ArticleArthritis research & therapy2021
Strategies for increasing gait speed in patients with hip osteoarthritis: their clinical significance and effects on hip loading.
Article in Arthritis research & therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 16 citations in OpenAlex.
- Differences of Physical Functions and Gait Kinematics in Selection of Strategies for Increasing Gait Speed in Older Adults: A Cross-sectional Study.Progress in rehabilitation medicine · 2026Article
- Walking speed - rather than hip pain - influences hip moments in individuals with and without mild hip pain.Journal of biomechanics · 2025Article
- The Advantage of Gait Pattern Assessment in Patients With Osteoarthritis Using Pearson Correlation Coefficient and SMAPE: A Case Series.Annals of rehabilitation medicine · 2025Article
- Evaluation of the relationship between muscle-tendon preservation and gait analysis in total hip arthroplasty.Journal of orthopaedics · 2025Article
- Cross-sectional analysis of speed-up mechanism in normal gait among healthy older adults with and without falls - Results from the Baltimore Longitudinal Study of Aging.Gait & posture · 2025Article
- A Preliminary Study on Kinetic Analysis of Ground Reaction Force and Impulse During Gait in Patients With Total Hip Replacement and Implication for Rehabilitation.Orthopaedic surgery · 2024Observational
- Inertial measurement unit-based real-time feedback gait immediately changes gait parameters in older inpatients: a pilot study.Frontiers in physiology · 2024Article
- Effects of Hip Bracing on Gait Biomechanics, Pain and Function in Subjects With Mild to Moderate Hip Osteoarthritis.Frontiers in bioengineering and biotechnology · 2022Article
- Individuals With Pre-arthritic Hip Pain Walk With Hip Motion Alterations Common in Individuals With Hip OA.Frontiers in sports and active living · 2021Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChanges in gait speed are required in various situations and can be achieved by changing stride length, cadence, or both. Differences in strategies for increasing gait speed may have different effects on hip joint and physical function. The purpose of this study was to determine the effects of strategies for increasing gait speed on hip pain, physical function, and changes in hip loading during gait in patients with hip osteoarthritis (OA). We hypothesized that patients who increase gait speed mainly by increasing cadence would have lesser hip pain, a higher physical function, and a lower rate of increase in hip moments with increasing gait speed.
methodsForty-seven patients with secondary hip OA (age, 48.3 ± 11.0 years) were included. Gait speed, stride length, cadence, and peak and impulse of the hip moments were measured during gait at self-selected normal and fast gait speeds. The patients were classified as types S (with mainly increasing stride length, n = 11 [23.4%]), C (with mainly increasing cadence, n = 23 [48.9%]), and SC (with increasing stride length and cadence, n = 13 [27.7%]) according to whether they used changes in stride length and/or cadence to transition from normal to fast gait. Hip pain, physical function, and hip moment changes during gait were compared between types.
resultsThe physical function was higher in types C (38.0 ± 8.8, P = 0.018) and SC (40.6 ± 8.5, P = 0.015) than in type S (28.2 ± 7.8), even after adjustment for age and minimum joint space width. Hip pain was not significantly different between types. The robustness of these results was confirmed with sensitivity analysis. The rates of increases in peak external hip adduction (P = 0.003) and internal rotation moments (P = 0.009) were lower in type C than in type SC.
conclusionsType C tended to suppress the increase in hip moments during fast gait. Types C and SC, which included increased cadence, maintained higher physical function levels than type S. Encouraging the use of cadence-increasing strategy may be useful for reducing hip loading and maintaining physical function in patients with hip OA.
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