Lower limb biomechanics during gait do not return to normal following total hip arthroplasty.

Abstract:

:Although total hip arthroplasty (THA) is known to be a successful surgical procedure to alleviate hip pain and to improve health-related quality of life, these outcome measures in THA patients do not reach those of the general population. As a result, several investigators have assessed THA patients' gait mechanics, but most of them have ignored adjacent joints, as well as the effect that THA may have on the non-operated limb. The purpose of this investigation was to determine the effect of THA on the pelvis, hip, knee and ankle joint kinematics, as well as the hip, knee and ankle kinetics of both the operated and non-operated limbs during walking. These data were recorded for 20 patients having undergone unilateral THA and 20 healthy, matched control participants. Results revealed that the gait mechanics of THA patients did not return to normal 10.6 months, on average (+/-2.6 mo), following surgery. THA patients walked with lower operated-hip abduction moments, sagittal-plane range of motion, as well as lower generated and absorbed power, that may be consequential to pain-avoidance strategies adopted pre-operatively or to apprehensions associated with their new prosthesis. They also displayed various kinematic adaptations at the ankle joint of the operated limb and at the non-operated hip joint that may be leaving them at risk of developing other joint diseases. Further investigation is needed to confirm the reasons why THA patients' gait mechanics do not return to normal following surgery to develop better surgical techniques and/or rehabilitation programs.

journal_name

Gait Posture

journal_title

Gait & posture

authors

Beaulieu ML,Lamontagne M,Beaulé PE

doi

10.1016/j.gaitpost.2010.05.007

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

269-73

issue

2

eissn

0966-6362

issn

1879-2219

pii

S0966-6362(10)00131-1

journal_volume

32

pub_type

杂志文章
  • Effect of changing visual condition and frequency of horizontal oscillations on postural balance of standing healthy subjects.

    abstract::The goal of this study was to describe the movement pattern of the body-segment rotations of healthy subjects in the horizontal plane while they were standing on a supporting platform that imposed steady sinusoidal horizontal rotations under three visual conditions: (a) eyes closed with no instructions (EC-NI), (b) ey...

    journal_title:Gait & posture

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gaitpost.2008.04.013

    authors: Cappa P,Patanè F,Rossi S,Petrarca M,Castelli E,Berthoz A

    更新日期:2008-11-01 00:00:00

  • Effect of expertise in ballet dance on static and functional balance.

    abstract:RESEARCH QUESTION:The purpose of this study was to examine the postural sway characteristics of the ballet dance experts in quiet standing and at their limits of stability with an approach not used before in dancers. METHODS:The study was conducted on thirteen female ballet dancers and thirteen non-training females. T...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2018.05.034

    authors: Michalska J,Kamieniarz A,Fredyk A,Bacik B,Juras G,Słomka KJ

    更新日期:2018-07-01 00:00:00

  • Relationship between energy cost, gait speed, vertical displacement of centre of body mass and efficiency of pendulum-like mechanism in unilateral amputee gait.

    abstract::The energy cost of gait (C) is greater in amputee than in normal subjects. Our objective was to assess the influence of lower speed, inefficient pendulum mechanism and disturbed smoothness of centre of body mass (CM(b)) displacement on C in unilateral amputees and to have a better understanding the relationship betwee...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2004.04.005

    authors: Detrembleur C,Vanmarsenille JM,De Cuyper F,Dierick F

    更新日期:2005-04-01 00:00:00

  • Basic gait analysis based on continuous wave radar.

    abstract::A gait analysis method based on continuous wave (CW) radar is proposed in this paper. Time-frequency analysis is used to analyze the radar micro-Doppler echo from walking humans, and the relationships between the time-frequency spectrogram and human biological gait are discussed. The methods for extracting the gait pa...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2012.04.020

    authors: Zhang J

    更新日期:2012-09-01 00:00:00

  • Ankle and hip postural strategies defined by joint torques.

    abstract::Previous studies have identified two discrete strategies for the control of posture in the sagittal plane based on EMG activations, body kinematics, and ground reaction forces. The ankle strategy was characterized by body sway resembling a single-segment-inverted pendulum and was elicited on flat support surfaces. In ...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/s0966-6362(99)00032-6

    authors: Runge CF,Shupert CL,Horak FB,Zajac FE

    更新日期:1999-10-01 00:00:00

  • Repeatability in the assessment of multi-segment foot kinematics.

