title: Hip abductor strength in people with knee osteoarthritis: A cross-sectional study of reliability and association with function.
abstract: BACKGROUND
  To investigate the clinical importance of hip abductor (HA) strength in people with knee osteoarthritis (OA), the purposes of this study were to 1) compare the association of HA strength and physical function to that of knee extensor (KE) strength and physical function, and 2) determine the reliability of the assessment of HA strength using a hand-held dynamometer.
  
  
  METHODS
  Thirty-five individuals [58 years standard deviation 10 years old] with knee osteoarthritis participated. Physical function was assessed with performance-based [Get-Up and Go (GUG), stair climb and descent (SC), and five times chair rise (CR)] and self-reported (WOMAC function) measures. The relationship between strength and function was assessed using bivariate correlation and hierarchical multiple regression models. Reliability across sessions was assessed in 25 subjects.
  
  
  RESULTS
  In the bivariate models, both KE and HA strength were both significantly associated with performance-based measures of function, but not WOMAC function. After controlling for anthropometric factors and KE strength in the hierarchical models, HA made significant independent contributions to the prediction of GUG and SC, but not CR or WOMAC function. The reliability of HA strength was excellent (ICC2, 3=0.94; 95% CI=0.86-0.97), while the minimum detectable change (MDC95) was 0.29Nm/kg (95% CI=0.23-0.41).
  
  
  CONCLUSIONS
  HA strength can be reliably measured and is closely associated with functional performance in people with knee OA.
  
  
  CONCLUSIONS
  These results provide preliminary evidence suggesting that HA strength may be an important rehabilitation target for the conservative management of knee OA.
authors.affiliation: Department of Rehabilitation Sciences, University of Toledo, 2801 W. Bancroft Street, MS #119, Toledo, OH 43606-3390, USA. Electronic address: michael.tevald@utoledo.edu.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Tevald
authors.affiliation: Department of Rehabilitation Sciences, University of Toledo, 2801 W. Bancroft Street, MS #119, Toledo, OH 43606-3390, USA. Electronic address: Amanda.murray@ucdenver.edu.
authors.forename: Amanda
authors.initials: A
authors.lastname: Murray
authors.affiliation: Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, 209 Fetzer Hall, CB#8700, Chapel Hill, NC 27599-8700, USA. Electronic address: bluc@live.unc.edu.
authors.forename: Brittney A
authors.initials: BA
authors.lastname: Luc
authors.affiliation: Department of Orthopaedic Surgery, University of Toledo Orthopaedic Center, Health Science Campus, 125 Hospital Drive, MS 1094, Toledo OH 43614, USA. Electronic address: Kafai.lai@utoledo.edu.
authors.forename: Kafai
authors.initials: K
authors.lastname: Lai
authors.affiliation: Department of Orthopaedic Surgery, University of Toledo Orthopaedic Center, Health Science Campus, 125 Hospital Drive, MS 1094, Toledo OH 43614, USA. Electronic address: David.sohn@utoledo.edu.
authors.forename: David
authors.initials: D
authors.lastname: Sohn
authors.affiliation: Department of Exercise and Sport Science, University of North Carolina at Chapel Hill, 209 Fetzer Hall, CB#8700, Chapel Hill, NC 27599-8700, USA. Electronic address: pietrosi@email.unc.edu.
authors.forename: Brian
authors.initials: B
authors.lastname: Pietrosimone
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D005544:Forecasting; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D053580:Muscle Strength / Q000502:physiology*; D018482:Muscle, Skeletal / Q000503:physiopathology*; D020370:Osteoarthritis, Knee / Q000503:physiopathology*; D015203:Reproducibility of Results; D012189:Retrospective Studies
keywords: Arthritis; Gluteus medius; Quadriceps