0
Journal Contents   |    
Walking Patterns of Patients with Unilateral Hip Pain Due to Osteo-Arthritis and Avascular Necrosis
M. P. MURRAY; DONALD R. GORE; B. H. CLARKSON
View Disclosures and Other Information
From the Kinesiology Research Laboratory, Veterans Administration Center, Wood, the Department of Orthopedic Surgery, and the Division of Physical Therapy, Medical College of Wisconsion (Formerly Marquette School of Medicine), Milwankee
1971 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1971; 53:259-274 
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

The simultaneous displacement patterns of parts of the body were analyzed during free-speed anf fast walking of twenty-six men with unilateral hip pain. Despite the variability from one patient to another, certain distinct gait abnormalities emerged as typical of the coxalgic gait.

The limp of hip pain is characterized by irregularity and asymmetry in the following gait components during successive phases of weight-bearing on the painful and sound limb: duration of the weight-bearing periods; step lenght; vertical and forward motion of the head; lateral displacement of the head, trunk, upper limb, or some combination of the three; and sagittal rotation of the shoulders and elbows. The following components were significantly less than normal: walking speed; step length; cadence; maximum extension of both hips and both ankles during the late stanee phase; maximum flexion of both knees during swing; shoulder flexion during the forward are of arm swing; and elbow extension during the backward are. The following components were significantly greater than normal: lateral motion of the head; anterior pelvic tilting; and transverse rotation of the pelvis during free-speed walking.

Most of the patients showed a descent of the pelvis on the swinging side during single-limb support on the painful limb and an elevation of the pelvis on the swinging side during single-limb support on the sound limb.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    Topics

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe




    Related Articles
    Related Cases
    Related Content
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Evidence-based indications for elbow arthroscopy.
    Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association: Issue date- 2012 Feb
    Clinical Trials
    Readers of This Also Read...
    jbjs jobs
    12/22/2011
    VA - Charleston Area Medical Center
    12/22/2011
    ME - Central Maine Medical Center
    12/22/2011
    Maine - Central Maine Medical Center