Abnormal Gait Pattern Examination Screening for Physical Activity Level after One Year in Patients with Knee Osteoarthritis

This study examined the relationship between abnormal gait pattern and physical activity level one year later in patients with knee osteoarthritis (KOA) and determined the clinical utility of the abnormal gait pattern examination. Initially, the patients’ abnormal gait pattern was assessed using sev...

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Main Authors: Shunsuke Yamashina, Kazuhiro Harada, Ryo Tanaka, Yu Inoue
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Journal of Functional Morphology and Kinesiology
Subjects:
Online Access:https://www.mdpi.com/2411-5142/8/1/24
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author Shunsuke Yamashina
Kazuhiro Harada
Ryo Tanaka
Yu Inoue
author_facet Shunsuke Yamashina
Kazuhiro Harada
Ryo Tanaka
Yu Inoue
author_sort Shunsuke Yamashina
collection DOAJ
description This study examined the relationship between abnormal gait pattern and physical activity level one year later in patients with knee osteoarthritis (KOA) and determined the clinical utility of the abnormal gait pattern examination. Initially, the patients’ abnormal gait pattern was assessed using seven items, based on the scoring system reported in a previous study. The grading was based on a three-criteria system with 0: no abnormality, 1: moderately abnormal, and 2: severely abnormal. The patients were then classified into three groups according to physical activity level one year after gait pattern examination: low, intermediate, and high physical activity groups, respectively. Cut-off values for physical activity levels were calculated based on abnormal gait pattern examinations results. On follow-ups with 24 of the 46 subjects, age, abnormal gait pattern, and gait speed showed significant differences among the three groups according to the amount of physical activity. Effect size of abnormal gait pattern was higher than age and gait speed. Patients with KOA with physical activity < 2700 steps/day and <4400 steps/day at one year had abnormal gait pattern examination scores of ≥8 and ≥5, respectively. Abnormal gait pattern is associated with future physical activity. The results suggested that abnormal gait pattern examinations in patients with KOA could be used to screen for the possibility of physical activity being <4400 steps one year later.
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spelling doaj.art-ce7fb4f0b6824a008629c6f5b2bdd3e12023-11-17T11:54:55ZengMDPI AGJournal of Functional Morphology and Kinesiology2411-51422023-02-01812410.3390/jfmk8010024Abnormal Gait Pattern Examination Screening for Physical Activity Level after One Year in Patients with Knee OsteoarthritisShunsuke Yamashina0Kazuhiro Harada1Ryo Tanaka2Yu Inoue3Department of Rehabilitation, Taira Hospital, Okayama 709-0498, JapanGraduate School of Health Sciences, Kibi International University, Okayama 716-0018, JapanGraduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima 739-0046, JapanGraduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima 739-0046, JapanThis study examined the relationship between abnormal gait pattern and physical activity level one year later in patients with knee osteoarthritis (KOA) and determined the clinical utility of the abnormal gait pattern examination. Initially, the patients’ abnormal gait pattern was assessed using seven items, based on the scoring system reported in a previous study. The grading was based on a three-criteria system with 0: no abnormality, 1: moderately abnormal, and 2: severely abnormal. The patients were then classified into three groups according to physical activity level one year after gait pattern examination: low, intermediate, and high physical activity groups, respectively. Cut-off values for physical activity levels were calculated based on abnormal gait pattern examinations results. On follow-ups with 24 of the 46 subjects, age, abnormal gait pattern, and gait speed showed significant differences among the three groups according to the amount of physical activity. Effect size of abnormal gait pattern was higher than age and gait speed. Patients with KOA with physical activity < 2700 steps/day and <4400 steps/day at one year had abnormal gait pattern examination scores of ≥8 and ≥5, respectively. Abnormal gait pattern is associated with future physical activity. The results suggested that abnormal gait pattern examinations in patients with KOA could be used to screen for the possibility of physical activity being <4400 steps one year later.https://www.mdpi.com/2411-5142/8/1/24knee osteoarthritisabnormal gait patternphysical activitypredictive validity
spellingShingle Shunsuke Yamashina
Kazuhiro Harada
Ryo Tanaka
Yu Inoue
Abnormal Gait Pattern Examination Screening for Physical Activity Level after One Year in Patients with Knee Osteoarthritis
Journal of Functional Morphology and Kinesiology
knee osteoarthritis
abnormal gait pattern
physical activity
predictive validity
title Abnormal Gait Pattern Examination Screening for Physical Activity Level after One Year in Patients with Knee Osteoarthritis
title_full Abnormal Gait Pattern Examination Screening for Physical Activity Level after One Year in Patients with Knee Osteoarthritis
title_fullStr Abnormal Gait Pattern Examination Screening for Physical Activity Level after One Year in Patients with Knee Osteoarthritis
title_full_unstemmed Abnormal Gait Pattern Examination Screening for Physical Activity Level after One Year in Patients with Knee Osteoarthritis
title_short Abnormal Gait Pattern Examination Screening for Physical Activity Level after One Year in Patients with Knee Osteoarthritis
title_sort abnormal gait pattern examination screening for physical activity level after one year in patients with knee osteoarthritis
topic knee osteoarthritis
abnormal gait pattern
physical activity
predictive validity
url https://www.mdpi.com/2411-5142/8/1/24
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AT kazuhiroharada abnormalgaitpatternexaminationscreeningforphysicalactivitylevelafteroneyearinpatientswithkneeosteoarthritis
AT ryotanaka abnormalgaitpatternexaminationscreeningforphysicalactivitylevelafteroneyearinpatientswithkneeosteoarthritis
AT yuinoue abnormalgaitpatternexaminationscreeningforphysicalactivitylevelafteroneyearinpatientswithkneeosteoarthritis