Fall risk in patient with dysplastic hip osteoarthritis.
Dysplastic hip osteoarthritis
Fall risk
Spinopelvic imbalance
Spinopelvic parameter
Journal
International orthopaedics
ISSN: 1432-5195
Titre abrégé: Int Orthop
Pays: Germany
ID NLM: 7705431
Informations de publication
Date de publication:
22 Aug 2023
22 Aug 2023
Historique:
received:
15
06
2023
accepted:
10
08
2023
medline:
22
8
2023
pubmed:
22
8
2023
entrez:
22
8
2023
Statut:
aheadofprint
Résumé
Patients with dysplastic hip osteo arthritis (DHOA) often have a spinopelvic imbalance, and they are more likely to experience falls. This study aimed to evaluate the risk factors for falls in patients with DHOA, including spinopelvic parameters. In this cross-sectional study, a total of 103 patients with DHOA were included from 2019 to 2021. Fall risk was evaluated using the Fall Risk Index 5 items version (FRI-5). Demographics, functional outcomes, and spinopelvic parameters were compared between the high-risk group (FRI-5 ≥ 6) and the low-risk group (FRI-5 < 6). Multivariate analysis was performed using factors with significant differences in univariate analysis. High-risk and low-risk groups comprised 54 and 49 patients, respectively. Females were significantly more common in the high-risk group than in the low-risk group. The Harris Hip Score was significantly lower in the high-risk group than in the low-risk group (p = 0.02). Pelvic incidence, tilt, and obliquity were significantly higher in the high-risk group than in the low-risk group (p < 0.01). In multivariate analysis, female sex (odds ratio [OR]: 3.76, 95% confidence interval [CI]: 1.11-12.64, p = 0.03), pelvic obliquity (OR: 1.36, 95% CI: 1.09-1.71, p < 0.01), and Harris hip score (OR: 0.96, 95% CI: 0.93-0.99, p = 0.02) were identified as risk factors. Female sex, pelvic obliquity, and low Harris hip score were associated with an increased risk of falls among patients with DHOA.
Identifiants
pubmed: 37606767
doi: 10.1007/s00264-023-05938-z
pii: 10.1007/s00264-023-05938-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s) under exclusive licence to SICOT aisbl.
Références
Vaapio SS, Salminen MJ, Ojanlatva A, Kivelä SL (2009) Quality of life as an outcome of fall prevention interventions among the aged: a systematic review. Eur J Public Health 19(1):7–15. https://doi.org/10.1093/eurpub/ckn099
doi: 10.1093/eurpub/ckn099
pubmed: 18971207
No authors listed. American Geriatrics Society, British Geriatrics Society, American Academy of Orthopedic Surgeons Panel on Falls Prevention (2001) Guideline for the prevention of falls in older persons. J Am Geriatr Soc 49(5):664–672. https://doi.org/10.1046/j.1532-5415.2001.49115.x
doi: 10.1046/j.1532-5415.2001.49115.x
Fu M, Zhou H, Li Y, Jin H, Liu X (2022) Global, regional, and national burdens of hip osteoarthritis from 1990 to 2019: estimates from the 2019 Global Burden of Disease Study. Arthritis Res Ther 24(1):8. https://doi.org/10.1186/s13075-021-02705-6
doi: 10.1186/s13075-021-02705-6
pubmed: 34980239
pmcid: 8722328
Knox PJ, Coyle PC, Pugliese JM et al (2021) Hip osteoarthritis signs and symptoms are associated with increased fall risk among community-dwelling older adults with chronic low back pain: a prospective study. Arthritis Res Ther 23(1):71. https://doi.org/10.1186/s13075-021-02455-5
doi: 10.1186/s13075-021-02455-5
pubmed: 33658074
pmcid: 7927382
Ikutomo H, Nagai K, Tagomori K et al (2019) Incidence and risk factors for falls in women with end-stage hip osteoarthritis. J Geriatr Phys Ther 42(3):161–166. https://doi.org/10.1519/JPT.0000000000000156
doi: 10.1519/JPT.0000000000000156
pubmed: 29351126
Campbell AJ, Borrie MJ, Spears GF (1989) Risk factors for falls in a community-based prospective study of people 70 years and older. J Gerontol 44(4):M112–M117. https://doi.org/10.1093/geronj/44.4.m112
doi: 10.1093/geronj/44.4.m112
pubmed: 2738307
Attiah M, Gaonkar B, Alkhalid Y et al (2019) Natural history of the aging spine: a cross-sectional analysis of spinopelvic parameters in the asymptomatic population. J Neurosurg Spine 27:1–6. https://doi.org/10.3171/2019.7.SPINE181164
doi: 10.3171/2019.7.SPINE181164
Le Huec JC, Aunoble S, Philippe L, Nicolas P (2011) Pelvic parameters: origin and significance. Eur Spine J 20(5):564–571. https://doi.org/10.1007/s00586-011-1940-1
doi: 10.1007/s00586-011-1940-1
pubmed: 21830079
pmcid: 3175921
Imagama S, Ito Z, Wakao N et al (2013) Influence of spinal sagittal alignment, body balance, muscle strength, and physical ability on falling of middle-aged and elderly males. Eur Spine J 22(6):1346–1353. https://doi.org/10.1007/s00586-013-2721-9
doi: 10.1007/s00586-013-2721-9
pubmed: 23443680
pmcid: 3676567
Takemoto G, Osawa Y, Seki T et al (2022) Factors influencing inconsistent leg length discrepancy in dysplastic hip osteoarthritis: a retrospective study. BMC Musculoskelet Disord 23(1):381. https://doi.org/10.1186/s12891-022-05348-z
doi: 10.1186/s12891-022-05348-z
pubmed: 35461275
pmcid: 9034481
Cahanin Iv RL, Jefferson JR, Flynn TW et al (2019) Iliac crest height difference and other running-related variables’ relationship with running injury. Int J Sports Phys Ther 14(6):957–966
doi: 10.26603/ijspt20190957
pubmed: 31803528
pmcid: 6878858
Pratelli E, Alito A, Zanella C et al (2017) Lower limbs heterometry correction in patients with osteoporosis and increased risk of falls. Clin Cases Miner Bone Metab 14(3):294–297. https://doi.org/10.11138/ccmbm/2017.14.3.294
doi: 10.11138/ccmbm/2017.14.3.294
pubmed: 29354156
pmcid: 5762218
Okuda T, Fujita T, Kaneuji A et al (2007) Stage-specific sagittal spinopelvic alignment changes in osteoarthritis of the hip secondary to developmental hip dysplasia. Spine 32(26):E816–E819. https://doi.org/10.1097/BRS.0b013e31815ce695
doi: 10.1097/BRS.0b013e31815ce695
pubmed: 18091476
Okochi J, Toba K, Takahashi T et al (2006) Simple screening test for risk of falls in the elderly. Geriatr Gerontol Int 6(4):223–227. https://doi.org/10.1111/j.1447-0594.2006.00352.x
doi: 10.1111/j.1447-0594.2006.00352.x
Yoshimoto H, Sato S, Masuda T et al (2005) Spinopelvic alignment in patients with osteoarthrosis of the hip: a radiographic comparison to patients with low back pain. Spine 30(14):1650–1657. https://doi.org/10.1097/01.brs.0000169446.69758.fa
doi: 10.1097/01.brs.0000169446.69758.fa
pubmed: 16025036
Lecoanet P, Vargas M, Pallaro J et al (2018) Leg length discrepancy after total hip arthroplasty: can leg length be satisfactorily controlled via anterior approach without a traction table? Evaluation in 56 patients with EOS 3D. Orthop Traumatol Surg Res. 104(8):1143–1148
doi: 10.1016/j.otsr.2018.06.020
pubmed: 30314938
Wu PK, Lin YM (2010) In brief: Crowe’s classification: arthroplasty in developmental dysplasia of the hip. Clin Orthop Relat Res 468(12):3426; author reply 3427. https://doi.org/10.1007/s11999-010-1599-7
doi: 10.1007/s11999-010-1599-7
pubmed: 20878556
pmcid: 2974878
Kellgren JH, Lawrence JS (1957) Radiological assessment of osteo-arthrosis. Ann Rheum Dis 16(4):494–502. https://doi.org/10.1136/ard.16.4.494
doi: 10.1136/ard.16.4.494
pubmed: 13498604
pmcid: 1006995
Morozumi M, Ando K, Kobayashi K et al (2020) Relationship between lumbopelvic discordance and locomotive syndrome in a middle-aged community-living population: the Yakumo study. J Orthop Sci 25(4):693–699. https://doi.org/10.1016/j.jos.2019.09.016
doi: 10.1016/j.jos.2019.09.016
pubmed: 31759838
Kanda Y (2013) Investigation of the freely available easy-to-use software ‘EZR’ for medical statistics. Bone Marrow Transplant 48(3):452–458. https://doi.org/10.1038/bmt.2012.244
doi: 10.1038/bmt.2012.244
pubmed: 23208313
Queen RM, Schmitt D (2021) Sex-specific difference in dynamic balance following total hip replacement. Innov. Aging 5(2):igab019. https://doi.org/10.1093/geroni/igab019
Chen L, Wu Y, Chen Z et al (2022) What happens to the gluteus medius in young and middle-aged patients with hip dysplasia? Int Orthop 46(4):761–768. https://doi.org/10.1007/s00264-021-05271-3
doi: 10.1007/s00264-021-05271-3
pubmed: 34988620
