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Spatial-temporal gait characteristics in individuals with hip osteoarthritis: A systematic literature review and meta- analysis
Constantinou, Maria Barrett, Rod Brown, Mark Mills, Peter
Constantinou, Maria
Barrett, Rod
Brown, Mark
Mills, Peter
Abstract
Study Design: Systematic literature review and meta-analysis. Objective: To systematically review and critically evaluate the literature to determine how basic gait characteristics are altered in individuals with hip osteoarthritis ( OA ). Background: Hip OA is a progressive musculoskeletal condition that leads to pain, stiffness, and functional limitation in activities such as walking. Understanding gait dysfunction in people with hip OA may contribute to more effective management of the disease. Methods: Eleven electronic research databases were searched. Studies comparing basic gait parameters in individuals with hip OA to healthy controls and the affected to the contralateral limb of individuals with hip OA were included. The studies were critically appraised for methodological quality. Available data were extracted, and meta-analysis was performed, with standardized effect sizes ( Cohen d ) and corresponding 95% confidence intervals computed for gait speed, cadence, step and stride length, stance, swing and double-stance duration, and step width. Results: The final analysis included 30 articles. Self-selected gait speed was 26% slower in individuals with hip OA relative to controls, which was explained by shorter stride length. Consistent evidence was found for greater asymmetry in individuals with hip OA than controls, with shorter step length and stance duration in the affected compared to the contralateral limb. Conclusion: Individuals with hip OA walk at a slower speed and exhibit greater gait asymmetry than controls. Gait speed and asymmetry can be readily assessed clinically and represent a simple way of objectively evaluating gait dysfunction and monitoring treatment progress in individuals with hip.
Keywords
ambulation, gait speed, step, stride, walking
Date
2014
Type
Journal article
Journal
Journal of Orthopaedic and Sports Physical Therapy
Book
Volume
44
Issue
4
Page Range
291-303
Article Number
ACU Department
School of Allied Health
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled