Individuals with unilateral mild-to-moderate hip osteoarthritis exhibit lower limb kinematic asymmetry during walking but not sit-to-stand

Journal article


Higgs, Jeremy P., Diamond, Laura E., Saxby, David J., Constantinou, Maria and Barrett, Rod S.. (2021). Individuals with unilateral mild-to-moderate hip osteoarthritis exhibit lower limb kinematic asymmetry during walking but not sit-to-stand. Symmetry. 13(5), p. Article 768. https://doi.org/10.3390/sym13050768
AuthorsHiggs, Jeremy P., Diamond, Laura E., Saxby, David J., Constantinou, Maria and Barrett, Rod S.
Abstract

Asymmetry during gait is associated with the evolution of secondary osteoarthritis. Kinematic asymmetry has been reported in advanced stages of hip osteoarthritis but has not been evaluated in earlier stages of the disease or has it been directly compared with unilateral and bilateral hip osteoarthritis. Our objective was to evaluate within-group symmetry and compare between-group asymmetry for three-dimensional pelvis, hip, knee, and ankle kinematics during walking and sit-to-stand in individuals with unilateral mild-to-moderate hip OA, bilateral mild-to-moderate hip osteoarthritis, and healthy controls. Twelve individuals with unilateral mild-to-moderate hip OA, nine individuals with bilateral mild-to-moderate symptomatic and radiographic hip OA, and 21 age-comparable healthy controls underwent three-dimensional motion analysis during walking and sit-to-stand. Pelvis and lower limb joint angles were calculated using inverse kinematics and between-limb symmetry was assessed for each group. Any resulting asymmetries (most affected minus contralateral limb) were compared between groups. Participants with unilateral hip osteoarthritis exhibited significantly less hip extension (7.90°), knee flexion (4.72°), and anterior pelvic tilt (3.38°) on their affected limb compared with the contralateral limb during the stance phase of walking. Those with unilateral hip osteoarthritis were significantly more asymmetrical than controls for sagittal plane hip and pelvis angles. No significant asymmetries were detected within- or between-groups for sit-to-stand. Individuals with unilateral hip osteoarthritis exhibited lower limb asymmetries consistent with those reported in advanced stages of disease during walking, but not sit-to-stand. Consideration of the possible negative effects of gait asymmetry on the health of the affected and other compensating joints appears warranted in the management of hip OA.

Keywordsbiomechanics; gait; symmetry; motion analysis
Year2021
JournalSymmetry
Journal citation13 (5), p. Article 768
PublisherMultidisciplinary Digital Publishing Institute (MDPI AG)
ISSN2073-8994
Digital Object Identifier (DOI)https://doi.org/10.3390/sym13050768
Scopus EID2-s2.0-85105650317
Research or scholarlyResearch
Page range1-11
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online28 Apr 2021
Publication process dates
Accepted22 Apr 2021
Deposited17 Nov 2021
Permalink -

https://acuresearchbank.acu.edu.au/item/8x12y/individuals-with-unilateral-mild-to-moderate-hip-osteoarthritis-exhibit-lower-limb-kinematic-asymmetry-during-walking-but-not-sit-to-stand