    abstract::A recently published systematic review on 3D multi-segment foot models has illustrated the lack of repeatability studies providing evidence for appropriate clinical decision making. The aim of the current study was to assess the repeatability of the recently published model developed by Leardini et al. [10]. Foot kine...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2011.09.016

    authors: Deschamps K,Staes F,Bruyninckx H,Busschots E,Jaspers E,Atre A,Desloovere K

    更新日期:2012-02-01 00:00:00

  • Joint kinematics following bi-compartmental knee replacement during daily life motor tasks.

    abstract::In many cases knee osteoarthritis leads to total knee replacement surgery (TKR) even if the lateral compartment is not involved. More recently, a bicompartmental knee replacement system (BKR) (Journey Deuce, Smith & Nephew Inc., Memphis, TN, USA) has been developed that only replaces the medial tibiofemoral and the pa...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2012.04.008

    authors: Leffler J,Scheys L,Planté-Bordeneuve T,Callewaert B,Labey L,Bellemans J,Franz A

    更新日期:2012-07-01 00:00:00

  • Which functional impairments are the main contributors to pelvic anterior tilt during gait in individuals with cerebral palsy?

    abstract::While past investigations focused on describing pelvic motion patterns in the frontal and transversal plane, the sagittal plane "double bump" pattern commonly found in children with cerebral palsy was only rarely investigated, especially concerning the underlying pathology. 375 ambulatory (GMFCS I-III) patients with b...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2013.08.014

    authors: Wolf SI,Mikut R,Kranzl A,Dreher T

    更新日期:2014-01-01 00:00:00

  • Centre of pressure displacements in trans-femoral amputees during gait.

    abstract::The aim of this study was to describe and quantify centre of pressure (CoP) displacement during walking in 12 unilateral trans-femoral amputees who had worn a prosthesis for at least 10 years. All subjects wore the same type of prosthesis and seven healthy subjects acted as controls. The CoP was acquired by an F-scan ...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2004.01.016

    authors: Schmid M,Beltrami G,Zambarbieri D,Verni G

    更新日期:2005-04-01 00:00:00

  • Effectiveness of an innovative hip energy storage walking orthosis for improving paraplegic walking: A pilot randomized controlled study.

    abstract:BACKGROUND:The high energy cost of paraplegic walking using a reciprocating gait orthosis (RGO) is attributed to limited hip motion and excessive upper limb loading for support. To address the limitation, we designed the hip energy storage walking orthosis (HESWO) which uses a spring assembly on the pelvic shell to sto...

    journal_title:Gait & posture

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gaitpost.2017.05.022

    authors: Yang M,Li J,Guan X,Gao L,Gao F,Du L,Zhao H,Yang D,Yu Y,Wang Q,Wang R,Ji L

    更新日期:2017-09-01 00:00:00

  • Impact of orthognathic surgery on the body posture.

    abstract:BACKGROUND:Postural control is classically described as being based on the visual, vestibular, and proprioceptive musculo-articular sensory systems. The influence of mandibular proprioception on postural stabilization remains controversial. Most previous studies analyzed how postural stability is influenced by partial ...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2018.09.019

    authors: Paya-Argoud M,Tardieu C,Cheynet F,Raskin A,Borel L

    更新日期:2019-01-01 00:00:00

  • The effects of blurring vision on medio-lateral balance during stepping up or down to a new level in the elderly.

    abstract::Visual impairment is an important risk factor for falls, but relatively little is known about how it affects stair negotiation. The present study determined how medio-lateral (ML) dynamics of stepping and single limb support stability when stepping up or down to a new level were affected by blurring the vision of heal...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2004.08.006

    authors: Buckley JG,Heasley K,Scally A,Elliott DB

    更新日期:2005-10-01 00:00:00

  • Stability-maneuverability trade-offs during lateral steps.

    abstract::Selecting a specific foot placement strategy to perform walking maneuvers requires the management of several competing factors, including: maintaining stability, positioning oneself to actively generate impulses, and minimizing mechanical energy requirements. These requirements are unlikely to be independent. Our purp...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2016.11.034

    authors: Acasio J,Wu M,Fey NP,Gordon KE

    更新日期:2017-02-01 00:00:00

  • The effects of walking speed on upper body kinematics during gait in healthy subjects.

