Assessment of postural stability in women with hip osteoarthritis: A case–control study

Objective: The aim of the study was to assessment the impact of hip osteoarthritis on postural stability. Methods: One hundred and twenty-five randomly selected women 20–85 years old (mean age of 49 ± 24.4 years) were assigned to three groups based on age, health status and activity level. Group 1 (...

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Main Authors: Bartosz Slomka, Witold Rongies, Janusz Sierdzinski, Wlodzimierz Dolecki, Marta Worwag, Ewa Trzepla
Format: Article
Language:English
Published: AVES 2019-01-01
Series:Acta Orthopaedica et Traumatologica Turcica
Online Access:http://www.sciencedirect.com/science/article/pii/S1017995X1630092X
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author Bartosz Slomka
Witold Rongies
Janusz Sierdzinski
Wlodzimierz Dolecki
Marta Worwag
Ewa Trzepla
author_facet Bartosz Slomka
Witold Rongies
Janusz Sierdzinski
Wlodzimierz Dolecki
Marta Worwag
Ewa Trzepla
author_sort Bartosz Slomka
collection DOAJ
description Objective: The aim of the study was to assessment the impact of hip osteoarthritis on postural stability. Methods: One hundred and twenty-five randomly selected women 20–85 years old (mean age of 49 ± 24.4 years) were assigned to three groups based on age, health status and activity level. Group 1 (cases) – elderly women with diagnosed hip osteoarthritis, group 2 (control) - women without hip osteoarthritis, and group 3 (control) - healthy young women. Assessment of postural stability were measured using a WIN-POD Pel 38 electronic podometer. Statistica 10 software was used to perform t-test resulting in significance level of p < 0.05. Results: Significant differences in pedobarographic balance measurements were observed between the study groups with eyes opened or closed (deviation length eyes open: group 1–3 and 2–3 p < 0.0001; eyes closed group 1–2 p = 0.19; 1–3 and 2–3 p < 0.0001; deviation area eyes open: group 1-3 and 2–3 p < 0.0001; eyes closed group 1–3 and 2–3 p < 0.0001; deviation velocity eyes open: group1-3 and 2–3 p < 0.0001; eyes closed group 1–2 p < 0.010, 1–3 and 2–3 p < 0.0001). The poorest postural stability was observed in patients with hip osteoarthritis (deviation length eyes open vs eyes closed 180.8/201.7 p = 0.028, deviation area 128.7/145.7 p = 0.771, deviation velocity 5.1/6.1 p < 0.0001), and the best postural stability was observed in young women (deviation length 111.3/137.5 p < 0.0001, deviation area 57/76.9 p = 0.003, deviation velocity 3.4/4.2 p < 0.0001). Conclusion: (1) Osteoarthritic degeneration of the hip joint results in a significant disturbance in proprioception. This finding was reflected by the inferior stability parameters collected from subjects with hip osteoarthritis when asked to stand with their eyes closed. These finding were not observed in the other groups. (2) The disorder of the body stability of people with osteoarthritis may be a relative indication for the implantation of hip arthroplasty. Keywords: Hip osteoarthritis, Balance, Pressure, Physical activity, Stability
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spelling doaj-art-ba995fb1820f45f3859a04fc840f41002025-08-20T03:57:43ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2019-01-01531566010.1016/j.aott.2018.07.006Assessment of postural stability in women with hip osteoarthritis: A case–control studyBartosz Slomka0Witold Rongies1Janusz Sierdzinski2Wlodzimierz Dolecki3Marta Worwag4Ewa Trzepla5Department of Rehabilitation of Physiotherapy Division, 2nd Faculty of Medicine, Medical University of Warsaw, Poland; PhD Program Medical University of Warsaw, PolandDepartment of Rehabilitation of Physiotherapy Division, 2nd Faculty of Medicine, Medical University of Warsaw, Poland; Department of Rehabilitation, Independent Public Central Clinical Hospital in Warsaw, PolandDepartment of Medical Information Technology and Telemedicine Medical University of Warsaw, Poland; Corresponding author. Department of Medical Informatics and Telemedicine, Medical University of Warsaw, Banacha 1a, Warsaw, 02-097, Poland. Tel.: +48 22 6582997.Department of Rehabilitation, Independent Public Central Clinical Hospital in Warsaw, PolandMedical University of Warsaw, 2nd Faculty of Medicine, PolandMedical Center, Medical University of Warsaw, PolandObjective: The aim of the study was to assessment the impact of hip osteoarthritis on postural stability. Methods: One hundred and twenty-five randomly selected women 20–85 years old (mean age of 49 ± 24.4 years) were assigned to three groups based on age, health status and activity level. Group 1 (cases) – elderly women with diagnosed hip osteoarthritis, group 2 (control) - women without hip osteoarthritis, and group 3 (control) - healthy young women. Assessment of postural stability were measured using a WIN-POD Pel 38 electronic podometer. Statistica 10 software was used to perform t-test resulting in significance level of p < 0.05. Results: Significant differences in pedobarographic balance measurements were observed between the study groups with eyes opened or closed (deviation length eyes open: group 1–3 and 2–3 p < 0.0001; eyes closed group 1–2 p = 0.19; 1–3 and 2–3 p < 0.0001; deviation area eyes open: group 1-3 and 2–3 p < 0.0001; eyes closed group 1–3 and 2–3 p < 0.0001; deviation velocity eyes open: group1-3 and 2–3 p < 0.0001; eyes closed group 1–2 p < 0.010, 1–3 and 2–3 p < 0.0001). The poorest postural stability was observed in patients with hip osteoarthritis (deviation length eyes open vs eyes closed 180.8/201.7 p = 0.028, deviation area 128.7/145.7 p = 0.771, deviation velocity 5.1/6.1 p < 0.0001), and the best postural stability was observed in young women (deviation length 111.3/137.5 p < 0.0001, deviation area 57/76.9 p = 0.003, deviation velocity 3.4/4.2 p < 0.0001). Conclusion: (1) Osteoarthritic degeneration of the hip joint results in a significant disturbance in proprioception. This finding was reflected by the inferior stability parameters collected from subjects with hip osteoarthritis when asked to stand with their eyes closed. These finding were not observed in the other groups. (2) The disorder of the body stability of people with osteoarthritis may be a relative indication for the implantation of hip arthroplasty. Keywords: Hip osteoarthritis, Balance, Pressure, Physical activity, Stabilityhttp://www.sciencedirect.com/science/article/pii/S1017995X1630092X
spellingShingle Bartosz Slomka
Witold Rongies
Janusz Sierdzinski
Wlodzimierz Dolecki
Marta Worwag
Ewa Trzepla
Assessment of postural stability in women with hip osteoarthritis: A case–control study
Acta Orthopaedica et Traumatologica Turcica
title Assessment of postural stability in women with hip osteoarthritis: A case–control study
title_full Assessment of postural stability in women with hip osteoarthritis: A case–control study
title_fullStr Assessment of postural stability in women with hip osteoarthritis: A case–control study
title_full_unstemmed Assessment of postural stability in women with hip osteoarthritis: A case–control study
title_short Assessment of postural stability in women with hip osteoarthritis: A case–control study
title_sort assessment of postural stability in women with hip osteoarthritis a case control study
url http://www.sciencedirect.com/science/article/pii/S1017995X1630092X
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AT januszsierdzinski assessmentofposturalstabilityinwomenwithhiposteoarthritisacasecontrolstudy
AT wlodzimierzdolecki assessmentofposturalstabilityinwomenwithhiposteoarthritisacasecontrolstudy
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