Hip kinematics in healthy adults during gait and squatting: Sex differences and asymmetry revealed through dynamic biplane radiography.

Autor: Johnson CC; Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, United States. Electronic address: ccj17@pitt.edu., Ruh ER; Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, United States., Frankston NE; Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, United States., Charles S; Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, United States., McClincy M; Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, United States., Anderst WJ; Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, United States.
Jazyk: angličtina
Zdroj: Journal of biomechanics [J Biomech] 2022 Oct; Vol. 143, pp. 111280. Date of Electronic Publication: 2022 Aug 30.
DOI: 10.1016/j.jbiomech.2022.111280
Abstrakt: There is a lack of data unaffected by soft tissue artifact describing bilateral symmetry and sex differences in hip kinematics in asymptomatic individuals during activities of daily living. This study aimed to identify sex-based differences and to quantify bilateral symmetry in continuous hip kinematics during walking and bodyweight squatting using biplane radiography. Twenty-four asymptomatic young adults (13 women, 11 men; age: 21.9 ± 2.2 years) performed treadmill walking and squatting while synchronized biplane radiographs of the hip were collected at 50 frames/s. Pelvis and proximal femur bone tissue were segmented from CT images and reconstructed into subject-specific 3D bone models. Femoroacetabular kinematics were determined using a validated volumetric model-based tracking technique that matched digitally reconstructed radiographs generated from the CT-based bone models to the biplane radiographs. Symmetry was calculated as the average absolute side-to-side difference (SSD) in kinematic waveforms for each participant. Sex-based and phase-based (eccentric vs. concentric squatting) kinematic variations were assessed using linear mixed model analysis. Women were 0.2 mm more anteriorly translated and 0.1 mm more inferiorly translated than men across the gait cycle (both p < 0.04), but no sex-based or phase-based kinematic differences during squatting were identified. The maximum SSD across all movements was up to 18.6° (internal-external rotation) and 1.0 mm (superior-inferior translation), respectively. Asymmetry in internal rotation, superior translation, and medial translation was greater during squatting than during walking (all p < 0.002). This study provides a reference dataset of healthy young adults for evaluating hip kinematics and symmetry in symptomatic cohorts or in individuals undergoing surgery or rehabilitation.
Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: MM previously recieved roalties from Elizur LLC for an unrelated device. All other authors have no professional or financial affiliations that may be perceived to bias this presentation.
(Copyright © 2022 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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