    abstract::Patients undergoing a clinical gait analysis often walk slower than healthy people. However, data on how speed affects upper body movements, especially of the arms and shoulders, are scarce. Therefore, in this descriptive study, we examined how changes in walking speed affect upper-body kinematics and aspects of inter...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2017.03.025

    authors: Romkes J,Bracht-Schweizer K

    更新日期:2017-05-01 00:00:00

  • Compensatory mechanisms during walking in response to muscle weakness in spinal muscular atrophy, type III.

    abstract::Our knowledge on altered neurological control of walking due to weakness of various muscle groups of the lower extremities is limited. The aim of this study was to assess kinematic, kinetic and electromyographic (EMG) walking patterns in a functionally homogeneous group of seven subjects with spinal muscular atrophy, ...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2007.08.012

    authors: Matjacić Z,Olensek A,Krajnik J,Eymard B,Zupan A,Praznikar A

    更新日期:2008-05-01 00:00:00

  • The temporal-spatial and ground reaction impulses of turning gait: is turning symmetrical?

    abstract::This study had two aims. Firstly, to characterise the temporal-spatial and ground reaction impulse adjustments, compared to straight gait, required to complete step turns to the left and to the right and secondly, to assess if the turns were asymmetrical. Seven participants were instructed to perform 90 degrees step t...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2008.12.015

    authors: Strike SC,Taylor MJ

    更新日期:2009-06-01 00:00:00

  • Effects of virtual reality training on gait biomechanics of individuals post-stroke.

    abstract:OBJECTIVE:To evaluate gait biomechanics after training with a virtual reality (VR) system and to elucidate underlying mechanisms that contributed to the observed functional improvement in gait speed and distance. DESIGN:A single blind randomized control study. SETTING:Gait analysis laboratory in a rehabilitation hosp...

    journal_title:Gait & posture

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gaitpost.2010.01.016

    authors: Mirelman A,Patritti BL,Bonato P,Deutsch JE

    更新日期:2010-04-01 00:00:00

  • Decreased skin temperature of the foot increases gait variability in healthy young adults.

    abstract::We investigated the effects of reduction in plantar skin temperature on gait. Thirty-four healthy subjects (20 men and 14 women; mean age 22.2±2.5 years; mean height 166.8±8.3cm) walked 16m under two different conditions - normal conditions (NC) with the skin at a basal temperature, and cold conditions (CC) after cool...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2013.01.019

    authors: Sawa R,Doi T,Misu S,Tsutsumimoto K,Fujino H,Ono R

    更新日期:2013-07-01 00:00:00

  • Repeatability of stance phase kinematics from a multi-segment foot model in people aged 50 years and older.

    abstract::Confidence in 3D multi-segment foot models has been limited by a lack of repeatability data, particularly in older populations that may display unique functional foot characteristics. This study aimed to determine the intra and inter-observer repeatability of stance phase kinematic data from a multi-segment foot model...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2012.11.010

    authors: Arnold JB,Mackintosh S,Jones S,Thewlis D

    更新日期:2013-06-01 00:00:00

  • Trunk muscle responses following unpredictable loading of an abducted arm.

    abstract::This study investigated if asymmetry exists in the responses of trunk muscles to a perturbation of the trunk induced by loading of an outstretched arm. Nineteen healthy right-handed subjects were recruited into the study. Electromyographic recordings were made from trunk muscles (erector spinae and rectus abdominus) a...

    journal_title:Gait & posture

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gaitpost.2009.04.006

    authors: Mullington CJ,Klungarvuth L,Catley M,McGregor AH,Strutton PH

    更新日期:2009-08-01 00:00:00

  • Human movement analysis using stereophotogrammetry. Part 3. Soft tissue artifact assessment and compensation.

    abstract::When using optoelectronic stereophotogrammetry, skin deformation and displacement causes marker movement with respect to the underlying bone. This movement represents an artifact, which affects the estimation of the skeletal system kinematics, and is regarded as the most critical source of error in human movement anal...

    journal_title:Gait & posture

    pub_type: 杂志文章,评审

    doi:10.1016/j.gaitpost.2004.05.002

    authors: Leardini A,Chiari L,Della Croce U,Cappozzo A

    更新日期:2005-02-01 00:00:00

  • History of falls, balance performance, and quality of life in older cancer survivors.

    abstract::Older cancer survivors may be predisposed to falls because of the sequalae associated with cancer and its treatments. This study examined the association between the fall history, balance performance, and health-related quality of life (QoL) in older, community-dwelling cancer survivors who had completed primary cance...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2014.05.015

    authors: Huang MH,Lytle T,Miller KA,Smith K,Fredrickson K

    更新日期:2014-07-01 00:00:00

  • The effect of arm sling on balance in patients with hemiplegia.

