Gait Initiation and Transition From Double to Single Support in Patients With Unilateral Primary Coxarthrosis Who Have Not Undergone Surgery and Before/After Arthroplasty
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Primary; Coxarthrosis
- Sponsor
- Lille Catholic University
- Enrollment
- 100
- Locations
- 2
- Primary Endpoint
- Amplitude degree of lower limbs articulations
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The study consists to evaluate the impact of prosthetic surgery (PTH and RTH) on kinematic and dynamic parameters (joint torques) of the lower limbs during gait initiation in patients with primary coxarthrosis.
Patients included in the study will undergo a three-dimensional gait analysis. Dynamic gait analysis is multidimensional, measuring kinematic parameters (joint amplitudes: ankles, knees, hips, etc.) and dynamic parameters (assessment of joint torque from ankle, knee, hip to lower limb during gait initiation).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Men or women aged 18 and over
- •With primary coxarthrosis (any stage)
- •Consulting in the orthopedic departments of participating centers in anticipation of hip surgery (PTH/RTH), or for advice only.
- •Written consent signed by the patient
- •Affiliation with a social security scheme
Exclusion Criteria
- •Disabling orthopaedic conditions:
- •Symptomatic contralateral hip/knee disease Symptomatic gonarthrosis or homolateral total knee prosthesis History of surgery on the affected hip History of fracture of the lower limb in the past year History of lower limb sprain in the last 3 months Neurological or degenerative disease
- •Pregnant or breast-feeding
- •Adults under guardianship, curatorship or safeguard of justice
- •Cognitive impairment making it impossible to understand the protocol
- •Approach other than Moore posterolateral (for PTH and RTH groups)
Outcomes
Primary Outcomes
Amplitude degree of lower limbs articulations
Time Frame: 6 months
Dynamics of limbs joint torques during walking initiation measured in Nm/kg
Time Frame: 6 months
Secondary Outcomes
- Duration of anticipatory postural adjustment phase during gait initiation(6 months)
- Duration of execution phase during gait initiation(6 months)
- Measurement of the amplitude of retreat of the center of pressure during gait initiation(6 months)
- PMA (Postel Merle d'Aubigné) score(6 months)
- Devane score(6 months)
- UCLA (University of California Los Angeles) score(6 months)
- Pelvic incidence(6 months)
- Pelvic tilt angle(6 months)
- Step length during gait initiation(6 months)
- Step width during gait initiation(6 months)
- Measurement of the trajectory during gait initiation(6 months)
- Measurement of the speed during gait initiation(6 months)
- Severity of coxarthrosis according to the Tönnis classification(6 Months)
- HHS (Harris Hip Score)(6 months)
- Duration of first step during gait initiation(6 months)
- Vellas unipodal weight-bearing test(6 months)
- Sacral slope angle(6 months)