Publications
Review of Methods for Evaluating Changes in the Tension and Properties of the Gluteus Medius Muscle (GMED) and the Tensor Fascia Latae (TFL) as a Result of Hip Osteoarthritis (HOA) and After Total Hip Arthroplasty (THA) – Could MyotonPRO Assessment Be the New Standard?
Authors: Agnieszka Posturzynska 1, Artur Lazorko 2, Bartosz Cukierman 3, Agnieszka Tomczyk-Warunek 1, Anna Winiarska 4, Tomasz Skrzypek 5, Magdalena Lis 5, Jaromir Jarecki 1
Affiliations:
- Department of Traumatology, Orthopedics and Rehabilitation, Medical University of Lublin, 20-954 Lublin, Poland
- Department of Orthopedics and Traumatology, Holy Family Hospital, 36-060 Glogow Malopolski, Poland
- Department of Trauma and Orthopedic Surgery, Independent Public Health Care Facility in Sokolka, St. Gen. Wl. Sikorskiego 40, 16-100 Sokolka, Poland
- Institute of Animal Nutrition and Bromatology, Department of Bromatology and Nutrition Physiology, University of Life Sciences in Lublin, Akademicka 13, 20-950 Lublin, Poland
- Department of Biomedicine and Environmental Research, Faculty of Medicine, John Paul II Catholic University of Lublin, 20-708 Lublin, Poland
Journal: Journal of Clinical Medicine - August 2025, Volume 14, Issue 17, Article no. 5982 (DOI: 10.3390/jcm14175982)
-
Field & Applications:
- Medical
- Treatment evaluation
- Orthopedics
- Musculoskeletal disorder
- Gerontology / Ageing
- Review
Myoton Clarification Note: A Guide to Interpreting the Inverse Relationship Between Logarithmic Decrement and Tissue Elasticity
Background/Objectives: Osteoarthritis (OA) is a condition affecting many joints, including the hip. The treatment of advanced hip osteoarthritis (HOA) involves total hip arthroplasty (THA). Atrophy of abductor muscles is often diagnosed in patients with HOA. This review presents a number of studies evaluating changes that occur in the gluteus medius (GMED) and tensor fasciae latae (TFL) as a result of HOA and THA. MyotonPRO is a portable and non-invasive device that allows for the assessment of muscle quality. This review aimed to collect studies assessing changes in GMED and TFL following HOA and THA and to determine whether MyotonPRO can be used for this assessment.
Methods: We conducted a comprehensive search of databases, including Google Scholar, Science Direct, and PubMed, for relevant articles published between 2012 and 2024. A total of 37 articles were included in our review. Qualified papers evaluated changes in the lower limb muscles, including TFL and GMED, as a result of HOA and THA using MyotonPRO and other methods.
Results: In this article, we emphasize the influence of the tested muscles on HOA and the postoperative course after THA using MyotonPRO. We have shown that MyotonPRO was used to assess muscle changes due to knee OA and GMED and TFL in other groups of patients.
Conclusions: This is the first review of the literature to indicate a new direction of research using MyotonPRO. The use of MyotonPRO will allow for the more detailed development of rehabilitation programs for patients with HOA and after THA.
Figure 1. Diagram of MyotonPRO work.
Keywords: MyotonPRO, gluteus medius muscle, tensor fasciae late, total hip arthroplasty, osteoarthritis, hip osteoarthritis
The information provided by the reviewed articles can contribute to the elucidation of GMED and TFL functions and their impact on both the performance of patients with HOA and the development of hip osteoarthritis. Research conducted in this field will reveal a potential effect of THA on the restoration of normal activity of abductor muscles and proper functioning of the hip joint. It should also be emphasized that no studies have assessed the biomechanical and viscoelastic properties of GMED and TFL using the MyotonPRO device in HOA-affected and THA-treated patients. Nevertheless, our work has indicated that MyotonPRO can be a valuable tool for assessing changes in GMED and TFL in various groups of patients and assessing other muscles in patients with KOA. However, it should be noted that studies using MyotonPRO are new and require further research focused on how to perform the examination and which muscles should be tested. It is also necessary to determine the time after THA when the MyotonPRO examination can be performed so that the results obtained during this examination will have a significant impact on the treatment of these patients. Extensive investigations of the use of MyotonPRO may help support the more precise development of rehabilitation programs for HOA-affected and THA-treated patients. The results of this research may help to delay the progression of osteoarthritis and promote a faster return to full functionality in patients undergoing total hip replacement.