Factors associated with restricted hip extension during gait in women after total hip arthroplasty

Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Rui TsukagoshiNoriaki Ichihashi

Abstract

A decreased peak hip extension angle in the late stance phase is a major gait abnormality in patients with THA. The purpose of this study was to determine the relationship between peak hip extension angle during gait and functional impairments such as muscle weakness and the limitation in joint range of motion and to identify the clinical factors influencing peak hip extension angle during gait. 67 female volunteers with THA were examined. Biomechanical gait analysis was performed to measure peak hip extension angle during gait. Maximal isometric strength of the hip and knee, passive hip extension range of motion, leg length discrepancy, and hip pain were assessed. Peak hip extension angle during gait significantly correlated with passive hip extension range of motion (r = 0.259), hip pain (r = -0.264), isometric strengths of the hip musculature (r = 0.278-0.491), and knee extensor (r = 0.386). Stepwise multiple regression analysis revealed that hip abductor torque (β = 0.355, P = 0.001), hip pain (β = -0.353, P = 0.001), and passive hip extension range of motion (β = 0.258, P = 0.011) were significant contributors to peak hip extension angle during gait (R2 = 0.408). Our findings suggest that THA rehabilitation aimed at improv...Continue Reading

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Citations

Jun 25, 2019·Sports Biomechanics·Shusuke NojiriNoriaki Ichihashi
Jan 8, 2020·Assistive Technology : the Official Journal of RESNA·Daisuke SetoguchiTakuaki Yamamoto
Feb 6, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Yun PengYoung-Min Kwon
Oct 19, 2016·American Journal of Physical Medicine & Rehabilitation·Yoshihiro FukumotoNoriaki Ichihashi

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Methods Mentioned

BETA
total hip arthroplasty

Software Mentioned

Vicon nexus
SPSS

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