Characteristics Of Gait In Patients With Early Hip Osteoarthritis

Authors

Mai M. Kamel, National Institute of Neuro-Motor System, General Organization for Teaching Hospitals and Institutes, Giza, Egypt
Salwa M.A. Dahesh, Research Institute of Medical Entomology, General Organization for Teaching Hospitals and Institutes, Giza, Egypt
Amr M. Gamil, National Institute of Neuro-Motor System, General Organization for Teaching Hospitals and Institutes, Giza, Egypt
Ahmed A. Elatreby, National Institute of Neuro-Motor System, General Organization for Teaching Hospitals and Institutes, Giza, EgyptFollow

Article Type

Original Study

Subject Area

Rheumatology and Rehabilitation

Abstract

Background: Quantitative gait analysis is used to characterize the spatiotemporal parameters and sagittal plane hip kinematics in patients with early-stage unilateral hip osteoarthritis (OA) compared to healthy controls. Our aim was identifying gait changes that occur in the early stages of hip OA, before maladaptive patterns become fully established.

Patients and Methods: The study included thirty (30) patients with unilateral symptomatic painful hip OA and forty (40) healthy persons as the control group. Both groups underwent a plain x-ray of their hip joints, and the Kellgren and Lawrence (KL) radiographic classification system was used to assess the degree of hip OA. Spatiotemporal parameters and sagittal plane kinematic data of hip joint were obtained. In hip OA group, pain and functional performance were assessed using visual analogue scale (VAS) and Lequesense index respectively.

Results: Spatiotemporal gait parameters in hip OA group were characterized by highly significant reduction in cadence (P=0.008), walking speed (P=0.001) with highly significant increased stride time (P=0.001) than control group. Other parameters including double support, stride length and step width showed no statistically significant difference.

Also, in OA group the sagittal plane kinematic showed highly significant reduction in peak hip extension angle (P=0.001), with highly significant increased pelvic tilt (P=0.001) between both groups. Cadence, walking speed and stride time were significantly correlated with (VAS), (Lequesene index) and BMI.

Conclusion: Even in the earliest phases of hip OA, gait changes could be manifested. The early detection is an important goal to delay disease progression.

IRB Number

INM00046

Keywords

Hip, Biomechanics, Gait analysis, Lequesne index, VAS

Recommended Citation

Kamel, Mai M.; Dahesh, Salwa M.A.; Gamil, Amr M.; and Elatreby, Ahmed A. (2024) "Characteristics Of Gait In Patients With Early Hip Osteoarthritis," Journal of Medicine in Scientific Research: Vol. 8: Iss. 1, Article 8.
DOI: https://doi.org/10.59299/2537-0928.1419

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