Post-operative gait analysis in total hip replacement patients— a review of current literature and meta-analysis

Ewen, Alistair, Stewart, Su, St Clair Gibson, Alan, Kashyap, Shankar and Caplan, Nick (2012) Post-operative gait analysis in total hip replacement patients— a review of current literature and meta-analysis. Gait & Posture, 36 (1). pp. 1-6. ISSN 0966-6362

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Official URL: http://dx.doi.org/10.1016/j.gaitpost.2011.12.024

Abstract

Gait analysis has been used to measure gait adaptations following total hip replacement (THR) for many years. In this time, advances have been made in implant technology and surgical procedure. However, gait adaptations persist after surgery. This review of seven published studies, where gait characteristics were compared between post-operative THR patients and healthy controls, had the objective of investigating current practice in gait analysis of this patient population and to determine if there is a consensus on post-operative gait changes associated with THR. Levels of methodological quality and study design were found to be variable. Meta-analyses were performed on all gait variables reported by at least three studies to determine overall Cohen's d effect sizes and 95% confidence intervals. Reductions in walking velocity (d=−0.79; CI=−1.54, −0.04), stride length (d=−1.06; CI=−1.62, −0.49) and sagittal hip range of motion (d=−1.58; CI=−2.12, −1.04) were observed. Increases in peak hip flexion (d=0.52; CI=−0.01, 1.09) and extension (d=0.54; CI=−0.10, 1.09) moments were found, although these were likely to be of less clinical significance. Reduced peak hip abduction was also observed (d=−0.58; CI=−1.09, −0.06). Future developments in THR technology and surgical methods should therefore aim to reduce the differences between patients and controls in terms of walking velocity, stride length, hip range of motion and hip abduction moments.

Item Type: Article
Uncontrolled Keywords: Review, total hip replacement, gait analysis, biomechanics, hip osteoarthritis
Subjects: B900 Others in Subjects allied to Medicine
C600 Sports Science
Department: Faculties > Health and Life Sciences > School of Life Sciences > Sport, Exercise and Rehabilitation
Depositing User: Ay Okpokam
Date Deposited: 26 Mar 2012 10:13
Last Modified: 10 Aug 2015 11:35
URI: http://nrl.northumbria.ac.uk/id/eprint/5862

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