Hip biomechanics during gait

The Journal of Orthopaedic and Sports Physical Therapy
David E KrebsR W Mann

Abstract

The literature is devoid of complete descriptions of hip biomechanics during gait. We present for the first time simultaneously acquired in vivo acetabular contact pressures, ground reaction forces, kinematics, hip torques, and electromyographic (EMG) activity during gait with and without a cane from an 85-year-old male with a left instrumented femoral head prosthesis. Highest acetabular contact pressures occurred in all gait trials at the posterosuperior acetabulum, just prior to peak EMG, adductor torque, and ground reaction force during late stance phase. Contralateral cane use reduced both peak acetabular contact pressure and gluteus medius EMG but not adductor torque or ground reaction force. These data identify a small area of high acetabular and femoral head stress that could occur during each of a human's millions of gait cycles annually and indicate that muscle activity, rather than solely body weight, drives hip loading, Clinicians who desire to limit hip loads should reduce both hip muscle contraction and weight bearing in late stance.

References

Oct 1, 1992·Physical Therapy·E M StricklandR W Mann
Jun 1, 1992·American Journal of Physical Medicine & Rehabilitation·M M VargoJ J Nicholas
Apr 1, 1991·Physical Therapy·D E KrebsR W Mann
Oct 1, 1986·Archives of Physical Medicine and Rehabilitation·B G Edwards
May 1, 1973·Clinical Orthopaedics and Related Research·N Rydell
Jul 1, 1974·IEEE Transactions on Bio-medical Engineering·C E CarlsonW H Harris
May 1, 1994·The Journal of Orthopaedic and Sports Physical Therapy·D A Neumann, A D Hase
Aug 1, 1993·Journal of Biomechanics·G BergmannA Rohlmann

❮ Previous
Next ❯

Citations

Aug 7, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Cecilia SignorelliStefano Zaffagnini
Jan 11, 2012·Current Reviews in Musculoskeletal Medicine·Scott SiverlingPeter Moley
Apr 17, 2002·Journal of Biomechanics·Robert W Mann
Feb 21, 2002·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Robert W Mann
Apr 23, 2008·The Clinical Journal of Pain·Celeste M Hancock, Cheryl Riegger-Krugh
Jul 16, 2002·Annals of the Rheumatic Diseases·K J SimsS G Brauer
Dec 11, 2008·The Journal of Manual & Manipulative Therapy·Howard MakofskyRay Sileo
Mar 18, 2008·Journal of Athletic Training·Ashley M HansonChristopher J Hirth
Oct 5, 2010·Manual Therapy·Alison Grimaldi
Dec 18, 2002·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Joseph FettoAlex Moroz
Aug 4, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Karl F BowmanJon K Sekiya
Jul 25, 2009·PM & R : the Journal of Injury, Function, and Rehabilitation·Dixie R AragakiMeika A Fang
Jul 9, 2008·Journal of Biomechanics·Cara L Lewis, Daniel P Ferris
Jan 1, 2008·Annales de réadaptation et de médecine physique : revue scientifique de la Société française de rééducation fonctionnelle de réadaptation et de médecine physique·A TemfemoS Ahmaidi
Jun 10, 2004·Arthritis and Rheumatism·Shreyasee AminDavid T Felson
Sep 27, 2014·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Deborah Solomonow-AvnonAmir Haim
Mar 27, 2013·IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society·Tommaso LenziSunil K Agrawal
Apr 15, 2004·Archives of Physical Medicine and Rehabilitation·Marjorie E JohnsonMark W Rogers
Dec 18, 2004·Archives of Physical Medicine and Rehabilitation·Stan AjemianBarbara Loitz-Ramage
Feb 22, 2011·Journal of Biomechanics·Cara L Lewis, Daniel P Ferris
Mar 29, 2011·Journal of Biomechanics·Sainath Shrikant PawaskarZhongmin Jin
Feb 13, 2016·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Deborah Solomonow-AvnonAlon Wolf
Oct 7, 2005·Arthritis and Rheumatism·Dina L JonesVictoria Brander
Jun 3, 2014·Journal of Pediatric Orthopedics. Part B·Jian XuXin Ma
Feb 26, 2019·Proceedings of the National Academy of Sciences of the United States of America·Martin HaeuslerNakita Frater

❮ Previous
Next ❯

Related Concepts

Related Feeds

Biomechanics

Biomechanics examines the generation of internal forces within the body and investigates the effects and control of forces that act on or are produced on tissues. Here are the latest discoveries.