Skip to main content

Research Repository

Advanced Search

Gait biomechanics in joint hypermobility syndrome: A spatiotemporal, kinematic and kinetic analysis

Alsiri, Najla; Cramp, Mary; Barnett, Sue; Palmer, Shea

Gait biomechanics in joint hypermobility syndrome: A spatiotemporal, kinematic and kinetic analysis Thumbnail


Authors

Najla Alsiri

Mary Cramp Mary.Cramp@uwe.ac.uk
Portfolio Lead: Health and Social Wellbeing Research

Profile Image

Shea Palmer Shea.Palmer@uwe.ac.uk
Professor in Allied Health Professions



Abstract

Introduction
Joint hypermobility syndrome (JHS) symptoms of widespread joint hypermobility and pain, muscle weakness and reduced muscle‐tendon stiffness suggest that there may be an impact on gait parameters. Identification of gait abnormalities may inform assessment and management. The objective in the present study was to use a cross‐sectional designed study to explore the impact of JHS on gait parameters.

Methods
A JHS group of 29 participants (mean age 37.57 (S.D. 13.77) years) was compared to a healthy control group of 30 participants (mean 39.27 (S.D. 12.59) years). Spatiotemporal parameters, joint kinematics and joint kinetics were captured using the Qualisys motion capture system synchronized with a Kistler force platform.

Results
Statistically significant reductions in walking speed, stride length and step length were found in the JHS group, while stance and double support durations were significantly increased (p < 0.01). During the swing phase, the JHS group showed significantly less knee flexion (p < 0.01). Reductions in hip extensor moment, and knee power generation and absorption were identified in the JHS group (p < 0.01). No other gait parameters were significantly altered.

Conclusion
The JHS group walked more slowly with a kinematic ‘stiffening’ pattern. Hypermobility was not evident during gait. The observed stiffening pattern could be a strategy to avoid pain and improve balance. Impairments in moment and power generation could be related to several symptomatic and etiological factors in JHS. Clinicians should carefully consider gait in the assessment and management of people with JHS targeting the impairments identified by the current study.

Citation

Alsiri, N., Cramp, M., Barnett, S., & Palmer, S. (2020). Gait biomechanics in joint hypermobility syndrome: A spatiotemporal, kinematic and kinetic analysis. Musculoskeletal Care, 18(3), 301-314. https://doi.org/10.1002/msc.1461

Journal Article Type Article
Acceptance Date Jan 24, 2020
Online Publication Date Feb 22, 2020
Publication Date Sep 1, 2020
Deposit Date Feb 4, 2020
Publicly Available Date Feb 23, 2021
Journal Musculoskeletal Care
Print ISSN 1478-2189
Electronic ISSN 1557-0681
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 18
Issue 3
Pages 301-314
DOI https://doi.org/10.1002/msc.1461
Keywords Joint Hypermobility Syndrome, kinematic, kinetic, gait, three-dimensional
Public URL https://uwe-repository.worktribe.com/output/5308902

Files

JHS Gait MSKCare ACCEPTED (425 Kb)
Document

Licence
http://www.rioxx.net/licenses/all-rights-reserved

Publisher Licence URL
http://www.rioxx.net/licenses/all-rights-reserved

Copyright Statement
This is the peer reviewed version of the following article: Alsiri, N., Cramp, M., Barnett, S., & Palmer, S. (2020). Gait biomechanics in joint hypermobility syndrome: A spatiotemporal, kinematic and kinetic analysis. Musculoskeletal Care, 18(3), 301-314, which has been published in final form at https://doi.org/10.1002/msc.1461 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.


Gait biomechanics in Joint Hypermobility Syndrome: a spatiotemporal, kinematic and kinetic analysis. (1.7 Mb)
PDF

Licence
http://www.rioxx.net/licenses/all-rights-reserved

Publisher Licence URL
http://www.rioxx.net/licenses/all-rights-reserved

Copyright Statement
This is the peer reviewed version of the following article: Alsiri, N., Cramp, M., Barnett, S., & Palmer, S. (2020). Gait biomechanics in joint hypermobility syndrome: A spatiotemporal, kinematic and kinetic analysis. Musculoskeletal Care, 18(3), 301-314, which has been published in final form at https://doi.org/10.1002/msc.1461 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.







You might also like



Downloadable Citations