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节段性生物电阻抗分析可检测髋关节骨关节炎患者患侧与非患侧肢体之间的差异。

Segmental bioelectrical impedance analysis can detect differences between the affected and non-affected limbs in individuals with hip osteoarthritis.

机构信息

Laboratory of Physiotherapeutic Resources, Postgraduate Program in Rehabilitation and Functional Performance, Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.

Department of Orthopedics and Anesthesiology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.

出版信息

BMC Musculoskelet Disord. 2023 May 25;24(1):420. doi: 10.1186/s12891-023-06541-4.

Abstract

OBJECTIVE

To analyze the bioelectrical impedance parameters of the lower limbs of individuals with hip osteoarthritis and healthy individuals.

DESIGN

Cross-sectional study.

SETTING

The study was carried out at the Hip Surgery Outpatient Clinic.

PARTICIPANTS

The volunteers had to be between 45 and 70 years of age, of both sexes, with a clinical and radiological diagnosis of hip osteoarthritis for at least three years, unilateral involvement, or a significant complaint in one hip.

METHODS

This was a cross-sectional study. Fifty-four individuals were recruited for the study, 31 individuals with hip osteoarthritis (OA group) and 29 healthy individuals for the control group (C group). Demographic and anthropometric data were collected and then the Numerical Pain Rating Scale, WOMAC, Harris Hip Score, and bioimpedance assessment were applied.

MAIN OUTCOME MEASURE(S): Electrical bioimpedance parameters. Phase angle (PhA), impedance, reactance, and muscle mass.

RESULTS

There was a significant difference in phase angle (PhA), impedance, and muscle mass at 50 kHz frequency on the side affected by OA when compared to the contralateral side. In the OA group, there was a significant decrease in phase angle (PhA) -0.54 (-0.85 to -0.23) and muscle mass - 0.29 (-0.40 to -0,19), as well as an increase in impedance at the 50 kHz frequency on the side affected by OA when compared to contralateral side 21.71 (13.69 to 29.74). In the C group, there was no difference between the dominant and non-dominant sides (P > 0.05).

CONCLUSION

The segmental electrical bioimpedance equipment can detect differences between limbs affected and unaffected by hip osteoarthritis.

摘要

目的

分析髋骨关节炎患者与健康个体下肢的生物电阻抗参数。

设计

横断面研究。

地点

髋关节门诊诊所。

参与者

志愿者年龄必须在 45 岁至 70 岁之间,男女不限,有至少三年的髋骨关节炎临床和放射学诊断,单侧受累,或一侧髋关节有明显的抱怨。

方法

这是一项横断面研究。招募了 54 名志愿者进行研究,31 名髋骨关节炎患者(OA 组)和 29 名健康个体作为对照组(C 组)。收集了人口统计学和人体测量学数据,然后应用数字疼痛评分量表、WOMAC、Harris 髋关节评分和生物电阻抗评估。

主要观察指标

电生物电阻抗参数。相位角(PhA)、阻抗、电抗和肌肉质量。

结果

与对侧相比,OA 侧受影响的一侧在 50 kHz 频率时的相位角(PhA)、阻抗和肌肉质量存在显著差异。在 OA 组中,与对侧相比,OA 侧的相位角(PhA)显著下降-0.54(-0.85 至 -0.23)和肌肉质量-0.29(-0.40 至 -0.19),以及在 50 kHz 频率时的阻抗增加 21.71(13.69 至 29.74)。在 C 组中,优势侧和非优势侧之间没有差异(P>0.05)。

结论

节段性生物电阻抗设备可以检测到髋骨关节炎受累和未受累肢体之间的差异。

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