Download or read book In Older Adults with Knee Osteoarthritis, Do Hip Strength and Range of Motion Impairments Affect Activity Limitations? written by Elizabeth Arpin and published by . This book was released on 2018 with total page 77 pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACT: Background: Osteoarthritis (OA) is a chronic degenerative disease involving the loss of articular cartilage from the joints, with knee OA being the most commonly affected joint. It is necessary to explore hip range of motion and strength in patients with knee OA, as they may be prognostic factors for activity limitations. The purpose of this review was to better understand the role of hip strength and range of motion impairments in activity limitations in patients with knee OA. Method: A comprehensive search of Medline Complete, CINAHL, Cochrane, and PubMed was conducted to find articles that examined the clinical question starting in October 2016. Each article was appraised for quality by 2 authors, according to pre-established appraisal checklists created for each study design. Results: The search resulted in 107 hits. After reading titles and abstracts and applying set inclusion and exclusion criteria, 7 articles were used to answer the clinical question. This included 1 systematic review of prognostic studies, 2 randomized clinical trial, 1 non-randomized clinical trial, 1 cross-sectional cohort study, 1 cohort study, and 1 prognostic study. Discussion/Conclusion: Based on the available evidence, decreased hip strength and range of motion are predictors for increased activity limitations in patients with knee OA. The clinical decision to implement a comprehensive treatment plan including hip strengthening and range of motion exercises is suggested for this patient to address and modify risk factors associated with increased activity limitations. However, further research is necessary to standardize baseline characteristics and understand the most beneficial intervention protocol.