The relationship between muscle power, functional performance, accelerometer-based measurement of physical activity and patient-reported outcomes in patients with hip osteoarthritis:: A cross-sectional study

Frederik Nicolai Foldager; Peter Bo Jørgensen; Lisa Cecilie Urup Reimer; Emil Toft Petersen; Stig Storgaard Jakobsen; Dovydas Vainorius; Morten Homilius; Torben Bæk Hansen; Maiken Stilling; Inger Mechlenburg

doi:10.1016/j.msksp.2022.102678

The relationship between muscle power, functional performance, accelerometer-based measurement of physical activity and patient-reported outcomes in patients with hip osteoarthritis: A cross-sectional study

Frederik Nicolai Foldager^*, Peter Bo Jørgensen, Lisa Cecilie Urup Reimer, Emil Toft Petersen, Stig Storgaard Jakobsen, Dovydas Vainorius, Morten Homilius, Torben Bæk Hansen, Maiken Stilling, Inger Mechlenburg

^*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

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Abstract

Background: Patients with unilateral hip osteoarthritis appear to have between-leg differences in leg extension power (LEP). The Nottingham Leg Extensor Power Rig provides reliable and valid results but requires sensitive equipment. It would be relevant to identify measures closely associated with this test. Objective: (i) To investigate if LEP is lower in the affected leg compared to the non-affected leg. Furthermore, to investigate the associations between LEP and the measures: (ii) Functional performance, (iii) accelerometer-based measurement of physical activity and (iv) patient-reported outcome measures (PROM). Design: Cross-sectional study including 60 patients (30 men, 30 women) with hip osteoarthritis scheduled for hip replacement. Method: The counter movement jump and 10-m sprint tests were used to determine functional performance, accelerometer-sensors were used to determine physical activity and the Copenhagen Hip and Groin Outcome Score (HAGOS) was used to determine PROM. Results: (i) LEP in the affected leg corresponded to 79% [95% CI 74%; 85%] of the non-affected leg, (ii) LEP was positively associated with functional performance tests (β 0.63 to 0.78, p < 0.05), (iii) positively associated although non-significantly with physical activity (β 0.16 to 0.23, p > 0.05) and (iv) positively associated with the six HAGOS subscales (β 0.25 to 0.54, p < 0.05). Conclusion: Functional performance tests may be used as feasible, inexpensive and fast ways to assess LEP in clinical settings. These results may suggest that interventions aimed at improving LEP can improve functional performance and PROM, but not physical activity. Future research is needed to confirm the causality of these cross-sectional findings. The clinical trial registration numbers: Danish Data Protection Agency (1-16-02-640-14), ClinicalTrials.gov (NTC02301182) and approved by the Danish Biomedical Research Ethics Committee (1-10-72- 343-14) prior to data collection.

Original language	English
Article number	102678
Journal	Musculoskeletal Science and Practice
Volume	62
Number of pages	8
ISSN	2468-7812
DOIs	https://doi.org/10.1016/j.msksp.2022.102678
Publication status	Published - Dec 2022

Keywords

Functional performance [MeSH]
Hip and groin pain
Hip osteoarthritis [MeSH]
Leg extension power
Physical activity [MeSH]

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Foldager, F. N., Jørgensen, P. B., Reimer, L. C. U., Petersen, E. T., Jakobsen, S. S., Vainorius, D., Homilius, M., Hansen, T. B., Stilling, M., & Mechlenburg, I. (2022). The relationship between muscle power, functional performance, accelerometer-based measurement of physical activity and patient-reported outcomes in patients with hip osteoarthritis: A cross-sectional study. Musculoskeletal Science and Practice, 62, Article 102678. https://doi.org/10.1016/j.msksp.2022.102678

