Ultrasound measurement of the effects of high, medium and low hip long-axis distraction mobilization forces on the joint space width and its correlation with the joint strain.


Journal

Musculoskeletal science & practice
ISSN: 2468-7812
Titre abrégé: Musculoskelet Sci Pract
Pays: Netherlands
ID NLM: 101692753

Informations de publication

Date de publication:
12 2020
Historique:
received: 13 03 2020
revised: 17 07 2020
accepted: 19 07 2020
pubmed: 29 8 2020
medline: 30 9 2021
entrez: 29 8 2020
Statut: ppublish

Résumé

No study has evaluated the mechanical effect of different magnitudes of long axis-distraction mobilization (LADM) force on hip joint space width (JSW) or the association between the separation of joint surfaces and the strain on hip capsular ligaments. To compare the joint separation when applying three different magnitudes of LADM forces (low, medium and high) and to analyse the correlation between joint separation, strain on the inferior ilio-femoral ligament and magnitude of applied force. Repeated measures controlled laboratory cadaveric study. Three magnitudes of force were applied to 11 cadaveric hip joints (mean age 73 years). Ultrasound images were used to measure joint separation, and strain gauges recorded inferior ilio-femoral ligament strain during each condition. The magnitude of joint separation was significantly different between low (0.23 ± 0.19 mm), medium (0.72 ± 0.22 mm) and high (2.62 ± 0.43 mm) forces (p < 0.001). There were significant associations between magnitude of force, joint separation and the strain on the inferior ilio-femoral ligament during LADM (r > 0.723; p < 0.001). Hip joint separation and ligament strain during LADM are associated with the magnitude of the applied force.

Sections du résumé

BACKGROUND
No study has evaluated the mechanical effect of different magnitudes of long axis-distraction mobilization (LADM) force on hip joint space width (JSW) or the association between the separation of joint surfaces and the strain on hip capsular ligaments.
OBJECTIVE
To compare the joint separation when applying three different magnitudes of LADM forces (low, medium and high) and to analyse the correlation between joint separation, strain on the inferior ilio-femoral ligament and magnitude of applied force.
DESIGN
Repeated measures controlled laboratory cadaveric study.
METHODS
Three magnitudes of force were applied to 11 cadaveric hip joints (mean age 73 years). Ultrasound images were used to measure joint separation, and strain gauges recorded inferior ilio-femoral ligament strain during each condition.
RESULTS
The magnitude of joint separation was significantly different between low (0.23 ± 0.19 mm), medium (0.72 ± 0.22 mm) and high (2.62 ± 0.43 mm) forces (p < 0.001). There were significant associations between magnitude of force, joint separation and the strain on the inferior ilio-femoral ligament during LADM (r > 0.723; p < 0.001).
CONCLUSION
Hip joint separation and ligament strain during LADM are associated with the magnitude of the applied force.

Identifiants

pubmed: 32858316
pii: S2468-7812(20)30178-8
doi: 10.1016/j.msksp.2020.102225
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

102225

Informations de copyright

Copyright © 2020 Elsevier Ltd. All rights reserved.

Auteurs

Elena Estébanez-de-Miguel (E)

Department of Physiatrist and Nursery, Faculty of Heath Sciences, University of Zaragoza, Zaragoza, Spain. Electronic address: elesteba@unizar.es.

Santos Caudevilla-Polo (S)

Department of Physiatrist and Nursery, Faculty of Heath Sciences, University of Zaragoza, Zaragoza, Spain.

Vanessa González-Rueda (V)

Faculty of Medicine and Health Sciences, Universitat International de Catalunya, Barcelona, Spain; Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.

Elena Bueno-Gracia (E)

Department of Physiatrist and Nursery, Faculty of Heath Sciences, University of Zaragoza, Zaragoza, Spain.

Albert Pérez-Bellmunt (A)

Faculty of Medicine and Health Sciences, Universitat International de Catalunya, Barcelona, Spain.

Carlos López-de-Celis (C)

Faculty of Medicine and Health Sciences, Universitat International de Catalunya, Barcelona, Spain; Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain.

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