Relationship between history of falls and foot pressure centre parameters during gait and stance in patients with lower-limb osteoarthritis

Abstract The risk of falls increases with age, particularly in patients with osteoarthritis (OA). We aimed to investigate the relationships of fall history and spatiotemporal parameters in patients with hip and knee OA. This cross-sectional study included 51 patients with hip or knee OA. Fall histor...

Full description

Saved in:
Bibliographic Details
Main Authors: Yuya Mawarikado, Yosuke Uchihashi, Yusuke Inagaki, Munehiro Ogawa, Yoshinobu Uchihara, Naoto Seriu, Yukako Ishida, Yasuyo Kobayashi, Asuka Sakata, Keiji Nogami, Midori Shima, Yasuhito Tanaka, Akira Kido
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-11684-6
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract The risk of falls increases with age, particularly in patients with osteoarthritis (OA). We aimed to investigate the relationships of fall history and spatiotemporal parameters in patients with hip and knee OA. This cross-sectional study included 51 patients with hip or knee OA. Fall history over the past year was recorded, and the centre of pressure (COP) parameters of gait and standing were assessed using the FDM-T treadmill. Comparisons were made between the fall and non-fall groups. Compared with the non-fall group, the fall group exhibited significant posterior displacement of the COP intersection during gait (p = 0.001). In hip OA patients, significant age, anterior‒posterior symmetry, and variability differences were observed. In knee OA patients, anterior‒posterior symmetry and lateral variability showed significant between-group differences. This study revealed a significant association between posterior COP displacement during gait and fall history. This parameter may serve as a novel fall indicator. Further prospective studies are needed to determine its predictive value for fall prevention.
ISSN:2045-2322