Modified gait patterns due to cam FAI syndrome remain unchanged after surgery

Catelli, Danilo S.; Ng, K. C. Geoffrey; Kowalski, Erik; Beaulé, Paul E.; Lamontagne, Mario

doi:10.1016/j.gaitpost.2019.06.003

Cited by 33 publications

(46 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Besides, neuromuscular adaptations have been reported to influence symptoms and contribute to changes in biomechanical outcomes 19,[29][30][31][32] . Although several studies reported on hip biomechanics in patients from pre-arthritic hip disease 20,27,[33][34][35][36][37] , the effect on musculoskeletal loading in terms of the dynamic muscle forces and hip contact force (HCF) is still limited to gait 32,37,38 with little information during functional ROM. As osteochondroplasty of the cam morphology can decrease joint contact loading by 21-27% 39,40 , a further understanding of changes in muscle forces and their consequent effect on joint loading may provide benefits to design better pre-and/or postoperative FAI rehabilitation programs after corrective FAI surgery 41,42 .…”

Section: Introductionmentioning

confidence: 99%

Hip Muscle Forces and Contact Loading During Squatting After Cam-Type FAI Surgery

Catelli

Wesseling

et al. 2020

Journal of Bone and Joint Surgery

Self Cite

View full text Add to dashboard Cite

Background: Corrective hip surgery for cam-type femoroacetabular impingement (FAI) aims to improve hip function and prevent joint degeneration. The purpose was to compare muscle and hip contact forces (HCF) during squatting in cam-FAI patients before and after hip corrective surgery, and in healthy control participants (CTRL).Methods: Ten symptomatic cam-FAI male patients performed deep squatting pre-and at 2 years postoperatively. Patients were age, and body-mass-index matched to 10 CTRL male participants. Full-body kinematics and kinetics were computed and, muscle forces and HCF were estimated using musculoskeletal model and static optimization. Normalized squat cycle (%SC) trials were compared using statistical non-parametric mapping (SnPM). Results: Postoperative patients squatted down with higher anterior pelvic tilt (11-29%SC, P=.004), higher hip flexion (9-31%SC, P=.003) and greater hip extension moments (21-26%SC, P=.008) compared to preoperative FAI. Preoperative patients also demonstrated lower anterior pelvic tilt (7-9%SC, P=.023; 92-99%SC, P=.016) and lower hip flexion (87-97%SC, P=.008) compared to the CTRL. Postoperative patients showed increased semimembranosus force concerning their preoperative values (68-73%SC, P=.002). Preoperative forces were also lower than the CTRL for the adductor magnus (28-34%SC, P=.011), psoas major (49-58%SC, P=.

show abstract

Section: Introductionmentioning

confidence: 99%

Hip Muscle Forces and Contact Loading During Squatting After Cam-Type FAI Surgery

Catelli

Wesseling

et al. 2020

Journal of Bone and Joint Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

“…There was no interaction of sex and group for body mass index (BMI) (P = . 23 There were no interactions or main effects for peak trunk flexion (P ≥ .13), extension (P ≥ .09), or lateral flexion towards (P ≥ .72) or away (P ≥ .82) from the stance limb (Table 2).…”

Section: Resultsmentioning

confidence: 94%

“…We hypothesized that these sex differences would be greater than those identified in the healthy cohort. While hip arthroscopy may reduce symptoms through improved local joint biomechanics (ie, bony resection), movement impairments during functional tasks can persist 10,23 . We anticipated that similar movement impairments previously identified in preoperative cohorts would also be identified in this postoperative cohort.…”

Section: Introductionmentioning

confidence: 89%

Sex‐specific sagittal and frontal plane gait mechanics in persons post‐hip arthroscopy for femoroacetabular impingement syndrome

