Effects of hip abductor strengthening on musculoskeletal loading in hip dysplasia patients after total hip replacement

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Abstract

Hip dysplasia patients after total hip replacement show worse functional performance compared to primary osteoarthritis patients, and unfortunately there is no research on muscle and joint loads that would help understand rehabilitation effects, motor dysfunctions and failure events. We tested the hypothesis that a higher functional improvement in hip dysplasia patients who received hip abductor strengthening after hip replacement, would result in different gait function and musculoskeletal loads during walking compared to patients who performed standard rehabilitation only. In vivo gait analysis and musculoskeletal modeling were used to analyze the differences in gait parameters and hip and muscle forces during walking between the two groups of patients. We found that, in a functional scenario of very mild abnormalities, the patients who performed muscle strengthening expressed a more physiological force pattern and a generally greater force in the operated limb, although statistically significant in limited portions of the gait cycle, and likely related to a higher gait speed. We conclude that in a low-demand task, the abductor strengthening program does not have a marked effect on hip loads, and further studies on hip dysplasia patients would help clarify the effect of muscle strengthening on loads.

Original languageEnglish
Article number2123
Pages (from-to)1-11
Number of pages11
JournalApplied Sciences (Switzerland)
Volume11
Issue number5
DOIs
Publication statusPublished - Mar 1 2021

Keywords

  • Gait analysis
  • Hip abductor muscles
  • Hip dysplasia
  • Musculoskeletal modeling
  • Rehabilitation
  • Total hip replacement

ASJC Scopus subject areas

  • Materials Science(all)
  • Instrumentation
  • Engineering(all)
  • Process Chemistry and Technology
  • Computer Science Applications
  • Fluid Flow and Transfer Processes

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