Type of Article:  Review

Volume 7; Issue 6 (December 2019)

Page No.: 3326-3330

DOI: https://dx.doi.org/10.16965/ijpr.2019.194


Ranveer Kumar Mahato *1, Shreya Patel 2, Neeta J Vyas 3.

*1 Ph.D. Scholar, Gujarat University, Ahmedabad, Principal, Pioneer Physiotherapy College, Ajwa-Nimeta Road, Sayajipura, Vadodara, Gujarat, India.

2 Lecturer, Pioneer Physiotherapy College, Ajwa-Nimeta Road, Sayajipura, Vadodara, Gujarat, India.

3 Principal, IKDRC-ITS College of Physiotherapy, Medicity, Ahmedabad, Gujarat, India.

Corresponding author: Dr. Ranveer Kumar Mahato(P.T.), Ph.D. Scholar, Gujarat University, Ahmedabad, Principal, Pioneer Physiotherapy College, Ajwa-Nimeta Road, Sayajipura, Vadodara- 390019, Gujarat, India. Mo:+919723617191 E-Mail: drranveermahato@gmail.com


Background: Health care provision is facing significant burden due to osteoarthritis, which is the most common condition affecting synovial joints. Osteoarthritis of the knee causes substantial pain and disability, especially in the elderly.

Purpose of the study: Our objective is to incorporate the effect of ageing and osteoarthritis of knee over temporo-spatial parameters of gait, based on a systematic review of the evidence from various articles.

Method: Systemic literature search using PubMed, CINAHL, EBSCO and Willes library databases done. Articles following criteria of OA knee, gait analysis and ageing were selected.

Result: Among the 272 articles identified by the literature search, 59 articles reporting one of filter criteria were selected. Three additional articles were found by manual search. After reviewing the full-texts, another 29 reports were excluded because preselected 3D kinematic data were not available. Thus, the final analysis included 30 full-length reports (19 knee OA studies, 11 OA studies including ageing individuals) studying 781 knee OA patients (weighted mean age = 64.4 years, 59% females, weighted mean BMI = 29.0 kg/m2) and 343 ageing OA patients (weighted mean age = 78.1 years, 68% females, weighted mean BMI = 27.3 kg/m2)

Conclusion: Gait analysis as a noninvasive aid to clinical assessment could become an important clinical method of functional assessment in knee OA as well as arthritic changes taking place due to age. However, on the basis of the present systematic literature search, the available data concerning validity and reliability are clearly insufficient to consider kinematic parameters as quantifiable outcome measures in OA.

Summary and implications: Our study finding suggests presence of altered gait parameters because of osteoarthritis of knee as well as ageing, which was supported by result of having higher grading of affection in relatively younger individual have shown less affection because of high functionality level, while in compare to that older individuals less arthritic changes have also shown more impairment in functionality because of low occupational needs.

Key words: Knee Osteoarthritis, Ageing Individuals, Gait, Exercise Therapy.


