Efficacy of hip strengthening on varus thrust in knee osteoarthritis

Autores/as

  • Heba E Mohamed Department of Physical Therapy for Musculoskeletal Disorders and their Surgeries, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
  • Enas F Youssef Department of Physical Therapy for Musculoskeletal Disorders and their Surgeries, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
  • Abd-Elrahman A Rezk Department of Physical Therapy for Musculoskeletal Disorders and their Surgeries, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
  • Eslam A Mohamedy Department of Orthopedic Surgery, Faculty of Medicine, Benha University, Benha, Egypt.
  • Ahmed M Elmelhat Department of Physical Therapy for Musculoskeletal Disorders and their Surgeries, Faculty of Physical Therapy, Cairo University, Giza, Egypt. Department of Physical Therapy, Faculty of Health Sciences, Beirut Arab University, Beirut, Lebanon.
  • Nabil A Mohamed Department of Physical Therapy for Musculoskeletal Disorders and their Surgeries, Faculty of Physical Therapy, Cairo University, Giza, Egypt. Department of Physical Therapy for Musculoskeletal Disorders and their Surgeries, Faculty of Physical Therapy, Horus University, Egypt.
DOI: https://doi.org/10.6018/sportk.580561
Palabras clave: Knee Osteoarthritis, Varus Thrust, Frontal Knee Instability

Resumen

The objective of this study was to investigate the effect of hip strengthening exercises on varus thrust in patients with knee osteoarthritis (OA). A double-blind clinical experimental study was carried out. Eighty-eight of the ninety-three eligible subjects participated. Participants were between 45 to 60 years of age, had a body mass index (BMI) of < 30 kg/m², and medial tibiofemoral OA with a radiographic grade of 2-3 according to Kellgren-Lawrence (KL). Participants were randomly allocated to one of the two groups (control and study group). The control group (n=44; 22 men, 22 women) received only quadriceps strengthening exercise, and stretching exercise for hamstring and calf muscles, while the study group (n=44; 22 men, 22 women) received hip abductor, hip extensor, hip external rotator strengthening exercises in addition to the same exercises of the control group. Patients in both groups received 12 sessions of treatment (3 sessions per week for 4 weeks). The primary outcome was frontal plane projection angle (FPPA), which was measured by a digital video camera and analysed with Kinovea software. Secondary outcomes were muscles strength of hip abductor, hip extensor, hip external rotator and quadriceps measured with a handheld dynamometer (HHD). At baseline, there was no statistically significant difference between both groups regarding tested variables (p > 0.05). After 4 weeks of treatment, both groups showed statistically significant improvements in FPPA, hip abductors, hip extensors, hip external rotators and knee extensor strength, compared to pre-treatment (p < 0.05). However, the study group showed statistically significant improvements in FPPA, hip abductors, hip extensors, and hip external rotators strength compared with the control group (p < 0.05), while there was no statistically significant difference in knee extensor strength between both groups (p > 0.05). Hip strengthening exercises can be added to the treatment programme of varus thrust.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Akinpelu, O., Alonge, O., & Adekanla, A. (2009). Prevalence and pattern of symptomatic knee osteoarthritis in Nigeria: A community-based study. Internet Journal of Allied Health Sciences and Practice, 7(3), 10.‏

Bailon, C., Damas, M., & Pomares, H. (2016). First approach to automatic measurement of frontal plane projection angle during single leg landing based on depth video. International Conference on Ubiquitous Computing and Ambient Intelligence, 10, 44-55.

Baldon, D., Serrão, V., & Scattone, R. (2014). Effects of functional stabilization training on pain, function, and lower extremity biomechanics in women with patellofemoral pain: a randomized clinical trial. Journal of Orthopaedic & Sports Physical Therapy, 44(4), 240-251. https://doi.org/10.2519/jospt.2014.4940 ‏

Baldon, R., Lobato, M., & Carvalho, P. (2011). Relationship between eccentric hip torque and lower-limb kinematics: gender differences. Journal of Applied Biomechanics, 27(3), 223-232.‏ https://doi.org/10.1123/jab.27.3.223

Bandholm, T., Thorborg, K., & Andersson, E. (2011). Increased external hip‐rotation strength relates to reduced dynamic knee control in females: paradox or adaptation? Scandinavian Journal of Medicine & Science in Sports, 21(6), 215-221.‏ https://doi.org/10.1111/j.1600-0838.2010.01255.x

