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Gait analysis of patients in early stages after total hip arthroplasty: effect of lateral trunk displacement on walking efficiency

  • Original article
  • Published:
Journal of Orthopaedic Science

Abstract

Background

Control of the mediolateral displacement of the center of gravity (COG) is considered to be important for efficient walking. Few studies have been published on the relation between walking efficiency and the lateral displacement of the trunk, pelvis, or COG in patients soon after total hip arthroplasty (THA). The present study was undertaken to examine the effects of lateral displacement on walking efficiency after THA.

Methods

The subjects of this study were 15 women who had undergone unilateral THA 4 weeks before and 14 healthy women as controls. Using a force plate and a three-dimensional motion analyzer, we measured (1) gait speed, stride length, cadence; (2) lateral trunk displacement (LTD) and lateral pelvis displacement (LPD); (3) lateral displacement of the center of gravity; and (4) the total internal work done per unit mass and distance walked (a negative index of walking efficiency) (WE-1).

Results

Compared with healthy persons, THA patients showed significantly increased amplitude of LTD and greater WE-1 (P < 0.01). The WE-1 value of the THA group was 21.4% higher than that of the control group. The results suggest that the patients need more energy to progress their body forward in a gait cycle, indicating reduced walking efficiency. In THA patients, the stepwise multiple regression analysis selected LTD as the sole significant variable affecting WE-1 (R2 = 0.72, P < 0.01).

Conclusions

These results suggest that trunk compensation strategy for hip abductor weakness in patients soon after THA can lead to increased energy expenditure.

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References

  1. Y Tanaka (1993) ArticleTitleGait analysis of patients with osteoarthritis of the hip and those with total hip arthroplasty J Jpn Orthop Assoc 67 1001–13 Occurrence Handle1:STN:280:DyaK2c7htVOjtA%3D%3D

    CAS  Google Scholar 

  2. L Vogt K Brettmann K Pfeifer W Banzer (2003) ArticleTitleWalking patterns of hip arthroplasty patients: some observations on the medio-lateral excursions of the trunk Disabil Rehabil 25 309–17 10.1080/0963828021000043752 Occurrence Handle10.1080/0963828021000043752 Occurrence Handle1:STN:280:DC%2BD3s3itl2juw%3D%3D Occurrence Handle12745954

    Article  CAS  PubMed  Google Scholar 

  3. M Perron F Malouin H Moffet BJ Mcfadyen (2000) ArticleTitleThree-dimensional gait analysis in women with a total hip arthroplasty Clin Biomech 15 504–15 10.1016/S0268-0033(00)00002-4 Occurrence Handle10.1016/S0268-0033(00)00002-4 Occurrence Handle1:STN:280:DC%2BD3c3ptlGitA%3D%3D

    Article  CAS  Google Scholar 

  4. MS Madsen MA Ritter HH Moriss JB Meding ME Berend PM Faris (2004) ArticleTitleThe effect of total hip arthroplasty surgical approach on gait J Orthop Res 22 44–50 10.1016/S0736-0266(03)00151-7 Occurrence Handle10.1016/S0736-0266(03)00151-7 Occurrence Handle14656658

    Article  PubMed  Google Scholar 

  5. CL Romano C Frigo G Randelli A Pedotti (1996) ArticleTitleAnalysis of the gait of adults who had residua of congenital dysplasia of the hip J Bone Joint Surg Am 78 1468–79 Occurrence Handle1:STN:280:DyaK2s%2FjtVKgsA%3D%3D Occurrence Handle8876573

    CAS  PubMed  Google Scholar 

  6. J Perry (1992) Gait analysis Slack Thorofare, NJ 300–10

    Google Scholar 

  7. KJ Dodd ME Morris (2003) ArticleTitleLateral pelvic displacement during gait: abnormalities after stroke and changes during the first month of rehabilitation Arch Phys Med Rehabil 84 1200–5 10.1016/S0003-9993(03)00142-4 Occurrence Handle10.1016/S0003-9993(03)00142-4 Occurrence Handle12917860

    Article  PubMed  Google Scholar 

  8. VT Inman (1981) Human walking Williams &Wilkins Baltimore 1–117

    Google Scholar 

  9. DA Winter (1979) ArticleTitleA new definition of mechanical work done in human movement J Appl Physiol 46 79–83 Occurrence Handle1:STN:280:DyaE1M3hsF2qtQ%3D%3D Occurrence Handle457534

