The variation of lateral and posterior coverage of the femoral head by the acetabulum during walking influences stability during gait
TypeArticles dans des revues avec comité de lecture
1. Introduction Gait balance, assessed by the angle formed between the line joining the center-of-mass (COM) to the center-of-pressure (COP) and the vertical during gait, has been shown to be related to skeletal-postural and anthro- pometric parameters . Although skeletal-postural parameters are mea- sured on standing radiographs, they are known to vary during gait. There are currently no studies evaluating how the variations of skeletal-postural parameters during gait influence subject’s balance during walking. 2. Research question How does the variation of skeletal-postural parameters during gait influence subject’s balance during walking? 3. Methods 72 asymptomatic subjects (age: 28.6 ± 11 years [18–59], 29F) underwent 3D gait analysis  with additional markers on the thighs and shanks. The COM-COP angle with the vertical was calculated in both the frontal and sagittal planes during the gait cycle  (Fig. 1). Subjects then underwent low-dose full-body biplanar X-rays with the markers still in place. 3D reconstructions were obtained for the spine, pelvis and lower limbs. 3D bones were registered at each frame of the gait cycle . A new technique developed for this study, utilizing finite element modelling, was used to reduce soft tissue artefacts. Skeletal- postural parameters were then computed during the gait cycle, using the 3D registered bones, at each time frame (Fig. 2); mean, minimum, maximum and ROM were calculated on the waveforms during the gait cycle. In order to determine which varying skeletal-postural parameter during gait determined the variation of the COM-COP angles, univariate analysis (Pearson’s correlation) followed by a multivariate analysis (stepwise-multiple-linear-regression models) were computed; COM- COP parameters were the dependant variables and varying skeletal- postural parameters during gait were the independent variables. 4. Results Minimum (−14.2 ± 3.4°) and average (3.1 ± 1.6°) of the sagittal COM-COP angle were found to be determined by the minimum of the posterior coverage (post_cov) of the femoral head by the acetabulum during gait (β = 0.40; R2 = 0.16; p = 0.003 and β = 0.32; R2 = 0.1; p = 0.001,respectively).ROM(33.9 ± 5.1°)andmaximum (19.7 ± 2.8°) of the sagittal COM-COP angle were found to be related to the ROM (β = 0.29; R2 = 0.09; p = 0.03) and maximum (β = 0.34; R2 = 0.11; p = 0.006) of the acetabular abduction during gait, re- spectively. ROM of the frontal COM-COP angle (8.8 ± 2.51°) was found to be determined by the average of the post_cov (β = 0.51; R2 = 0.26; p = 0.004) during gait. 5. Discussion This is the first study to evaluate how the variation of skeletal- postural parameters during walking influences the stability during gait (Fig. 3). A less pronounced posterior coverage of the acetabulum during gait predisposes to more instability by decreasing the minimum COM- COP angle; a more pronounced acetabular abduction (decreased lateral coverage) during gait predisposes to more instability by increasing the ROM and the maximum of the COM-COP angle. Therefore, gait in- stability in the sagittal plane seems to be influenced by the variation of the posterior and lateral coverage of the femoral head by the acet- abulum during walking.
Showing items related by title, author, creator and subject.
KARAM, Aya; LABAKI, Chris; MJAESS, Georges; BIZDIKIAN, Aren Joe; YARED, Fares; OTAYEK, Joeffroy; BAKOUNY, Ziad; GHANEM, Ismat; SKALLI, Wafa; ASSI, Ayman (ELSEVIER, 2018)Lower limb joints are subject to mechanical load during daily activities, such as gait, which is an important risk factor of osteoarthritis. Moreover, kinetics are known to be inﬂuenced by gait alterations in patients with ...
How does the variation of the 3D orientation of the acetabulum during walking influence hip kinematics? MJAESS, Georges; LABAKI, Chris; KARAM, Aya; BAKOUNY, Ziad; BIZDIKIAN, Aren Joe; OTAYEK, Joeffroy; YARED, Fares; SKALLI, Wafa; GHANEM, Ismat; ASSI, Ayman (ELSEVIER, 2018)Acetabular cup orientation is crucial for total hip arthroplasty (THA), and its malpositioning could lead to impingement and dislocation . Acetabular cup orientation currently relies on static 3D hip parameters  and ...
LABAKI, Chris; OTAYEK, Joeffroy; MASSAAD, Abir; BAKOUNY, Ziad; KARAM, Mohammad; HANNA, Cyril; KASSAB, Anthony; BIZDIKIAN, Aren Joe; MJAESS, Georges; KARAM, Aya; SKALLI, Wafa; GHANEM, Ismat; ASSI, Ayman (American Association of Neurological Surgeons, 2019)OBJECTIVE The aim of this study was to determine if the apical vertebra (AV) in patients with adolescent idiopathic scoliosis (AIS) is the most rotated vertebra in the scoliotic segment. METHODS A total of 158 patients ...
How do 3D skeletal parameters and demographics determine kinematic adaptation from normal to fast speed gait? MJAESS, Georges; KARAM, Aya; LABAKI, Chris; YARED, Fares; BIZDIKIAN, Aren Joe; BAKOUNY, Ziad; SKALLI, Wafa; GHANEM, Ismat; ASSI, Ayman (Elsevier, 2018)The occurrence of falls during gait in elderly people is an important source of morbidity . One of the useful screening tests for falls is the kinematic analysis of fast walking, that identiﬁes subjects with risk of ...
KARAM, Mohammad; BIZDIKIAN, Aren Joe; KHALIL, Nour; BAKOUNY, Ziad; OBEID, Ibrahim; GHANIMEH, Joe; LABAKI, Chris; MJAESS, Georges; KARAM, Aya; SKALLI, Wafa; KHARRAT, Khalil; GHANEM, Ismat; ASSI, Ayman (Springer, 2020)Purpose: To evaluate the 3D deformity of the acetabula and lower limbs in subjects with adolescent idiopathic scoliosis (AIS) and their relationship with spino-pelvic alignment. Methods: Two hundred and seventy-four subjects ...