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Gait asymmetries in unilateral symptomatic hip osteoarthritis and their association with radiographic severity and pain.

Authors :
Farkas GJ
Schlink BR
Fogg LF
Foucher KC
Wimmer MA
Shakoor N
Source :
Hip international : the journal of clinical and experimental research on hip pathology and therapy [Hip Int] 2019 Mar; Vol. 29 (2), pp. 209-214. Date of Electronic Publication: 2018 May 07.
Publication Year :
2019

Abstract

Introduction:: Little is known about the loading patterns in unilateral hip osteoarthritis (OA) and their relationship to radiographic severity and pain. We aimed to examine the loading patterns at the hips of those with unilateral symptomatic hip OA and identify associations between radiographic severity and pain with loading alterations.<br />Methods:: 61 subjects with symptomatic unilateral hip OA underwent gait analyses and evaluation for radiographic severity (Kellgren-Lawrence [KL]-grade) and pain (visual analogue scale) at bilateral hips.<br />Results:: Hip OA subjects had greater range of motion and higher hip flexion, adduction, internal and external rotation moments at the contralateral, asymptomatic hip compared to the ipsilateral hip ( p < 0.05). Correlations were noted between increasing KL-grade and increasing asymmetry of contralateral to ipsilateral hip loading ( p < 0.05). There were no relationships with pain and loading asymmetry.<br />Discussion:: Unilateral symptomatic hip OA subjects demonstrate asymmetry in loading between the hips, with relatively greater loads at the contralateral hip. These loading asymmetries were directly related to the radiographic severity of symptomatic hip OA and not with pain.<br />Conclusion:: Additional research is needed to determine the role of gait asymmetries in disease progression.

Details

Language :
English
ISSN :
1724-6067
Volume :
29
Issue :
2
Database :
MEDLINE
Journal :
Hip international : the journal of clinical and experimental research on hip pathology and therapy
Publication Type :
Academic Journal
Accession number :
29734841
Full Text :
https://doi.org/10.1177/1120700018773433