Sinaki M, Nwaogwugwu NC, Phillips BE, Mokri MP (2001) Effect of gender, age, and anthropometry on axial and appendicular muscle strength. Am J Phys Med Rehabil 80(5):330–338. https://doi.org/10.1097/00002060-200105000-00002
doi: 10.1097/00002060-200105000-00002
pubmed: 11327554
Munch T, Harrison SL, Barrett-Connor E et al (2015) Pain and falls and fractures in community-dwelling older men. Age Ageing 44(6):973–979. https://doi.org/10.1093/ageing/afv125
doi: 10.1093/ageing/afv125
pubmed: 26396181
pmcid: 4621231
Iversen MD, Chudasama N, Losina E, Katz JN (2011) Influence of self-reported limb length discrepancy on function and satisfaction 6 years after total hip replacement. J Geriatr Phys Ther 34(3):148–152. https://doi.org/10.1519/JPT.0b013e31820e16dc
doi: 10.1519/JPT.0b013e31820e16dc
pubmed: 21937905
pmcid: 3179609
Muraki S, Akune T, Oka H et al (2013) Physical performance, bone and joint diseases, and incidence of falls in Japanese men and women: a longitudinal cohort study. Osteoporos Int 24(2):459–466. https://doi.org/10.1007/s00198-012-1967-0
doi: 10.1007/s00198-012-1967-0
pubmed: 22434204
Levinger P, Wallman S, Hill K (2012) Balance dysfunction and falls in people with lower limb arthritis: factors contributing to risk and effectiveness of exercise interventions. Eur Rev Aging Phys Act 9(1):17–25. https://doi.org/10.1007/s11556-011-0086-9
doi: 10.1007/s11556-011-0086-9
Arnold CM, Faulkner RA (2007) The history of falls and the association of the timed up and go test to falls and near-falls in older adults with hip osteoarthritis. BMC Geriatr 7:17. https://doi.org/10.1186/1471-2318-7-17
doi: 10.1186/1471-2318-7-17
pubmed: 17610735
pmcid: 1936991
Beaupré P, da Silva RA, Chevrette T (2022) The impact of pain on functionality, postural control and fall risk in woman aged 45 to 64 years old. Geriatrics (Basel) 7(1):10. https://doi.org/10.3390/geriatrics7010010
doi: 10.3390/geriatrics7010010
pubmed: 35076521
Radcliff KE, Orozco F, Molby N et al (2013) Is pelvic obliquity related to degenerative scoliosis? Orthop Surg 5(3):171–176. https://doi.org/10.1111/os.12055
doi: 10.1111/os.12055
pubmed: 24002833
pmcid: 6583608
Yu Y, Song K, Wu B et al (2023) Coronal compensation mechanism of pelvic obliquity in patients with developmental dysplasia of the hip. Global Spine J 13(4):949–953. https://doi.org/10.1177/21925682211010760
doi: 10.1177/21925682211010760
pubmed: 33949240
Abe Y, Sato S, Abe S, Masuda T, Yamada K (2015) The impact of the leg-lengthening total hip arthroplasty on the coronal alignment of the spine. Scoliosis 10(S2):4. https://doi.org/10.1186/1748-7161-10-S2-S4
doi: 10.1186/1748-7161-10-S2-S4
Ishikawa Y, Miyakoshi N, Hongo M et al (2017) Relationships among spinal mobility and sagittal alignment of spine and lower extremity to quality of life and risk of falls. Gait Posture 53:98–103. https://doi.org/10.1016/j.gaitpost.2017.01.011
doi: 10.1016/j.gaitpost.2017.01.011
pubmed: 28126694
Cha E, Park JH (2022) Spinopelvic alignment as a risk factor for poor balance function in low back pain patients. Global. Spine J:21925682221076417. https://doi.org/10.1177/21925682221076417
Osawa Y, Seki T, Takegami Y et al (2023) Factors affecting sports participation after total hip arthroplasty. Int Orthop 47(5):1181–1187. https://doi.org/10.1007/s00264-023-05724-x
doi: 10.1007/s00264-023-05724-x
pubmed: 36799974
Lazennec JY, Pour AE (2023) Patient perception of leg length after total hip arthroplasty does not correlate with sagittal lumbar spine stiffness, history of spinal pathology or fusion. Int Orthop 47(8):2041–2053. https://doi.org/10.1007/s00264-023-05810-0
doi: 10.1007/s00264-023-05810-0
pubmed: 37071149
Yun HH, Kim YB, Joo HJ, Koh YY (2022) Does spinopelvic motion change after total hip arthroplasty? Int Orthop 46(10):2181–2187. https://doi.org/10.1007/s00264-022-05486-y
doi: 10.1007/s00264-022-05486-y
pubmed: 35725952
Borgeaud T, Le Huec JC, Faundez A (2022) Pelvic and spinal postural changes between standing-sitting positions following lumbosacral fusion: a pilot study. Int Orthop 46(8):1839–1846. https://doi.org/10.1007/s00264-022-05365-6
doi: 10.1007/s00264-022-05365-6
pubmed: 35266032