Asymptomatic radiographic hip osteoarthritis is associated with gait differences, especially in women: A population-based study
| Autor: | M. Arfan Ikram, Joyce B. J. van Meurs, Marjolein de Kruijf, Jos N. van der Geest, Sita M A Bierma-Zeinstra, Vincentius J.A. Verlinden, Albert Hofman, André G. Uitterlinden |
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| Přispěvatelé: | Epidemiology, Radiology & Nuclear Medicine, Internal Medicine, General Practice, Neurology, Neurosciences |
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Radiography Population Biophysics Osteoarthritis Walking Asymptomatic Osteoarthritis Hip 03 medical and health sciences 0302 clinical medicine Sex Factors medicine Hip osteoarthritis Humans Orthopedics and Sports Medicine 030212 general & internal medicine Prospective Studies education Gait Aged Aged 80 and over education.field_of_study business.industry Rehabilitation Osteoarthritis Knee medicine.disease Population based study Physical therapy Linear Models Female medicine.symptom business human activities 030217 neurology & neurosurgery Cohort study |
| Zdroj: | Gait & Posture, 54, 248-254. Elsevier |
| ISSN: | 1879-2219 0966-6362 |
| Popis: | Background Hip and knee osteoarthritis (OA) are debilitating diseases that impair gait at severe stages. Although associations between OA and gait are established for normal walking, little is known about its relation with turning and tandem (heel-to-toe) walking. Furthermore, it is unknown how asymptomatic OA associates with gait, and whether associations differ by sex. We investigated how symptomatic and asymptomatic hip and knee OA associate with gait in community-dwelling individuals. Methods In 2706 participants of a population-based cohort study, gait was assessed by electronic walkway and summarised into seven gait domains. Hip and knee radiographs were graded for radiographic OA (ROA) using the Kellgren and Lawrence (K&L) score. Linear regression was used to investigate associations between ROA and gait. Analyses were repeated including only participants with asymptomatic ROA, defined as a K&L-score of 2 without pain. Results In total, 177 participants (6.5%) had hip ROA and 441 (16.3%) knee ROA. We found no associations of knee ROA with gait. Hip ROA associated with Rhythm, Tandem, and Turning. Furthermore, unilateral hip ROA associated with larger gait asymmetry and gait differences in osteoarthritic and non-osteoarthritic leg, when compared to people without hip ROA. Associations between hip ROA and gait were generally stronger for women than men. Associations for hip ROA remained after restricting to asymptomatic ROA. Conclusion Hip ROA, but not knee ROA, associates with gait differences in normal walking, turning, and tandem walking in community-dwelling individuals. These associations differ between the sexes, and are already present for asymptomatic ROA. |
| Databáze: | OpenAIRE |
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