Analysis of changes in the functional state of the hip in elderly people with coxarthrosis and sarcopenic obesity under the influence of a physical therapy program
DOI:
https://doi.org/10.32782/2077-6594/2024.3/13Keywords:
physical therapy, rehabilitation, old age, gerontology and geriatrics, obesity, osteoarthritis, hipAbstract
Purpose: to study the effectiveness of the developed physical therapy program on the parameters of the functional state of the hip in elderly people with coxarthrosis and sarcopenic obesity. Materials and methods. 68 elderly people with coxarthrosis and sarcopenic obesity were examined. Representatives of the comparison group (33 people) corrected the osteoarthritis according to the clinical guideline “Osteoarthrosis”. Representatives of the main group (35 people) for three months were engaged in a physical therapy program using therapeutic exercises, functional training, Proprioceptive Neuromuscular Facilitation, massage, kinesiological taping, shock wave therapy, nutrition correction, patient education. The effectiveness of the program was evaluated by visual analog pain scale, goniometry, Modified Harris Hip Score, Hip Disability and Osteoarthritis Outcome Score. Results. The developed program of physical therapy revealed a statistical improvement due to the impact on the components of hip dysfunction due to the improvement of its amplitude of movements (goniometry), reduction of pain (visual analog scale), expansion of motor functional capabilities when performing activities (Modified Harris Hip Score and Hip Disability and Osteoarthritis Outcome Score) in comparison with the initial indicators (p < 0,05). Patients of the comparison group achieved a statistically significant improvement relative to the initial state according to the studied indicators (p < 0,05) less pronounced compared to the tested program. Conclusions. Elderly patients with coxarthrosis and sarcopenic obesity need the development of physical therapy programs taking into account and correcting the specifics of each condition, the presence of movement limitations caused by a violation of the functional state of the hip.
References
United Nations, Department of Economic and Social Affairs, Population Division. World Population Ageing 2019: Highlights. United Nations. New York. NY. USA. 2019.
Katz JN, Arant KR, Loeser RF. Diagnosis and Treatment of Hip and Knee Osteoarthritis: A Review. JAMA. 2021; 325 (6): 568–578. DOI: 10.1001/jama.2020.22171.
Hunter DJ, Bierma-Zeinstra S. Osteoarthritis. Lancet. 2019; 393 (10182): 1745–1759. https://doi.org/10.1016/S0140-6736(19)30417-9.
Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ. 2003; 81 (9): 646–656.
Li B, Yang Z, Li Y, Zhang J, Li C, Lv N. Exploration beyond osteoarthritis: the association and mechanism of its related comorbidities. Front Endocrinol (Lausanne). 2024; 15: 1352671. DOI: 10.3389/fendo.2024.1352671.
Клінічна настанова «Остеоартроз», 2017. URL: https://www.dec.gov.ua/wp-content/uploads/2019/11/akn_osteo.pdf.
Sampath SJP, Venkatesan V, Ghosh S, Kotikalapudi N. Obesity, Metabolic Syndrome, and Osteoarthritis-An Updated Review. Curr Obes Rep. 2023; 12 (3): 308–331. DOI: 10.1007/s13679-023-00520-5.
Lementowski PW, Zelicof SB. Obesity and osteoarthritis. Am J Orthop (Belle Mead NJ). 2008; 37 (3): 148–151.
Gao YH, Zhao CW, Liu B, et al. An update on the association between metabolic syndrome and osteoarthritis and on the potential role of leptin in osteoarthritis. Cytokine. 2020; 129: 155043. DOI: 10.1016/j.cyto.2020.155043.
Iannone F, Lapadula G. Obesity and inflammation – targets for OA therapy. Curr Drug Targets. 2010; 11 (5): 586–598. DOI: 10.2174/138945010791011857
Aravitska M, Saienko O. The influence of physical therapy on indicators of locomotive syndrome in elderly persons with osteoarthritis of the knee and obesity. Clinical and Preventive Medicine. 2023; 4: 6–13. https://doi.org/10.31612/2616-4868.4(26).2023.01.
Huffman KF, Ambrose KR, Nelson AE, Allen KD, Golightly YM, Callahan LF. The Critical Role of Physical Activity and Weight Management in Knee and Hip Osteoarthritis: A Narrative Review. J Rheumatol. 2024; 51 (3): 224–233. Published 2024 Mar 1. DOI: 10.3899/jrheum.2023-0819.
Koval N, Aravitska M. Dynamics of kinesiophobia and physical functioning parameters in the elderly adults with sarcopenic obesity under the influence of the physical therapy program. Clinical and Preventive Medicine. 2023; 4: 88–95. DOI: 10.31612/2616-4868.4(26).2023.13.
Didokha IV, Aravitska MG, Yatsiv YaM, Hrecheskyi OV. Effect of a physical therapeutic intervention on locomotive syndrome in the elderly patients with Parkinson’s disease and sarcopenia. Health, sport, rehabilitation. 2023; 9 (1): 55–68. DOI: 10.34142/HSR.2023.09.01.05.
Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019; 48 (1): 16–31. DOI: 10.1093/ageing/afy169.
Stasi S, Papathanasiou G, Diochnou A, Polikreti B, Chalimourdas A, Macheras GA. Modified Harris Hip Score as patient-reported outcome measure in osteoarthritic patients: psychometric properties of the Greek version. Hip Int. 2021; 31 (4): 516–525. DOI: 10.1177/1120700020901682.
Klässbo M, Larsson E, Mannevik E. Hip disability and osteoarthritis outcome score. An extension of the Western Ontario and McMaster Universities Osteoarthritis Index. Scand J Rheumatol. 2003; 32 (1): 46–51. DOI: 10.1080/03009740310000409.