Usefulness of the strength of the muscles involved in hip abduction with flexion in community

N. Matsumoto, S. Murata, Kayoko Shiraiwa, A. Goda, T. Abiko, Hideki Nakano, J. Horie
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Abstract

To clarify the clinical usefulness of the strength of the muscles involved in hip abduction with flexion, the influences of knee pain on such strength and that of the quadriceps femoris were examined, involving 227 community-dwelling elderly females divided into 2 groups with (45) and without (182) knee pain. For both groups, the strengths of the muscles involved in hip abduction with flexion and quadriceps femoris, toe and hand grip strengths, number of sit-ups, CS-30, TUG, and 5MWT scores, and body composition (muscle mass, skeletal muscle mass, and lower limb muscle mass) were measured. The strength of the muscles involved in hip abduction with flexion was significantly correlated with all physical function parameters in both groups. The quadriceps femoris muscle strength was significantly correlated with all physical function parameters in the group without knee pain, but it was not significantly correlated with TUG or 5MWT scores in the group with it. The results suggest that the strength of the muscles involved in hip abduction with flexion is more useful than that of the quadriceps femoris to assess the dynamic standing balance and walking abilities of elderly people with knee pain.
社区髋外展与屈曲中肌肉力量的作用
为了阐明髋外展屈曲时肌肉力量的临床意义,我们研究了膝关节疼痛对这种力量和股四头肌力量的影响,将227名社区老年女性分为有(45)和无(182)膝关节疼痛两组。对两组进行髋外展、屈曲和股四头肌的肌肉力量、脚趾和手握力、仰卧起坐次数、CS-30、TUG和5MWT评分以及身体组成(肌肉质量、骨骼肌质量和下肢肌肉质量)的测量。两组患者髋外展屈曲时的肌肉强度与所有身体功能参数均显著相关。无膝关节疼痛组股四头肌肌力与各项身体功能参数均有显著相关,而有膝关节疼痛组与TUG、5MWT评分无显著相关。结果表明,与股四头肌的力量相比,髋外展和屈曲的肌肉力量对评估老年人膝关节疼痛的动态站立平衡和行走能力更有用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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