NDLI: The clinical impact of hip joint centre regression equation error on kinematics and kinetics during paediatric gait.

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The clinical impact of hip joint centre regression equation error on kinematics and kinetics during paediatric gait.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kiernan, D. Malone, A. O'Brien, T. Simms, C. K.
Description	Author Affiliation: Kiernan D ( Gait Laboratory, Central Remedial Clinic, Clontarf, Dublin 3, Ireland); Malone A ( Gait Laboratory, Central Remedial Clinic, Clontarf, Dublin 3, Ireland.); O'Brien T ( Gait Laboratory, Central Remedial Clinic, Clontarf, Dublin 3, Ireland.); Simms CK ( Trinity Centre for Bioengineering, Parsons Building, Trinity College Dublin, Dublin 2, Ireland.)
Abstract	Regression equations based on pelvic anatomy are routinely used to estimate the hip joint centre during gait analysis. While the associated errors have been well documented, the clinical significance of these errors has not been reported. This study investigated the clinical agreement of three commonly used regression equation sets (Bell et al., Davis et al. and Orthotrak software) against the equations of Harrington et al. Full 3-dimensional gait analysis was performed on 18 healthy paediatric subjects. Kinematic and kinetic data were calculated using each set of regression equations and compared to Harrington et al. In addition, the Gait Profile Score and GDI-Kinetic were used to assess clinical significance. Bell et al. was the best performing set with differences in Gait Profile Score (0.13°) and GDI-Kinetic (0.84 points) falling below the clinical significance threshold. Small deviations were present for the Orthotrak set for hip abduction moment (0.1 Nm/kg), however differences in Gait Profile Score (0.27°) and GDI-Kinetic (2.26 points) remained below the clinical threshold. Davis et al. showed least agreement with a clinically significant difference in GDI-Kinetic score (4.36 points). It is proposed that Harrington et al. or Bell et al. regression equation sets are used during gait analysis especially where inverse dynamic data are calculated. Orthotrak is a clinically acceptable alternative however clinicians must be aware of the effects of error on hip abduction moment. The Davis et al. set should be used with caution for inverse dynamic analysis as error could be considered clinically meaningful.
File Format	HTM / HTML
ISSN	09666362
Issue Number	1
Volume Number	41
e-ISSN	18792219
Journal	Gait & Posture
Language	English
Publisher	Elsevier
Publisher Date	2015-01-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Research Support, Non-u.s. Gov't Discipline Orthopedics Gait Clinical Trial Anthropometry Humans Anatomy & Histology Male Reference Values Pelvis Journal Article Hip Joint Regression Analysis Biomechanical Phenomena Models, Biological Female Physiology Child
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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