Differences in Kinematic Changes From Self-Selected to Fast Speed Gait in Asymptomatic Adults With Radiological Signs of Femoro-Acetabular Impingement.
3d reconstruction
femoro-acetabular impingement
gait
hip
kinematics
walking speed
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
accepted:
18
08
2023
medline:
20
9
2023
pubmed:
20
9
2023
entrez:
20
9
2023
Statut:
epublish
Résumé
Femoro-acetabular impingement (FAI) may present as alterations in the skeletal morphology of the hip. Repercussions of FAI can be witnessed in self-selected speed walking as well as physical exercise such as running or fast speed walking. The aim of this study was to investigate changes in kinematics at different gait speeds in subjects presenting with radiological findings invoking FAI. One hundred thirty asymptomatic adults underwent biplanar X-rays with a calculation of 3D hip parameters: acetabular anteversion, abduction and tilt, vertical center edge angle (VCE), femoral anteversion, neck-shaft angle, acetabular coverage of the femoral head, femoral head diameter and neck length. Parameters were classified according to FAI clinical thresholds. Two groups were created: Control group (63 subjects having up to one subnormal hip parameter in favour of FAI) and Radiographic FAI group (67 subjects having ≥2 subnormal hip parameters that might cause FAI). All subjects underwent 3D gait analysis at self-selected and fast speed, from which kinematic parameters were generated. Arithmetic differences between fast and self-selected speed gait were considered as gait changes. Subjects in the Radiographic FAI group had decreased acetabular tilt (24 vs. 19˚), anteversion (19 vs. 16˚), abduction (55 vs. 53˚), femoral anteversion (18 vs. 14˚) and increased VCE (29 vs. 33˚, all p<0.05), compared to controls. Changes from self-selected to fast speed showed that subjects in the Radiographic FAI group had lower range of motion (ROM) pelvic rotation (7 vs. 4˚) and ROM hip flexion/extension (10 vs. 7˚), reduced hip extension (-4 vs. -2˚) and step length (16 vs. 13 cm; all p<0.05). The Radiographic FAI group had decreased acetabular abduction, anteversion and femoral anteversion in favour of FAI. When adapting from self-selected to fast speed gait, the Radiographic FAI group seemed to limit pelvic rotation and hip flexion/extension resulting in a decrease in step length. These kinematic limitations were previously reported in subjects with symptomatic FAI. Gait analysis could be considered as a functional diagnostic tool to assess FAI along with radiological assessment.
Identifiants
pubmed: 37727201
doi: 10.7759/cureus.43733
pmc: PMC10505836
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e43733Informations de copyright
Copyright © 2023, Yared et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Bone Joint Surg Am. 1999 Dec;81(12):1747-70
pubmed: 10608388
AJR Am J Roentgenol. 2021 Mar;216(3):585-598
pubmed: 33474984
Gait Posture. 2016 Sep;49:375-381
pubmed: 27497755
Can Fam Physician. 2015 Dec;61(12):1055-60
pubmed: 26668284
J Orthop Traumatol. 2017 Sep;18(3):187-196
pubmed: 28150180
Eur J Radiol. 2016 Jan;85(1):73-95
pubmed: 26724652
Skeletal Radiol. 2019 Mar;48(3):429-436
pubmed: 30182297
J Orthop Sci. 2015 Jul;20(4):649-56
pubmed: 25963611
Clin Orthop Relat Res. 2003 Dec;(417):112-20
pubmed: 14646708
J Bone Joint Surg Br. 2005 Jul;87(7):1012-8
pubmed: 15972923
J Orthop Res. 1990 May;8(3):383-92
pubmed: 2324857
Comput Methods Biomech Biomed Engin. 2012;15(5):457-66
pubmed: 21229412
Am J Sports Med. 2012 Jun;40(6):1329-36
pubmed: 22472271
Eur Radiol. 2017 Mar;27(3):1295-1302
pubmed: 27287480
Hip Pelvis. 2018 Mar;30(1):5-11
pubmed: 29564291
Clin Orthop Relat Res. 2008 Feb;466(2):264-72
pubmed: 18196405
Arthroscopy. 2015 Feb;31(2):339-44
pubmed: 25129866
Med Eng Phys. 2013 Dec;35(12):1703-12
pubmed: 23938086
Int Orthop. 2014 Aug;38(8):1615-20
pubmed: 24687267
Gait Posture. 2004 Feb;19(1):85-90
pubmed: 14741307
Am J Sports Med. 2018 Feb;46(2):478-486
pubmed: 28334547
Hum Mov Sci. 2020 Aug;72:102658
pubmed: 32721376
Gait Posture. 2000 Feb;11(1):25-31
pubmed: 10664482
Clin Orthop Relat Res. 2015 Apr;473(4):1234-46
pubmed: 25384429
J Child Orthop. 2012 Mar;6(1):1-12
pubmed: 23450197
Gait Posture. 2016 Sep;49:102-107
pubmed: 27395450
Gait Posture. 2016 Jan;43:198-203
pubmed: 26475761
Gait Posture. 2009 Jul;30(1):22-6
pubmed: 19321345
Prosthet Orthot Int. 2006 Aug;30(2):213-23
pubmed: 16990231
Clin Biomech (Bristol, Avon). 2013 Jun;28(5):519-23
pubmed: 23714133
Gait Posture. 2004 Oct;20(2):196-203
pubmed: 15336291
J Rheumatol. 2010 Jul;37(7):1395-404
pubmed: 20516017
Clin Sports Med. 2021 Apr;40(2):289-300
pubmed: 33673887
J Child Orthop. 2016 Feb;10(1):1-14
pubmed: 26883033
Clin Biomech (Bristol, Avon). 1998 Apr;13(3):204-215
pubmed: 11415789
Clin Biomech (Bristol, Avon). 2015 Feb;30(2):195-204
pubmed: 25532450
Asia Pac J Sports Med Arthrosc Rehabil Technol. 2021 Jan 27;24:14-22
pubmed: 33575169
Skeletal Radiol. 2006 Jun;35(6):385-9
pubmed: 16570170
Spine (Phila Pa 1976). 2004 Oct 15;29(20):2284-9
pubmed: 15480143
Am J Sports Med. 2014 Mar;42(3):737-51
pubmed: 23982400
J Biomech. 2008;41(8):1639-50
pubmed: 18466909
Gait Posture. 2020 Feb;76:318-326
pubmed: 31891899