Boissonneault, A., Lynch, A., & Wise, L. (2014). Association of hip and pelvic geometry with tibiofemoral osteoarthritis: Multicenter Osteoarthritis Study (MOST). Osteoarthritis and Cartilage, 22(8), 1129-1135.‏ https://doi.org/10.1016/j.joca.2014.06.010

Bolgla, A., Boehm, J., & Emery, C. (2015). Comparison of hip and knee strength in males with and without patellofemoral pain. Physical Therapy in Sport, 16(3), 215-221. https://doi.org/10.1016/j.ptsp.2014.11.001

Bryk, F., Reis, C., & Fingerhut, D. (2016). Exercises with partial vascular occlusion in patients with knee osteoarthritis: a randomized clinical trial. Knee Surgery, Sports Traumatology, Arthroscopy, 24(5), 1580-1586.‏ https://doi.org/10.1007/s00167-016-4064-7

Bytyqi, D., Shabani, B., & Lustig, S. (2014). Gait knee kinematic alterations in medial osteoarthritis: three dimensional assessment. International Orthopaedics, 38(6), 1191-1198.‏ https://doi.org/10.1007/s00264-014-2312-3

Chang, A., Hayes, K., & Dunlop, D. (2005). Hip abduction moment and protection against medial tibiofemoral osteoarthritis progression. Arthritis & Rheumatism, 52(11), 3515-3519.‏ https://doi.org/10.1002/art.21406

Chang, A., Hochberg, M., & Song, J. (2010). Frequency of varus and valgus thrust and factors associated with thrust presence in persons with or at higher risk of developing knee osteoarthritis. Arthritis & Rheumatism, 62(5), 1403-1411.‏ https://doi.org/10.1002/art.27377

Chaudhari, A., & Andriacchi, P. (2006). The mechanical consequences of dynamic frontal plane limb alignment for non-contact ACL injury. Journal of Biomechanics, 39(2), 330-338.‏ https://doi.org/10.1016/j.jbiomech.2004.11.013

Chehab, F., Favre, J., & Erhart-Hledik, C. (2014). Baseline knee adduction and flexion moments during walking are both associated with 5 year cartilage changes in patients with medial knee osteoarthritis. Osteoarthritis and Cartilage, 22(11), 1833-1839.‏ https://doi.org/10.1016/j.joca.2014.08.009

Claiborne, L., Armstrong, W., & Gandhi, V. (2006). Relationship between hip and knee strength and knee valgus during a single leg squat. Journal of Applied Biomechanics, 22(1), 41-50.‏ https://doi.org/10.1123/jab.22.1.41

Coury, G., Brasileiro, S., & Salvini, F. (2006). Change in knee kinematics during gait after eccentric isokinetic training for quadriceps in subjects submitted to anterior cruciate ligament reconstruction. Gait & Posture, 24(3), 370-374.‏ https://doi.org/10.1016/j.gaitpost.2005.11.002

Dixon, C., Gomes, S., & Preuss, A. (2018). Muscular co-contraction is related to varus thrust in patients with knee osteoarthritis. Clinical Biomechanics, 60, 164-169.‏ https://doi.org/10.1016/j.clinbiomech.2018.10.021

Driban, B., Bannuru, R., & Eaton, B. (2020). The incidence and characteristics of accelerated knee osteoarthritis among women: the Chingford cohort. BMC Musculoskeletal Disorders, 21(1), 1-6.‏ https://doi.org/10.1186/s12891-020-3073-3

Farrokhi, S., Voycheck, A., & Gustafson, A. (2016). Knee joint contact mechanics during downhill gait and its relationship with varus/valgus motion and muscle strength in patients with knee osteoarthritis. The Knee, 23(1), 49-56.‏ https://doi.org/10.1016/j.knee.2015.07.011

Faul, F., Erdfelder, E., & Buchner, A. (2009). Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160.‏

Ferreira, G. E., Robinson, C. C., Wiebusch, M., Viero, C. C., da Rosa, L. H., & Silva, M. F. (2015). The effect of exercise therapy on knee adduction moment in individuals with knee osteoarthritis: A systematic review. Clinical Biomechanics, 30(6), 521–527. https://doi.org/10.1016/j.clinbiomech.2015.03.028

