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The role of hip abductor strength on the frontal plane of gait in subjects with medial knee osteoarthritis
Author(s) -
Selistre Luiz Fernando Approbato,
Gonçalves Glaucia Helena,
Nakagawa Theresa Helissa,
Petrella Marina,
Jones Richard Keith,
Mattiello Stela Márcia
Publication year - 2019
Publication title -
physiotherapy research international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.509
H-Index - 49
eISSN - 1471-2865
pISSN - 1358-2267
DOI - 10.1002/pri.1779
Subject(s) - medicine , osteoarthritis , gait , pelvis , trunk , physical medicine and rehabilitation , coronal plane , kinematics , biomechanics , physical therapy , gait analysis , balance (ability) , anatomy , ecology , physics , alternative medicine , pathology , classical mechanics , biology
Objective This study aimed to investigate the relationship of hip abductor strength with external hip and knee adduction moments, pain and physical function, and trunk, pelvis, and hip kinematics in the frontal plane during walking in subjects with medial knee osteoarthritis. Methods Twenty‐five subjects with medial knee osteoarthritis were evaluated through an isokinetic strength test for hip abductor, three‐dimensional gait analysis (kinetics and kinematics), and pain and physical function scores. Regression models were used to control the influence of other parameters such as pain, age, gender, severity, walking speed, mass, and height. Results No relationship was found of hip abductor strength with peak of external knee adduction moment and knee adduction angular impulse. Hip abductor strength explained 17% of contralateral pelvic drop and 21% of hip adduction angle. In addition, hip abductor strength explained 4% and 1% of the variance in the WOMAC physical function score and 40‐m fast paced walk test, respectively. Conclusion Considering the relationship of hip abductor strength with contralateral pelvic drop and hip adduction angle, specific exercises might improve physical function and lower limb dynamic alignment during gait.