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Association of preoperative variables of ipsilateral hip abductor muscles with gait function after total hip arthroplasty: a retrospective study.
- Source :
- Arthroplasty; 7/1/2022, Vol. 4 Issue 1, p1-7, 7p
- Publication Year :
- 2022
-
Abstract
- Background: This study aimed to identify the association of preoperative variables of ipsilateral hip abductors with gait function after total hip arthroplasty (THA). Methods: This study enrolled 42 patients who underwent unilateral primary THA for osteoarthritis. Gait speed and Timed Up-and-Go test were conducted 6 months postoperatively. Preoperative composition of the glutei medius and minimus and the upper portion of gluteus maximus was evaluated by computed tomography. Cross-sectional area ratio of individual composition to the total muscle was calculated. Preoperative variables associated with gait speed and Timed Up-and-Go test after THA were identified by using stepwise regression analysis. Results: Faster gait speed and shorter Timed Up-and-Go test correlated with smaller cross-sectional area of low-density lean tissue or intramuscular adipose tissue (low-density lean tissue plus intramuscular fat) in the glutei medius and minimus and lower cross-sectional area ratio of low-density lean tissue to the total glutei medius and minimus. Faster gait speed and shorter Timed Up-and-Go test also correlated with larger cross-sectional area of lean muscle mass in the gluteus maximus, higher cross-sectional area ratio of lean muscle mass to the total gluteus maximus, and lower cross-sectional area ratio of intramuscular fat or intramuscular adipose tissue to the total gluteus maximus. Faster gait speed additionally correlated with larger total cross-sectional area of the gluteus maximus. Regression analysis showed that the total cross-sectional area of the gluteus maximus and the low-density lean tissue cross-sectional area of the glutei medius and minimus were the explanatory variables of gait speed and Timed Up-and-Go test after THA, respectively. Conclusions: There was a potential association between preoperative composition of ipsilateral hip abductors and gait function 6 months after THA. This study indicates a predictive role of preoperative assessment of ipsilateral hip abductor composition in the recovery of gait function after THA. [ABSTRACT FROM AUTHOR]
- Subjects :
- WALKING speed
PREOPERATIVE care
SPIRAL computed tomography
TOTAL hip replacement
GAIT in humans
HIP joint
CROSS-sectional method
PHYSICAL therapy
RETROSPECTIVE studies
MANN Whitney U Test
REGRESSION analysis
FUNCTIONAL assessment
PEARSON correlation (Statistics)
OSTEOARTHRITIS
GLUTEAL muscles
REHABILITATION
DATA analysis software
Subjects
Details
- Language :
- English
- Volume :
- 4
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Arthroplasty
- Publication Type :
- Academic Journal
- Accession number :
- 157738476
- Full Text :
- https://doi.org/10.1186/s42836-022-00126-7