Foroughi, N., Smith, R. M., Lange, A. K., Baker, M. K., Fiatarone Singh, M. A., & Vanwanseele, B. (2011). Lower limb muscle strengthening does not change frontal plane moments in women with knee osteoarthritis: A randomized controlled trial. Clinical Biomechanics, 26(2), 167–174. https://doi.org/10.1016/j.clinbiomech.2010.08.011

Foroughi, N., Smith, R. M., Lange, A. K., Singh, M. A., & Vanwanseele, B. (2011). Progressive resistance training and dynamic alignment in osteoarthritis: A single-blind randomised controlled trial. Clinical Biomechanics, 26(1), 71–77. https://doi.org/10.1016/j.clinbiomech.2010.08.013

Gwynne, C. R., & Curran, S. A. (2014). Quantifying frontal plane knee motion during single limb squats: reliability and validity of 2-dimensional measures. International Journal of Sports Physical Therapy, 9(7), 898–906.

Harkey, M. S., Davis, J. E., Lu, B., Price, L. L., Ward, R. J., MacKay, J. W., Eaton, C. B., Lo, G. H., Barbe, M. F., Zhang, M., Pang, J., Stout, A. C., McAlindon, T. E., & Driban, J. B. (2019). Early pre-radiographic structural pathology precedes the onset of accelerated knee osteoarthritis. BMC Musculoskeletal Disorders, 20(1), 241. https://doi.org/10.1186/s12891-019-2624-y

He, M., Zhong, X., Li, Z., Shen, K., & Zeng, W. (2021). Progress in the treatment of knee osteoarthritis with high tibial osteotomy: a systematic review. Systematic Reviews, 10(1), 56. https://doi.org/10.1186/s13643-021-01601-z

Herman, D. C., Weinhold, P. S., Guskiewicz, K. M., Garrett, W. E., Yu, B., & Padua, D. A. (2008). The effects of strength training on the lower extremity biomechanics of female recreational athletes during a stop-jump task. The American Journal of Sports Medicine, 36(4), 733–740. https://doi.org/10.1177/0363546507311602

Howard, J. S., Fazio, M. A., Mattacola, C. G., Uhl, T. L., & Jacobs, C. A. (2011). Structure, sex, and strength and knee and hip kinematics during landing. Journal of Athletic Training, 46(4), 376-85.

Hubley-Kozey, C. L., Deluzio, K. J., Landry, S. C., McNutt, J. S., & Stanish, W. D. (2006). Neuromuscular alterations during walking in persons with moderate knee osteoarthritis. Journal of Electromyography and Kinesiology, 16(4), 365–378. https://doi.org/10.1016/j.jelekin.2005.07.014

Itoh, H., Takiguchi, K., Shibata, Y., Okubo, S., Yoshiya, S., & Kuroda, R. (2016). Correlation between hip function and knee kinematics evaluated by three-dimensional motion analysis during lateral and medial side-hopping. Journal of Physical Therapy Science, 28(9), 2461–2467. https://doi.org/10.1589/jpts.28.2461

Jaehee, K., Jinsol, B., & Yesol, L. (2016). Relationship of the frontal knee alignment measured by the HKA-angle with the relative activation of the quadriceps muscles. Journal of the Korean Society of Integrative Medicine, 4(4), 67-75.‏

Jiang, J., Ren, Z. H., & Lü, H. S. (2010). Primary study of relationship between lumbar degenerative disease and morbidity of primary knee osteoarthritis. Zhonghua yi xue za zhi, 90(7), 466-468.

Kean, C. O., Hinman, R. S., Bowles, K. A., Cicuttini, F., Davies-Tuck, M., & Bennell, K. L. (2012). Comparison of peak knee adduction moment and knee adduction moment impulse in distinguishing between severities of knee osteoarthritis. Clinical biomechanics (Bristol, Avon), 27(5), 520–523. https://doi.org/10.1016/j.clinbiomech.2011.12.007

Kellgren, H., & Lawrence, S. (1957). Radiological assessment of osteo-arthrosis. Annals of the Rheumatic Diseases, 16(4), 494–502. https://doi.org/10.1136/ard.16.4.494

Khan, B., Khan, O. Y., Zehra, S., Azhar, A., & Fatima, S. (2020). Association between obesity and risk of knee osteoarthritis. Pakistan Journal of Pharmaceutical Sciences, 33(1), 295–298.

