[Electromyographic study of stretch reflexes in the normal and prosthetic hip].
OBJECTIVE
Several studies have been devoted to the effect of proprioception on joint function. Modifications in feedback control from the cord have been observed in unstable joints due to capsule and ligament laxity. A few studies have examined the effect of knee and hip arthroplasty on proprioception, but none have established whether stretch reflexes affect function of a prosthetic joint. The purpose of the present study was to demonstrate the electromyographic characteristics of stretch reflexes of the normal hip joint and to compare them with those observed in the prosthetic hip.


METHODS
Two groups of patients were studied. The first included eleven subjects free of neurological disorders whose studied limb was healthy. The second group included ten subjects with a total hip prosthesis who had undergone extensive capsulectomy during the arthroplasty. Voluntary muscle contraction was noted in each subject. In addition, electromyographic recordings were made to note response of the ipsilateral and contralateral quadriceps crural and tensor of the fascia lata during changes in joint position. Recordings were made with the subject in the supine position, the limb suspended, hip flexed at 45 degrees and knee extended. Three series of ten recordings were made in random order to measure the latency of muscle response to free fall of the limb, accelerated fall of the relaxed limb, and accelerated fall associated with calibrated contraction of the quadriceps. Mean latency of muscle response was calculated for each trial.


RESULTS
In the conditions of this study, there was no statistically significant difference (p = 0.05) in the reflex time course between natural and prosthetic hips.


CONCLUSIONS
Changes due to joint replacement and capsulectomy do not appear to affect the stretch reflexes of the hip joint.
Charrois
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Département de Chirurgie Orthopédique, Clinique Geoffroy-Saint-Hilaire, 59, rue Geoffroy-Saint-Hilaire, 75005 Paris. charrois@noos.fr
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Anract
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Maton
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Courpied
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D000368:Aged; D016022:Case-Control Studies; D004576:Electromyography; D005260:Female; D006622:Hip Prosthesis; D006801:Humans; D017746:Joint Capsule / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009119:Muscle Contraction / Q000502:physiology; D011187:Posture; D012026:Reflex, Stretch / Q000502:physiology*