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Examination of passive ROM and capsular patterns in the hip
Swedish National Defence College, Department of Leadership and Management (ILM).ORCID iD: 0000-0001-8274-6065
2003 (English)In: Physiotherapy Research International, ISSN 1358-2267, E-ISSN 1471-2865, Vol. 8, no 1, 1-12 p.Article in journal (Refereed) Published
Abstract [en]

Background and Purpose

The present study was conducted to examine passive hip range of motion (PROM) for patients with hip dysfunction, including pain, with or without hip osteoarthritis, to arrange and describe PROM patterns and to count the number of hips presenting Cyriax's and Kaltenborn's capsular patterns.

Method

The study is theory-testing, observational, cross-sectional and descriptive. One hundred and sixty-eight patients (mean age 61.7 years, range 36–90 years), 50 with no hip osteoarthritis, 77 with unilateral hip osteoarthritis and 41 with bilateral osteoarthritis, based on radiological reports, were consecutively recruited by physicians in primary health care and orthopaedic settings. One examiner tested PROM bilaterally, by use of a goniometer and a standardized protocol. PROM limitations were calculated by comparing norms from the symptom-free hips (n = 100) in the study, from Kaltenborn and, in patients with unilateral hip osteoarthritis (n = 77), from the non-osteoarthritis hip. The limitations were arranged by size in PROM patterns. The patterns and the numbers of hips with patterns corresponding to Cyriax's and Kaltenborn's capsular patterns were counted.

Results

Between 68 and 138 PROM patterns were identified by use of different PROM norms for defining limitations. Few osteoarthritis hips showed Cyriax's capsular pattern and none Kaltenborn's capsular pattern.

Conclusions

The concept of capsular pattern for the hip should be re-examined. No support was found in the present study for its existence. It is impossible to anticipate radiological evidence of hip osteoarthritis from the multitude of PROM patterns. Every patient should be regarded as unique.

Place, publisher, year, edition, pages
2003. Vol. 8, no 1, 1-12 p.
Keyword [en]
capsular pattern, osteoarthritis, hip, passive range of motion (PROM)
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:fhs:diva-2993DOI: 10.1002/pri.267OAI: oai:DiVA.org:fhs-2993DiVA: diva2:574298
Available from: 2012-12-05 Created: 2012-12-05 Last updated: 2017-01-04Bibliographically approved

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CiteExportLink to record
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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
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  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
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  • Other locale
More languages
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