Gait Differences between Adults with and without Low Back Pain: A Cross-Sectional Observational Study
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Jayashree Duraimurugan
,
Shenbaga Sundaram Subramanian
,
Mohamed Sahal
,
Diovin Derose Vianni
,
Eunice Keren Singarayar
,
Fadwa Alhalaiqa
Abstract
Introduction: Low back pain (LBP) is a musculoskeletal disorder commonly associated with altered gait patterns; however, little information exists on comparative specific spatiotemporal gait parameters in individuals with LBP. This gap is addressed in the present study by comparing the mean values of stride length, step length, and stride time, as well as corresponding measures of hip extension and peak knee flexion angle, using Kinovea software (version 0.9.5).
Materials and Methods: This observational study included 200 participants, 100 healthy individuals (group I) and 100 individuals with LBP (group II). The inclusion and exclusion criteria were used to select the study participants. All participants underwent a gait analysis using Kinovea software (version 0.9.5), and gait parameters, including stride length, step time, and hip extension, were also measured. Statistical associations between gait parameters and LBP presence were analyzed.
Results: Subjects with LBP showed significant gait alteration with decreased stride length (mean difference [MD] 32.93 cm, P=0.001), decreased step length (18.52 cm, P=0.001), and reduced hip extension (1.88°, P=0.001) with weak to moderate correlation (r=0.214-0.282). These gait impairments were independent of the body composition.
Conclusion: This study identifies significant changes in gait patterns between patients with and without LBP, as revealed by Kinovea software (version 0.9.5), characterized by shorter step length, longer temporal duration, and lower hip extension magnitude. These results provide quantifiable differences in gait dynamics due to inter-individual differences observed clinically.
Chiarotto A, Koes BW. Nonspecific low back pain. The New England Journal of Medicine. 2022; 386(18):1732-40. [DOI:10.1056/NEJMcp2032396] [PMID]
Hoy D, Brooks P, Blyth F, Buchbinder R. The epidemiology of low back pain. Best Practice & Research Clinical Rheumatology. 2010; 24(6):769-81. [DOI:10.1016/j.berh.2010.10.002]
Koes BW, Van Tulder MW, Thomas S. Diagnosis and treatment of low back pain. BMJ. 2006; 332(7555):1430-4. [DOI:10.1136/bmj.332.7555.1430] [PMID]
Walker BF, Williamson OD. Mechanical or inflammatory low back pain: What are the potential signs and symptoms? Manual Therapy. 2009; 14(3):314-20. [DOI:10.1016/j.math.2008.04.003] [PMID]
Biyani A, Andersson GB. Low back pain: Pathophysiology and management. The Journal of the American Academy of Orthopaedic Surgeons. 2004; 12(2):106-15. [DOI:10.5435/00124635-200403000-00006] [PMID]
Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis and Rheumatism. 2012; 64(6):2028-37 [DOI:10.1002/art.34347] [PMID]
Scholz J, Mannion RJ, Hord DE, Griffin RS, Rawal B, Zheng H, et al. A novel tool for the assessment of pain: Validation in low back pain. PLoS Medicine. 2009; 6(4):e1000047. [DOI:10.1371/journal.pmed.1000047] [PMID]
Hunter HH, Ugbolue UC, Sorbie GG, Lam WK, Grace FM, Dello Iacono A, et al. An evaluation of temporal and club angle parameters during golf swings using low-cost video analyses packages. Scientific Reports. 2022; 12(1):14012. [DOI:10.1038/s41598-022-17175-2] [PMID]
da Fonseca JL, Magini M, de Freitas TH. Laboratory gait analysis in patients with low back pain before and after a Pilates intervention. Journal of Sport Rehabilitation. 2009; 18(2):269-82. [DOI:10.1123/jsr.18.2.269] [PMID]