@article{3a7a4d1cb41f42d6bcb2f949421317b2,

title = "The relationship between muscle power, functional performance, accelerometer-based measurement of physical activity and patient-reported outcomes in patients with hip osteoarthritis:: A cross-sectional study",

abstract = "Background: Patients with unilateral hip osteoarthritis appear to have between-leg differences in leg extension power (LEP). The Nottingham Leg Extensor Power Rig provides reliable and valid results but requires sensitive equipment. It would be relevant to identify measures closely associated with this test. Objective: (i) To investigate if LEP is lower in the affected leg compared to the non-affected leg. Furthermore, to investigate the associations between LEP and the measures: (ii) Functional performance, (iii) accelerometer-based measurement of physical activity and (iv) patient-reported outcome measures (PROM). Design: Cross-sectional study including 60 patients (30 men, 30 women) with hip osteoarthritis scheduled for hip replacement. Method: The counter movement jump and 10-m sprint tests were used to determine functional performance, accelerometer-sensors were used to determine physical activity and the Copenhagen Hip and Groin Outcome Score (HAGOS) was used to determine PROM. Results: (i) LEP in the affected leg corresponded to 79% [95% CI 74%; 85%] of the non-affected leg, (ii) LEP was positively associated with functional performance tests (β 0.63 to 0.78, p < 0.05), (iii) positively associated although non-significantly with physical activity (β 0.16 to 0.23, p > 0.05) and (iv) positively associated with the six HAGOS subscales (β 0.25 to 0.54, p < 0.05). Conclusion: Functional performance tests may be used as feasible, inexpensive and fast ways to assess LEP in clinical settings. These results may suggest that interventions aimed at improving LEP can improve functional performance and PROM, but not physical activity. Future research is needed to confirm the causality of these cross-sectional findings. The clinical trial registration numbers: Danish Data Protection Agency (1-16-02-640-14), ClinicalTrials.gov (NTC02301182) and approved by the Danish Biomedical Research Ethics Committee (1-10-72- 343-14) prior to data collection.",

keywords = "Hip osteoarthritis, Hip and groin pain, Leg extension power, Physical activity, Functional performance, Functional performance [MeSH], Hip and groin pain, Hip osteoarthritis [MeSH], Leg extension power, Physical activity [MeSH]",

author = "Foldager, {Frederik Nicolai} and J{\o}rgensen, {Peter Bo} and Reimer, {Lisa Cecilie Urup} and Petersen, {Emil Toft} and Jakobsen, {Stig Storgaard} and Dovydas Vainorius and Morten Homilius and Hansen, {Torben B{\ae}k} and Maiken Stilling and Inger Mechlenburg",

year = "2022",

month = dec,

doi = "10.1016/j.msksp.2022.102678",

language = "English",

volume = "62",

journal = "Musculoskeletal Science and Practice",

issn = "2468-7812",

publisher = "Elsevier",

}

Foldager, FN , Jørgensen, PB , Reimer, LCU , Petersen, ET , Jakobsen, SS, Vainorius, D, Homilius, M , Hansen, TB , Stilling, M & Mechlenburg, I 2022, 'The relationship between muscle power, functional performance, accelerometer-based measurement of physical activity and patient-reported outcomes in patients with hip osteoarthritis: A cross-sectional study', Musculoskeletal Science and Practice, vol. 62, 102678. https://doi.org/10.1016/j.msksp.2022.102678

The relationship between muscle power, functional performance, accelerometer-based measurement of physical activity and patient-reported outcomes in patients with hip osteoarthritis: A cross-sectional study. / Foldager, Frederik Nicolai ; Jørgensen, Peter Bo ; Reimer, Lisa Cecilie Urup et al.
In: Musculoskeletal Science and Practice, Vol. 62, 102678, 12.2022.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - The relationship between muscle power, functional performance, accelerometer-based measurement of physical activity and patient-reported outcomes in patients with hip osteoarthritis:

