{"title":"Comparison of the Hara, Harrington, and Davis hip joint center regression equations for gait analysis in children with cerebral palsy","authors":"Reiko Hara , Tishya A.L. Wren","doi":"10.1016/j.clinbiomech.2025.106565","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Regression equations have been widely accepted in defining the location of the hip joint center in clinical gait analysis. Equations by Hara et al. require a single anthropometric measurement of leg length, allowing easy implementation in a clinical setting. This study evaluated the regression equations by Hara et al. in comparison to common equations by Harrington et al. and Davis et al. for clinical gait analysis in children with cerebral palsy.</div></div><div><h3>Methods</h3><div>The location of the hip joint centers was defined by each of the aforementioned three models and compared for retrospective gait analysis data of 30 children with cerebral palsy (13 females, age 5–16 years). Gait kinematics at the hip and knee across those models were further compared.</div></div><div><h3>Findings</h3><div>The location of the Hara hip joint center was defined in between the other two models: ∼1 cm anterior and medial with almost the same height as Harrington's model. Gait kinematics reflected the location of the hip joint centers, placing the curves from the Hara model in between the others. The root mean square differences between the Hara and the other models were within 2.6 degrees in all planes of motion.</div></div><div><h3>Interpretation</h3><div>The regression equations by Hara et al. demonstrated similarity in the location of the hip joint center and gait kinematics to other common equations. The Hara model is simple, appears less susceptible to errors associated with soft tissue, and might be a good alternative option for clinical gait analysis in children with cerebral palsy.</div></div>","PeriodicalId":50992,"journal":{"name":"Clinical Biomechanics","volume":"126 ","pages":"Article 106565"},"PeriodicalIF":1.4000,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Biomechanics","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S026800332500138X","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Regression equations have been widely accepted in defining the location of the hip joint center in clinical gait analysis. Equations by Hara et al. require a single anthropometric measurement of leg length, allowing easy implementation in a clinical setting. This study evaluated the regression equations by Hara et al. in comparison to common equations by Harrington et al. and Davis et al. for clinical gait analysis in children with cerebral palsy.
Methods
The location of the hip joint centers was defined by each of the aforementioned three models and compared for retrospective gait analysis data of 30 children with cerebral palsy (13 females, age 5–16 years). Gait kinematics at the hip and knee across those models were further compared.
Findings
The location of the Hara hip joint center was defined in between the other two models: ∼1 cm anterior and medial with almost the same height as Harrington's model. Gait kinematics reflected the location of the hip joint centers, placing the curves from the Hara model in between the others. The root mean square differences between the Hara and the other models were within 2.6 degrees in all planes of motion.
Interpretation
The regression equations by Hara et al. demonstrated similarity in the location of the hip joint center and gait kinematics to other common equations. The Hara model is simple, appears less susceptible to errors associated with soft tissue, and might be a good alternative option for clinical gait analysis in children with cerebral palsy.
期刊介绍:
Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field.
The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and technologies. Clinical Biomechanics aims to strengthen the links between laboratory and clinic by publishing cutting-edge biomechanics research which helps to explain the causes of injury and disease, and which provides evidence contributing to improved clinical management.
A rigorous peer review system is employed and every attempt is made to process and publish top-quality papers promptly.
Clinical Biomechanics explores all facets of body system, organ, tissue and cell biomechanics, with an emphasis on medical and clinical applications of the basic science aspects. The role of basic science is therefore recognized in a medical or clinical context. The readership of the journal closely reflects its multi-disciplinary contents, being a balance of scientists, engineers and clinicians.
The contents are in the form of research papers, brief reports, review papers and correspondence, whilst special interest issues and supplements are published from time to time.
Disciplines covered include biomechanics and mechanobiology at all scales, bioengineering and use of tissue engineering and biomaterials for clinical applications, biophysics, as well as biomechanical aspects of medical robotics, ergonomics, physical and occupational therapeutics and rehabilitation.