Hip abductor strengthening in patients diagnosed with knee osteoarthritis - a systematic review and meta-analysis.
Hip abductor resistance training
OA of the knee
Strength training
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
29 Jun 2022
29 Jun 2022
Historique:
received:
01
02
2022
accepted:
03
06
2022
entrez:
29
6
2022
pubmed:
30
6
2022
medline:
2
7
2022
Statut:
epublish
Résumé
Globally osteoarthritis of the knee is a leading cause of disability. Hip abductor strength and activation are essential for maintaining postural balance during transfers and are related to joint loading and progression during weight-bearing activities. Strength deficits in the hip abductors might cause a reduction in the lower extremity force generation, thereby causing stress on the medial tibiofemoral joint. The aim of this systematic review is to assess the effectiveness of hip abductor strengthening on knee joint loading, knee pain and functional outcome measures in patients with knee osteoarthritis. Database such as Scopus, PubMed, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL) database and PEDro were reviewed to recognize the trials published in English from inception to December 2020. Randomized controlled trials that studied the effectiveness of hip abductor strengthening in subjects with knee osteoarthritis and its impact on knee joint loading, knee pain and functional outcome measures were included. RevMan 5.4 was used for meta-analysis and forest plot construction. Quality assessment of the included studies was carried out using the PEDro scale. The search yielded 260 results of which 29 full-text articles were screened. The review includes 7 randomized controlled trials and 3 studies with good methodological quality were included for meta-analysis. The meta-analysis of the articles favored hip abductor strengthening intervention over the control group. Hip abductor strengthening had significantly reduced the VAS [ SMD = -0.60[-0.88, -0.33] p < 0.0001]at 95% CI and improved the WOMAC scores [SMD - 0.75[-1.05,-0.45] p < 0.0001] at 95% CI. All of the included studies concluded that strengthening the hip abductor muscle had a positive impact on knee pain and functional outcomes. The current study found high-quality evidence to support the use of hip abductor muscle strengthening exercises as a rehabilitative treatment for subjects with knee osteoarthritis. CRD42021256251 .
Sections du résumé
BACKGROUND
BACKGROUND
Globally osteoarthritis of the knee is a leading cause of disability. Hip abductor strength and activation are essential for maintaining postural balance during transfers and are related to joint loading and progression during weight-bearing activities. Strength deficits in the hip abductors might cause a reduction in the lower extremity force generation, thereby causing stress on the medial tibiofemoral joint. The aim of this systematic review is to assess the effectiveness of hip abductor strengthening on knee joint loading, knee pain and functional outcome measures in patients with knee osteoarthritis.
METHODS
METHODS
Database such as Scopus, PubMed, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL) database and PEDro were reviewed to recognize the trials published in English from inception to December 2020. Randomized controlled trials that studied the effectiveness of hip abductor strengthening in subjects with knee osteoarthritis and its impact on knee joint loading, knee pain and functional outcome measures were included. RevMan 5.4 was used for meta-analysis and forest plot construction. Quality assessment of the included studies was carried out using the PEDro scale.
RESULTS AND DISCUSSION
CONCLUSIONS
The search yielded 260 results of which 29 full-text articles were screened. The review includes 7 randomized controlled trials and 3 studies with good methodological quality were included for meta-analysis. The meta-analysis of the articles favored hip abductor strengthening intervention over the control group. Hip abductor strengthening had significantly reduced the VAS [ SMD = -0.60[-0.88, -0.33] p < 0.0001]at 95% CI and improved the WOMAC scores [SMD - 0.75[-1.05,-0.45] p < 0.0001] at 95% CI. All of the included studies concluded that strengthening the hip abductor muscle had a positive impact on knee pain and functional outcomes.
CONCLUSION
CONCLUSIONS
The current study found high-quality evidence to support the use of hip abductor muscle strengthening exercises as a rehabilitative treatment for subjects with knee osteoarthritis.
TRIAL REGISTRATION
BACKGROUND
CRD42021256251 .
Identifiants
pubmed: 35768802
doi: 10.1186/s12891-022-05557-6
pii: 10.1186/s12891-022-05557-6
pmc: PMC9241212
doi:
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
622Informations de copyright
© 2022. The Author(s).