Kuroyanagi, Y., Nagura, T., Kiriyama, Y., Matsumoto, H., Otani, T., Toyama, Y., & Suda, Y. (2012). A quantitative assessment of varus thrust in patients with medial knee osteoarthritis. The Knee, 19(2), 130–134. https://doi.org/10.1016/j.knee.2010.12.007

Levinger, P., Menz, H. B., Morrow, A. D., Feller, J. A., Bartlett, J. R., & Bergman, N. R. (2013). Lower limb biomechanics in individuals with knee osteoarthritis before and after total knee arthroplasty surgery. The Journal of Arthroplasty, 28(6), 994–999. https://doi.org/10.1016/j.arth.2012.10.018

Leyland, K. M., Gates, L. S., Sanchez-Santos, M. T., Nevitt, M. C., Felson, D., Jones, G., Jordan, J. M., Judge, A., Prieto-Alhambra, D., Yoshimura, N., Newton, J. L., Callahan, L. F., Cooper, C., Batt, M. E., Lin, J., Liu, Q., Cleveland, R. J., Collins, G. S., Arden, N. K., & PCCOA Steering Committee (2021). Knee osteoarthritis and time-to all-cause mortality in six community-based cohorts: an international meta-analysis of individual participant-level data. Aging Clinical and Experimental Research, 33(3), 529–545. https://doi.org/10.1007/s40520-020-01762-2

Li, S., Ng, W. H., Abujaber, S., & Shaharudin, S. (2021). Effects of resistance training on gait velocity and knee adduction moment in knee osteoarthritis patients: a systematic review and meta-analysis. Scientific Reports, 11(1), 16104. https://doi.org/10.1038/s41598-021-95426-4

Liu, Y. H., Wang, T. M., Wei, I. P., Lu, T. W., Hong, S. W., & Kuo, C. C. (2014). Effects of bilateral medial knee osteoarthritis on intra- and inter-limb contributions to body support during gait. Journal of Biomechanics, 47(2), 445–450. https://doi.org/10.1016/j.jbiomech.2013.11.001

Lloyd, D. G., Buchanan, T. S., & Besier, T. F. (2005). Neuromuscular biomechanical modeling to understand knee ligament loading. Medicine and Science in Sports and Exercise, 37(11), 1939–1947. https://doi.org/10.1249/01.mss.0000176676.49584.ba

Loeser, R. F., Goldring, S. R., Scanzello, C. R., & Goldring, M. B. (2012). Osteoarthritis: a disease of the joint as an organ. Arthritis and Rheumatism, 64(6), 1697–1707. https://doi.org/10.1002/art.34453

Mahmoudian, A., van Dieen, J. H., Bruijn, S. M., Baert, I. A., Faber, G. S., Luyten, F. P., & Verschueren, S. M. (2016). Varus thrust in women with early medial knee osteoarthritis and its relation with the external knee adduction moment. Clinical Biomechanics, 39, 109–114. https://doi.org/10.1016/j.clinbiomech.2016.10.006

Malloy, P. J., Morgan, A. M., Meinerz, C. M., Geiser, C. F., & Kipp, K. (2016). Hip External Rotator Strength Is Associated with Better Dynamic Control of the Lower Extremity During Landing Tasks. Journal of Strength and Conditioning Research, 30(1), 282–291. https://doi.org/10.1519/JSC.0000000000001069

Marotta, N., Demeco, A., & Moggio, L. (2020). Correlation between dynamic knee valgus and quadriceps activation time in female athletes. Journal of Physical Education and Sport; 20(5), 2508-2512.‏

Metcalfe, A., Stewart, C., Postans, N., Barlow, D., Dodds, A., Holt, C., Whatling, G., & Roberts, A. (2013). Abnormal loading of the major joints in knee osteoarthritis and the response to knee replacement. Gait & Posture, 37(1), 32–36. https://doi.org/10.1016/j.gaitpost.2012.04.018

Munro, A., Herrington, L., & Carolan, M. (2012). Reliability of 2-dimensional video assessment of frontal-plane dynamic knee valgus during common athletic screening tasks. Journal of Sport Rehabilitation, 21(1), 7–11. https://doi.org/10.1123/jsr.21.1.7

Murdock, G. H., & Hubley-Kozey, C. L. (2012). Effect of a high intensity quadriceps fatigue protocol on knee joint mechanics and muscle activation during gait in young adults. European Journal of Applied Physiology, 112(2), 439–449. https://doi.org/10.1007/s00421-011-1990-4

Nadia, A., Youssif, S., & Karima, A. (2019). Frontal Plane Projection Angle during Step Down Test in Subjects with and without Patellofemoral Pain Syndrome. The Medical Journal of Cairo University, 87 1233-1239.

