Gait Analysis in Adult people with Hip Retrotorsion
AUTHORS
DongSik Oh,Dept. of Physical Therapy, Division of Health Science, Hanseo University, Korea
ABSTRACT
The purpose of this study was to conduct gait analysis of the hip joints of adults with retrotorsion when walking down stairs. Methods: Ten students with hip retrotorsion were selected from 230 healthy men and women. Results: The range of motion in the retrotorsion group in the sagittal and frontal planes was not significantly different in either joint (p>.05), but the affected side at the transverse plane had a significantly lower range of motion than the non-affected side (p<.05). There was no significant difference in either joint in the normal group in all planes (p>.05). Conclusion: During stair descent in adults with hip retrotorsion, the affected side showed greater internal rotation and a lower abduction angle than the non-affected side. We expect these findings to help in preventing musculoskeletal disorders that may occur in daily life due to femoral torsion and to offer valuable information regarding walking.
KEYWORDS
Descending stairs, Femur, Kinematics, Range of motion, Torsion
REFERENCES
[1] H. J. Bennett and S. Zhang, G. Shen, J. T. Weinhandl, M. R. Paquette, J. Reinbolt, D. P. Coe. “Effects of toe-in and wider step width in stair ascent with different knee alignments,” Med Sci Sports Exerc, vol.49, no.3, (2017)
[2] J. K. Startzell and D. A. Owens, L. M. Mulfinger, P. R. Cavanagh, “Stair negotiation in older people: A review,” Journal of the American Geriatrics Society, J Am Geriatr Soc, vol.48, no.5, (2000) DOI: 10.1111/j.1532-5415.2000.tb05006.x(CrossRef)(Google Scholar)
[3] K. Singhal, J. Kim, J. Casebolt, S. Lee, K. H. Han, and Y. H. Kwon, “Kinetic comparison of older men and women during walk-to-stair descent transition,” Gait posture, vol.40, no.4, (2014) DOI: 10.1016/j.gaitpost.2014.07.004(CrossRef)(Google Scholar)
[4] R. B. Souza and C. M. Powers, “Concurrent criterion-related validity and reliability of a clinical test to measure femoral anteversion,” J Orthop Sports Phys Ther, vol.39, no.8, (2009) DOI: 10.2519/jospt.2009.2996(CrossRef)(Google Scholar)
[5] D. Tönnis and A. Heinecke, “Current concepts review - acetabular and femoral anteversion: relationship with osteoarthritis of the hip,” J. Bone Joint Surg Am, vol.81, no.12, pp.1747-1817, (1999)
[6] M. C. Worlicek, M. L. Wörner, B. S. Craiovan, F. Zeman, J. Grifka, T. F. Renkawitz, and M. Weber, “Lesser trochanter size on plain anteroposterior radiographs correlates with native femoral anteversion,” J Arthroplasty, vol.32, no.9, pp.2892-2897, (2017) DOI: 10.1016/j.arth.2017.03.054(CrossRef)(Google Scholar)
[7] T. Bell-Jenje, B. Olivier, W. Wood, S. Rogers, A. Green, and W. McKinon. “The association between loss of ankle dorsiflexion range of movement, and hip adduction and internal rotation during a step down test,” Man Ther, vol.21, pp.256-261, (2016) DOI: 10.1016/j.math.2015.09.010(CrossRef)(Google Scholar)
[8] M. T. Cibulka, M. J. Strube, D. Meier, M. Selsor, C. Wheatley, N. G. Wilson, and J. J. Irrgang, “Symmetrical and asymmetrical hip rotation and its relationship to hip rotator muscle strength,” Clin Biomech, vol.25, no.1, pp.56-62, (2010) DOI: 10.1016/j.clinbiomech.2009.09.006(CrossRef)(Google Scholar)
