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The gait deviations of ankylosing spondylitis with hip involvement

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Abstract

Objective

The aim of the study was to investigate the gait deviations of ankylosing spondylitis (AS) patients with hip involvement.

Methods

Thirty-six subjects, including 18 AS patients with hip involvement (AS group) and 18 healthy people (control subjects, CS group), were enrolled in the study. Three-dimensional gait analysis of the AS group and CS group was performed. Kinematic parameters, kinetic parameters and surface electromyography (sEMG) during the gait cycle were measured.

Results

The AS patients with hip involvement had a lower gait velocity, shorter step length and shorter stride length. In the hip angles, there was significantly decreased flexion, excessive abduction and excessive external rotation; there was excessive flexion in the knee and reduction in plantar flexion of the ankle. AS patients had increased forward trunk flexion, excessive obliquity and restricted rotation of the trunk during the gait cycle. The hip moments of the AS group showed a significant reduction in flexion, abduction and external rotation during the gait cycle. The root mean square amplitude of the sEMG for the rectus femoris in the AS group was higher than that in the CS group.

Conclusion

The gait deviations in AS patients with hip involvement were described in this study. The gait analysis results demonstrated statistically significant alterations regarding the kinematic and kinetic gait parameters for the patients included in the sample. Coordination and balance were impaired by the disease. An efficient physical exercise plan can be formulated according to the results of gait analysis.

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Abbreviations

AS :

ankylosing spondylitis

BMI :

body mass index

BASDAI :

Bath Ankylosing Spondylitis Disease Activity Index

BASFI :

Bath Ankylosing Spondylitis Functional Index

BASMI :

Bath Ankylosing Spondylitis Metrology Index

VAS pain :

Visual Analog Scale for Pain

BASRI-h :

Bath Ankylosing Spondylitis Hip Radiology Index

BASRI-SIJ :

Bath Ankylosing Spondylitis Radiology Index on Sacroiliac Joint

GRF :

ground reaction force

PvGRF :

peak vertical ground reaction force

sEMG :

surface electromyography

IEMG :

integrated electromyography

RMS :

root mean square amplitude

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Acknowledgements

The authors thank all the patients and volunteers that participated in the study.

Funding

This research was supported by funding from the “Establishment of parachute training computer simulation system for parachute training” (Grant No. BKJ14J004).

Author information

Author notes

  1. Guoning Zhang, Jia Li and Zhengliang Xia contributed equally to this work.

Authors and Affiliations

  1. Department of Orthopedics, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

    Guoning Zhang

  2. Department of Orthopedics, Changhai Hospital Affiliated to the Second Military Medical University, No. 168 Changhai Road, Shanghai, China

    Jia Li & Weidong Xu

  3. School of Kinesiology, Shanghai University of Sport, Shanghai, China

    Zhengliang Xia

Authors
  1. Guoning Zhang
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  2. Jia Li
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  3. Zhengliang Xia
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  4. Weidong Xu
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Contributions

Guoning Zhang, Jia Li and Zhengliang Xia contributed equally to the manuscript; they conceived and designed the study. Guoning Zhang and Jia Li collected the clinical data. Guoning Zhang and Zhengliang Xia conducted the gait analysis and performed the statistical analysis. Weidong Xu approved the final version.

Corresponding author

Correspondence to Weidong Xu.

Ethics declarations

All patients provided written informed consent. The study was conducted by the orthopaedic department of our hospital and was approved by the clinical research ethics committee of Changhai Hospital (CHEC2013-194).

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Zhang, G., Li, J., Xia, Z. et al. The gait deviations of ankylosing spondylitis with hip involvement. Clin Rheumatol 38, 1163–1175 (2019). https://doi.org/10.1007/s10067-018-4401-y

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  • DOI: https://doi.org/10.1007/s10067-018-4401-y

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