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Research data strongly suggest that osteoarthritis of the hip occurs statistically more often on the right side. A possible contributing factor to this right-sided bias in frequency may be that the articular cartilage on the right hip is subjected to relatively higher muscular-based forces throughout a lifetime. As an initial attempt to study this possibility, this research examined healthy persons to determine the existence of a "dominant" hip similar to that expressed for handedness. Electromyographic (EMG) analysis was used to compare the electrical activity between the right and left hip abductor muscles during a standardized standing work task using 40 right-handed and 40 left-handed healthy subjects. Analysis of the data showed that the hip muscle on the side of the subject's handedness produced higher normalized EMG activity than did the opposite hip; however, the differences were not all statistically significant. The trend of this data set, however, warrants further research into a possible association between hip dominance, asymmetrical muscle use, and the development of hip osteoarthritis.
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Neumann et al. (1990) studied this question.
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