Is there any association between dominant lower limb and osteoarthritis- A Cross sectional study

D. Jain, D. Y. Shukla, Dr. Amatullah Bhurka
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Abstract

Background: Osteoarthritis (OA) is second most common degenerative arthritis with 56.6% affection in rural areas where as 32.6% in urban areas in India.Dominant lower limb is the leg used to manipulate objects or to lead out movement. Primary predisposing factor of degenerative arthritis is wear and tear which might correlate with dominance of limb. Methodology: Total 180 subjects were screened, out of which 61 subjects with bilateral osteoarthritis and 40 subjects with unilateral osteoarthritis were selected as per inclusion criteria. Dominant leg was noted by asking Subjects to perform 2 tasks 1) Kicking Vestibular ball 2) Stepping up stepper, between this two-task cognitive distraction were implemented. then co-relation of osteoarthritis knee and dominant side was analysed. Results: From statistical analysis of above study, it was found that there is significant (p<0.05) association between dominant limb and osteoarthritis in unilateral osteoarthritis subjects and moderate 60%-70% association of dominant leg and osteoarthritis knee in bilateral osteoarthritis. Conclusion: From above study it is concluded that chances of osteoarthritis in dominant limb is moderately high than non-dominant limb in unilateral and bilateral osteoarthritis
优势下肢与骨关节炎之间是否存在关联——横断面研究
背景:骨关节炎(OA)是印度第二常见的退行性关节炎,农村地区患病率为56.6%,城市地区患病率为32.6%。优势下肢是用来操纵物体或引导运动的腿。退行性关节炎的主要易感因素是磨损,这可能与肢体优势有关。方法:共筛选180例受试者,根据纳入标准选取双侧骨关节炎患者61例,单侧骨关节炎患者40例。通过要求被试完成两项任务(1)踢前庭球(2)踩踏板)来记录优势腿,在这两项任务之间实施认知分心。分析膝关节骨性关节炎与优势侧的相关性。结果:通过以上研究的统计分析,发现单侧骨关节炎患者优势肢与骨关节炎的相关性显著(p<0.05),双侧骨关节炎患者优势腿与骨关节炎膝关节的相关性为60% ~ 70%。结论:单侧和双侧骨关节炎中优势肢发生骨关节炎的几率高于非优势肢
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