Prasetya Arief Indra Perdana, Ammarullah Muhammad Imam, Winarni Tri Indah, Pramono Adriyan, Jamari Jamari, Kamarul Tunku, Syahrom Ardiyansyah
Department of Surgery Sub Orthopaedic and Traumatology Faculty of Medicine Universitas Islam Sultan Agung Semarang Central Java Indonesia.
Postgraduate Program, Faculty of Medicine Universitas Diponegoro Semarang Central Java Indonesia.
Health Sci Rep. 2025 Jan 22;8(1):e70305. doi: 10.1002/hsr2.70305. eCollection 2025 Jan.
High contact stresses involving the hip have been shown to increase the risk of developing hip osteoarthritis (OA). Although several risk factors have been identified for OA, a holistic approach to predicting contributed factors toward increased hip contact stresses have not been explored. This study was conducted to comprehensively understand the effects of physical activity on high hip contact stress as predisposing factors of OA.
The protocol of this systematic review was registered in PROSPERO with registration number CRD42022296638 and conducted based on PRISMA guidelines. Full articles that matched our inclusion criteria were selected using PubMed, Web of Science, and Scopus search engines and keywords such as "hip contact stress," "hip contact force," and/or "hip contact pressure." Category of factors, experimental design, results of the study, and evidence from each article were analyzed.
In total 7972 papers were screened, identified, and reviewed. Two independent authors read the collected fulltext of eligible articles resulting in 21 papers that fulfilled the inclusion criteria of this systematic review.
Types of physical activity ( = 21) have correlation with high hip joint contact stress in various manner. Based on the research findings obtained from various inclusion papers, it can be broadly concluded that the more intense the physical activity, such as running and stair climbing, the greater the impact on the increase in hip contact stress values. However, the reviewed studies vary in their methods. This finding suggested that this area is not well investigated and warrants future research.
研究表明，涉及髋关节的高接触应力会增加患髋骨关节炎（OA）的风险。尽管已经确定了OA的几个风险因素，但尚未探索一种整体方法来预测导致髋关节接触应力增加的因素。本研究旨在全面了解身体活动作为OA的诱发因素对高髋关节接触应力的影响。
本系统评价的方案已在PROSPERO注册，注册号为CRD42022296638，并根据PRISMA指南进行。使用PubMed、Web of Science和Scopus搜索引擎以及“髋关节接触应力”、“髋关节接触力”和/或“髋关节接触压力”等关键词筛选符合纳入标准的全文。分析了每篇文章的因素类别、实验设计、研究结果和证据。
共筛选、识别和审查了7972篇论文。两位独立作者阅读了收集到的符合条件文章的全文，最终有21篇文章符合本系统评价的纳入标准。
身体活动类型（n = 21）与高髋关节接触应力存在多种方式的相关性。根据从各种纳入文章中获得的研究结果，可以大致得出结论，身体活动强度越大，如跑步和爬楼梯，对髋关节接触应力值增加的影响就越大。然而，所审查的研究方法各不相同。这一发现表明该领域研究不足，值得未来进一步研究。
