Association between physical function and parameters of hip structural analysis in patients with hip fracture.

IF 1.3 4区 医学 Q3 ORTHOPEDICS
HIP International Pub Date : 2024-09-01 Epub Date: 2024-08-22 DOI:10.1177/11207000241265868
Takuya Umehara, Akinori Kaneguchi, Keita Watanabe, Nobuhisa Katayama, Hidefumi Teramoto, Daisuke Kuwahara, Ryo Kaneyashiki, Toshiyuki Mizuno, Nobuhiro Kito, Masayuki Kakehashi
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引用次数: 0

Abstract

Objectives: The current study sought to investigate whether physical function and activity were associated with hip structural analysis (HSA) parameters on the non-fracture side of patients with hip fractures.

Methods: Participants were patients with unilateral hip fracture treated by surgery. HSA of the proximal femur was conducted based on dual-energy x-ray absorptiometry data. HSA parameters in the narrow neck region included cross-sectional area (CSA), cross-sectional moment of inertia (CSMI), section modulus (SM), and buckling ratio (BR). Hierarchical multiple regression analysis was conducted to identify predictors of HSA.

Results: Except for the adjustment variables, age, gender and BMI, other variables were extracted. Hierarchical multiple regression analysis (standardised partial regression coefficients) identified movement control during one-leg standing on the non-fractured side (0.15) as factors associated with CSA. Hierarchical multiple regression analysis (standardised partial regression coefficients) identified hand grip (0.12, 0.23) as factors associated with CSMI and SM, respectively. Hierarchical multiple regression analysis (standardised partial regression coefficients) identified presence of steroid (0.23) and cerebrovascular disease (0.19) as factors associated with BR. The coefficients of determination adjusted for degrees of freedom (R2) were 0.545, 0.331, 0.401, and 0.148 for CSA, CSMI, SM, and BR, respectively.

Conclusions: Our results indicate that movement control during 1-leg standing and muscle strength may be important for maintaining and improving bone strength.

髋部骨折患者的身体功能与髋部结构分析参数之间的关系。
研究目的本研究旨在探讨身体功能和活动是否与髋部骨折患者非骨折侧的髋部结构分析(HSA)参数有关:参与者为接受手术治疗的单侧髋部骨折患者。根据双能 X 射线吸收测量数据对股骨近端进行 HSA 分析。窄颈部的 HSA 参数包括横截面积 (CSA)、横截面惯性矩 (CSMI)、截面模量 (SM) 和屈曲比 (BR)。研究人员进行了层次多元回归分析,以确定 HSA 的预测因素:除年龄、性别和体重指数等调整变量外,还提取了其他变量。层次多元回归分析(标准化部分回归系数)发现,非骨折侧单腿站立时的运动控制(0.15)是与 CSA 相关的因素。层次多元回归分析(标准化部分回归系数)发现,手部握力(0.12、0.23)分别是 CSMI 和 SM 的相关因素。层次多元回归分析(标准化部分回归系数)发现,存在类固醇(0.23)和脑血管疾病(0.19)是与 BR 相关的因素。经自由度调整后,CSA、CSMI、SM 和 BR 的决定系数(R2)分别为 0.545、0.331、0.401 和 0.148:我们的研究结果表明,单腿站立时的运动控制和肌肉力量可能对保持和提高骨强度非常重要。
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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来源期刊
HIP International
HIP International 医学-整形外科
CiteScore
4.20
自引率
0.00%
发文量
70
审稿时长
2 months
期刊介绍: HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology
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