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j.artd.2021.10.008.pdf | 990.41 kB | Adobe PDF | 見る/開く |
タイトル: | Discrepancy in the Responsiveness to Hip Range of Motion Between Harris and Oxford Hip Scores |
著者: | Kawai, Toshiyuki Goto, Koji Kuroda, Yutaka https://orcid.org/0000-0003-0746-0280 (unconfirmed) Okuzu, Yaichiro Matsuda, Shuichi |
著者名の別形: | 河井, 利之 後藤, 公志 黒田, 隆 奥津, 弥一郎 松田, 秀一 |
キーワード: | Total hip arthroplasty Range of motion Leg lengthening Leg length discrepancy |
発行日: | Feb-2022 |
出版者: | Elsevier BV The American Association of Hip and Knee Surgeons |
誌名: | Arthroplasty Today |
巻: | 13 |
開始ページ: | 157 |
終了ページ: | 164 |
抄録: | Background: The primary objectives of total hip arthroplasty (THA) include mobility improvement and pain relief; however, the correlation between hip range of motion (ROM) and function remains unclear. We aimed to explore how ROM affects hip functions after THA and compare the responsiveness of each component of the modified Harris Hip Score (mHHS) and Oxford Hip Score (OHS) to preoperative and postoperative ROM. Methods: This prospective observational study involved 120 patients who underwent unilateral THA. Univariate regression analyses were performed using the University of California Los Angeles activity score and mHHS and OHS to determine the effects of preoperative and postoperative flex ROM on clinical scores at 12 months. Multivariate regressions were performed to adjust for the confounding effects of patient factors: age, sex, body mass index, and diagnosis. Results: A larger preoperative flexion ROM was associated with a higher score in the mHHS socks component (standardized coefficient [SC] = 0.26, P = .0041) at 12 months; the effect on the OHS socks component was not significant (P = .34). A larger flexion ROM at 12 months was associated with higher scores in the mHHS support (SC = 0.21, P = .026), stairs (SC = 0.35, P = .0002), and socks (SC = 0.32, P = .0007) components but had no significant effect on any OHS component. The effects of ROM on University of California Los Angeles activity score were limited. Conclusions: A discrepancy was noted in the responsiveness to ROM between the two major measurement tools; this difference might be because mHHS and OHS are surgeon- and patient-administered questionnaires, respectively. This discrepancy also suggests that the patients have higher satisfaction than that assumed by the surgeons. |
著作権等: | © 2021 The Authors. Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons. e Surgeons. This is an open access article under the CC BY license. |
URI: | http://hdl.handle.net/2433/278357 |
DOI(出版社版): | 10.1016/j.artd.2021.10.008 |
PubMed ID: | 35097171 |
出現コレクション: | 学術雑誌掲載論文等 |
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