Chronic joint pain in the lower body is associated with gait differences independent from radiographic osteoarthritis

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

doi:10.1016/j.gaitpost.2015.06.193

Cited by 21 publications

(13 citation statements)

References 29 publications

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“…Lower sex hormone levels were found to be associated with chronic musculoskeletal pain, independent from lifestyle and health-related factors in women, suggesting that sex hormones play a role in chronic pain and should be taken into account when a patient presents with chronic pain [ 212 ]. 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.…”

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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“…This sole finding of an association for COPD with Rhythm reduces the probability that base of support, joint instability and problems in limb clearance are the cause or an intermediate of the associations found. The fourth suggested cause, musculoskeletal pain, may be more likely, since we observed that among participants of the Rotterdam Study, leg pain was found to associate significantly with worse Rhythm, independent from osteoarthritis [3].…”

Section: From the Authorsmentioning

confidence: 85%

The Rotterdam study: why fall in COPD?

2015

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“…There was a significant improvement over time. Data are presented for each patient; horizontal bar represents median with 95% confidence intervals Gait is an important indicator of health and can be influenced by many variables [16,[22][23][24]. Older adults with chronic low back pain exhibit significantly different gait patterns compared to age-and sex-matched adults without chronic low back pain [25].…”

Section: Discussionmentioning

confidence: 99%

Gait in patients with symptomatic osteoporotic vertebral compression fractures over 6 months of recovery

et al. 2019

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Background One factor related to disability in people with spinal deformity is decreased postural control and increased risk of falling. However, little is known about the effect of osteoporotic vertebral compression fractures (OVCFs) and their recovery on gait and stability. Walking characteristics of older adults with and without vertebral fractures have not yet been compared. Aims The purpose of the current study was to examine the spatiotemporal gait parameters and their variability in patients with an OVCF and healthy participants during treadmill walking at baseline and after 6 months of recovery. Methods Twelve female patients suffering a symptomatic OVCF were compared to 11 matched controls. Gait analysis was performed with a dual-belt instrumented treadmill with a 180° projection screen providing a virtual environment (computerassisted rehabilitation environment). Results of patients with an OVCF and healthy participants were compared. Furthermore, spatiotemporal gait parameters were assessed over 6 months following the fracture. Results Patients suffering from an OVCF appeared to walk with significantly shorter, faster and wider strides compared to their healthy counterparts. Although stride time and length improved over time, the majority of the parameters analysed remained unchanged after 6 months of conservative treatment. Discussion Since patients do not fully recover to their previous level of mobility after 6 months of conservative treatment for OVCF, it appears of high clinical importance to add balance and gait training to the treatment algorithm of OVCFs. Conclusions Patients suffering from an OVCF walk with shorter, faster and wider strides compared to their healthy counterparts adopt a less stable body configuration in the anterior direction, potentially increasing their risk of forward falls if perturbed. Although stride time and stride length improve over time even reaching healthy levels again, patients significantly deviate from normal gait patterns (e.g. in stability and step width) after 6 months of conservative treatment.

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Chronic joint pain in the lower body is associated with gait differences independent from radiographic osteoarthritis

Cited by 21 publications

References 29 publications

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

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

The Rotterdam study: why fall in COPD?

Gait in patients with symptomatic osteoporotic vertebral compression fractures over 6 months of recovery

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