Sensorimotor dysfunction and altered pain sensitivity in early hip osteoarthritis: associations with hip proprioception and balance impairment - Summary - MDSpire
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Sensorimotor dysfunction and altered pain sensitivity in early hip osteoarthritis: associations with hip proprioception and balance impairment
To compare hip joint position sense between individuals with early hip osteoarthritis and asymptomatic controls, and to examine the associations among proprioception, posturographic balance, and pressure pain sensitivity.
Approach:
Study Design: A cross-sectional study involving 38 participants with early hip osteoarthritis and 38 age- and sex-matched controls.
Assessment Methods: Hip proprioception was assessed using a digital inclinometer, postural stability was evaluated with force-platform posturography, and pressure pain thresholds were measured at local and remote sites.
Statistical Analysis: Between-group differences were analyzed using independent-samples t tests, while associations were examined using Pearson correlation and multiple linear regression analyses.
Key Findings:
Participants with early hip osteoarthritis showed significantly higher hip repositioning error (5.51 ± 1.21° vs. 3.56 ± 0.92°, p < 0.001).
Higher postural sway was observed in the osteoarthritis group (6.16 ± 1.51 vs. 4.64 ± 1.32 cm/s, p < 0.001).
Lower local pressure pain thresholds were found in the osteoarthritis group (303.00 ± 68.00 vs. 415.00 ± 75.00 kPa, p < 0.001).
Proprioceptive error was moderately associated with sway velocity (r = 0.56, p < 0.001) and inversely with local pain thresholds (r = −0.50, p = 0.001).
Proprioceptive error and local pain sensitivity independently predicted balance performance.
Interpretation:
Limitations:
The study's cross-sectional design limits causal inferences.
Sample size may affect the generalizability of the findings.