Comparison of Gait Symmetry and Joint Moments in Unilateral and Bilateral Hip Osteoarthritis Patients and Healthy Controls

Patients with unilateral hip osteoarthritis show a characteristic gait pattern in which they unload the affected leg and overload the unaffected leg. Information on the gait characteristics of patients with bilateral hip osteoarthritis is very limited. The main purposes of this study were to investi...

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Autores principales:	S. van Drongelen, S. Braun, F. Stief, A. Meurer
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	hip osteoarthritis (hip OA) unilateral bilateral gait symmetry joint load Biotechnology TP248.13-248.65
Acceso en línea:	https://doaj.org/article/1419a2102822423a8fb5a2f0c23e6716
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spelling	oai:doaj.org-article:1419a2102822423a8fb5a2f0c23e67162021-11-04T05:57:25ZComparison of Gait Symmetry and Joint Moments in Unilateral and Bilateral Hip Osteoarthritis Patients and Healthy Controls2296-418510.3389/fbioe.2021.756460https://doaj.org/article/1419a2102822423a8fb5a2f0c23e67162021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fbioe.2021.756460/fullhttps://doaj.org/toc/2296-4185Patients with unilateral hip osteoarthritis show a characteristic gait pattern in which they unload the affected leg and overload the unaffected leg. Information on the gait characteristics of patients with bilateral hip osteoarthritis is very limited. The main purposes of this study were to investigate whether the gait pattern of both legs of patients with bilateral hip osteoarthritis deviates from healthy controls and whether bilateral hip osteoarthritis patients show a more symmetrical joint load compared to unilateral hip osteoarthritis patients. In this prospective study, 26 patients with bilateral hip osteoarthritis, 26 patients with unilateral hip osteoarthritis and 26 healthy controls were included. The three groups were matched for gender, age and walking speed. Patients were scheduled for a unilateral total hip arthroplasty on the more affected/more painful side. All participants underwent a three-dimensional gait analysis. Gait kinematics and gait kinetics of patients and controls were compared using Statistical Parametric Mapping. Corrected for speed, the gait kinematics and kinetics of both legs of patients with bilateral hip osteoarthritis differed from healthy controls. Bilateral patients had symmetrical knee joint loading, in contrast to the asymmetrical knee joint loading in unilateral hip osteoarthritis patients. The ipsilateral leg of the bilateral patients could be included in studies in addition to unilateral hip osteoarthritis patients as no differences were found. Although patients with bilateral hip osteoarthritis show more symmetrical frontal plane knee joint moments, a pathological external knee adduction moment in the second half of stance was present in the ipsilateral leg in patients with unilateral and bilateral hip osteoarthritis. The lateral adjustment of the knee adduction moment may initiate or accelerate progression of degenerative changes in the lateral compartment of the knee.S. van DrongelenS. BraunF. StiefA. MeurerFrontiers Media S.A.articlehip osteoarthritis (hip OA)unilateralbilateralgait symmetryjoint loadBiotechnologyTP248.13-248.65ENFrontiers in Bioengineering and Biotechnology, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hip osteoarthritis (hip OA) unilateral bilateral gait symmetry joint load Biotechnology TP248.13-248.65
spellingShingle	hip osteoarthritis (hip OA) unilateral bilateral gait symmetry joint load Biotechnology TP248.13-248.65 S. van Drongelen S. Braun F. Stief A. Meurer Comparison of Gait Symmetry and Joint Moments in Unilateral and Bilateral Hip Osteoarthritis Patients and Healthy Controls
description	Patients with unilateral hip osteoarthritis show a characteristic gait pattern in which they unload the affected leg and overload the unaffected leg. Information on the gait characteristics of patients with bilateral hip osteoarthritis is very limited. The main purposes of this study were to investigate whether the gait pattern of both legs of patients with bilateral hip osteoarthritis deviates from healthy controls and whether bilateral hip osteoarthritis patients show a more symmetrical joint load compared to unilateral hip osteoarthritis patients. In this prospective study, 26 patients with bilateral hip osteoarthritis, 26 patients with unilateral hip osteoarthritis and 26 healthy controls were included. The three groups were matched for gender, age and walking speed. Patients were scheduled for a unilateral total hip arthroplasty on the more affected/more painful side. All participants underwent a three-dimensional gait analysis. Gait kinematics and gait kinetics of patients and controls were compared using Statistical Parametric Mapping. Corrected for speed, the gait kinematics and kinetics of both legs of patients with bilateral hip osteoarthritis differed from healthy controls. Bilateral patients had symmetrical knee joint loading, in contrast to the asymmetrical knee joint loading in unilateral hip osteoarthritis patients. The ipsilateral leg of the bilateral patients could be included in studies in addition to unilateral hip osteoarthritis patients as no differences were found. Although patients with bilateral hip osteoarthritis show more symmetrical frontal plane knee joint moments, a pathological external knee adduction moment in the second half of stance was present in the ipsilateral leg in patients with unilateral and bilateral hip osteoarthritis. The lateral adjustment of the knee adduction moment may initiate or accelerate progression of degenerative changes in the lateral compartment of the knee.
format	article
author	S. van Drongelen S. Braun F. Stief A. Meurer
author_facet	S. van Drongelen S. Braun F. Stief A. Meurer
author_sort	S. van Drongelen
title	Comparison of Gait Symmetry and Joint Moments in Unilateral and Bilateral Hip Osteoarthritis Patients and Healthy Controls
title_short	Comparison of Gait Symmetry and Joint Moments in Unilateral and Bilateral Hip Osteoarthritis Patients and Healthy Controls
title_full	Comparison of Gait Symmetry and Joint Moments in Unilateral and Bilateral Hip Osteoarthritis Patients and Healthy Controls
title_fullStr	Comparison of Gait Symmetry and Joint Moments in Unilateral and Bilateral Hip Osteoarthritis Patients and Healthy Controls
title_full_unstemmed	Comparison of Gait Symmetry and Joint Moments in Unilateral and Bilateral Hip Osteoarthritis Patients and Healthy Controls
title_sort	comparison of gait symmetry and joint moments in unilateral and bilateral hip osteoarthritis patients and healthy controls
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/1419a2102822423a8fb5a2f0c23e6716
work_keys_str_mv	AT svandrongelen comparisonofgaitsymmetryandjointmomentsinunilateralandbilateralhiposteoarthritispatientsandhealthycontrols AT sbraun comparisonofgaitsymmetryandjointmomentsinunilateralandbilateralhiposteoarthritispatientsandhealthycontrols AT fstief comparisonofgaitsymmetryandjointmomentsinunilateralandbilateralhiposteoarthritispatientsandhealthycontrols AT ameurer comparisonofgaitsymmetryandjointmomentsinunilateralandbilateralhiposteoarthritispatientsandhealthycontrols
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Comparison of Gait Symmetry and Joint Moments in Unilateral and Bilateral Hip Osteoarthritis Patients and Healthy Controls

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