifying these persons.

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The relationship of fear of movement with pain, range of motion and function in patients with shoulder pathologies

Bulletin of Faculty of Physical Therapy ◽

10.1186/s43161-021-00020-4 ◽

2021 ◽

Vol 26 (1) ◽

Author(s):

Fatih Özden ◽

Nazan Tuğay ◽

Özgür Nadiye Karaman ◽

Cem Yalın Kilinç ◽

Baki Umut Tuğay

Keyword(s):

Range Of Motion ◽

Shoulder Pain ◽

Negative Correlation ◽

External Rotation ◽

Cross Sectional Study ◽

Symptom Duration ◽

Cross Sectional ◽

Fear Of Movement ◽

The Relationship ◽

Shoulder Pathologies

Abstract Background The pain, fear of movement, and disability are interrelated parameters that may adversely affect the individual in terms of medical and social aspects. This relationship has not been well studied in shoulder pathologies. We carried out a single-center cross-sectional study in the Orthopaedics and Traumatology Clinic. The aim of the study was to investigate the relationship between pain, function range of motion (ROM), and fear of movement in patients with shoulder pain. Results The mean age of the participants was 53.7 ± 11.2 years. Symptom duration was 11.65 ± 23.39 months. Most of the subjects (66.7%) had impingement syndrome. There was a weak to moderate negative correlation between both visual analog scale (VAS) and Oxford Shoulder Score (OSS) with flexion, abduction, external rotation ROM values (r1 = − 0.293, r2 = − 0.348, r3 = − 0.330, p < 0.001). In addition, there was a weak negative correlation between Tampa Kinesiophobia Score (TKS) and ROM values of abduction, internal rotation, and external rotation (r1 = − 0.273, r2 = − 0.207, r3 = − 0.250, p < 0.05). Pain was weakly and positively correlated with OSS (r = 0.209, p < 0.05). Conclusions According to our results, shoulder pain was associated with functionality, but fear of movement was not associated with shoulder pain or functionality. ROM was associated with both pain, functionality, and fear of movement.

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SHOULDER ISOKINETIC PERFORMANCE IN HEALTHY PROFESSIONAL JUDO ATHLETES: NORMATIVE DATA

Acta Ortopédica Brasileira ◽

10.1590/1413-785220192706223708 ◽

2019 ◽

Vol 27 (6) ◽

pp. 308-312

Author(s):

Freddy Beretta Marcondes ◽

Wagner Castropil ◽

Breno Schor ◽

Andreia Miana ◽

Rodrigo Vasconcelos ◽

...

Keyword(s):

Normative Data ◽

Female Athletes ◽

External Rotation ◽

Cross Sectional Study ◽

Sectional Study ◽

Level Of Evidence ◽

Cross Sectional ◽

Male And Female ◽

Flexion Extension ◽

Judo Athletes

ABSTRACT Objective: To evaluate normative data of shoulder isokinetic strength in healthy professional judo athletes. Methods: Cross-sectional study with 20 professional male and female athletes (10 female), evaluated with an isokinetic dynamometer. The strength assessment was carried out in external and internal rotation, flexion, extension, adduction and abduction. All data collected on muscle torque were normalized with body mass index. Results: Athletes demonstrated higher peak torque and joint work in shoulder adduction, abduction, flexion, and extension for the dominant limb compared to the non-dominant limb (p <0.05), with most of these deficits below 10%. Shoulder internal/external rotation ratios for male and female athletes had no significant differences between dominant and non-dominant sides, demonstrating values at 60°/s of 49.4 ± 7.2 on the dominant side of males and 49.1 ± 4.9 for females. Conclusion: The normative data are described to assist during treatment, return to sport and injury prevention. Level of evidence IV, cross-sectional study.

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Association of Eccentric Quadriceps Torque With Knee Pain, Physical Function and Extension Lag in Women With Grade ≤ II Knee Osteoarthritis-A Cross-Sectional Study

10.21203/rs.3.rs-243915/v1 ◽

2021 ◽

Author(s):

Fares Arab ◽

Nishat Quddus ◽

Sohrab A. Khan ◽

Ahmad H. Alghadir ◽

Masood Khan

Keyword(s):

