La Trobe University, School of Allied Health, Human Services, and Sport, Australia.
La Trobe University, School of Allied Health, Human Services, and Sport, Australia; La Trobe Sports and Exercise Medicine Research Center, La Trobe University.
J Electromyogr Kinesiol. 2023 Aug;71:102784. doi: 10.1016/j.jelekin.2023.102784. Epub 2023 Jun 7.
Altered hip and thigh muscle activity have been observed across a spectrum of articular hip pathologies, including hip osteoarthritis, femoroacetabular impingement syndrome, and labral pathology. No systematic reviews have examined muscle activity associated with hip pathology and hip-related pain across the life span. A greater understanding of impairments in hip and thigh muscle activity during functional tasks may assist in the development of targeted treatment strategies.
We conducted a systematic review using the PRISMA guidelines. A literature search was performed in five databases (MEDLINE, CINAHL, EMBASE, Sports Discuss, and PsychINFO). Studies were included that (i) investigated people with hip-related pain (femoroacetabular impingement syndrome, labral tears) or hip osteoarthritis; and (ii) reported on muscle activity using electromyography of hip and thigh muscles during functional tasks such as walking, stepping, squatting, or lunging. Two independent reviewers performed data extraction and assessed risk of bias using a modified version of the Downs and Black checklist.
Non-pooled data demonstrated a limited level of evidence. Overall, differences in muscle activity appeared to be more prevalent in people with more advanced hip pathology.
We found that impairments in muscle activity in those with intra-articular hip pathology measured using electromyography were variable but appeared to be greater in severe hip pathology (e.g., hip OA).
在各种关节髋关节病理学中，包括髋关节骨关节炎、股骨髋臼撞击综合征和盂唇病变，都观察到髋关节和大腿肌肉活动的改变。没有系统评价研究过髋关节病理学和髋关节相关疼痛与整个生命周期相关的肌肉活动。更好地了解功能任务中髋关节和大腿肌肉活动的障碍可能有助于制定有针对性的治疗策略。
我们按照 PRISMA 指南进行了系统评价。在五个数据库（MEDLINE、CINAHL、EMBASE、Sports Discuss 和 PsychINFO）中进行了文献检索。纳入的研究（i）调查了与髋关节相关的疼痛（股骨髋臼撞击综合征、盂唇撕裂）或髋关节骨关节炎患者；（ii）使用髋关节和大腿肌肉的肌电图报告了在功能任务（如行走、跨步、下蹲或弓步）中肌肉活动。两名独立的综述作者使用 Downs 和 Black 清单的修改版本进行数据提取和评估偏倚风险。
非合并数据显示证据水平有限。总体而言，在髋关节病理学更严重的人群中，肌肉活动的差异似乎更为普遍。
我们发现，使用肌电图测量的关节内髋关节病理学患者的肌肉活动障碍是可变的，但在严重的髋关节病理学（例如，髋关节骨关节炎）中似乎更为明显。