Fernández-González P, Koutsou A, Cuesta-Gómez A, Carratalá-Tejada M, Miangolarra-Page JC, Molina-Rueda F. Reliability of Kinovea® software and agreement with a three-dimensional motion system for gait analysis in healthy subjects. Sensors (Basel). 2020; 20(11):3154. [DOI:10.3390/s20113154] [PMID]
Jiménez-Del-Barrio S, Mingo-Gómez MT, Estébanez-de-Miguel E, Saiz-Cantero E, Del-Salvador-Miguélez AI, Ceballos-Laita L. Adaptations in pelvis, hip and knee kinematics during gait and muscle extensibility in low back pain patients: A cross-sectional study. Journal of Back and Musculoskeletal Rehabilitation. 2020; 33(1):49-56. [DOI:10.3233/BMR-191528] [PMID]
Carvalho AR, Briani RV, Bertor WRR, Svistalski JR, Andrade A, Peyré-Tartaruga LA. Chronic low back pain and walking speed: Effects on the spatiotemporal parameters and gait variability. Brazilian Journal of Pain. 2019; 2(4):342-347. [DOI:10.5935/2595-0118.20190063]
Liu W, Bai J. The correlation of gait and muscle activation characteristics with locomotion dysfunction grade in elderly individuals. Frontiers in Bioengineering and Biotechnology. 2024; 12:1372757. [DOI:10.3389/fbioe.2024.1372757] [PMID]
Alghadier M, Althaqib A, Aldawsari M, Alasraj M, Alhusayni A, Alotaibi A. Examining BMI-knee angle relationship in healthy young adults during stair ambulation using Kinovea® software. European Review for Medical and Pharmacological Sciences. 2024; 28(10):3493-502. [PMID]
Iijima H, Eguchi R, Aya YK, Terabe Y, Takahashi M. Compensatory gait mechanics in person with multiple toe amputation: A single case report. Clinical Case Reports. 2023; 11(8):e7675. [DOI:10.1002/ccr3.7675] [PMID]
Lamoth CJ, Meijer OG, Wuisman PI, van Dieën JH, Levin MF, Beek PJ. Pelvis-thorax coordination in the transverse plane during walking in persons with nonspecific low back pain. Spine (Phila Pa 1976). 2002; 27(4):E92-9. [DOI:10.1097/00007632-200202150-00016] [PMID]
Smith JA, Stabbert H, Bagwell JJ, Teng HL, Wade V, Lee SP. Do people with low back pain walk differently? A systematic review and meta-analysis. Journal of Sport and Health Science. 2022;11:450-65. [DOI: 10.1016/j.jshs.2022.02.001]
Öberg T, Karsznia A, Öberg K. Basic gait parameters: Reference data for normal subjects, 10-79 years of age. Journal of Rehabilitation Research and Development. 1993; 30(2):210-23. [PMID]
Park S, Jung JH, Lei S, Jung EY, Cho HY. 3D-printed customized arch-support insoles improve gait mechanics and ankle alignment in young adults with functional flat foot during uphill walking. Medicina (Kaunas). 2025; 61(2):281. [DOI:10.3390/medicina61020281] [PMID]
Winkler EV, Lauer SK, Steigmeier-Raith SI, Zablotski Y, Mille MA. Effect of recording angle on accuracy of Kinovea-based kinematic gait analysis compared to three-dimensional motion analysis in healthy dogs: Optimal at 90° recording angle. American Journal of Veterinary Research. 2024; 1-10. [DOI:10.2460/ajvr.24.10.0290] [PMID]
Mangone M, Marinelli E, Santilli G, Finanore N, Agostini F, Santilli V, et al. Gait analysis advancements: Rehabilitation value and new perspectives from forensic application. European Review for Medical and Pharmacological Sciences. 2023; 27(1):3-12. [DOI:10.26355/eurrev_202301_30847] [PMID]
| Issue | Vol 20 No 2 (2026) | |
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/jmr.v20i2.21713 | |
| Keywords | ||
| Biomechanics Gait analysis Hip joint Low back pain Range of motion Video recording | ||
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