Related Experiment Video
Updated: Apr 19, 2026
In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
Relationship between physical impairments and movement patterns during gait in patients with end-stage hip
Joseph Zeni1, Federico Pozzi, Sumayah Abujaber
1Department of Physical Therapy, University of Delaware, 540 S College Avenue Office 210w, Newark, 19713, Delaware; Biomechanics and Movement Science Program, University of Delaware, Newark, 19713, Delaware.
Abstract:
Patients with hip osteoarthritis demonstrate limited range of motion, muscle weakness, and altered biomechanics; however, few studies have evaluated the relationships between physical impairments and movement asymmetries. The purpose of this study was to identify the physical impairments related to movement abnormalities in patients awaiting total hip arthroplasty. We hypothesized that muscle weakness and pain would be related to greater movement asymmetries. Fifty-six subjects who were awaiting total hip arthroplasty were enrolled. Pain was assessed using a 0-10 scale, range of motion was assessed with the Harris Hip Score and isometric hip abductor strength was tested using a hand-held dynamometer. Trunk, pelvis and hip angles and moments in the frontal and sagittal planes were measured during walking using three dimensional motion analysis. During gait, subjects had 3.49 degrees less peak hip flexion and 8.82 degrees less extension angles (p < 0.001) and had 0.03 Nm/k*m less hip adduction moment on the affected side (p = 0.043). Weaker hip muscles were related to greater pelvis (r = -0.291) and trunk (r = -0.332) rotations in the frontal plane. These findings suggest that hip weakness drives abnormal movement patterns at the pelvis and trunk in patients with hip osteoarthritis to a greater degree than hip pain.
