Logo image
Back
Stage-specific gait deviations in individuals with hip osteoarthritis
Journal article   Open access   Peer reviewed

Stage-specific gait deviations in individuals with hip osteoarthritis

Ransi S. S. Subasinghe Arachchige, Maria Constantinou, Yi Man Yeung, Xin He, Michael T. Y. Ong, Patrick S. H. Yung and Roy T. H. Cheung
Gait & posture, Vol.120, pp.226-233
07/2025
DOI: https://doi.org/10.1016/j.gaitpost.2025.04.025
PMID: 40288032
Appears in  Recent Faculty of Health Publications
pdf
Stage-specific gait deviations2.47 MBDownloadView
Published (Version of record)CC BY-NC-ND V4.0,  Open Access
url
Stage-specific gait deviationsView
Published (Version of record)CC BY-NC-ND V4.0,  Open

Related links

Metrics

1 File views/ downloads
5 Record Views
2 Times Cited - Web of Science

UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

Source: InCites

Abstract

walking hip osteoarthritis biomechanics
Objective: This cross-sectional study examined stage-specific biomechanical differences in individuals with hip osteoarthritis (OA) compared to healthy controls, aiming to identify markers of disease severity and progression. Methods: Thirty participants were categorised into three groups: healthy controls, radiographic early-to-moderate hip OA, and radiographic moderate-to-severe hip OA. Spatiotemporal, kinematic, and kinetic parameters were extracted and a one-way ANOVA was used to detect group differences. Spearman's rho correlations evaluated associations between key biomechanical parameters and the Hip Disability and Osteoarthritis Outcome Score (HOOS). Results: Participants with moderate-to-severe hip OA exhibited significantly lower gait speed (p < 0.001, Cohen's d = 2.08), cadence (p = 0.037, Cohen's d = 1.31), step length (p < 0.001, Cohen's d = 1.90), stride length (p < 0.001, Cohen's d = 1.99), early stance hip adduction moment (HAM) (p < 0.001, Cohen's d = 3.13), hip flexion moment (p < 0.001, Cohen's d = 3.42), hip extension moment (p = 0.016, Cohen's d = 1.35), and knee flexion moment (p = 0.012, Cohen's d = 1.52), alongside increased step width (p = 0.008, Cohen's d = -1.42), compared to healthy controls. Early-to-moderate hip OA participants also demonstrated significantly lower gait speed (p = 0.008, Cohen's d = 1.89), step length (p = 0.014, Cohen's d = 1.56), stride length (p = 0.008, Cohen's d = 1.72), early stance HAM (p = 0.044, Cohen's d = 1.09), and hip flexion moment (p < 0.001., Cohen's d = 2.93) relative to controls. Early stance HAM further distinguished between early and advanced stages of the disease (p = 0.016, Cohen's d = 1.25) and was positively correlated with HOOS (r = 0.604, p < 0.001). Conclusion: Distinct HAM differences in early stance of gait differentiate hip OA stages. Monitoring this potential biomechanical marker may enable early detection and targeted interventions to optimise gait mechanics and improve outcomes in individuals with hip OA.

Details

Logo image