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...

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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
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Online Access:https://doi.org/10.1038/s41598-025-11684-6
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author 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
author_facet 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
author_sort Yuya Mawarikado
collection DOAJ
description 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.
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institution Kabale University
issn 2045-2322
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publishDate 2025-07-01
publisher Nature Portfolio
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series Scientific Reports
spelling doaj-art-a7e1447343ae49f0ab8d306ecf90c3c72025-08-20T04:03:07ZengNature PortfolioScientific Reports2045-23222025-07-0115111010.1038/s41598-025-11684-6Relationship between history of falls and foot pressure centre parameters during gait and stance in patients with lower-limb osteoarthritisYuya Mawarikado0Yosuke Uchihashi1Yusuke Inagaki2Munehiro Ogawa3Yoshinobu Uchihara4Naoto Seriu5Yukako Ishida6Yasuyo Kobayashi7Asuka Sakata8Keiji Nogami9Midori Shima10Yasuhito Tanaka11Akira Kido12Medicinal Biology of Thrombosis and Haemostasis, Nara Medical UniversityDepartment of Rehabilitation Medicine, Nara Medical UniversityDepartment of Rehabilitation Medicine, Nara Medical UniversityDepartment of Orthopaedic Surgery, Nara Medical UniversityDepartment of Orthopaedic Surgery, Nara Medical UniversityDepartment of Rehabilitation Medicine, Nara Medical UniversityDepartment of Rehabilitation Medicine, Nara Medical UniversityDepartment of Rehabilitation Medicine, Nara Medical UniversityMedicinal Biology of Thrombosis and Haemostasis, Nara Medical UniversityDepartment of Rehabilitation Medicine, Nara Medical UniversityMedicinal Biology of Thrombosis and Haemostasis, Nara Medical UniversityDepartment of Orthopaedic Surgery, Nara Medical UniversityDepartment of Rehabilitation Medicine, Nara Medical UniversityAbstract 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.https://doi.org/10.1038/s41598-025-11684-6Center of pressureFall historyHip osteoarthritisKnee osteoarthritisTreadmill
spellingShingle 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
Relationship between history of falls and foot pressure centre parameters during gait and stance in patients with lower-limb osteoarthritis
Scientific Reports
Center of pressure
Fall history
Hip osteoarthritis
Knee osteoarthritis
Treadmill
title Relationship between history of falls and foot pressure centre parameters during gait and stance in patients with lower-limb osteoarthritis
title_full Relationship between history of falls and foot pressure centre parameters during gait and stance in patients with lower-limb osteoarthritis
title_fullStr Relationship between history of falls and foot pressure centre parameters during gait and stance in patients with lower-limb osteoarthritis
title_full_unstemmed Relationship between history of falls and foot pressure centre parameters during gait and stance in patients with lower-limb osteoarthritis
title_short Relationship between history of falls and foot pressure centre parameters during gait and stance in patients with lower-limb osteoarthritis
title_sort relationship between history of falls and foot pressure centre parameters during gait and stance in patients with lower limb osteoarthritis
topic Center of pressure
Fall history
Hip osteoarthritis
Knee osteoarthritis
Treadmill
url https://doi.org/10.1038/s41598-025-11684-6
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