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BioMed Research International
Volume 2015 (2015), Article ID 142562, 8 pages
Research Article

Biomechanics of Lower Limbs during Walking among Candidates for Total Knee Arthroplasty with and without Low Back Pain

1Speed School of Engineering, University of Louisville, Louisville, KY 40292, USA
2College of Engineering and Applied Sciences, University of Wisconsin-Milwaukee, Milwaukee, WI 53211, USA
3College of Nursing, Marquette University, Milwaukee, WI 53233, USA
4Department of Mechanical Engineering, University of Louisville, Louisville, KY 40292, USA

Received 18 December 2014; Revised 2 May 2015; Accepted 20 May 2015

Academic Editor: Catherine Said

Copyright © 2015 David R. Burnett et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The effect of joint pathologies, such as unilateral knee osteoarthritis (UKOA) or low back pain (LBP), on bilateral gait symmetry has gained increased attention during the past decade. This study is the first to compare gait patterns between patients with UKOA and LBP in combination and with UKOA only. Temporal, kinematic, and kinetic variables were measured bilaterally during gait stance phase in 31 subjects with UKOA and LBP (Group I) and 11 subjects with only UKOA (Group II). Group I patients exhibited less hip rotation in the affected limb (A) than in the nonaffected (NA) limb during walking in contrast to Group II patients. Group I patients had minimal bilateral differences in hip abduction and flexion, but Group II patients displayed significantly larger values in the NA limb compared to the A limb for both parameters. Hip flexion patterns were significantly different between Groups I and II. Subjects in both groups adapted gait patterns that minimized vertical ground reaction force, knee flexion motion, and stance time on the UKOA affected limb. The distinct kinematic gait patterns that were revealed in this study may provide clinical value for assessment of patients with UKOA in conjunction with LBP.