Details

Autor(en) / Beteiligte

• Peixoto Leão Almeida, Gabriel
• Oliveira Monteiro, Isabel
• Larissa Azevedo Tavares, Maria
• Lourinho Sales Porto, Priscila
• Rocha Albano, Thamyla
• Pasqual Marques, Amélia

Titel

Hip abductor versus adductor strengthening for clinical outcomes in knee symptomatic osteoarthritis: A randomized controlled trial

Ist Teil von

• Musculoskeletal science & practice, 2022-10, Vol.61, p.102575-102575, Article 102575

Ort / Verlag

Elsevier Ltd

Erscheinungsjahr

2022

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Hip adductors and abductors are weak in patients with knee osteoarthritis (KOA). However, most studies have not investigated selective adductor strengthening. To compare the effects of adding selective hip abductors versus adductors strengthening to lower limb multimodal exercise program for pain, self-reported function, knee-related quality of life, medication ingested and performance-based tests in patients with symptomatic KOA. Randomized controlled trial. Sixty-six patients with KOA were randomly assigned to two treatment groups: hip abductor group (HABG) or hip adductor group (HADG). Both groups performed a lower limb multimodal exercise program. HABG and HADG groups added three hip abduction and three hip adduction exercises, respectively. Intensity of pain through numeric pain scale, Knee Injury and Osteoarthritis Outcome Score (KOOS) subscales, Lequesne questionnaire, global perceived effect scale, medication ingested, performance-based tests were assessed at baseline, after 6 weeks, and 6 months. No significant between-group differences were found in primary outcomes: pain intensity (mean difference = −1.15, 95%CI −2.44 – 0.12, P = 0.07), KOOS-pain (mean difference = 1.64, 95%CI −6.79 – 10.07, P = 0.70) and KOOS-function in daily living (mean difference = −0.12, 95%CI, −8.78 – 8.54, P = 0.97) in 6 weeks. Groups did not differ in any secondary outcome after 6 weeks or after 6 months (P > 0.05). There is no difference between adding hip abductors or adductors strengthening to lower limb multimodal exercise program in improving pain, self-reported function, quality of life, medication ingested and performance-based tests in patients with KOA. •Add hip strength for patients with KOA improves pain, function and quality of life.•Adding hip strengthening reduces drug intake in patients with KOA.•Adding hip strengthening improves performance-based test in patients with KOA.•There is no difference between adding hip abductors or adductors strengthening.•This study was the first to control the total workload over the sessions.