Correlation between Spatiotemporal and Kinematic Parameters of Walking with a History of Falling in Women with Osteoarthritis of the Medial Compartment of the Knee

Document Type : Original Articles

Authors

1 MSc, Department of Sports Biomechanics, School of Physical Education and Sport Sciences, University of Shahid Bahonar of Kerman, Kerman, Iran

2 Associate Professor, Department of Sports Biomechanics, School of Physical Education and Sport Sciences, University of Shahid Bahonar of Kerman, Kerman, Iran

10.48305/jrrs.2023.41821.1051

Abstract

Introduction: Knee osteoarthritis (OA) is a debilitating chronic disease that leads to swelling, inflammation, and pain in the knee joints. Most falls occur while walking, and it is thought that there is a correlation between gait characteristics and the risk of falling in the elderly. The aim of the present study was to determine the correlation between the kinematic and spatiotemporal characteristics of walking and the history of falls in women with knee OA.
Materials and Methods: 60 women with unilateral OA of the knee were selected based on the research inclusion criteria in a purposeful and available manner and after filling out a written consent form, they were included in the study using a limited randomization method of block randomization type. Then, the falling history of participants was recorded. To record spatiotemporal and kinematic variables of walking, a motion analysis system was used. To measure the correlation between the spatiotemporal parameters of walking (movement and spatiotemporal data) and the history of falling, the biserial correlation coefficient was used.
Results: According to the results of the biserial correlation coefficient test, there was no relationship between spatiotemporal and kinematic factors in all three joints of the hip, knee, and ankle and the subject's history of falling..
Conclusion: No correlation was observed between walking characteristics and a history of falls in patients with knee OA. It is possible that the participants with OA symptoms may be aware of their presence and physical activity, or may limit their daily life activities. It should also be noted that the current study is retrospective and patients may underestimate or overestimate their history of falls accordingly.

