Romanian Journal of Physical Therapy (Dec 2021)
Hip assessment in patient with primary and secondary hip arthritis
Abstract
Introduction. Hip arthritis, also called coxo-femoral osteoarthritis or osteoarthritis of the hip, is a chronic condition characterized by the progressive destruction of articular cartilage at the coxo-femoral level. Aim. This paper aims to perform a functional analysis of the hip joint in the context of primary and secondary hip osteoarthritis, as well as the impact of this condition on the quality of life of people diagnosed with this disease, translated by affecting patients' ability to perform daily activities, work and social. Material and method. Thirteen patientsdiagnosed with hip osteoarthritis, aged between 45 and 80 years, with moderate or severe pain, restrictions in joint mobility, and difficulties in walking, stair climbing, or putting on shoes, volunteered to participate in this trial and gave their informed consent. Subjects were assessed for range of motion (ROM) using the goniometer, for muscle strength (manual muscle testing), hip function (WOMAC score). Results. In ROM assessment we found limitations in all direction of hip movement. Also, a decreased muscle strength for all hip muscle, especially for hip abdductors and adductors and also for hip internal and external rotators. in most patients with primary osteoarthritis, the pain is moderate, with moderate limitation of range of motion and moderate loss of function. Conclusion. In patients with primary and secondary hip osteoarthritis, the muscular force of the abductors and adductor muscles, of the internal and external rotators and less of the flexors and extensors is reduced. The joint amplitude is reduced especially on flexion, abduction and adduction, internal and external rotation and almost not on extension. The functional deficit is average in terms of joint amplitude, limited mobility, the pain is of medium intensity.
