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Gait Differences in the Non-affected Limb Among People With Mild-to-Moderate Unilateral Hip Osteoarthritis: A Prospective Study With 12 Months Follow-up
Journal article   Open access   Peer reviewed

Gait Differences in the Non-affected Limb Among People With Mild-to-Moderate Unilateral Hip Osteoarthritis: A Prospective Study With 12 Months Follow-up

Ransi S.S Subasinghe Arachchige, Joseph Kim, Maria Constantinou and Roy T.H. Cheung
JOSPT Open, Vol.2(4), pp.322-331
10/2024
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Gait Differences in the Non-affected Limb Among People With Mild-To-Moderate Unilateral Hip Osteoarthritis: A Prospective Study With 12 Months Follow-upView
Published (Version of record)CC BY V4.0 Open

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Abstract

temporospatial kinematics kinetics walking progression
Objective: To identify progressive biomechanical changes in temporospatial, kinematic, and kinetic parameters of the non-affected limb during gait in individuals with mild-to-moderate unilateral hip osteoarthritis over 12 months. Design: Prospective case-control study. Methods: 12 participants with mild-to-moderate unilateral hip osteoarthritis and 12 healthy controls underwent gait analysis twice, 12 months apart. Both time and group effects on the biomechanical variables in the non-affected limb of hip osteoarthritis were compared. Results: At 12-month follow-up, the non-affected limb of the hip osteoarthritis group exhibited increased double limb support time (p=0.048, Cohen’s d=0.64) and reduced knee flexion during swing (p=0.034; Cohen’s d=−0.70). Compared to the controls, the hip osteoarthritis group exhibited reduced gait speed at 12-month follow-up (p=0.009; Cohen’s d=−1.19), knee adduction moment at baseline (p=0.013; Cohen’s d=−1.10) and 12-month follow-up (p=0.005; Cohen’s d=−1.27), and an increase in double limb support time at 12-month follow-up (p=0.013; Cohen’s d=1.11). Conclusions: Biomechanical deviations during walking, such as temporospatial and kinematic parameters of the non-affected limb, may indicate compensatory strategies in individuals with unilateral hip osteoarthritis.

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