[9] C. Radler, A. Kranzl, H. M Manner, M, Höglinger, R, Ganger, and F. Grill, “Torsional profile versus gait analysis: Consistency between the anatomic torsion and the resulting gait pattern in patients with rotational malalignment of the lower extremity,” Gait Posture, vol.32, no.3, pp.405-410, (2010) DOI: 10.1016/ j.gaitpost.2010.06.019(CrossRef)(Google Scholar)
[10] M. Bruderer-Hofstetter, V. Fenner, E. Payne, K. Zdenek, H. Klima, and R. Wegener, “Gait deviations and compensations in pediatric patients with increased femoral torsion,” J Orthop Res, vol.33, no.2, pp.155-162, (2015) DOI: 10.1002/jor.22746(CrossRef)(Google Scholar)
[11] K. A. Shorter, J. D. Polk, K. S. Rosengren, and E. T. Hsiao-Wecksler, “A new approach to detecting asymmetries in gait,” Clin Biomech, vol.23, no.4, pp.459-467, (2008) DOI: 10.1016/j.clinbiomech.2007.11.009(CrossRef)(Google Scholar)
[12] [J. D. Polk, R. M. Stumpf, and K. S. Rosengren, “Limb dominance, foot orientation and functional asymmetry during walking gait,” Gait Posture, vol.52, pp.140-146, (2017) DOI: 10.1016/j.gaitpost.2016.11.028(CrossRef)(Google Scholar)
[13] P. R. Worsley, G. Whatling, D. Barrett, C. Holt, M. Stokes, and M. Taylor, “Assessing changes in subjective and objective function from pre- to post-knee arthroplasty using the cardiff dempster-shafer theory classifier,” Comput Methods Biomech Biomed Engin, vol.19, no.4, pp.418-427, (2016) DOI: 10.1080/ 10255842.2015.1034115(CrossRef)(Google Scholar)
[14] O. Y. Kwon, J. H. Won, J. S. Oh, L. W. Lee, and S. J. Kim, “Effects of the hip internal rotation gait on gluteal and erector spinae muscle activity,” Phys Ther Korea, vol.13, no.1, pp.24-31, (2006)
[15] Y.S. Kim, E. J. Kim, and C. J. Seo, “The comparative analysis of EMG and gait patterns of lower extremities during going up stairs and down,” Kor J Phys Edu., vol.45, (2006)
[16] A. Protopapadaki, W. I. Drechsler, M. C. Cramp, F. J. Coutts, and O. M. Scott, “Hip, knee, ankle kinematics and kinetics during stair ascent and descent in healthy young individuals,” Clin Biomech, vol.2, no.22, pp.203-210, (2007) DOI: 10.1016/j.clinbiomech.2006.09.010(CrossRef)(Google Scholar)
[17] A. Uding, N. J Bloom, P. K Commean, T. J. Hillen, J. D. Patterson, J. C. Clohisy, and M. Harris-Hayes, “Clinical tests to determine femoral version category in people with chronic hip joint pain and asymptomatic controls,” Musculoskelet Sci Pract., vol.39, pp.115-122, (2019) DOI: 10.1016/j.msksp.2018.12.003(CrossRef)(Google Scholar)
[18] F. Accadbled and J. Cahuzac, “In-toeing and out-toeing,” Rev Prat, vol.56, no.2, (2006)
[19] D. Samuel, P. Rowe, V. Hood, and A. Nicol, “The biomechanical functional demand placed on knee and hip muscles of older adults during stair ascent and descent,” Gait posture, vol.34, no.2, pp.239-244, (2011) DOI: 10.1016/j.gaitpost.2011.05.005(CrossRef)(Google Scholar)
[20] O. S. Mian, J. M. Thom, M. V. Narici, and V. Baltzopoulos, “Kinematics of stair descent in young and older adults and the impact of exercise training,” Gait Posture, vol.25, no.1, pp.9-17, (2007) DOI: 10.1016/j.gaitpost.2005.12.014(CrossRef)(Google Scholar)
[21] T. Ryu, H. S. Choi, H. Choi, and M. K. Chung, “A comparison of gait characteristics between Korean and Western people for establishing Korean gait reference data,” Int J Ind Ergon, vol.36, no.12, pp.1023-1030, (2006) DOI: 10.1016/j.ergon.2006.09.013(CrossRef)(Google Scholar)