Download files


Publisher's version
  • 72
    total views
  • 53
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Do the International Competencies of the Sports Physical Therapist need Updating?
Verschueren, Jo and Constantinou, Maria. (2023). Do the International Competencies of the Sports Physical Therapist need Updating? International Journal of Sports Physical Therapy. 18(6), pp. 1-4. https://doi.org/10.26603/001c.89666
Profiles of recruits entering army basic training in new zealand
Hall, Narelle, Constantinou, Maria, Brown, Mark, Beck, Belinda, Steele, Michael, Rousseau, Jacques and Kuys, Suzanne. (2022). Profiles of recruits entering army basic training in new zealand. Military Medicine. 188(7-8), p. 1895–1902. https://doi.org/10.1093/milmed/usac090
Sports injury prevention programmes from the sports physical therapist's perspective : An international expert Delphi approach
Mendonça, Luciana De Michelis, Schuermans, Joke, Denolf, Sander, Napier, Christopher, Bittencourt, Natália F. N., Romanuk, Andrés, Tak, Igor, Thorborg, Kristian, Bizzini, Mario, Ramponi, Carlo, Paterson, Colin, Hägglund, Martin, Malisoux, Laurent, Al Attar, Wesam Saleh A., Samukawa, Mina, Esteve, Ernest, Bakare, Ummkulthoum, Constantinou, Maria, Schneiders, Anthony, ... Witvrouw, Erik. (2022). Sports injury prevention programmes from the sports physical therapist's perspective : An international expert Delphi approach. Physical Therapy in Sport. 55, pp. 146-154. https://doi.org/10.1016/j.ptsp.2022.04.002
Effectiveness of gait retraining interventions in individuals with hip or knee osteoarthritis : A systematic review and meta-analysis
Rynne, Rebecca, Le Tong, Gia, Cheung, Roy and Constantinou, Maria. (2022). Effectiveness of gait retraining interventions in individuals with hip or knee osteoarthritis : A systematic review and meta-analysis. Gait and Posture. 95, pp. 164-175. https://doi.org/10.1016/j.gaitpost.2022.04.013
Prevalence of musculoskeletal injuries in New Zealand Army recruits as defined by Physical Therapy Service presentations
Hall, Narelle, Constantinou, Maria, Brown, Mark, Beck, Belinda and Kuys, Suzanne. (2021). Prevalence of musculoskeletal injuries in New Zealand Army recruits as defined by Physical Therapy Service presentations. Military Medicine. 187(1-2), pp. 174-181. https://doi.org/10.1093/milmed/usab186
The effects of McConnell patellofemoral joint and tibial internal rotation limitation taping techniques in people with Patellofemoral pain syndrome
Clifford, A. M., Dillon, S., Hartigan, K., O’Leary, H. and Constantinou, M.. (2020). The effects of McConnell patellofemoral joint and tibial internal rotation limitation taping techniques in people with Patellofemoral pain syndrome. Gait & Posture. 82, pp. 266-272. https://doi.org/10.1016/j.gaitpost.2020.09.010
Individuals with mild-to-moderate hip osteoarthritis walk with lower hip joint contact forces despite higher levels of muscle co-contraction compared to healthy individuals
L.E. Diamond, H.X. Hoang, R.S. Barrett, A. Loureiro, M. Constantinou, D.G. Lloyd and C. Pizzolato. (2020). Individuals with mild-to-moderate hip osteoarthritis walk with lower hip joint contact forces despite higher levels of muscle co-contraction compared to healthy individuals. Osteoarthritis and Cartilage. 28(7), pp. 924-931. https://doi.org/10.1016/j.joca.2020.04.008
A 12-month prospective exploratory study of muscle and fat characteristics in individuals with mild-to-moderate hip osteoarthritis
Loureiro, Aderson, Constantinou, Maria, Beck, Belinda, Barrett, Rod S. and Diamond, Laura E.. (2019). A 12-month prospective exploratory study of muscle and fat characteristics in individuals with mild-to-moderate hip osteoarthritis. BMC Musculoskeletal Disorders. 20(283), pp. 1 - 9. https://doi.org/10.1186/s12891-019-2668-z
Individuals with mild-to-moderate hip osteoarthritis exhibit altered pelvis and hip kinematics during sit-to-stand
Higgs, Jeremy P., Saxby, David J., Constantinou, Maria, Loureiro, Aderson, Hoang, Hoa, Diamond, Laura E. and Barrett, Rod S.. (2019). Individuals with mild-to-moderate hip osteoarthritis exhibit altered pelvis and hip kinematics during sit-to-stand. Gait & Posture. 71, pp. 267 - 272. https://doi.org/10.1016/j.gaitpost.2019.05.008
Individuals with mild-to-moderate hip osteoarthritis have lower limb muscle strength and volume deficits
Loureiro, Aderson, Constantinou, Maria, Diamond, Laura E., Beck, Belinda R. and Barrett, Rod. (2018). Individuals with mild-to-moderate hip osteoarthritis have lower limb muscle strength and volume deficits. BMC Musculoskeletal Disorders. 19(1), pp. 1 - 9. https://doi.org/10.1186/s12891-018-2230-4
Hip joint mechanics during walking in individuals with mild-to-moderate hip osteoarthritis
Constantinou, Maria, Loureiro, Aderson, Carty, Christopher, Mills, Peter and Barrett, Rod. (2017). Hip joint mechanics during walking in individuals with mild-to-moderate hip osteoarthritis. Gait & Posture. 53, pp. 162 - 167. https://doi.org/10.1016/j.gaitpost.2017.01.017
Hip joint contact loads in older adults during recovery from forward loss of balance by stepping
Constantinou, Maria, Graham, David F., Modenese, Luca, Trewartha, Grant, Carty, Christopher P., Lloyd, David G. and Barrett, Rod S.. (2016). Hip joint contact loads in older adults during recovery from forward loss of balance by stepping. Journal of Biomechanics. 49(13), pp. 2619 - 2624. https://doi.org/10.1016/j.jbiomech.2016.05.033
Spatial-temporal gait characteristics in individuals with hip osteoarthritis: A systematic literature review and meta-analysis
Constantinou, Maria, Barrett, Rod, Brown, Mark and Mills, Peter. (2014). Spatial-temporal gait characteristics in individuals with hip osteoarthritis: A systematic literature review and meta-analysis. Journal of Orthopaedic and Sports Physical Therapy. 44(4), pp. 291 - 303. https://doi.org/10.2519/jospt.2014.4634
Spatial-temporal gait characteristics in individuals with hip osteoarthritis: A systematic literature review and meta- analysis
Constantinou, Maria, Barrett, Rod, Brown, Mark and Mills, Peter. (2014). Spatial-temporal gait characteristics in individuals with hip osteoarthritis: A systematic literature review and meta- analysis. Journal of Orthopaedic and Sports Physical Therapy. 44(4), pp. 291 - 303. https://doi.org/10.2519/jospt.2014.4634
Physiotherapy students find guided journals useful to develop reflective thinking and practice during their first clinical placement : A qualitative study
Constantinou, Maria and Kuys, Suzanne. (2013). Physiotherapy students find guided journals useful to develop reflective thinking and practice during their first clinical placement : A qualitative study. Physiotherapy (print). 99(1), pp. 49 - 55. https://doi.org/10.1016/j.physio.2011.12.002
Therapeutic taping for musculoskeletal conditions
Constantinou, Maria. (2010). Therapeutic taping for musculoskeletal conditions Elsevier Australia.
Differential diagnosis of a soft tissue mass in the calf
Constantinou, Maria and Vicenzino, Bill. (2005). Differential diagnosis of a soft tissue mass in the calf. Journal of Orthopaedic and Sports Physical Therapy. 35(2), pp. 88 - 94. https://doi.org/10.2519/jospt.2005.0814
Traumatic tear of tibialis anterior during a Gaelic football game: a case report
Constantinou, Maria and Wilson, Amanda. (2004). Traumatic tear of tibialis anterior during a Gaelic football game: a case report. British Journal of Sports Medicine. 38(6), pp. 1 - 3. https://doi.org/10.1136/bjsm.2003.007625