T2 - A cross-sectional study

AU - Foldager, Frederik Nicolai

AU - Jørgensen, Peter Bo

AU - Reimer, Lisa Cecilie Urup

AU - Petersen, Emil Toft

AU - Jakobsen, Stig Storgaard

AU - Vainorius, Dovydas

AU - Homilius, Morten

AU - Hansen, Torben Bæk

AU - Stilling, Maiken

AU - Mechlenburg, Inger

PY - 2022/12

Y1 - 2022/12

N2 - Background: Patients with unilateral hip osteoarthritis appear to have between-leg differences in leg extension power (LEP). The Nottingham Leg Extensor Power Rig provides reliable and valid results but requires sensitive equipment. It would be relevant to identify measures closely associated with this test. Objective: (i) To investigate if LEP is lower in the affected leg compared to the non-affected leg. Furthermore, to investigate the associations between LEP and the measures: (ii) Functional performance, (iii) accelerometer-based measurement of physical activity and (iv) patient-reported outcome measures (PROM). Design: Cross-sectional study including 60 patients (30 men, 30 women) with hip osteoarthritis scheduled for hip replacement. Method: The counter movement jump and 10-m sprint tests were used to determine functional performance, accelerometer-sensors were used to determine physical activity and the Copenhagen Hip and Groin Outcome Score (HAGOS) was used to determine PROM. Results: (i) LEP in the affected leg corresponded to 79% [95% CI 74%; 85%] of the non-affected leg, (ii) LEP was positively associated with functional performance tests (β 0.63 to 0.78, p < 0.05), (iii) positively associated although non-significantly with physical activity (β 0.16 to 0.23, p > 0.05) and (iv) positively associated with the six HAGOS subscales (β 0.25 to 0.54, p < 0.05). Conclusion: Functional performance tests may be used as feasible, inexpensive and fast ways to assess LEP in clinical settings. These results may suggest that interventions aimed at improving LEP can improve functional performance and PROM, but not physical activity. Future research is needed to confirm the causality of these cross-sectional findings. The clinical trial registration numbers: Danish Data Protection Agency (1-16-02-640-14), ClinicalTrials.gov (NTC02301182) and approved by the Danish Biomedical Research Ethics Committee (1-10-72- 343-14) prior to data collection.

AB - Background: Patients with unilateral hip osteoarthritis appear to have between-leg differences in leg extension power (LEP). The Nottingham Leg Extensor Power Rig provides reliable and valid results but requires sensitive equipment. It would be relevant to identify measures closely associated with this test. Objective: (i) To investigate if LEP is lower in the affected leg compared to the non-affected leg. Furthermore, to investigate the associations between LEP and the measures: (ii) Functional performance, (iii) accelerometer-based measurement of physical activity and (iv) patient-reported outcome measures (PROM). Design: Cross-sectional study including 60 patients (30 men, 30 women) with hip osteoarthritis scheduled for hip replacement. Method: The counter movement jump and 10-m sprint tests were used to determine functional performance, accelerometer-sensors were used to determine physical activity and the Copenhagen Hip and Groin Outcome Score (HAGOS) was used to determine PROM. Results: (i) LEP in the affected leg corresponded to 79% [95% CI 74%; 85%] of the non-affected leg, (ii) LEP was positively associated with functional performance tests (β 0.63 to 0.78, p < 0.05), (iii) positively associated although non-significantly with physical activity (β 0.16 to 0.23, p > 0.05) and (iv) positively associated with the six HAGOS subscales (β 0.25 to 0.54, p < 0.05). Conclusion: Functional performance tests may be used as feasible, inexpensive and fast ways to assess LEP in clinical settings. These results may suggest that interventions aimed at improving LEP can improve functional performance and PROM, but not physical activity. Future research is needed to confirm the causality of these cross-sectional findings. The clinical trial registration numbers: Danish Data Protection Agency (1-16-02-640-14), ClinicalTrials.gov (NTC02301182) and approved by the Danish Biomedical Research Ethics Committee (1-10-72- 343-14) prior to data collection.

KW - Hip osteoarthritis

KW - Hip and groin pain

KW - Leg extension power

KW - Physical activity

KW - Functional performance

KW - Functional performance [MeSH]

KW - Hip and groin pain

KW - Hip osteoarthritis [MeSH]

KW - Leg extension power

KW - Physical activity [MeSH]

U2 - 10.1016/j.msksp.2022.102678

DO - 10.1016/j.msksp.2022.102678

M3 - Journal article

C2 - 36335851

SN - 2468-7812

VL - 62

JO - Musculoskeletal Science and Practice

JF - Musculoskeletal Science and Practice

M1 - 102678

ER -

Foldager FN , Jørgensen PB , Reimer LCU , Petersen ET , Jakobsen SS, Vainorius D et al. The relationship between muscle power, functional performance, accelerometer-based measurement of physical activity and patient-reported outcomes in patients with hip osteoarthritis: A cross-sectional study. Musculoskeletal Science and Practice. 2022 Dec;62:102678. doi: 10.1016/j.msksp.2022.102678