Neamatallah, Z., Herrington, L., & Jones, R. (2020). An investigation into the role of gluteal muscle strength and EMG activity in controlling HIP and knee motion during landing tasks. Physical Therapy in Sport, 43, 230–235. https://doi.org/10.1016/j.ptsp.2019.12.008

Raghava Neelapala, Y. V., Bhagat, M., & Shah, P. (2020). Hip Muscle Strengthening for Knee Osteoarthritis: A Systematic Review of Literature. Journal of Geriatric Physical Therapy, 43(2), 89–98. https://doi.org/10.1519/JPT.0000000000000214

Nguyen, A. D., Shultz, S. J., Schmitz, R. J., Luecht, R. M., & Perrin, D. H. (2011). A preliminary multifactorial approach describing the relationships among lower extremity alignment, hip muscle activation, and lower extremity joint excursion. Journal of Athletic Training, 46(3), 246–256. https://doi.org/10.4085/1062-6050-46.3.246

Park, S. K., Kobsar, D., & Ferber, R. (2016). Relationship between lower limb muscle strength, self-reported pain and function, and frontal plane gait kinematics in knee osteoarthritis. Clinical Biomechanics, 38, 68–74. https://doi.org/10.1016/j.clinbiomech.2016.08.009

Petrella, M., Serrão, P., Selistre, L., Lessi, G. C., Gonçalves, G. H., & Mattiello, S. M. (2019). Individual joint contributions to the total support moment during the sit-to-stand task differentiate mild and moderate knee osteoarthritis. Clinical Biomechanics, 70, 52–58. https://doi.org/10.1016/j.clinbiomech.2019.07.029

Pinto, R. F., Birmingham, T. B., Leitch, K. M., Atkinson, H. F., Jones, I. C., & Giffin, J. R. (2020). Reliability and validity of knee angles and moments in patients with osteoarthritis using a treadmill-based gait analysis system. Gait & Posture, 80, 155–161. https://doi.org/10.1016/j.gaitpost.2020.05.005

Quicke, G., Runhaar, J., & Windt, A. (2020). Moderators of the effects of therapeutic exercise for people with knee and hip osteoarthritis: A systematic review of sub-group analyses from randomised controlled trials. Osteoarthritis and Cartilage Open, 2(4), 100113.‏

äisänen, A. M., Pasanen, K., Krosshaug, T., Vasankari, T., Kannus, P., Heinonen, A., Kujala, U. M., Avela, J., Perttunen, J., & Parkkari, J. (2018). Association between frontal plane knee control and lower extremity injuries: a prospective study on young team sport athletes. BMJ Open Sport & Exercise Medicine, 4(1), e000311. https://doi.org/10.1136/bmjsem-2017-000311

Ramirez, M., Negrete, R., & Hanney, W. (2018). Quantifying frontal plane knee kinematics in subjects with anterior knee pain: The reliability and concurrent validity of 2D motion analysis. International Journal of Sports Physical Therapy, 13(1), 86-93.

Ramsey, D. K., Snyder-Mackler, L., Lewek, M., Newcomb, W., & Rudolph, K. S. (2007). Effect of anatomic realignment on muscle function during gait in patients with medial compartment knee osteoarthritis. Arthritis and Rheumatism, 57(3), 389–397. https://doi.org/10.1002/art.22608

Rathleff, M. S., Rathleff, C. R., Crossley, K. M., & Barton, C. J. (2014). Is hip strength a risk factor for patellofemoral pain? A systematic review and meta-analysis. British Journal of Sports Medicine, 48(14), 1088. https://doi.org/10.1136/bjsports-2013-093305

Riddle, D. L., Finucane, S. D., Rothstein, J. M., & Walker, M. L. (1989). Intrasession and intersession reliability of hand-held dynamometer measurements taken on brain-damaged patients. Physical Therapy, 69(3), 182–194. https://doi.org/10.1093/ptj/69.3.182

