The Use of Scoring Hip Osteoarthritis with MRI as an Assessment Tool for Physiotherapeutic Treatment in Patients with Osteoarthritis of the Hip
Rehabilitation programs are considered effective at reducing the impact of osteoarthritis (OA) of the hip; however, studies using reliable measures related to OA biomarkers to assess the effects of rehabilitation are lacking. The objective of this study was to investigate whether an MRI-based (Magne...
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MDPI AG
2021-12-01
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author | Agnieszka Lewińska Piotr Palczewski Krzysztof Piłat Andrzej Cieszanowski Witold Rongies |
author_facet | Agnieszka Lewińska Piotr Palczewski Krzysztof Piłat Andrzej Cieszanowski Witold Rongies |
author_sort | Agnieszka Lewińska |
collection | DOAJ |
description | Rehabilitation programs are considered effective at reducing the impact of osteoarthritis (OA) of the hip; however, studies using reliable measures related to OA biomarkers to assess the effects of rehabilitation are lacking. The objective of this study was to investigate whether an MRI-based (Magnetic Resonance Imaging-based), semi-quantitative system for an OA severity assessment is feasible for the evaluation of the structural changes in the joint observed during a long-term physiotherapy program in patients with hip OA. The study group consisted of 37 adult OA patients who participated in a 12-month physiotherapy program. The Scoring hip osteoarthritis with MRI (SHOMRI) system was used to evaluate the severity of structural changes related to hip OA. Hip disability and the osteoarthritis outcome score (HOOS) and the core set of performance-based tests recommended by Osteoarthritis Research Society International were used for functional assessment. SHOMRI showed excellent inter- and intra-rater agreement, proving to be a reliable method for the evaluation of hip abnormalities. At the 12-month follow-up no statistically significant changes were observed within the hip joint; however, a trend of structural progression was detected. There was a negative correlation between most of the SHOMRI and HOOS subscales at baseline and the 12-month follow-up. Although SHOMRI provides a reliable assessment of the hip joint in patients with OA it showed a limited value in detecting significant changes over time in the patients receiving physiotherapy over a 12-month period. |
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issn | 2077-0383 |
language | English |
last_indexed | 2024-03-10T03:36:35Z |
publishDate | 2021-12-01 |
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spelling | doaj.art-49cde61cd14549658e4fbb0534dcdecd2023-11-23T11:42:24ZengMDPI AGJournal of Clinical Medicine2077-03832021-12-011111710.3390/jcm11010017The Use of Scoring Hip Osteoarthritis with MRI as an Assessment Tool for Physiotherapeutic Treatment in Patients with Osteoarthritis of the HipAgnieszka Lewińska0Piotr Palczewski1Krzysztof Piłat2Andrzej Cieszanowski3Witold Rongies4Chair of Clinical Physiotherapy, Faculty of Rehabilitation, Jozef Pilsudski University of Physical Education in Warsaw, 00968 Warsaw, Poland1st Department of Clinical Radiology, Faculty of Medicine, Medical University of Warsaw, 02004 Warsaw, Poland1st Department of Clinical Radiology, Faculty of Medicine, Medical University of Warsaw, 02004 Warsaw, Poland2nd Department of Clinical Radiology, Faculty of Medicine, Medical University of Warsaw, 02097 Warsaw, PolandDepartment of Rehabilitation, Faculty of Medical Sciences, Medical University of Warsaw, 02109 Warsaw, PolandRehabilitation programs are considered effective at reducing the impact of osteoarthritis (OA) of the hip; however, studies using reliable measures related to OA biomarkers to assess the effects of rehabilitation are lacking. The objective of this study was to investigate whether an MRI-based (Magnetic Resonance Imaging-based), semi-quantitative system for an OA severity assessment is feasible for the evaluation of the structural changes in the joint observed during a long-term physiotherapy program in patients with hip OA. The study group consisted of 37 adult OA patients who participated in a 12-month physiotherapy program. The Scoring hip osteoarthritis with MRI (SHOMRI) system was used to evaluate the severity of structural changes related to hip OA. Hip disability and the osteoarthritis outcome score (HOOS) and the core set of performance-based tests recommended by Osteoarthritis Research Society International were used for functional assessment. SHOMRI showed excellent inter- and intra-rater agreement, proving to be a reliable method for the evaluation of hip abnormalities. At the 12-month follow-up no statistically significant changes were observed within the hip joint; however, a trend of structural progression was detected. There was a negative correlation between most of the SHOMRI and HOOS subscales at baseline and the 12-month follow-up. Although SHOMRI provides a reliable assessment of the hip joint in patients with OA it showed a limited value in detecting significant changes over time in the patients receiving physiotherapy over a 12-month period.https://www.mdpi.com/2077-0383/11/1/17SHOMRIMRIhiposteoarthritisphysiotherapy |
spellingShingle | Agnieszka Lewińska Piotr Palczewski Krzysztof Piłat Andrzej Cieszanowski Witold Rongies The Use of Scoring Hip Osteoarthritis with MRI as an Assessment Tool for Physiotherapeutic Treatment in Patients with Osteoarthritis of the Hip Journal of Clinical Medicine SHOMRI MRI hip osteoarthritis physiotherapy |
title | The Use of Scoring Hip Osteoarthritis with MRI as an Assessment Tool for Physiotherapeutic Treatment in Patients with Osteoarthritis of the Hip |
title_full | The Use of Scoring Hip Osteoarthritis with MRI as an Assessment Tool for Physiotherapeutic Treatment in Patients with Osteoarthritis of the Hip |
title_fullStr | The Use of Scoring Hip Osteoarthritis with MRI as an Assessment Tool for Physiotherapeutic Treatment in Patients with Osteoarthritis of the Hip |
title_full_unstemmed | The Use of Scoring Hip Osteoarthritis with MRI as an Assessment Tool for Physiotherapeutic Treatment in Patients with Osteoarthritis of the Hip |
title_short | The Use of Scoring Hip Osteoarthritis with MRI as an Assessment Tool for Physiotherapeutic Treatment in Patients with Osteoarthritis of the Hip |
title_sort | use of scoring hip osteoarthritis with mri as an assessment tool for physiotherapeutic treatment in patients with osteoarthritis of the hip |
topic | SHOMRI MRI hip osteoarthritis physiotherapy |
url | https://www.mdpi.com/2077-0383/11/1/17 |
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