Interaction between activity and movement control during one-leg standing in parameters of bone strength in patients with hip fractures—a cross-sectional study

Author:

Umehara Takuya1ORCID,Kaneguchi Akinori1,Watanabe Keita2,Katayama Nobuhisa2,Kuwahara Daisuke3,Kaneyashiki Ryo3,Kito Nobuhiro1,Kakehashi Masayuki4

Affiliation:

1. Department of Rehabilitation, Faculty of Rehabilitation, Hiroshima International University, Higashi-Hiroshima, Hiroshima, Japan

2. Department of Rehabilitation, Kure Kyosai Hospital, Kure, Hiroshima, Japan

3. Department of Rehabilitation, Saiseikai Kure Hospital, Kure, Hiroshima, Japan

4. Department of Health Informatics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima Minami-ku, Hiroshima, Japan

Abstract

Background/Purpose We aimed to investigate whether there is an interaction between life-space assessment (LSA) and movement control during one-leg standing on bone strength on the non-fractured side in patients with hip fracture. Methods Two-way analysis of variance (ANOVA) was applied for osteoporosis parameter to examine the interaction and main effects of LSA and movement control during one-leg standing. Results Two-way ANOVA revealed significant interaction and main effects of LSA and movement control during one-leg standing on bone mineral density (BMD) and Z-score. In parameters of hip structural analysis (HSA), the interaction and main effect of movement control during one-leg standing were detected only in cross-sectional area (CSA). Conclusion The results of this study suggest that both high LSA and good movement control during one-leg standing are necessary to maintain or improve some parameters of bone strength, such as BMD (neck and total hip), Z-score (neck and total hip), and CSA.

Publisher

SAGE Publications

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Orthopedics and Sports Medicine

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