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. 2024 Nov 25:12:1440393.
doi: 10.3389/fbioe.2024.1440393. eCollection 2024.

Biomechanical analysis of limits of stability using computerized posturography: correlations with functional mobility in elderly individuals with hip osteoarthritis - a cross-sectional study

Khalid A Alahmari  1 , Ravi Shankar Reddy  1
Affiliations

Biomechanical analysis of limits of stability using computerized posturography: correlations with functional mobility in elderly individuals with hip osteoarthritis - a cross-sectional study

Khalid A Alahmari et al. Front Bioeng Biotechnol. .

Abstract

Background: Hip osteoarthritis (OA) is a degenerative joint disease that predominantly affects the elderly, causing significant morbidity due to joint pain, stiffness, and loss of function. This study aimed to assess the limits of stability (LOS) using computerized posturography and evaluate the correlations with functional mobility in elderly individuals with hip OA.

Methods: This cross-sectional study included elderly individuals aged 65 years and above with a clinical diagnosis of hip OA and age-matched asymptomatic controls. The LOS was measured using a computerized dynamic posturography system, which quantified the maximum distance and angle participants could shift their center of gravity without losing balance. Functional mobility was assessed using the Timed Up and Go (TUG) test, which measures the time taken for participants to stand up, walk 3 m, turn around, walk back, and sit down.

Results: The study included 86 elderly individuals with hip OA and 86 age-matched asymptomatic controls. LOS assessments showed that individuals with hip OA had significantly lower stability scores across all directions compared to controls (p < 0.001). TUG test times were significantly slower for the OA group (10.50 ± 2.20 s) compared to controls (8.70 ± 2.00 s, p < 0.001). Positive correlations were found between LOS and functional mobility (r = 0.50, p = 0.009). Moderation analysis revealed that age and duration of OA significantly influenced the relationship between stability and mobility.

Conclusion: Hip OA significantly impacts stability and functional mobility in elderly individuals. Enhanced stability is associated with improved mobility, and demographic and clinical variables such as age and duration of OA play crucial roles in these relationships. These findings underscore the importance of targeted therapeutic interventions to improve stability and mobility in this population.

Keywords: elderly; functional mobility; hip osteoarthritis; limits of stability; posturography.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Evaluation of Stability Boundaries in eight directions, illustrated with panel showing the initial starting position and panel displaying the participant reaching a predetermined target, as seen in computerized posturography.
FIGURE 2
FIGURE 2
Association between stability limits and functional mobility in elderly individuals with hip osteoarthritis.
FIGURE 3
FIGURE 3
Moderation analysis of demographic and clinical variables affecting stability and mobility in elderly individuals with hip osteoarthritis.
See this image and copyright information in PMC

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