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Leg Length Discrepancy to Influence on Kinematic Changes of the Pelvis and the Hip during Gait

  • Yong, MinSik (Department of Physical Therapy, College of Health Sciences, Youngsan University) ;
  • Park, SoHyun (Department of Physical Therapy, College of Health Sciences, Youngsan University)
  • Received : 2019.12.09
  • Accepted : 2019.12.26
  • Published : 2019.12.31

Abstract

Purpose: The purpose of this study was to investigate the effects of leg length discrepancy on kinematic changes of the pelvis and hip during gait. Methods: A total of ten healthy women with no history of neurological, musculoskeletal surgery or injuries, or pain in the lower limbs were recruited. They were assigned to two groups; the experimental group (LLD) consisting of five subjects leg length discrepancy of 10mm to 18mm and the control group (CON) consisting of five subjects leg length discrepancy of<10 mm. All participants were instructed to perform three walking trials for further analysis by using the Cortex 3.0 software program. Independent T-test and Mann-Whitney test were used to examine the effects of mild LLD on kinematic changes of the pelvis and hip during gait. Results: Angles of hip flexion, hip abduction, pelvic obliquity, and pelvic tilt in the experimental group were not significantly different compared to those of the control group. Conclusion: Mild leg length discrepancy induces kinematic changes in the lower limbs, including decreased hip flexion, increased hip abduction, and increased pelvic obliquity in the shorter limb, and increased hip adduction and increased pelvic obliquity in the longer limb. However, those changes were not significant.

Keywords

References

  1. Gurney B. Leg length discrepancy. Gait & posture. 2002;15(2):195-206. https://doi.org/10.1016/S0966-6362(01)00148-5
  2. Woerman AL, Binder-Macleod SA. Leg length discrepancy assessment: Accuracy and precision in five clinical methods of evaluation. J Orthop Sports Phys Ther. 1984;5(5):230-9. https://doi.org/10.2519/jospt.1984.5.5.230
  3. Guichet J-M, Spivak JM, Trouilloud P et al. Lower limb-length discrepancy. An epidemiologic study. Clin Orthop Relat Res. 1991(272):235-41.
  4. Danbert RJ. Clinical assessment and treatment of leg length inequalities. J Manipulative Physiol Ther. 1988;11(4):290-5.
  5. Blake RL, Ferguson H. Limb length discrepancies. J Am Podiatr Med Assoc. 1992;82(1):33-8. https://doi.org/10.7547/87507315-82-1-33
  6. Fujimaki H, Inaba Y, Kobayashi N et al. Leg length discrepancy and lower limb alignment after total hip arthroplasty in unilateral hip osteoarthritis patients. J Orthop Sci. 2013;18(6):969-76. https://doi.org/10.1007/s00776-013-0457-3
  7. Sanhudo JA, Gomes JL. Association between leg length discrepancy and posterior tibial tendon dysfunction. Foot Ankle Spec. 2014;7(2):119-26. https://doi.org/10.1177/1938640014522096
  8. Harvey WF, Yang M, Cooke TD et al. Association of leg-length inequality with knee osteoarthritis: a cohort study. Ann Intern Med. 2010;152(5): 287-95. https://doi.org/10.1059/0003-4819-152-5-201003020-00006
  9. Khamis S, Leisman G, Carmeli E. Detecting the presence of leg length discrepancy based on gait deviations and functional measurement of leg length during walking. BMJ Case Rep. 2017;2017.
  10. Khamis S, Carmeli E. Relationship and significance of gait deviations associated with limb length discrepancy: a systematic review. Gait Posture. 2017;57:115-23. https://doi.org/10.1016/j.gaitpost.2017.05.028
  11. Young RS, Andrew PD, Cummings GS. Effect of simulating leg length inequality on pelvic torsion and trunk mobility. Gait & posture. 2000; 11(3):217-23. https://doi.org/10.1016/S0966-6362(00)00048-5
  12. Gurney B, Mermier C, Robergs R et al. Effects of limb-length discrepancy on gait economy and lower-extremity muscle activity in older adults. JBJS. 2001;83(6):907-15. https://doi.org/10.2106/00004623-200106000-00013
  13. Khamis S, Carmeli E. The effect of simulated leg length discrepancy on lower limb biomechanics during gait. Gait Posture. 2017.
  14. Walsh M, Connolly P, Jenkinson A et al. Leg length discrepancy-an experimental study of compensatory changes in three dimensions using gait analysis. Gait Posture. 2000;12(2):156-61. https://doi.org/10.1016/S0966-6362(00)00067-9
  15. Resende RA, Kirkwood RN, Deluzio KJ et al. Biomechanical strategies implemented to compensate for mild leg length discrepancy during gait. Gait Posture. 2016;46:147-53. https://doi.org/10.1016/j.gaitpost.2016.03.012

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