Premium
Relationship between physical impairments and movement patterns during gait in patients with end‐stage hip osteoarthritis
Author(s) -
Zeni, Joseph,
Pozzi Federico,
Abujaber Sumayah,
Miller Laura
Publication year - 2015
Publication title -
journal of orthopaedic research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.041
H-Index - 155
eISSN - 1554-527X
pISSN - 0736-0266
DOI - 10.1002/jor.22772
Subject(s) - pelvis , isometric exercise , range of motion , medicine , trunk , sagittal plane , osteoarthritis , physical medicine and rehabilitation , weakness , gait , physical therapy , muscle weakness , pelvic tilt , coronal plane , gait analysis , surgery , anatomy , ecology , alternative medicine , pathology , biology
Patients with hip osteoarthritis demonstrate limited range of motion, muscle weakness, and altered biomechanics; however, few studies have evaluated the relationships between physical impairments and movement asymmetries. The purpose of this study was to identify the physical impairments related to movement abnormalities in patients awaiting total hip arthroplasty. We hypothesized that muscle weakness and pain would be related to greater movement asymmetries. Fifty‐six subjects who were awaiting total hip arthroplasty were enrolled. Pain was assessed using a 0–10 scale, range of motion was assessed with the Harris Hip Score and isometric hip abductor strength was tested using a hand‐held dynamometer. Trunk, pelvis and hip angles and moments in the frontal and sagittal planes were measured during walking using three dimensional motion analysis. During gait, subjects had 3.49 degrees less peak hip flexion and 8.82 degrees less extension angles ( p < 0.001) and had 0.03 Nm/k*m less hip adduction moment on the affected side ( p = 0.043). Weaker hip muscles were related to greater pelvis ( r = −0.291) and trunk ( r = −0.332) rotations in the frontal plane. These findings suggest that hip weakness drives abnormal movement patterns at the pelvis and trunk in patients with hip osteoarthritis to a greater degree than hip pain. © 2014 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 33:???–???, 2015.