Assessment of indicators of range of motion and strength of individual muscle groups in children with consequences of hip dysplasia

Purpose: to determine the features of functional disorders of the hip joints, formed as a result of dysplasia in preschool children. Material and methods: 131 children of preschool age (average age 5,6 ± 0,5 years) participated in the research, which was conducted during 2014-2019. Participants wer...

Full description

Bibliographic Details
Main Authors: Anna Rudenko, Yurij Liannoi, Oleksandr Zviriaka
Format: Article
Language:English
Published: Kharkiv State Academy of Physical Culture 2020-06-01
Series:Слобожанський науково-спортивний вісник
Subjects:
Online Access:http://journals.uran.ua/index.php/1991-0177/article/view/214056/215095
_version_ 1811267975631601664
author Anna Rudenko
Yurij Liannoi
Oleksandr Zviriaka
author_facet Anna Rudenko
Yurij Liannoi
Oleksandr Zviriaka
author_sort Anna Rudenko
collection DOAJ
description Purpose: to determine the features of functional disorders of the hip joints, formed as a result of dysplasia in preschool children. Material and methods: 131 children of preschool age (average age 5,6 ± 0,5 years) participated in the research, which was conducted during 2014-2019. Participants were divided into two main groups: the main group (MG, n = 68) – children with a history of developmental hip dysplasia (DDH) (identified by the analysis of medical records) and a comparison group (CG, n = 63) – children without hip joint disorders. To evaluate the results, we used the method of strain dynamometry (manual muscle tester with a mechanical force sensor «EXPANDER”) and the method of goniometry. Research results: the research results of electrotensodynamic measurements of lower extremities muscles in children of MG indicate a significant decrease in the strength of the muscles-abductors of the thigh (m. gluteus medius, m. gluteus minimus, m. tensor fasciae latae) of the injured limb relatively intact (intact – 85,8 ± 6,8 and affected 54,5 ± 4,9 (( ± S), (p ≤ 0,05)) and hypertonicity of the thigh- adductor muscles (m. gracilis, m. adductor longus, m. adductor brevis) from the affected limb relative to the intact limb (intact – 68,2 ± 4,4, affected – 95,8 ± 4,1, ( ± S), (p ≤ 0,05). The research of the indicators of tensodynamometry of children with DDH revealed a strong direct correlation between the state of the muscular system and the development of the adduction contracture of the hip joint (correlation coefficient between the strength indicators of the muscles-abductors of the thigh and the amplitude of abduction (r = 0,7 (strong straight ligament, p <0,05)). Conclusions: tensodynamometric examination of the muscles revealed a decrease in the tone of the abductor muscles of the thigh, biceps femoris, m. semitendinosus, m. semimembranosus, m. quadriceps femoris, m. sartorius. The result of the functional activity of the muscles is the formation of a torsion-valgus deformity of the hip joint, which requires a step-by-step individual implementation of rehabilitation and corrective interventions.
first_indexed 2024-04-12T21:13:37Z
format Article
id doaj.art-2f621a0e9d9349a9bd46a8c005829f8b
institution Directory Open Access Journal
issn 1991-0177
1999-818X
language English
last_indexed 2024-04-12T21:13:37Z
publishDate 2020-06-01
publisher Kharkiv State Academy of Physical Culture
record_format Article
series Слобожанський науково-спортивний вісник
spelling doaj.art-2f621a0e9d9349a9bd46a8c005829f8b2022-12-22T03:16:32ZengKharkiv State Academy of Physical CultureСлобожанський науково-спортивний вісник1991-01771999-818X2020-06-0147851010.15391/snsv.2020-4.001Assessment of indicators of range of motion and strength of individual muscle groups in children with consequences of hip dysplasiaAnna Rudenko0https://orcid.org/0000-0001-5428-6305Yurij Liannoi1https://orcid.org/0000-0002-3498-3960Oleksandr Zviriaka2https://orcid.org/0000-0001-8618-9665Sumy State Pedagogical University named after A. S. MakarenkoSumy State Pedagogical University named after A. S. MakarenkoSumy State Pedagogical University named after A. S. MakarenkoPurpose: to determine the features of functional disorders of the hip joints, formed as a result of dysplasia in preschool children. Material and methods: 131 children of preschool age (average age 5,6 ± 0,5 years) participated in the research, which was conducted during 2014-2019. Participants were divided into two main groups: the main group (MG, n = 68) – children with a history of developmental hip dysplasia (DDH) (identified by the analysis of medical records) and a comparison group (CG, n = 63) – children without hip joint disorders. To evaluate the results, we used the method of strain dynamometry (manual muscle tester with a mechanical force sensor «EXPANDER”) and the method of goniometry. Research results: the research results of electrotensodynamic measurements of lower extremities muscles in children of MG indicate a significant decrease in the strength of the muscles-abductors of the thigh (m. gluteus medius, m. gluteus minimus, m. tensor fasciae latae) of the injured limb relatively intact (intact – 85,8 ± 6,8 and affected 54,5 ± 4,9 (( ± S), (p ≤ 0,05)) and hypertonicity of the thigh- adductor muscles (m. gracilis, m. adductor longus, m. adductor brevis) from the affected limb relative to the intact limb (intact – 68,2 ± 4,4, affected – 95,8 ± 4,1, ( ± S), (p ≤ 0,05). The research of the indicators of tensodynamometry of children with DDH revealed a strong direct correlation between the state of the muscular system and the development of the adduction contracture of the hip joint (correlation coefficient between the strength indicators of the muscles-abductors of the thigh and the amplitude of abduction (r = 0,7 (strong straight ligament, p <0,05)). Conclusions: tensodynamometric examination of the muscles revealed a decrease in the tone of the abductor muscles of the thigh, biceps femoris, m. semitendinosus, m. semimembranosus, m. quadriceps femoris, m. sartorius. The result of the functional activity of the muscles is the formation of a torsion-valgus deformity of the hip joint, which requires a step-by-step individual implementation of rehabilitation and corrective interventions.http://journals.uran.ua/index.php/1991-0177/article/view/214056/215095dysplasia of the hip joints
spellingShingle Anna Rudenko
Yurij Liannoi
Oleksandr Zviriaka
Assessment of indicators of range of motion and strength of individual muscle groups in children with consequences of hip dysplasia
Слобожанський науково-спортивний вісник
dysplasia of the hip joints
title Assessment of indicators of range of motion and strength of individual muscle groups in children with consequences of hip dysplasia
title_full Assessment of indicators of range of motion and strength of individual muscle groups in children with consequences of hip dysplasia
title_fullStr Assessment of indicators of range of motion and strength of individual muscle groups in children with consequences of hip dysplasia
title_full_unstemmed Assessment of indicators of range of motion and strength of individual muscle groups in children with consequences of hip dysplasia
title_short Assessment of indicators of range of motion and strength of individual muscle groups in children with consequences of hip dysplasia
title_sort assessment of indicators of range of motion and strength of individual muscle groups in children with consequences of hip dysplasia
topic dysplasia of the hip joints
url http://journals.uran.ua/index.php/1991-0177/article/view/214056/215095
work_keys_str_mv AT annarudenko assessmentofindicatorsofrangeofmotionandstrengthofindividualmusclegroupsinchildrenwithconsequencesofhipdysplasia
AT yurijliannoi assessmentofindicatorsofrangeofmotionandstrengthofindividualmusclegroupsinchildrenwithconsequencesofhipdysplasia
AT oleksandrzviriaka assessmentofindicatorsofrangeofmotionandstrengthofindividualmusclegroupsinchildrenwithconsequencesofhipdysplasia