Slomka Bartosz, Rongies Witold, Sierdzinski Janusz, Dolecki Wlodzimierz, Worwag Marta, Trzepla Ewa
Department of Rehabilitation of Physiotherapy Division, 2nd Faculty of Medicine, Medical University of Warsaw, Poland; PhD Program Medical University of Warsaw, Poland.
Department of Rehabilitation of Physiotherapy Division, 2nd Faculty of Medicine, Medical University of Warsaw, Poland; Department of Rehabilitation, Independent Public Central Clinical Hospital in Warsaw, Poland.
Acta Orthop Traumatol Turc. 2019 Jan;53(1):56-60. doi: 10.1016/j.aott.2018.07.006. Epub 2018 Dec 18.
The aim of the study was to assessment the impact of hip osteoarthritis on postural stability.
One hundred and twenty-five randomly selected women 20-85 years old (mean age of 49 ± 24.4 years) were assigned to three groups based on age, health status and activity level. Group 1 (cases) - elderly women with diagnosed hip osteoarthritis, group 2 (control) - women without hip osteoarthritis, and group 3 (control) - healthy young women. Assessment of postural stability were measured using a WIN-POD Pel 38 electronic podometer. Statistica 10 software was used to perform t-test resulting in significance level of p < 0.05.
Significant differences in pedobarographic balance measurements were observed between the study groups with eyes opened or closed (deviation length eyes open: group 1-3 and 2-3 p < 0.0001; eyes closed group 1-2 p = 0.19; 1-3 and 2-3 p < 0.0001; deviation area eyes open: group 1-3 and 2-3 p < 0.0001; eyes closed group 1-3 and 2-3 p < 0.0001; deviation velocity eyes open: group1-3 and 2-3 p < 0.0001; eyes closed group 1-2 p < 0.010, 1-3 and 2-3 p < 0.0001). The poorest postural stability was observed in patients with hip osteoarthritis (deviation length eyes open vs eyes closed 180.8/201.7 p = 0.028, deviation area 128.7/145.7 p = 0.771, deviation velocity 5.1/6.1 p < 0.0001), and the best postural stability was observed in young women (deviation length 111.3/137.5 p < 0.0001, deviation area 57/76.9 p = 0.003, deviation velocity 3.4/4.2 p < 0.0001).
(1) Osteoarthritic degeneration of the hip joint results in a significant disturbance in proprioception. This finding was reflected by the inferior stability parameters collected from subjects with hip osteoarthritis when asked to stand with their eyes closed. These finding were not observed in the other groups. (2) The disorder of the body stability of people with osteoarthritis may be a relative indication for the implantation of hip arthroplasty.
本研究旨在评估髋骨关节炎对姿势稳定性的影响。
随机选取125名年龄在20 - 85岁之间（平均年龄49±24.4岁）的女性，根据年龄、健康状况和活动水平分为三组。第1组（病例组）——确诊为髋骨关节炎的老年女性，第2组（对照组）——无髋骨关节炎的女性，第3组（对照组）——健康年轻女性。使用WIN - POD Pel 38电子计步器测量姿势稳定性。采用Statistica 10软件进行t检验，显著性水平为p < 0.05。
在睁眼或闭眼状态下，研究组之间在足底压力平衡测量方面存在显著差异（睁眼时偏差长度：第1组与第3组以及第2组与第3组p < 0.0001；闭眼时第1组与第2组p = 0.19，第1组与第3组以及第2组与第3组p < 0.0001；睁眼时偏差面积：第1组与第3组以及第2组与第3组p < 0.0001；闭眼时第1组与第3组以及第2组与第3组p < 0.0001；睁眼时偏差速度：第1组与第3组以及第2组与第3组p < 0.0001；闭眼时第1组与第2组p < 0.010，第1组与第3组以及第2组与第3组p < 0.0001）。髋骨关节炎患者的姿势稳定性最差（睁眼与闭眼时偏差长度180.8/201.7，p = 0.028；偏差面积128.7/145.7，p = 0.771；偏差速度5.1/6.1，p < 0.0001），而年轻女性的姿势稳定性最佳（偏差长度111.3/137.5，p < 0.0001；偏差面积57/76.9，p = 0.003；偏差速度3.4/4.2，p < 0.0001）。
（1）髋关节的骨关节炎退变导致本体感觉明显紊乱。这一发现通过让髋骨关节炎患者闭眼站立时收集到的较差稳定性参数得以体现。其他组未观察到这些结果。（2）骨关节炎患者身体稳定性的紊乱可能是髋关节置换术植入的一个相对指征。
