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Association between movement control during one-leg standing and femoral BMD in patients with hip fractures

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Abstract

Introduction

Prior studies have focused only on the temporal component of one-leg standing, no reports have examined the relationship between the qualitative components of one-leg standing and femoral BMD. Thus, this study investigated whether quality (i.e., movement control) of one-leg standing also associated femoral BMD.

Materials and methods

A total of 80 patients with unilateral hip fracture were included in a cross-sectional study. Basic and medical information and physical functions including movement control during one-leg standing were assessed at admission and 2 weeks after surgery, respectively. Hierarchical multiple regression analysis was performed to identify predictors of femoral BMDs on the non-fractured side. Dependent variables included femoral neck and total hip BMDs in models 1 and 2, respectively.

Results

Hierarchical multiple regression analysis (standardized partial regression coefficients) in model 1 identified age (− 0.18), sex (0.38), body mass index (BMI) (0.41), movement control during one-leg standing on the non-fractured side (0.19), and life-space assessment (0.17) as factors associating femoral neck BMD. Meanwhile, hierarchical multiple regression analysis (standardized partial regression coefficients) in model 2 identified age (− 0.12), sex (0.36), BMI (0.37), and movement control during one-leg standing on the non-fractured side (0.25) as factors associating total hip BMD. The coefficients of determination adjusted for degrees of freedom (R2) were 0.529 and 0.470 for models 1 and 2, respectively.

Conclusion

Our results suggest that improving movement control during one-leg standing may be important for maintaining and improving femoral BMD on the non-fractured side.

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Acknowledgements

We thank Matsumoto K, Masudome K, Ito N, Kinoshita Y, Tao Y, Higaki N, Yoneda S (Kure Kyosai Hospital, Kure, Japan) for their support in data collection.

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Authors and Affiliations

  1. Department of Rehabilitation, Faculty of Rehabilitation, Hiroshima International University, Kurose-Gakuendai 555-36, Higashi-Hiroshima, Hiroshima, Japan

    Takuya Umehara, Akinori Kaneguchi & Nobuhiro Kito

  2. Department of Rehabilitation, Saiseikai Kure Hospital, Sanjo 2-1-13, Kure, Hiroshima, 737-0821, Japan

    Takuya Umehara, Ayaka Inukai, Daisuke Kuwahara & Ryo Kaneyashiki

  3. Department of Rehabilitation, Kure Kyosai Hospital, Nishichuo 2-3-28, Kure, Hiroshima, Japan

    Keita Watanabe

  4. Department of Orthopedics, Saiseikai Kure Hospital, Sanjo 2-1-13, Kure, Hiroshima, Japan

    Naoyuki Mizuno

  5. Department of Neuromechanics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3, Hiroshima Minami-ku, Hiroshima, Japan

    Yoshitaka Iwamoto

  6. Department of Health Informatics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3, Hiroshima Minami-ku, Hiroshima, Japan

    Masayuki Kakehashi

Authors
  1. Takuya Umehara
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  2. Akinori Kaneguchi
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  10. Masayuki Kakehashi
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Contributions

All authors contributed to the conception and design of the study. Material preparation and analysis were performed by TU, AK, and YI. The first draft of the manuscript was written by TU, and all authors commented on previous versions of the manuscript. MK and NK supervised and reviewed the manuscript. Data collection were performed by KW, AI, DK, and RK. NM assisted with the Bone Mineral Density and bone metabolic markers. All authors read and approved the final submitted manuscript.

Corresponding author

Correspondence to Takuya Umehara.

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Umehara, T., Kaneguchi, A., Watanabe, K. et al. Association between movement control during one-leg standing and femoral BMD in patients with hip fractures. J Bone Miner Metab 39, 474–483 (2021). https://doi.org/10.1007/s00774-020-01185-z

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  • DOI: https://doi.org/10.1007/s00774-020-01185-z

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