Hip joint biomechanics during gait in people with and without symptomatic femoroacetabular impingement

Diamond, Laura E., Wrigley, Tim V., Bennell, Kim L., Hinman, Rana S., O'Donnell, John and Hodges, Paul W. (2016) Hip joint biomechanics during gait in people with and without symptomatic femoroacetabular impingement. Gait and Posture, 43 198-203. doi:10.1016/j.gaitpost.2015.09.023

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Author Diamond, Laura E.
Wrigley, Tim V.
Bennell, Kim L.
Hinman, Rana S.
O'Donnell, John
Hodges, Paul W.
Title Hip joint biomechanics during gait in people with and without symptomatic femoroacetabular impingement
Journal name Gait and Posture   Check publisher's open access policy
ISSN 0966-6362
1879-2219
Publication date 2016-01
Year available 2015
Sub-type Article (original research)
DOI 10.1016/j.gaitpost.2015.09.023
Open Access Status File (Author Post-print)
Volume 43
Start page 198
End page 203
Total pages 6
Place of publication Amsterdam, Netherlands
Publisher Elsevier
Collection year 2016
Language eng
Abstract Femoroacetabular impingement (FAI) is a morphological hip condition that can cause hip/groin pain and impaired function in younger active adults, and may lead to stiffness, muscle weakness, structural damage, and hip osteoarthritis. Understanding the impairments associated with FAI is crucial to guide treatment and rehabilitation strategies. Evidence is limited and conflicting about whether hip biomechanics are impaired during walking in people with symptomatic FAI. The objective of this study was to determine whether kinematics and kinetics during gait differ between people with symptomatic FAI and control participants. Fifteen participants diagnosed with symptomatic cam-type or combined (cam plus pincer) FAI who were scheduled for arthroscopic surgery and 14 age-, and sex-matched disease-free controls underwent three-dimensional gait analysis. Tri-planar hip kinematics and kinetics were compared between the two groups. There were limited significant between-group differences with respect to spatiotemporal variables. Participants with FAI walked with less range of motion in the sagittal plane during a gait cycle, but did not exhibit any significant kinematic differences in the frontal or transverse planes. There were no systematic differences in kinetics between the groups in any plane. Findings suggest that individuals with symptomatic FAI have minimal impairments in gait biomechanics. Although these individuals demonstrate reduced hip joint motion in the sagittal plane, the size of the difference is small and its significance for symptoms and function is unclear. More pronounced deficits in hip kinetics and kinematics may be evident during functional tasks that challenge the hip towards the position of impingement.
Keyword Femoroacetabular impingement (FAI)
Biomechanics
Gait
Hip
Range of motion
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Published online 9 October 2015

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Health and Rehabilitation Sciences Publications
 
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