Effects of hip osteoarthritis on lower body joint kinematics during locomotion tasks: a systematic review and meta-analysis
IntroductionMotion analysis can be used to gain information needed for disease diagnosis as well as for the design and evaluation of intervention strategies in patients with hip osteoarthritis (HOA). Thereby, joint kinematics might be of great interest due to their discriminative capacity and access...
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| Format: | Article |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Sports and Active Living |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fspor.2023.1197883/full |
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| author | Hannah Steingrebe Hannah Steingrebe Sina Spancken Stefan Sell Stefan Sell Thorsten Stein |
| author_facet | Hannah Steingrebe Hannah Steingrebe Sina Spancken Stefan Sell Stefan Sell Thorsten Stein |
| author_sort | Hannah Steingrebe |
| collection | DOAJ |
| description | IntroductionMotion analysis can be used to gain information needed for disease diagnosis as well as for the design and evaluation of intervention strategies in patients with hip osteoarthritis (HOA). Thereby, joint kinematics might be of great interest due to their discriminative capacity and accessibility, especially with regard to the growing usage of wearable sensors for motion analysis. So far, no comprehensive literature review on lower limb joint kinematics of patients with HOA exists. Thus, the aim of this systematic review and meta-analysis was to synthesise existing literature on lower body joint kinematics of persons with HOA compared to those of healthy controls during locomotion tasks.MethodsThree databases were searched for studies on pelvis, hip, knee and ankle kinematics in subjects with HOA compared to healthy controls during locomotion tasks. Standardised mean differences were calculated and pooled using a random-effects model. Where possible, subgroup analyses were conducted. Risk of bias was assessed with the Downs and Black checklist.Results and DiscussionA total of 47 reports from 35 individual studies were included in this review. Most studies analysed walking and only a few studies analysed stair walking or turning while walking. Most group differences were found in ipsi- and contralateral three-dimensional hip and sagittal knee angles with reduced ranges of motion in HOA subjects. Differences between subjects with mild to moderate and severe HOA were found, with larger effects in severe HOA subjects. Additionally, stair walking and turning while walking might be promising extensions in clinical gait analysis due to their elevated requirements for joint mobility. Large between-study heterogeneity was observed, and future studies have to clarify the effects of OA severity, laterality, age, gender, study design and movement execution on lower limb joint kinematics.Systematic Review RegistrationPROSPERO (CRD42021238237). |
| first_indexed | 2024-03-11T06:37:13Z |
| format | Article |
| id | doaj.art-bc18e9a0288d4ddcb411c4075d584562 |
| institution | Directory Open Access Journal |
| issn | 2624-9367 |
| language | English |
| last_indexed | 2024-03-11T06:37:13Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Sports and Active Living |
| spelling | doaj.art-bc18e9a0288d4ddcb411c4075d5845622023-11-17T10:51:26ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672023-11-01510.3389/fspor.2023.11978831197883Effects of hip osteoarthritis on lower body joint kinematics during locomotion tasks: a systematic review and meta-analysisHannah Steingrebe0Hannah Steingrebe1Sina Spancken2Stefan Sell3Stefan Sell4Thorsten Stein5BioMotion Center, Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Karlsruhe, GermanySports Orthopedics, Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Karlsruhe, GermanyBioMotion Center, Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Karlsruhe, GermanySports Orthopedics, Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Karlsruhe, GermanyJoint Center Black Forest, Hospital Neuenbürg, Neuenbürg, GermanyBioMotion Center, Institute of Sports and Sports Science, Karlsruhe Institute of Technology (KIT), Karlsruhe, GermanyIntroductionMotion analysis can be used to gain information needed for disease diagnosis as well as for the design and evaluation of intervention strategies in patients with hip osteoarthritis (HOA). Thereby, joint kinematics might be of great interest due to their discriminative capacity and accessibility, especially with regard to the growing usage of wearable sensors for motion analysis. So far, no comprehensive literature review on lower limb joint kinematics of patients with HOA exists. Thus, the aim of this systematic review and meta-analysis was to synthesise existing literature on lower body joint kinematics of persons with HOA compared to those of healthy controls during locomotion tasks.MethodsThree databases were searched for studies on pelvis, hip, knee and ankle kinematics in subjects with HOA compared to healthy controls during locomotion tasks. Standardised mean differences were calculated and pooled using a random-effects model. Where possible, subgroup analyses were conducted. Risk of bias was assessed with the Downs and Black checklist.Results and DiscussionA total of 47 reports from 35 individual studies were included in this review. Most studies analysed walking and only a few studies analysed stair walking or turning while walking. Most group differences were found in ipsi- and contralateral three-dimensional hip and sagittal knee angles with reduced ranges of motion in HOA subjects. Differences between subjects with mild to moderate and severe HOA were found, with larger effects in severe HOA subjects. Additionally, stair walking and turning while walking might be promising extensions in clinical gait analysis due to their elevated requirements for joint mobility. Large between-study heterogeneity was observed, and future studies have to clarify the effects of OA severity, laterality, age, gender, study design and movement execution on lower limb joint kinematics.Systematic Review RegistrationPROSPERO (CRD42021238237).https://www.frontiersin.org/articles/10.3389/fspor.2023.1197883/fullhip osteoarthritismotion analysiskinematicsgaitstair walkingturning |
| spellingShingle | Hannah Steingrebe Hannah Steingrebe Sina Spancken Stefan Sell Stefan Sell Thorsten Stein Effects of hip osteoarthritis on lower body joint kinematics during locomotion tasks: a systematic review and meta-analysis Frontiers in Sports and Active Living hip osteoarthritis motion analysis kinematics gait stair walking turning |
| title | Effects of hip osteoarthritis on lower body joint kinematics during locomotion tasks: a systematic review and meta-analysis |
| title_full | Effects of hip osteoarthritis on lower body joint kinematics during locomotion tasks: a systematic review and meta-analysis |
| title_fullStr | Effects of hip osteoarthritis on lower body joint kinematics during locomotion tasks: a systematic review and meta-analysis |
| title_full_unstemmed | Effects of hip osteoarthritis on lower body joint kinematics during locomotion tasks: a systematic review and meta-analysis |
| title_short | Effects of hip osteoarthritis on lower body joint kinematics during locomotion tasks: a systematic review and meta-analysis |
| title_sort | effects of hip osteoarthritis on lower body joint kinematics during locomotion tasks a systematic review and meta analysis |
| topic | hip osteoarthritis motion analysis kinematics gait stair walking turning |
| url | https://www.frontiersin.org/articles/10.3389/fspor.2023.1197883/full |
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