Asymptomatic radiographic hip osteoarthritis is associated with gait differences, especially in women: A population-based study

Verlinden, Vincentius J.A.; Kruijf, Marjolein de; Bierma-Zeinstra, Sita M A; Hofman, Albert; Uitterlinden, André G.; Ikram, M. Arfan; Meurs, Joyce B. J. van; Geest, Jos N. van der

doi:10.1016/j.gaitpost.2017.03.009

Cited by 7 publications

(4 citation statements)

References 32 publications

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“…Chronic joint pain in the lower body was found to be associated with gait differences independent from radiographic osteoarthritis, indicating that gait assessment may help in identifying individuals with OA from those having pain due to other causes [ 213 ]. Indeed, asymptomatic radiographic hip osteoarthritis was found to be associated with gait differences [ 214 ] especially in women. Central sensitization, as measured by thermal quantitative sensory testing (QST) was shown be present in community-dwelling elderly individuals suffering from self-reported chronic pain.…”

Section: Locomotor Diseasesmentioning

confidence: 99%

The Rotterdam Study: 2018 update on objectives, design and main results

et al. 2017

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The Rotterdam Study is a prospective cohort study ongoing since 1990 in the city of Rotterdam in The Netherlands. The study targets cardiovascular, endocrine, hepatic, neurological, ophthalmic, psychiatric, dermatological, otolaryngological, locomotor, and respiratory diseases. As of 2008, 14,926 subjects aged 45 years or over comprise the Rotterdam Study cohort. Since 2016, the cohort is being expanded by persons aged 40 years and over. The findings of the Rotterdam Study have been presented in over 1500 research articles and reports (see www.erasmus-epidemiology.nl/rotterdamstudy). This article gives the rationale of the study and its design. It also presents a summary of the major findings and an update of the objectives and methods.

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Section: Locomotor Diseasesmentioning

confidence: 99%

The Rotterdam Study: 2018 update on objectives, design and main results

et al. 2017

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“…Grip strength , postural balance and gait parameters are markers of aging‐related functional decline and physical malfunction, especially in people with rheumatologic disorders . Low grip strength is a predictor, and a criterion for frailty .…”

Section: Introductionmentioning

confidence: 99%

Pain, balance, grip strength and gait parameters of older adults with and without post‐chikungunya chronic arthralgia

Forechi

Silveira-Nunes

Barbosa

et al. 2018

Tropical Med Int Health

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Summary Objective To compare the levels of pain, grip strength, balance and gait in older adults with and without post‐Chikungunya chronic arthralgia (PCCA). Methods Sixty‐two older adults, 30 with and 32 without PCCA participated in the study. Pain level was assessed using a Visual Analogue Scale (VAS). Gait during a 10‐m walk was assessed using inertial sensors. Semi‐static balance was assessed during an eyes‐closed bipedal balance test on a force platform, and grip strength was assessed using a hand dynamometer. Results Participants with PCCA presented severe levels of pain (VAS > 7.5), poorer balance, lower grip strength, walked slower, with lower cadence and stride length and higher stride time and stride length variability than participants without PCCA (P < 0.001 for all variables). Conclusions Older adults with PCCA had high levels of pain, impaired balance and gait and lower grip strength compared to older adults without PCCA.

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“…Others have noted that pain is associated with reduced hip extension and external rotation during walking in women with hip OA [11]. These gait alterations may contribute to step length asymmetry, which is often observed in people with hip OA [12][13][14][15]. Therefore, we further speculated that modifying step length asymmetry could be a potential rehabilitation strategy to improve walking energetics.…”

Section: Introductionmentioning

confidence: 88%

Split-Belt Treadmill Training Improves Mechanical Energetics and Metabolic Cost in Women with Unilateral Hip Osteoarthritis: A Proof-of-Concept Study

2023

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We have shown that step length asymmetry seen in hip osteoarthritis (OA) is associated with poorer mechanical energy exchange and higher metabolic cost. Thus, we conducted this proof-of-concept study to investigate whether modifying step length through split-belt treadmill training can improve walking energetics. We conducted split-belt treadmill training in four periods with simultaneous motion and metabolic analyses in 10 women with unilateral hip OA. Using repeated measures ANOVA, we evaluated changes across each period, in step length asymmetry, mechanical energy exchange, and O2 rate. We also examined changes in hip range of motion and peak plantarflexor moment. We used Spearman correlations (rho) to assess the strength of associations between variables at baseline and after adaptation. We found that step length asymmetry and O2 rate decreased (p = 0.007, p < 0.001) and mechanical energy exchange increased (p < 0.001). Reduced step length asymmetry was associated with reduced O2 rate (rho = 0.732, p = 0.016). Hip range of motion increased (p < 0.001) and was associated with decreased step length asymmetry (rho = 0.818, p = 0.004), indicating a potential mechanism. These findings suggest that reducing step length asymmetry by split-belt treadmill training could improve walking energetics in hip OA people.

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Asymptomatic radiographic hip osteoarthritis is associated with gait differences, especially in women: A population-based study

Cited by 7 publications

References 32 publications

The Rotterdam Study: 2018 update on objectives, design and main results

The Rotterdam Study: 2018 update on objectives, design and main results

Pain, balance, grip strength and gait parameters of older adults with and without post‐chikungunya chronic arthralgia

Split-Belt Treadmill Training Improves Mechanical Energetics and Metabolic Cost in Women with Unilateral Hip Osteoarthritis: A Proof-of-Concept Study

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