LOWER LIMB BIOMECHANICAL ADAPTATIONS TO TOTAL HIP ARTHROPLASTY EXIST DURING SITTING AND STANDING TASKS

Abstract

The purpose of this study was to determine the effect of total hip arthroplasty (THA) on lower limb mechanics during the tasks of sit-to-stand and stand-to-sit. Twenty THA patients and 20 control participants performed three trials of sit-to-stand and stand-to-sit. Three-dimensional (3D) hip, knee and ankle angles were calculated. Forces, moments and powers were obtained with an inverse dynamics approach. THA patients exhibited lower joint forces and moments, as well as lower hip flexion and higher abduction angles, near seat-on and seat-off. These results indicate that THA patients were able to adopt a strategy that allowed them to reduce loading at the operated lower limb joints. Although such a strategy may be desirable given that higher loads can increase friction and accelerate wear of the prosthesis, reduced loading may be an indication of inadequate muscle strength that needs to be addressed.