    abstract::The aim of this study was to investigate the effect of an arm sling on balance in patients with, hemiplegia following a stroke. Twenty-six patients with hemiplegia (11 men, 15 women) who had, shoulder subluxation were enrolled in the study. Balance was evaluated by the Berg Balance Scale, the, Functional Reach test, a...

    journal_title:Gait & posture

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.gaitpost.2010.09.008

    authors: Acar M,Karatas GK

    更新日期:2010-10-01 00:00:00

  • Postural strategy to keep balance on the seesaw.

    abstract::This work investigates the kinematic and electromyography (EMG) strategy used by the central nervous system (CNS) to keep equilibrium during anterior-posterior balance on seesaws with different degrees of instability. The movement of hip, knee, and ankle were reconstructed using a 3D motion-analysis system and the EMG...

    journal_title:Gait & posture

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.gaitpost.2004.11.020

    authors: Almeida GL,Carvalho RL,Talis VL

    更新日期:2006-01-01 00:00:00

  • The moveable handhold: a new paradigm to study visual contributions to the control of balance-recovery reactions.

    abstract::Balance-recovery reactions that involve rapid step or reach-to-grasp movements are prevalent and functionally important responses to instability. Successful use of these reactions to recover balance in daily life requires a capacity to modulate the reaction to deal with the continual variation in environmental constra...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2008.08.011

    authors: Cheng KC,McKay SM,King EC,Tung JY,Lee TA,Scovil CY,Maki BE

    更新日期:2009-02-01 00:00:00

  • Physiologically corrected coupled motion during gait analysis using a model-based approach.

    abstract::Gait analysis is used in daily clinics for patients' evaluation and follow-up. Stereophotogrammetric devices are the most used tool to perform these analyses. Although these devices are accurate results must be analyzed carefully due to relatively poor reproducibility. One of the major issues is related to skin displa...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2014.09.012

    authors: Bonnechère B,Sholukha V,Salvia P,Rooze M,Van Sint Jan S

    更新日期:2015-01-01 00:00:00

  • Kinematic analysis and dexterity evaluation of upper extremity in activities of daily living.

    abstract::The redundant kinematic structure of upper extremity (UE) provides it with increased dexterity in activities of daily living (ADL). Most functional tasks during ADL can be implemented in various positions; however, only some routine trajectories are employed in healthy humans. Exploring motion ability and analyzing de...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2010.07.005

    authors: Chen W,Xiong C,Huang X,Sun R,Xiong Y

    更新日期:2010-10-01 00:00:00

  • Power generation in children with spastic hemiplegic cerebral palsy.

    abstract:BACKGROUND:Spastic hemiplegic cerebral palsy is a challenging disorder often affecting children with high functional and cognitive level, who are good candidates for physiotherapy treatment, including co-ordination and muscle strengthening exercises. The goal of this study was to investigate hip and ankle power generat...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2007.08.010

    authors: Riad J,Haglund-Akerlind Y,Miller F

    更新日期:2008-05-01 00:00:00

  • Immediate and 1 week effects of laterally wedge insoles on gait biomechanics in healthy females.

    abstract::It is estimated that approximately 45% of the U.S. population will develop knee osteoarthritis, a disease that creates significant economic burdens in both direct and indirect costs. Laterally wedged insoles have been frequently recommended to reduce knee abduction moments and to manage knee osteoarthritis. However, i...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2016.01.025

    authors: Weinhandl JT,Sudheimer SE,Van Lunen BL,Stewart K,Hoch MC

    更新日期:2016-03-01 00:00:00

  • Balance function in patients who had undergone allogeneic hematopoietic stem cell transplantation.

    abstract::A previous study reported a 45% incidence of falling among allogeneic haematopoietic stem cell transplantation (allo-HSCT) patients during hospitalisation. We investigated balance and physical function in allo-HSCT patients. Thirty patients (18 men and 12 women) who underwent allo-HSCT between February 2013 and Septem...

    journal_title:Gait & posture

    pub_type: 杂志文章

    doi:10.1016/j.gaitpost.2015.07.011

    authors: Morishita S,Kaida K,Aoki O,Yamauchi S,Wakasugi T,Ikegame K,Ogawa H,Domen K

    更新日期:2015-09-01 00:00:00