Références
Clin Geriatr Med. 2010 Aug;26(3):387-99
pubmed: 20699161
Osteoarthritis Cartilage. 2013 Aug;21(8):1042-52
pubmed: 23680877
Osteoarthritis Cartilage. 2017 Feb;25(2):190-198
pubmed: 28100420
J Geriatr Phys Ther. 2020 Apr/Jun;43(2):89-98
pubmed: 30407271
J Back Musculoskelet Rehabil. 2016;29(1):65-75
pubmed: 26406217
BMC Musculoskelet Disord. 2010 Jun 22;11:129
pubmed: 20569450
Arthritis Care Res (Hoboken). 2010 Oct;62(10):1426-32
pubmed: 20506534
BMC Musculoskelet Disord. 2020 May 7;21(1):284
pubmed: 32380994
Osteoarthritis Cartilage. 2019 Jun;27(6):885-894
pubmed: 30825608
Sports Health. 2012 Jul;4(4):284-92
pubmed: 23016099
J Bone Joint Surg Am. 2003 Jul;85(7):1351-64
pubmed: 12851363
Ann Rheum Dis. 1993 Apr;52(4):258-62
pubmed: 8484690
Clin Rehabil. 2015 Mar;29(3):234-43
pubmed: 24994768
Osteoarthritis Cartilage. 2016 Jan;24(1):27-35
pubmed: 26707990
J Orthop Res. 1991 Jan;9(1):113-9
pubmed: 1984041
Indian J Orthop. 2016 Sep;50(5):518-522
pubmed: 27746495
Arthritis Rheum. 2005 Sep;52(9):2835-44
pubmed: 16145666
Clin Rheumatol. 2016 Aug;35(8):2073-2077
pubmed: 27091650
J Orthop Sports Phys Ther. 2013 Sep;43(9):600-19
pubmed: 23756435
Osteoarthritis Cartilage. 2010 May;18(5):621-8
pubmed: 20175973
EClinicalMedicine. 2020 Nov 26;29-30:100587
pubmed: 34505846
J Musculoskelet Neuronal Interact. 2010 Jun;10(2):166-73
pubmed: 20516634
Phys Ther. 2010 Jun;90(6):895-904
pubmed: 20378679
J Back Musculoskelet Rehabil. 1994 Jan 1;4(3):145-53
pubmed: 24572054
Br J Sports Med. 2015 Dec;49(24):1554-7
pubmed: 26405113
Ann Rheum Dis. 1993 Jul;52(7):520-6
pubmed: 8346979
BMC Musculoskelet Disord. 2014 Feb 21;15:48
pubmed: 24555418
Clin Rehabil. 2020 Feb;34(2):160-169
pubmed: 31505954
J Orthop Res. 2008 Mar;26(3):332-41
pubmed: 17960658
Arch Phys Med Rehabil. 2014 Oct;95(10):1962-8
pubmed: 24977932
J Orthop Sports Phys Ther. 2016 Aug;46(8):629-39
pubmed: 27374011
Ann Rheum Dis. 2002 Jul;61(7):617-22
pubmed: 12079903
Arthritis Rheum. 2006 Dec;54(12):3842-9
pubmed: 17133592
Cochrane Database Syst Rev. 2019 Oct 3;10:ED000142
pubmed: 31643080
Osteoarthritis Cartilage. 2008 Feb;16(2):244-53
pubmed: 17693101
J Appl Physiol (1985). 2012 Jul;113(2):255-62
pubmed: 22604883
Arthritis Rheumatol. 2014 Mar;66(3):622-36
pubmed: 24574223
Arthritis Rheum. 2007 Oct 15;57(7):1254-60
pubmed: 17907211
Clin J Sport Med. 2015 Nov;25(6):509-17
pubmed: 25591130
Rheum Dis Clin North Am. 2013 Feb;39(1):145-76
pubmed: 23312414
Rheumatology (Oxford). 2018 Oct 1;57(10):1735-1742
pubmed: 29931372
Neurol Clin. 2005 Aug;23(3):751-83, vi-vii
pubmed: 16026675
Clinics (Sao Paulo). 2010;65(12):1253-9
pubmed: 21340212
Clin Biomech (Bristol, Avon). 2014 May;29(5):545-50
pubmed: 24726780
Arthritis Rheum. 2005 Nov;52(11):3515-9
pubmed: 16255022
Int J Sports Phys Ther. 2014 May;9(3):320-8
pubmed: 24944850
Knee. 2016 Jan;23(1):57-62
pubmed: 26142154
Arthritis Care Res (Hoboken). 2010 Aug;62(8):1190-3
pubmed: 20704005