Does hip joint ROM predict in-toe or out-toe gait

NewsBot · Jun 11, 2016

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PREDICTING FOOT PROGRESSION ANGLE DURING GAIT USING TWO CLINICAL MEASURES IN HEALTHY ADULTS, A PRELIMINARY STUDY
Michael T. Cibulka et al
Int J Sports Phys Ther. 2016 Jun; 11(3): 400?408.

Background
The foot progression angle (FPA) is related to the transverse plane rotation of the lower extremities and associated with many lower extremity conditions.

Purpose
The purpose of this study was to examine how two commonly used clinical measures, tibio-fibular torsion (TF) and hip rotation, can be used to predict FPA during gait in healthy adults.

Study Design
Cross-sectional study design

Methods
Passive hip internal and external rotation ranges of motion and TF torsion were measured with a 12-inch goniometer while the FPA (degree of toe-in/out) was measured with the GAITRite during midstance in sixty participants. The data was analyzed using a multiple regression model.

Results
Hip ER was not significant and was therefore excluded from the final model. The final model included passive hip IR and TF torsion (F = 19.64; p < .001; multiple R2 = .41; adjusted R2 = .39). Simple binary correlations showed that hip IR had a moderate negative correlation (r = -.40) with FPA (the greater the hip IR, the greater the in-toeing) while TF torsion had a positive correlation (r = .39) with FPA (the greater the external TF torsion. the greater the out-toeing).

Conclusions
Greater amount of passive hip IR predicts in-toeing while greater TF torsion predicts out-toeing of the foot during midstance phase of gait.
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