Keywords

Main Subjects

  1. Baczkowicz D, Skiba G, Czerner M, Majorczyk E. Gait and functional status analysis before and after total knee arthroplasty. Knee 2018; 25(5): 888-96.
  2. Guideline for the prevention of falls in older persons. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention. J Am Geriatr Soc 2001; 49(5): 664-72.
  3. Kelsey JL, Berry SD, Procter-Gray E, Quach L, Nguyen US, Li W, et al. Indoor and outdoor falls in older adults are different: the maintenance of balance, independent living, intellect, and Zest in the Elderly of Boston Study. J Am Geriatr Soc 2010; 58(11): 2135-41.
  4. Campbell AJ, Borrie MJ, Spears GF. Risk factors for falls in a community-based prospective study of people 70 years and older. J Gerontol 1989; 44(4): M112-7.
  5. Rubenstein LZ, Robbins AS, Schulman BL, Rosado J, Osterweil D, Josephson KR. Falls and instability in the elderly. J Am Geriatr Soc 1988; 36(3): 266-78.
  6. Quach L, Galica AM, Jones RN, Procter-Gray E, Manor B, Hannan MT, et al. The nonlinear relationship between gait speed and falls: The maintenance of balance, independent living, intellect, and Zest in the Elderly of Boston Study. J Am Geriatr Soc 2011; 59(6): 1069-73.
  7. Doshi KB, Moon SH, Whitaker MD, Lockhart TE. Assessment of gait and posture characteristics using a smartphone wearable system for persons with osteoporosis with and without falls. Sci Rep 2023; 13(1): 538.
  8. Barbosa GC, Caparrol AJldS, Melo BRdS, Medeiros TJ, Ottaviani AC, Gratão ACM. Factors correlated with the frailty of elderly in outpatient care: difference between age groups. Escola Anna Nery 2022; 26: 1-9.
  9. Lord SR, Lloyd DG, Li SK. Sensori-motor function, gait patterns and falls in community-dwelling women. Age Ageing 1996; 25(4): 292-9.
  10. Hill K, Schwarz J, Flicker L, Carroll S. Falls among healthy, community-dwelling, older women: a prospective study of frequency, circumstances, consequences and prediction accuracy. Aust N Z J Public Health 1999; 23(1): 41-8.
  11. Moreira BS, Sampaio RF, Kirkwood RN. Spatiotemporal gait parameters and recurrent falls in community-dwelling elderly women: A prospective study. Braz J Phys Ther 2015; 19(1): 61-9.
  12. Marks R. Osteoarthritis and falls: Is there a Link? Journal of Aging Research and Healthcare 2020; 3(2): 1-13.
  13. Park JH, Lee H, Cho Js, Kim I, Lee Js, Jang S. Effects of knee osteoarthritis severity on inter-joint coordination and gait variability as measured by hip-knee cyclograms. Scientific Reports 2021; 11(1): 1789.
  14. Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis 1957; 16(4): 494-502.
  15. Phinyomark A, Osis ST, Hettinga BA, Kobsar D, Ferber R. Gender differences in gait kinematics for patients with knee osteoarthritis. BMC Musculoskelet Disord 2016; 17: 157.
  16. Saelee MP. Falls and gait characteristics in older people with knee osteoarthritis [MSc Thesis]. Khlong Nueng, Thailand: Thammasat University; 2017.
  17. Vennu V, Bindawas SM. Relationship between falls, knee osteoarthritis, and health-related quality of life: data from the Osteoarthritis Initiative study. Clin Interv Aging 2014; 9: 793-800.
  18. Sabet F, Ebrahimipour E, Mohammadipour F, Daneshjoo A, Jafarnezhadgero A. Effects of Swedish massage on gait spatiotemporal parameters in adult women with medial knee osteoarthritis: A randomized controlled trial. J Bodyw Mov Ther 2021; 28: 521-6.
  19. Akimoto T, Kawamura K, Wada T, Ishihara N, Yokota A, Suginoshita T, et al. Gait cycle time variability in patients with knee osteoarthritis and its possible associating factors. J Phys Ther Sci 2022; 34(2): 140-5.
  20. Chen Y, Yu Y, He CQ. Correlations between Joint Proprioception, Muscle Strength, and Functional Ability in Patients with Knee Osteoarthritis. Sichuan Da Xue Xue Bao Yi Xue Ban 2015; 46(6): 880-4. [In Chinese].
  21. Kim D, Park G, Kuo LT, Park W. The effects of pain on quadriceps strength, joint proprioception and dynamic balance among women aged 65 to 75 years with knee osteoarthritis. BMC Geriatr 2018; 18(1): 245.
  22. Gimunova M, Sebera M, Kasovic M, Svobodova L, Vespalec T. Spatio-temporal gait parameters in association with medications and risk of falls in the elderly. Clin Interv Aging 2022; 17: 873-83.
  23. Drummond FMM, Lourenco RA, Lopes CS. Association between fear of falling and spatial and temporal parameters of gait in older adults: the FIBRA-RJ study. Eur Geriatr Med 2022; 13(2): 407-13.
  24. Tu R, Wang S, He H, Ding J, Zeng Q, Guo L, et al. Association between subjective cognitive complaints, balance impairment and disability among middle-aged and older adults: Evidence from a population-based cohort study. Geriatr Gerontol Int 2022; 22(12): 1025-31.
  25. Winter DA, Patla AE, Frank JS, Walt SE. Biomechanical walking pattern changes in the fit and healthy elderly. Phys Ther 1990; 70(6): 340-7.
  26. Leiper CI, Craik RL. Relationships between physical activity and temporal-distance characteristics of walking in elderly women. Phys Ther 1991; 71(11): 791-803.
  27. Ismailidis P, Egloff C, Hegglin L, Pagenstert G, Kernen R, Eckardt A, et al. Kinematic changes in patients with severe knee osteoarthritis are a result of reduced walking speed rather than disease severity. Gait Posture 2020; 79: 256-61.
  28. Ismailidis P, Hegglin L, Egloff C, Pagenstert G, Kernen R, Eckardt A, et al. Side to side kinematic gait differences within patients and spatiotemporal and kinematic gait differences between patients with severe knee osteoarthritis and controls measured with inertial sensors. Gait Posture 2021; 84: 24-30.
  29. Bourgarel E, Risser C, Blanc F, Vogel T, Kaltenbach G, Meyer M, et al. Spatio-temporal gait parameters of hospitalized older patients: comparison of fallers and non-fallers. Int J Environ Res Public Health 2023; 20(5): 4563.
Volume 18, Issue 1
2022
Pages 131-138
  • Receive Date: 31 May 2023
  • Revise Date: 17 September 2023
  • Accept Date: 18 September 2023