Identification of Patients with Similar Gait Compensating Strategies Due to Unilateral Hip Osteoarthritis and the Effect of Total Hip Replacement: A Secondary Analysis
Despite good clinical functional outcome, deficits in gait biomechanics exist 2 years after total hip replacement surgery. The aims of this research were (1) to group patients showing similar gait adaptations to hip osteoarthritis and (2) to investigate the effect of the surgical treatment on gait k...
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doaj-23384b1132434399b874911cd33783302021-06-01T00:17:34ZengMDPI AGJournal of Clinical Medicine2077-03832021-05-01102167216710.3390/jcm10102167Identification of Patients with Similar Gait Compensating Strategies Due to Unilateral Hip Osteoarthritis and the Effect of Total Hip Replacement: A Secondary AnalysisStefan van Drongelen0Bernd J. Stetter1Harald Böhm2Felix Stief3Thorsten Stein4Andrea Meurer5Dr. Rolf M. Schwiete Research Unit for Osteoarthritis, Department of Orthopedics (Friedrichsheim), University Hospital Frankfurt, Goethe University, 60528 Frankfurt/Main, GermanyInstitute of Sports and Sports Science, Karlsruhe Institute of Technology, 76131 Karlsruhe, GermanyOrthopedic Hospital for Children, Behandlungszentrum Aschau gGmbH, 83229 Aschaui im Chiemgau, GermanyDepartment of Orthopedics (Friedrichsheim), University Hospital Frankfurt, Goethe University, 60528 Frankfurt/Main, GermanyInstitute of Sports and Sports Science, Karlsruhe Institute of Technology, 76131 Karlsruhe, GermanyDepartment of Orthopedics (Friedrichsheim), University Hospital Frankfurt, Goethe University, 60528 Frankfurt/Main, GermanyDespite good clinical functional outcome, deficits in gait biomechanics exist 2 years after total hip replacement surgery. The aims of this research were (1) to group patients showing similar gait adaptations to hip osteoarthritis and (2) to investigate the effect of the surgical treatment on gait kinematics and external joint moments. In a secondary analysis, gait data of 51 patients with unilateral hip osteoarthritis were analyzed. A k-means cluster analysis was performed on scores derived via a principal component analysis of the gait kinematics. Preoperative and postoperative datasets were statistically tested between clusters and 46 healthy controls. The first three principal components incorporated hip flexion/extension, pelvic tilt, foot progression angle and thorax tilt. Two clusters were discriminated best by the peak hip extension during terminal stance. Both clusters deviated from healthy controls in spatio-temporal, kinematic and kinetic parameters. The cluster with less hip extension deviated significantly more. The clusters improved postoperatively but differences to healthy controls were still present one year after surgery. A poor preoperative gait pattern in patients with unilateral hip osteoarthritis is associated with worse gait kinematics after total hip replacement. Further research should focus on the identification of patients who can benefit from an adapted or individualized rehabilitation program.https://www.mdpi.com/2077-0383/10/10/2167unilateral hip osteoarthritisclassification3D gait analysistotal hip replacementcluster analysis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Stefan van Drongelen Bernd J. Stetter Harald Böhm Felix Stief Thorsten Stein Andrea Meurer |
spellingShingle |
Stefan van Drongelen Bernd J. Stetter Harald Böhm Felix Stief Thorsten Stein Andrea Meurer Identification of Patients with Similar Gait Compensating Strategies Due to Unilateral Hip Osteoarthritis and the Effect of Total Hip Replacement: A Secondary Analysis Journal of Clinical Medicine unilateral hip osteoarthritis classification 3D gait analysis total hip replacement cluster analysis |
author_facet |
Stefan van Drongelen Bernd J. Stetter Harald Böhm Felix Stief Thorsten Stein Andrea Meurer |
author_sort |
Stefan van Drongelen |
title |
Identification of Patients with Similar Gait Compensating Strategies Due to Unilateral Hip Osteoarthritis and the Effect of Total Hip Replacement: A Secondary Analysis |
title_short |
Identification of Patients with Similar Gait Compensating Strategies Due to Unilateral Hip Osteoarthritis and the Effect of Total Hip Replacement: A Secondary Analysis |
title_full |
Identification of Patients with Similar Gait Compensating Strategies Due to Unilateral Hip Osteoarthritis and the Effect of Total Hip Replacement: A Secondary Analysis |
title_fullStr |
Identification of Patients with Similar Gait Compensating Strategies Due to Unilateral Hip Osteoarthritis and the Effect of Total Hip Replacement: A Secondary Analysis |
title_full_unstemmed |
Identification of Patients with Similar Gait Compensating Strategies Due to Unilateral Hip Osteoarthritis and the Effect of Total Hip Replacement: A Secondary Analysis |
title_sort |
identification of patients with similar gait compensating strategies due to unilateral hip osteoarthritis and the effect of total hip replacement: a secondary analysis |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2021-05-01 |
description |
Despite good clinical functional outcome, deficits in gait biomechanics exist 2 years after total hip replacement surgery. The aims of this research were (1) to group patients showing similar gait adaptations to hip osteoarthritis and (2) to investigate the effect of the surgical treatment on gait kinematics and external joint moments. In a secondary analysis, gait data of 51 patients with unilateral hip osteoarthritis were analyzed. A k-means cluster analysis was performed on scores derived via a principal component analysis of the gait kinematics. Preoperative and postoperative datasets were statistically tested between clusters and 46 healthy controls. The first three principal components incorporated hip flexion/extension, pelvic tilt, foot progression angle and thorax tilt. Two clusters were discriminated best by the peak hip extension during terminal stance. Both clusters deviated from healthy controls in spatio-temporal, kinematic and kinetic parameters. The cluster with less hip extension deviated significantly more. The clusters improved postoperatively but differences to healthy controls were still present one year after surgery. A poor preoperative gait pattern in patients with unilateral hip osteoarthritis is associated with worse gait kinematics after total hip replacement. Further research should focus on the identification of patients who can benefit from an adapted or individualized rehabilitation program. |
topic |
unilateral hip osteoarthritis classification 3D gait analysis total hip replacement cluster analysis |
url |
https://www.mdpi.com/2077-0383/10/10/2167 |
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