Saad, M. C., Vasconcelos, R. A., Mancinelli, L., Munno, M., Liporaci, R. F., & Grossi, D. B. (2018). Is hip strengthening the best treatment option for females with patellofemoral pain? A randomized controlled trial of three different types of exercises. Brazilian Journal of Physical Therapy, 22(5), 408–416. https://doi.org/10.1016/j.bjpt.2018.03.009

Salmon, J. H., Rat, A. C., Achit, H., Ngueyon-Sime, W., Gard, C., Guillemin, F., Jolly, D., & Fautrel, B. (2019). Health resource use and costs of symptomatic knee and/or hip osteoarthritis. Osteoarthritis and Cartilage, 27(7), 1011–1017. https://doi.org/10.1016/j.joca.2019.03.005

Sayers, S. P., Gibson, K., & Cook, C. R. (2012). Effect of high-speed power training on muscle performance, function, and pain in older adults with knee osteoarthritis: a pilot investigation. Arthritis Care & Research, 64(1), 46–53. https://doi.org/10.1002/acr.20675

Schipplein, O. D., & Andriacchi, T. P. (1991). Interaction between active and passive knee stabilizers during level walking. Journal of Orthopaedic Research, 9(1), 113–119. https://doi.org/10.1002/jor.1100090114

Schuback, B., Hooper, J., & Salisbury, L. (2004). A comparison of a self-stretch incorporating proprioceptive neuromuscular facilitation components and a therapist-applied PNF-technique on hamstring flexibility. Physiotherapy, 90(3), 151-157.

Segal, N. A., Williams, G. N., Davis, M. C., Wallace, R. B., & Mikesky, A. E. (2015). Efficacy of blood flow-restricted, low-load resistance training in women with risk factors for symptomatic knee osteoarthritis. The Journal of Injury, Function, and Rehabilitation, 7(4), 376–384. https://doi.org/10.1016/j.pmrj.2014.09.014

Sigward, S. M., Ota, S., & Powers, C. M. (2008). Predictors of frontal plane knee excursion during a drop land in young female soccer players. The Journal of Orthopaedic and Sports Physical Therapy, 38(11), 661–667. https://doi.org/10.2519/jospt.2008.2695

Singh, S., Pattnaik, M., Mohanty, P., & Ganesh, G. S. (2016). Effectiveness of hip abductor strengthening on health status, strength, endurance and six minute walk test in participants with medial compartment symptomatic knee osteoarthritis. Journal of Back and Musculoskeletal Rehabilitation, 29(1), 65–75. https://doi.org/10.3233/BMR-150599

Sled, E. A., Khoja, L., Deluzio, K. J., Olney, S. J., & Culham, E. G. (2010). Effect of a home program of hip abductor exercises on knee joint loading, strength, function, and pain in people with knee osteoarthritis: a clinical trial. Physical Therapy, 90(6), 895–904. https://doi.org/10.2522/ptj.20090294

Snyder, K. R., Earl, J. E., O'Connor, K. M., & Ebersole, K. T. (2009). Resistance training is accompanied by increases in hip strength and changes in lower extremity biomechanics during running. Clinical Biomechanics, 24(1), 26–34. https://doi.org/10.1016/j.clinbiomech.2008.09.009

Stearns, K. M., & Powers, C. M. (2014). Improvements in hip muscle performance result in increased use of the hip extensors and abductors during a landing task. The American Journal of Sports Medicine, 42(3), 602–609. https://doi.org/10.1177/0363546513518410

Stickler, L., Finley, M., & Gulgin, H. (2015). Relationship between hip and core strength and frontal plane alignment during a single leg squat. Physical Therapy in Sport, 16(1), 66–71. https://doi.org/10.1016/j.ptsp.2014.05.002

Suri, P., Morgenroth, D. C., Kwoh, C. K., Bean, J. F., Kalichman, L., & Hunter, D. J. (2010). Low back pain and other musculoskeletal pain comorbidities in individuals with symptomatic osteoarthritis of the knee: data from the osteoarthritis initiative. Arthritis Care & Research, 62(12), 1715–1723. https://doi.org/10.1002/acr.20324

Thorp, L. E., Wimmer, M. A., Foucher, K. C., Sumner, D. R., Shakoor, N., & Block, J. A. (2010). The biomechanical effects of focused muscle training on medial knee loads in OA of the knee: a pilot, proof of concept study. Journal of Musculoskeletal & Neuronal Interactions, 10(2), 166–173.

