Document Detail


Femoroacetabular impingement alters hip and pelvic biomechanics during gait Walking biomechanics of FAI.
MedLine Citation:
PMID:  19307121     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Femoroacetabular impingement (FAI) has been reported to cause hip pain in a variety of daily activities including walking. However, the biomechanics of level gait has not been compared between FAI patients and a control group. This study quantified the affect of cam FAI on the three-dimensional (3-D) kinematics of the hip and pelvis, as well as the 3-D kinetics generated at the hip during walking. A unilateral cam impingement group (n=17) was compared to a matched control group (n=14) using between-group one-way ANOVAs. The FAI group had significantly lower peak hip abduction (p=0.009), frontal range of motion (ROM) (p=0.003), as well as attenuated pelvic frontal ROM (pelvic roll) (p=0.004) compared to the controls during level gait. There was also a trend of the impinged group having a lower sagittal ROM (p=0.047) than the controls. However, there were no kinetic differences between the two groups. Attenuated hip abduction, frontal ROM and sagittal ROM during gait in FAI individuals may be caused by soft tissue restriction, and decreased frontal pelvic ROM could result from limited mobility at the sacro-lumbar joint.
Authors:
Matthew J Kennedy; Mario Lamontagne; Paul E Beaulé
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Gait & posture     Volume:  30     ISSN:  1879-2219     ISO Abbreviation:  Gait Posture     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-05-18     Completed Date:  2009-08-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9416830     Medline TA:  Gait Posture     Country:  England    
Other Details:
Languages:  eng     Pagination:  41-4     Citation Subset:  IM    
Affiliation:
School of Human Kinetics, University of Ottawa, 125 Université, Ottawa, ON K1N 6N5, Canada. mkenn073@uottawa.ca
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MeSH Terms
Descriptor/Qualifier:
Acetabulum / physiology*
Adult
Analysis of Variance
Biomechanics*
Case-Control Studies
Female
Femur Head / physiopathology
Femur Neck / physiopathology
Foot / physiology
Gait / physiology*
Hip Joint / physiopathology*
Humans
Imaging, Three-Dimensional
Joint Diseases / diagnosis*,  physiopathology
Male
Middle Aged
Multivariate Analysis
Pelvic Bones / physiopathology
Photography
Probability
Range of Motion, Articular / physiology*
Reference Values
Walking / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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