Brown‐Taylor

Schroeder

Lewis

et al. 2020

Journal Orthopaedic Research

View full text Add to dashboard Cite

Postoperative gait mechanics in persons with femoroacetabular impingement syndrome (FAIS) remain understudied as a treatment outcome despite observed, yet inconclusive, preoperative gait abnormalities. Females with FAIS demonstrate worse preoperative patient-reported hip function and altered hip mechanics when compared with males; it is unknown whether these sex differences persist postarthroscopy. The purpose of this study was to compare sex-specific gait kinematics between persons at least 1 year postarthroscopy for FAIS and healthy comparisons. General linear models with estimating equations were used to evaluate the effect of (a) limb and sex within each group, and (b) limb and group within each sex for peak sagittal and frontal plane trunk, pelvis, and hip kinematics during stance phase of gait. Analyses were covaried by gait speed. Seventeen females and eight males an average 2.5 years postarthroscopy (1.1-7.2 year) for FAIS were compared with healthy females (n = 7) and males (n = 5). Females in the FAIS group presented with an average of 4.6°more anterior pelvic tilt, and 4.8°less hip extension compared with healthy females (P ≤ .03) and 8.6°less trunk flexion, 4.8°more anterior pelvic tilt, 3.1°more pelvic drop, and 7.5°more hip flexion than males with FAIS (P ≤ .03). Males in the FAIS group presented with 2.9°less pelvic drop, and 3.2°less hip adduction than healthy males. Preoperative gait mechanics were not collected and thus changes in mechanics could not be evaluated. This study is significant to clinicians who treat patients postarthroscopy to consider sex-specific gait impairments.

show abstract

“…It's unknown if that was due to weakness, fear avoidance, or some other compensation patterns; although, it has recently been established that FAIS patients do have altered muscle forces around the hip joint, that may even linger up to 2 years after surgery. 9,25 This gait pattern likely has multifactorial explanations, as there are complex relationships between neuromuscular strength and recovery from the operations. It is also important to know that these adaptations occurred despite 14% improvement in HOS ADL scores (pre: 64.1 ± 15.4 to 3 month: 74.7 ± 14.1, p<0.001).…”

Section: Discussionmentioning

confidence: 99%

“…7 However, previous post-operative gait studies suffer from mixed-gender samples, include varying surgical procedures, or are at inconsistent post-operative times. [8][9][10][11] For a more thorough understanding of FAIS recovery, gender specific studies that feature earlier follow-ups at discrete time points post-operatively are still needed. Understanding how gait changes in the short term follow up, e.g.…”

Section: O N L I N E F I R S Tmentioning

confidence: 99%

Preoperative and Postoperative Walking Gait in Women With Acetabular Labral Tears and Femoroacetabular Impingement Syndrome

Freemyer

Durkin

Crawford

et al. 2021

Journal of Athletic Training

View full text Add to dashboard Cite

Context: Symptomatic Femoroacetabular Impingement Syndrome (FAIS) is a painful condition that leads to decreased function. It is currently unknown how walking gait changes over time following surgery for FAIS earlier than one year, or how these changes present in females. Objective: The purpose was to determine biomechanical gait differences between females with FAIS/labral tears and controls pre-operatively, and three- and six-months post-operatively. Design: Case-Control Study. Setting: Gait laboratory. Participants: The study included 18 female participants (n=9 FAIS patients, n=9 controls). Main Outcome Measures: Between-group comparisons of the Hip Outcome Score activity of daily living subscale (HOSadl) and gait biomechanics were evaluated at pre-operative and three- and six-months post-operative sessions. Statistical parametric mapping was conducted on normalized time-series data. Results: Pre-operatively, the FAIS group had poor HOSadl scores [Pre-operative: 64.1 (15.4), Controls 100.0 (0), p<0.001;], walked 15% slower, and had several gait differences compared to controls. Three months post-operatively, the FAIS group had greater vGRF (p=0.013), ankle dorsiflexion angles (p=0.021), and external dorsiflexion moment (p=0.012) in midstance, as well as greater knee flexion through the second half of stance (p<0.001). The FAIS group also demonstrated less hip extension (p=0.024) and hip abduction (p=0.010) through the second half of stance, which transitioned into less hip extension (p=0.040) and hip abduction (p=0.025) during the subsequent swing phase. The FAIS improved their HOSadl to 87.6 (7.6) by 6-months post-operatively and had greater dorsiflexion moment (p=0.003) and ankle external rotation during stance (p=0.033). The FAIS patients also showed greater external hip ER moment in late stance (p<0.001). Conclusions: The most biomechanical differences between groups occurred 3-months post-operatively, suggesting that female FAIS patients have more post-operative gait compensations in the short term after surgery. By six-month post-operatively, the patient reported outcomes greatly improved and there were few gait differences compared to the control group.

show abstract

Modified gait patterns due to cam FAI syndrome remain unchanged after surgery

Cited by 33 publications

References 40 publications

Hip Muscle Forces and Contact Loading During Squatting After Cam-Type FAI Surgery

Hip Muscle Forces and Contact Loading During Squatting After Cam-Type FAI Surgery

Sex‐specific sagittal and frontal plane gait mechanics in persons post‐hip arthroscopy for femoroacetabular impingement syndrome

Preoperative and Postoperative Walking Gait in Women With Acetabular Labral Tears and Femoroacetabular Impingement Syndrome

Contact Info

Product

Resources

About