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Published (Version of record)CC BY V4.0, Open Access
Published (Version of record)CC BY V4.0, Open
Journal article
Differences in Temporal Spatial Gait Characteristics Between People With and Without Hip Osteoarthritis: A Systematic Review With Meta-analysis
JOSPT Open, Vol.1(1), pp.16-33
07/2023
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Abstract
Objective: To provide updated evidence regarding temporal spatial gait deviations in people with hip osteoarthritis.
Design: Etiology systematic review with meta-analysis
Literature Search: Five databases were searched from March 2013 to June 2023.
Study Selection Criteria: Eligible studies included original research comparing 1 or more temporal spatial gait parameters between affected and contralateral limb in unilateral hip osteoarthritis.
Data Synthesis: Data were synthesized using random-effects meta-analysis. Study quality was assessed using a modified Downs and Black assessment. Data were extracted and analyzed for 8 temporal spatial gait parameters.
Results: We included 33 studies. Individuals with hip osteoarthritis walked 22% slower than healthy controls (−0.26 m/s; 95% confidence interval [CI]: −0.32, −0.2; P<.001) with longer stance duration (+0.86% of gait cycle; 95% CI: 0.06, 1.65; P = .03). Subgroup analysis indicated a similar reduction in walking speed in individuals with severe hip osteoarthritis (−0.27 m/s; 95% CI: −0.34, −0.21; P<.001) and less of a reduction in people with early to moderate hip osteoarthritis (−0.16 m/s; 95% CI: −0.24, −0.08; P = .02). Stance duration was longer in people with early to moderate hip osteoarthritis (+1.51% of gait cycle; 95% CI: 1.05, 1.97; P = .02) but less evident in people with severe hip osteoarthritis (+0.7% of gait cycle; 95% CI: −0.32, 1.72; P = .15).
Conclusion: Slower walking speed and longer stance duration may be a characteristic in individuals with hip osteoarthritis and a distinguishing factor within the various stages of the disease. Further investigation may encourage the use of gait analysis as a clinically accessible tool to monitor disease progression.
Details
- Title
- Differences in Temporal Spatial Gait Characteristics Between People With and Without Hip Osteoarthritis: A Systematic Review With Meta-analysis
- Creators
- Ashleigh Baily - Western Sydney UniversityRansi S.S. Subasinghe Arachchige - Western Sydney UniversityMaria Constantinou - Australian Catholic UniversityRoy T.H. Cheung - Western Sydney University
- Publication Details
- JOSPT Open, Vol.1(1), pp.16-33
- Publisher
- JOSPT Inc
- Number of pages
- 18
- Identifiers
- 991013334425602368
- Copyright
- © 2023 The Authors.
- Academic Unit
- Allied Health and Midwifery; Faculty of Health
- Language
- English
- Resource Type
- Journal article