Tsai, P. F., Chang, J. Y., Chowdhury, N., Beck, C., Roberson, P. K., & Rosengren, K. (2009). Enrolling older adults with cognitive impairment in research: lessons from a study of Tai Chi for osteoarthritis knee pain. Research in Gerontological Nursing, 2(4), 228–234. https://doi.org/10.3928/19404921-20090731-03

Ueno, R., Navacchia, A., DiCesare, C. A., Ford, K. R., Myer, G. D., Ishida, T., Tohyama, H., & Hewett, T. E. (2020). Knee abduction moment is predicted by lower gluteus medius force and larger vertical and lateral ground reaction forces during drop vertical jump in female athletes. Journal of Biomechanics, 103, 109669. https://doi.org/10.1016/j.jbiomech.2020.109669

Willson, J. D., & Davis, I. S. (2008). Utility of the frontal plane projection angle in females with patellofemoral pain. The Journal of Orthopaedic and Sports Physical Therapy, 38(10), 606–615. https://doi.org/10.2519/jospt.2008.2706

Willy, R. W., & Davis, I. S. (2011). The effect of a hip-strengthening program on mechanics during running and during a single-leg squat. The journal of orthopaedic and sports physical therapy, 41(9), 625–632. https://doi.org/10.2519/jospt.2011.3470

Winby, C. R., Lloyd, D. G., Besier, T. F., & Kirk, T. B. (2009). Muscle and external load contribution to knee joint contact loads during normal gait. Journal of Biomechanics, 42(14), 2294–2300. https://doi.org/10.1016/j.jbiomech.2009.06.019

Wink, A. E., Gross, K. D., Brown, C. A., Guermazi, A., Roemer, F., Niu, J., Torner, J., Lewis, C. E., Nevitt, M. C., Tolstykh, I., Sharma, L., & Felson, D. T. (2017). Varus thrust during walking and the risk of incident and worsening medial tibiofemoral MRI lesions: the Multicenter Osteoarthritis Study. Osteoarthritis and Cartilage, 25(6), 839–845. https://doi.org/10.1016/j.joca.2017.01.005

Xie, Y., Zhang, C., Jiang, W., Huang, J., Xu, L., Pang, G., Tang, H., Chen, R., Yu, J., Guo, S., Xu, F., & Wang, J. (2018). Quadriceps combined with hip abductor strengthening versus quadriceps strengthening in treating knee osteoarthritis: a study protocol for a randomized controlled trial. BMC Musculoskeletal Disorders, 19, 147. https://doi.org/10.1186/s12891-018-2041-7

Publicado
07-08-2023
Cómo citar
Mohamed, H. E., Youssef, E. F., Rezk, A.-E. A., Mohamedy, E. A., Elmelhat, A. M., & Mohamed, N. A. (2023). Efficacy of hip strengthening on varus thrust in knee osteoarthritis. SPORT TK-Revista EuroAmericana de Ciencias del Deporte, 12, 11. https://doi.org/10.6018/sportk.580561
Número
Vol 12 (2023): Suplemento 3
Sección
Artículos

Las obras que se publican en esta revista están sujetas a los siguientes términos:

1. El Servicio de Publicaciones de la Universidad de Murcia (la editorial) conserva los derechos patrimoniales (copyright) de las obras publicadas, y favorece y permite la reutilización de las mismas bajo la licencia de uso indicada en el punto 2.

© Servicio de Publicaciones, Universidad de Murcia, 2013

2. Las obras se publican en la edición electrónica de la revista bajo una licencia Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España (texto legal). Se pueden copiar, usar, difundir, transmitir y exponer públicamente, siempre que: i) se cite la autoría y la fuente original de su publicación (revista, editorial y URL de la obra); ii) no se usen para fines comerciales; iii) se mencione la existencia y especificaciones de esta licencia de uso.


Licencia Creative Commons

3. Condiciones de auto-archivo. Se permite y se anima a los autores a difundir electrónicamente las versiones pre-print (versión antes de ser evaluada) y/o post-print (versión evaluada y aceptada para su publicación) de sus obras antes de su publicación, ya que favorece su circulación y difusión más temprana y con ello un posible aumento en su citación y alcance entre la comunidad académica.