    CAS  PubMed  Google Scholar 

  10. H Iida T Yamamuro (1987) ArticleTitleKinetic analysis of the center of gravity of the human body in normal and pathological gaits J Biomech 20 987–95 10.1016/0021-9290(87)90328-9 Occurrence Handle10.1016/0021-9290(87)90328-9 Occurrence Handle1:STN:280:DyaL1c%2Fosleitw%3D%3D Occurrence Handle3693380

    Article  CAS  PubMed  Google Scholar 

  11. KJ Dodd ME Morris TA Matyas TV Wrigley PA Goldie (1998) ArticleTitleLateral pelvic displacement during walking: retest reliability of a new method of measurement Gait Posture 7 243–50 10.1016/S0966-6362(98)00013-7 Occurrence Handle10.1016/S0966-6362(98)00013-7 Occurrence Handle10200391

    Article  PubMed  Google Scholar 

  12. RL Waters S Mulroy (1999) ArticleTitleThe energy expenditure of normal and pathologic gait Gait Posture 9 207–31 10.1016/S0966-6362(99)00009-0 Occurrence Handle10.1016/S0966-6362(99)00009-0 Occurrence Handle1:STN:280:DC%2BD3c%2FksFWluw%3D%3D Occurrence Handle10575082

    Article  CAS  PubMed  Google Scholar 

  13. BC Bennett MF Abel A Wolovick T Franklin PE Allaire DC Kerrigan (2005) ArticleTitleCenter of mass movement and energy transfer during walking in children with cerebral palsy Arch Phys Med Rehabil 86 2189–94 10.1016/j.apmr.2005.05.012 Occurrence Handle10.1016/j.apmr.2005.05.012 Occurrence Handle16271569

    Article  PubMed  Google Scholar 

  14. G Chen C Patten DH Kothari FE Zajac (2005) ArticleTitleGait differences between individuals with post-stroke hemiparesis and non-disabled controls at matched speeds Gait Posture 22 51–6 10.1016/j.gaitpost.2004.06.009 Occurrence Handle10.1016/j.gaitpost.2004.06.009 Occurrence Handle15996592

    Article  PubMed  Google Scholar 

  15. CD MacKinnon DA Winter (1993) ArticleTitleControl of whole body balance in the frontal plane during human walking J Biomech 26 633–44 10.1016/0021-9290(93)90027-C Occurrence Handle10.1016/0021-9290(93)90027-C Occurrence Handle1:STN:280:DyaK3s3ptl2juw%3D%3D Occurrence Handle8514809

    Article  CAS  PubMed  Google Scholar 

  16. WT Long LD Dorr B Healy J Perry (1993) ArticleTitleFunctional recovery of noncemented total hip arthroplasty Clin Orthop 288 73–7 Occurrence Handle8458156

    PubMed  Google Scholar 

  17. E Trudelle-Jackson R Emerson S Smith (2002) ArticleTitleOutcomes of total hip arthroplasty: a study of patients one year postsurgery J Orthop Sports Phys Ther 32 260–7 Occurrence Handle12061707

    PubMed  Google Scholar 

  18. LD Dorr Z Wan (1998) ArticleTitleCauses of and treatment protocol for instability of total hip replacement Clin Orthop 355 144–51 10.1097/00003086-199810000-00015 Occurrence Handle10.1097/00003086-199810000-00015 Occurrence Handle9917599

    Article  PubMed  Google Scholar 

  19. PF Lachiewicz ES Soileau (2002) ArticleTitleStability of total hip arthroplasty in patients 75 years or older Clin Orthop 405 65–9 10.1097/00003086-200212000-00008 Occurrence Handle10.1097/00003086-200212000-00008 Occurrence Handle12461357

    Article  PubMed  Google Scholar 

  20. H Miki N Sugano K Hagio T Nishii H Kawakami A Kakimoto et al. (2004) ArticleTitleRecovery of walking speed and symmetrical movement of the pelvis and lower extremity joints after unilateral THA J Biomech 37 443–55 10.1016/j.jbiomech.2003.09.009 Occurrence Handle10.1016/j.jbiomech.2003.09.009 Occurrence Handle14996556

    Article  PubMed  Google Scholar 

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Nankaku, M., Tsuboyama, T., Kakinoki, R. et al. Gait analysis of patients in early stages after total hip arthroplasty: effect of lateral trunk displacement on walking efficiency. J Orthop Sci 12, 550–554 (2007). https://doi.org/10.1007/s00776-007-1178-2

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  • DOI: https://doi.org/10.1007/s00776-007-1178-2

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