Females with hip pain walk with altered kinematics at peaks and throughout the gait cycle.
Clin Biomech (Bristol, Avon)
; 118: 106314, 2024 Aug.
Article
em En
| MEDLINE
| ID: mdl-39111115
ABSTRACT
BACKGROUND:
Females with acetabular dysplasia and/or labral tears (hip pain) exhibit altered walking kinematics, with studies reporting mixed results in sagittal and frontal planes compared to pain-free controls, often conducting only discrete analyses and warranting further investigation. The objective of this study was to investigate discrete and continuous hip and pelvic kinematics between females with and without hip pain in two walking conditions.METHODS:
We collected kinematic walking data from 69 females (35 with hip pain, 34 controls) using motion capture and an instrumented treadmill in two conditions preferred and fast (125% preferred). We used a general linear model and one-dimensional statistical parametric mapping to conduct discrete and continuous analyses comparing kinematics between groups, with and without adjustment for gait speed.FINDINGS:
The hip pain group walked with reduced peak hip extension (Preferred P = .046, Cohen's d = 0.41; Fast P = .028, d = 0.48) and greater peak anterior pelvic tilt (Preferred P = .011, d = 0.57; Fast P = .012, d = 0.58) compared to controls. From continuous analyses, the hip pain group walked with reduced hip extension during terminal stance (Fast P = .040), greater anterior pelvic tilt throughout (Preferred P = .007; Fast P = .004), and greater contralateral pelvic drop (Preferred P = .045) during midstance. Adjusting for speed slightly affected p-values, but significance was retained for all prior variables except pelvic drop.INTERPRETATION:
Kinematic differences between individuals with and without hip pain may provide insight into potential predisposing factors for hip pathology and/or compensations for pain or pathological processes. This work furthers understanding of altered movement patterns in individuals with hip pain and may inform physical therapy treatments.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Caminhada
/
Marcha
/
Articulação do Quadril
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Clin Biomech (Bristol, Avon)
Assunto da revista:
ENGENHARIA BIOMEDICA
/
FISIOLOGIA
Ano de publicação:
2024
Tipo de documento:
Article