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
Gait Differences in the Non-affected Limb Among People With Mild-To-Moderate Unilateral Hip Osteoarthritis: A Prospective Study With 12 Months Follow-upView
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.
Details
Title
Gait Differences in the Non-affected Limb Among People With Mild-to-Moderate Unilateral Hip Osteoarthritis: A Prospective Study With 12 Months Follow-up
Creators
Ransi S.S Subasinghe Arachchige - Western Sydney University
Joseph Kim - Western Sydney University
Maria Constantinou - Southern Cross University
Roy T.H. Cheung - Western Sydney University
Publication Details
JOSPT Open, Vol.2(4), pp.322-331
Publisher
Journal of Orthopaedic & Sports Physical Therapy, Inc.
Identifiers
991013224113702368
Copyright
(c) The Authors. Published by JOSPT Inc. d/b/a Movement Science Media.
Original content from this work may be used under the terms of the Creative Commons Attribution 4.0 License.
Academic Unit
Faculty of Health
Language
English
Resource Type
Journal article
Gait Differences in the Non-affected Limb Among People With Mild-To-Moderate Unilateral Hip Osteoarthritis: A Prospective Study With 12 Months Follow-up