Gender features of functional state of musculoskeletal system in patients with coxarthrosis

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Purpose of the study - a comparative quantitative evaluation of regional circulation state, the degree of reducing femoral and leg contractility, as well as gait disorders in male and female patients with coxarthrosis. Material and methods. The patients with stages 1, 2, and 3 coxarthrosis were examined. The mean age of female group was 47±0.7 years, that of male one - 37±1,4 years, the number of observations was 314 and 99 persons, respectively. Arterial blood pressure (ABP), locomotion rate and the increase in heart rate during walking were determined in the patients, as well as walking time parameters, distribution of foot part loading statically and dynamically (DiaSled-Scan complex), the maximum moment of strength of femoral and leg anterior and posterior muscle groups. Linear blood flow rate in magistral arteries was determined by Doppler ultrasonography. Laser Doppler flowmetry of skin anterior surface of the leg middle third, and the dorsal surface of both limb feet (BLF-21 device of Transonic Systems, uSA) was used for capillary blood flow evaluation. Results. More rapid age-related increase in ABP and decrease in capillary blood flow rate in limb skin integuments for Stage 2 and 3 of the disease were observed in female patients above 45 years. As for Stage 3 of the disease in female patients, the maximum load of the foot support (bearing) surface when standing and walking was reduced. Limb muscle strength in female patients is twice lower than that in male patients. As far as the disease progressed, more rapid decrease in the contractility of femoral muscles was noted compared to that of the leg. The compensatory increase in muscle strength of the leg was observed for Stage 1 of the disease and after the performed complex conservative treatment. Walking speed in the patients decreased with their age increasing, and the pulse value of locomotion increased with the disease stage increasing. Conclusion. More frequent involvement of the hip in women may be partially explained by the increase in the relative number of the gender representatives in the older age groups. Hypertension in female patients with coxarthrosis is a compensatory response related to microcirculation aggravation in limb tissues, the dynamometric parameters of femoral muscles in female patients are much lower, and the load of foot support surface is less.

About the authors

V. A. Shchurov

Russian Ilizarov Scientific Center “Restorative Traumatology and Orthopaedics”

Author for correspondence.
Russian Federation

I. P. Gaidyshev

Russian Ilizarov Scientific Center “Restorative Traumatology and Orthopaedics”

Russian Federation

N. V. Sazonova

Russian Ilizarov Scientific Center “Restorative Traumatology and Orthopaedics”

Russian Federation


  1. Алексеева Л.И. Факторы риска при остеоартрозе. Научно-практическая ревматология. 2000; (2):36-45.
  2. Гайдышев И.П. Анализ и обработка данных: специальный справочник. СПб.: Питер; 2001. 752 с.
  3. Гурьев В.В., Зоря В.И., Склянчук Е.Д. Особенности диагностики начальной стадии коксартроза. Вестник экспериментальной и клинической хирургии. 2011; 4(2):298-304.
  4. Пшетаховский И.Л. Артрозы: клиника, диагностика, лечение и реабилитация. Одесса: Астропринт; 2004. 287 с.
  5. Рогозникова К.А. Остеоартроз. Как сохранить подвижность суставов. СПб.: Весь; 2006. 128 с.
  6. Свешников А.А. Проблема остеопении и остеоророза в остеологии. Фундаментальные исследования. 2012; 8-1:231-235.
  7. Щуров В.А., Долганова Т.И., Щурова Е.Н., Горбачева Л.Ю. Анализ факторов, определяющих обьёмную скорость кровотока голени при лечении заболеваний конечностей по Илизарову. Травматология и ортопедия России. 1994; (2):91-95.
  8. Щуров В.А. Методика оценки сократительной способности мышц голени у больных женского пола с заболеваниями опорно-двигательной системы. Гений ортопедии. 2003; (3):72-75.
  9. Щуров В.А., Сазонова Н.В. Патогенез возрастного увеличения артериального давления у больных с остеоартрозом. Физиология человека. 2009; 35(5): 83-87.
  10. Benke G., Sim M., Fritschi L., Aldred G. Beyond the job exposure matrix (JEM): the task exposure matrix (TEM). Ann Occup Hyg. 2000; 44:475-482.
  11. Da Costa B.R., Vieira E.R. Risk factors for work-related musculoskeletal disorders: A systematic review of recent longitudinal studies. Am J Ind Med. 2010; 53:285-323.
  12. Felson D.T., Lawrence R.C., Dieppe P.A., Hirsch R., Helmick C.G. et al. Osteoarthritis: new insights. Part 1: the disease and its risk factors. Ann Int Med. 2000; 133:635-646.
  13. Jensen L.K. Hip osteoarthritis: influence of work with heavy lifting, climbing stairs or ladders, or combining kneeling/squatting with heavy lifting. Occup Environ Med. 2008; 65:6-19.
  14. Kellgren J.A., Lawrence J.S. Osteoarthritis and disk degeneration in an urban population. Ann Rheum Dis. 1958; 17:388-397.
  15. Lawrence R.C. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the united State. Arthr Rheum. 1998; 41(5):778-799.
  16. Merx H., Dreinhofer K.E., Gunther K.P. Socioeconomic relevance of osteoarthritis in Germany. Z Orthop Unfall. 2007; 145:421-429.
  17. Riyazi N., Rosendaal F.R., Slagboom E., Kroon H.M., Breedveld F.C. et al. Risk factors in familial osteoarthritis: the GARP sibling study. Osteoarthritis Cartilage. 2008; 16:654-659.
  18. Rossignol M., Leclerc A., Hilliquin P., Allaert F.A., Rozenberg S. et al. Primary osteoarthritis and occupations: a national cross sectional survey of 10412 symptomatic patients. Occup Environ Med. 2003; 60:882-886.
  19. Schmitt H., Brocai D.R., Lukoschek M. High prevalence of hip arthrosis in former elite javelin throwers and high jumpers: 41 athletes examined more than 10 years after retirement from competitive sports. Acta Orthop Scand. 2004; 75:34-39.
  20. Sun Y., Brenner H., Sauerland S., Gunther K., Puhl al. Serum uric acid and patterns of radiographic osteoarthritis. ulm Osteoarthritis Study. Scand. J Rheumatol. 2000; 29:380-386.
  21. Symmons D., Mathers C., Pfleger B. Global burden of osteoarthritis in the year 2000. In: Global burden of diseases. WHO, 2006.
  22. Vingard E., Alfredsson L., Malchau H. Lifestyle factors and hip arthrosis. A case referent study of body mass index, smoking and hormone therapy in 503 Swedish women. Acta Orthop Scand. 1997; 68:216-220.
  23. Zhang Y., Jordan J.M. Epidemiology of osteoarthritis. Rheum Dis Clin North Am. 2008; 34:515-529.

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