Knee Osteoarthritis ◽

Physical Function ◽

Knee Pain ◽

Cross Sectional Study ◽

Rehabilitation Program ◽

Cross Sectional ◽

Knee Oa ◽

Womac Questionnaire ◽

Grade Ii ◽

Cross Sectional Design

Abstract Background Knee osteoarthritis (OA) is a prevalent disabling disease among women. Quadriceps weakness is attributed to one of the causes of knee pain (KP) and disability. The study aimed to test the correlation of eccentric quadriceps torque (EQT) with 2 subscales of reduced WOMAC questionnaire (KP and physical function) and extension lag range of motion (ROM) at the knee joint in osteoarthritic women. Methods A cross-sectional design was used. A total of 70 (age 41.1 ± 7.1) female patients having grade ≤ II knee OA participated in the study. Pearson’s correlation coefficient was used to test the correlation between the independent variable (EQT) and dependent variables (2 subscales of reduced WOMAC questionnaire and extension lag in the knee). Results EQT presented a significant moderate negative correlation with the reduced WOMAC subscales (pain r = -0.489, p < 0.01 and physical function r = -0.425, p < 0.01), and low positive correlation with available ROM (r = 0.349, p < 0.01). Conclusions The self-reported symptoms of KP, physical function, and extension lag in the early stages of knee OA in women are associated with EQT. Thus designing a rehabilitation program having eccentric quadriceps strengthening exercises may improve KP and physical activities but further randomized controlled trials are needed to verify this.

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Study of magnitude of knee osteoarthritis among adult population with age 40 years and above in rural area: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20210225 ◽

2021 ◽

Vol 8 (2) ◽

pp. 707

Author(s):

Ashok R. Jadhao ◽

Punam M. Dambhare

Keyword(s):

Risk Factors ◽

Rural Area ◽

Adult Population ◽

Cross Sectional Study ◽

Joint Disease ◽

Sectional Study ◽

Cross Sectional ◽

Training Centre ◽

Knee Oa ◽

Daily Physical Activities

Background: Osteoarthritis (OA) is a degenerative joint disease, which mainly affects the articular cartilage. Worldwide estimates are that 9.6% of men and 18.0% of women aged over 60 years have symptomatic osteoarthritis. It affects the daily physical activities like climbing stairs, squatting etc. Pain is the main symptom. Considering this the study was conducted with the objective to find out the magnitude of knee OA among adult population more than 40 years of age in rural area and to study the association between risk factors and knee OA.Methods: A cross sectional study was conducted in rural health training Centre of study institute. Total 150 patients with knee joint pain were included in the study. Knee OA was diagnosed using American rheumatology criteria (ACR). Analysis was done by using epi info 7. Chi square test and Fischer’s exact test was applied to see the association between risk factors and knee OA.Results: The prevalence of knee OA among study subjects was found to be 34.7%. Study subjects with age >60 years were having prevalence of 32 (43.2%) and this association was statistically significant. The study subjects with history of DM and who are having BMI≥25 were having higher prevalence and the association was statistically significant.Conclusions: The prevalence of knee OA in our study was 34.7%. Factors such as age >60 years, education, occupation, low socioeconomic status, DM, BMI≥25 were having significant association with knee OA.

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Factors associated with pain and osteoarthritis at the hip and knee in Great Britain’s Olympians: a cross-sectional study

British Journal of Sports Medicine ◽

10.1136/bjsports-2017-098315 ◽

2018 ◽

Vol 52 (17) ◽

pp. 1101-1108 ◽

Cited By ~ 7

Author(s):

Dale J Cooper ◽

Brigitte E Scammell ◽

Mark E Batt ◽

Debbie Palmer

Keyword(s):

Knee Pain ◽

Weight Bearing ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Knee Oa ◽

Modifiable Factors ◽

Prevalence Of Pain

BackgroundKnowledge of the epidemiology and potentially modifiable factors associated with musculoskeletal disease is an important first step in injury prevention among elite athletes.AimThis study investigated the prevalence and factors associated with pain and osteoarthritis (OA) at the hip and knee in Great Britain’s (GB) Olympians aged 40 and older.MethodsThis is a cross-sectional study. A survey was distributed to 2742 GB Olympians living in 30 countries. Of the 714 (26.0%) who responded, 605 were eligible for analysis (ie, aged 40 and older).ResultsThe prevalence of hip and knee pain was 22.4% and 26.1%, and of hip and knee OA was 11.1% and 14.2%, respectively. Using a multivariable model, injury was associated with OA at the hip (adjusted OR (aOR) 10.85; 95% CI 3.80 to 30.96) and knee (aOR 4.92; 95% CI 2.58 to 9.38), and pain at the hip (aOR 5.55; 95% CI 1.83 to 16.86) and knee (aOR 2.65; 95% CI 1.57 to 4.46). Widespread pain was associated with pain at the hip (aOR 7.63; 95% CI 1.84 to 31.72) and knee (aOR 4.77; 95% CI 1.58 to 14.41). Older age, obesity, knee malalignment, comorbidities, hypermobility and weight-bearing exercise were associated with hip and knee OA and/or pain.ConclusionsThis study detected an association between several factors and hip and knee pain/OA in retired GB Olympic athletes. These associations require further substantiation in retired athletes from other National Olympic Committees, and through comparison with the general population. Longitudinal follow-up is needed to investigate the factors associated with the onset and progression of OA/pain, and to determine if modulation of such factors can reduce the prevalence of pain and OA in this population.

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