  1. Wilson MG, Michet CJ, Illstrup DM, Melton LJ. Idiopathic symptomatic osteoarthritis of the hip and knee; a population based incidence study. Mayo ClinProc 1990;65:1214–21.
  2. Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF. The prevalence of knee osteoarthritis in the elderly: The Framingham Osteoarthritis Study. Arthritis Rheum 1987;30: 914–8.
  3. Miedema H. Reuma-onderzoekmeerdere echelons (ROME): basisrapport. Leiden (The Netherlands): NIPG-TNO; 1994.
  4. Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR, et al. Guidelines for the medical management of osteoarthritis. Part I. Osteoarthritis of the knee. Arthritis Rheum 1995;38:1535–40.
  5. Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR, et al. Guidelines for the medical management of osteoarthritis. Part II. Osteoarthritis of the knee. Arthritis Rheum 1995;38:1541–6.
  6. Dekker J, Boot B, van der Woude L, Bijlsma JWJ. Pain and disability in osteoarthritis: a review of biobehavioral mechanisms. J Behav Med 1992;15:189–214.
  7. Dekker J, Mulder PH, Bijlsma JWJ, Oostendorp RAB. Exercise therapy in patients with rheumatoid arthritis and osteoarthritis: a review. AdvBehav Res Ther 1993;15:211–38.
  8. Laroche D, Pozzo T, Ornetti P, et al. Effects of loss of metatarsophalangeal joint mobility on gait in rheumatoid arthritis patients. Rheumatology (Oxford, England) 2006;45:435–40.
  9. Missaoui B, Portero P, Bendaya S, et al. Posture and equilibrium in orthopedic and rheumatologic diseases. NeurophysiolClin 2008;38:447–57.
  10. Lequesne MG. The algofunctional indices knee osteoarthritis. J Rheumatol 1997;24:779–81.
  11. Boers M, Brooks P, Strand CV, et al. The OMERACT filter for outcome measures in rheumatology. J Rheumatol 1998;25:198–9
  12. Fransen M, Crosbie J, Edmonds J. Reliability of gait measurements in people with osteoarthritis of the knee. PhysTher 1997;77:944–53.
  13. Rudolph KS, Schmitt LC, Lewek MD. Age-related changes in strength, joint laxity, and walking patterns: are they related to knee osteoarthritis? PhysTher 2007;87:1422–32.
  14. Dujardin F, Aucouturier T, Bocquet G, et al. Kinematics of the healthy and arthritic joint during walking. A study of 136 subjects. Rev ChirOrthopReparatriceAppar Mot 1998;84:689–99.
  15. Blin O, Pailhous J, Lafforgue P, et al. Quantitative analysis of walking in patients with knee osteoarthritis: a method of assessing the effectiveness of nonsteroidal anti-inflammatory treatment. Ann Rheum Dis 1990;49:990–3.
  16. Cheing GL, Hui-Chan CW. The motor dysfunction of patients with knee osteoarthritis in a Chinese population. Arthritis Rheum 2001;45:62–8.
  17. Kaufman KR, Hughes C, Morrey BF, et al. Gait characteristics of patients with knee osteoarthritis. J Biomech 2001;34:907–15.
  18. Al-Zahrani KS, Bakheit AM. A study of the gait characteristics of patients with chronic osteoarthritis of the knee. DisabilRehabil 2002;24:275–80.
  19. Gok H, Ergin S, Yavuzer G. Kinetic and kinematic characteristics of gait in patients with medial knee arthrosis. ActaOrthopScand 2002;73:647–52.
  20. Chen CP, Chen MJ, Pei YC, et al. Sagittal plane loading response during gait in different age groups and in people with knee osteoarthritis. Am J Phys Med Rehabil 2003;82:307–12.
  21. Solak AS, Kentel B, Ates Y. Does bilateral total knee arthroplasty affect gait in women? comparison of gait analyses before and after total knee arthroplasty compared with normal knees. J Arthroplasty 2005;20:745–50.
  22. Mundermann A, Dyrby CO, Andriacchi TP. Secondary gait changes in patients with medial compartment knee osteoarthritis: increased load at the ankle, knee, during walking. Arthritis Rheum 2005;52:2835–44.
  23. Shakoor N, Block JA.Walking barefoot decreases loading on the lower extremity joints in knee osteoarthritis. Arthritis Rheum 2006;54:2923–7.
  24. McKean KA, Landry SC, Hubley-Kozey CL, et al. Gender differences exist in osteoarthritic gait. ClinBiomech (Bristol, Avon) 2007;22:400–9.
  25. Deluzio KJ, Astephen JL. Biomechanical features of gait waveform data associated with knee osteoarthritis: an application of principal component analysis. Gait Posture 2007;25:86–93.
  26. Hulet C, Hurwitz DE, Andriacchi TP, et al. [Functional gait adaptations in patients with painful knee]. Rev ChirOrthopReparatriceAppar Mot 2000;86:581–9.
  27. Watelain E, Dujardin F, Babier F, et al. Pelvic and lower limb compensatory actions of subjects in an early stage of knee osteoarthritis. Arch Phys Med Rehabil 2001;82:1705–11.
  28. Maly MR, Costigan PA, Olney SJ. Role of knee kinematics and kinetics on performance and disability in people with medial compartment knee osteoarthritis. ClinBiomech (Bristol, Avon) 2006;21:1051–9.
  29. Bejek Z, Paroczai R, Illyes A, et al. The influence of walking speed on gait parameters in healthy people and in patients with osteoarthritis. Knee Surg Sports TraumatolArthrosc 2006;14:612–22.
  30. Parent E, Moffet H. Comparative responsiveness of locomotor tests and questionnaires used to follow early recovery after total knee arthroplasty. Arch Phys Med Rehabil 2002;83:70–80.
  31. Detrembleur C, De Nayer J, van den Hecke A. Celecoxib improves the efficiency of the locomotor mechanism in patients with knee osteoarthritis. A randomised, placebo, double-blind and cross-over trial. Osteoarthritis Cartilage /OARS, Osteoarthritis Res Soc 2005;13:206–10.
  32. Borjesson M, Weidenhielm L, Mattsson E, et al. Gait and clinical measurements in patients with knee osteoarthritis after surgery: a prospective 5-year followup study. Knee 2005;12:121–7.
  33. Kadaba M, Ramakrishnan H, Wotten M, et al. Repetability of kinematic, kinetic and electromyographic data in normal adult gait. J Orthop Res 1989;7: 849–60.
  34. Barker S, Craik R, Freedman W, et al. Accuracy, reliability, and validity of a spatiotemporal gait analysis system. Med EngPhys 2006;28:460–7.
  35. Davis AM, Perrucio AV, Canizares M, et al. Comparative validity and responsiveness of the HOOS-PS and the KOOS-PS to the WOMAC physical function subscale in total joint replacement for osteoarthritis. Osteoarthritis Cartilage /OARS, Osteoarthritis Res Soc 2009;17:843–7.

Cite this article: Ranveer Kumar Mahato, Shreya Patel, Neeta J Vyas. EFFECT OF AGEING AND OSTEOARTHRITIS OF KNEE OVER TEMPOROSPASTIAL PARAMETERS OF GAIT: A SYSTEMIC REVIEW. Int J Physiother Res 2019;7(6):3326-3330. DOI: 10.16965/ijpr.2019.194