290
Journal of Applied Biomechanics, 2010, 26, 290-294
© 2010 Human Kinetics, Inc.
Richard W. Bohannon (Corresponding Author) is with the
Department of Physical Therapy, Neag School of Education,
University of Connecticut, Storrs, Connecticut. Jason Smut-
nick is with Physical Therapy and Sports Medicine Centers,
Watertown, Connecticut.
Pelvifemoral Kinematics While Ascending Single Steps of
Different Heights
Richard W. Bohannon and Jason Smutnick
Motion of the femur and pelvis during hip fexion has been examined previously, but principally in the sagittal
plane and during nonfunctional activities. In this study we examined femoral elevation in the sagittal plane
and pelvic rotation in the sagittal and frontal planes while subjects fexed their hips to ascend single steps.
Fourteen subjects ascended single steps of 4 different heights leading with each lower limb. Motion of the lead
femur and pelvis during the fexion phase of step ascent was tracked using an infrared motion capture system.
Depending on step height and lead limb, step ascent involved elevation of the femur (mean 47.2° to 89.6°)
and rotation of the pelvis in both the sagittal plane (tilting: mean 2.6° to 9.7°) and frontal plane (listing: mean
4.2° to 11.9°). Along with maximum femoral elevation, maximum pelvic rotation increased signifcantly (p
< .001) with step height. Femoral elevation and pelvic rotation during the fexion phase of step ascent were
synergistic (r = .852–.999). Practitioners should consider pelvic rotation in addition to femoral motion when
observing individuals’ ascent of steps.
Keywords: biomechanics, gait, pelvis
Numerous studies have established that shoulder
abduction and fexion are accomplished by a combina-
tion of elevation of the humerus and upward rotation
of the scapula (Crosbie et al., 2008; Price et al., 2000).
Research over the past 25 years has demonstrated that hip
fexion (angular approximation of the thigh and anterior
trunk) is likewise dependent on a combined elevation of
the femur and rotation (posterior tilting) of the pelvis.
The research shows that 13.1–37.1% of the hip fexion
of individuals who are supine, standing, or suspended
from a bar can be attributed to sagittal plane tilting of the
pelvis (Bohannon 1982; Bohannon et al., 1985a, 1985b;
Congdon et al., 2005; Dewberry et al., 2003; Murray et
al., 2002). The aforementioned research, though diverse,
does not address pelvifemoral rhythm during a common
functional activity. Other research has described the
kinematics of the femur and pelvis during level-ground
gait (Bejek et al., 2006; Crosbie & Vachalathiti, 1997;
Taylor et al., 1999), a functional activity requiring only
minimal hip fexion. That research demonstrates that the
pelvis rotates in both the sagittal plane (tilts) and frontal
plane (lists) during the walking cycle and that the list in
the frontal plane is phase-locked with hip fexion (Crosbie
& Vachalathiti, 1997).
If hip fexion is accompanied by sagittal and frontal
plane tilting of the pelvis, then both may be relevant to the
manner in which individuals perform functional activities
such as ascent of a step which require such fexion. This
possibility led to the present investigation, the purpose
of which was to describe pelvifemoral kinematics while
the hip was fexed to ascend single steps of different
heights. We hypothesized that hip fexion would involve
femoral elevation and pelvic rotation (both sagittal and
frontal) and that the femoral and pelvic motions would
be related to one another over the course of hip fexion.
We also hypothesized that ascent of progressively higher
steps would be associated with increases in maximum
femoral elevation and pelvic rotation.
Methods
Subjects
A convenience sample of 8 men and 6 women (26.2 ± 9.2
years old) participated. None reported current orthopedic
or neurologic problems affecting function. To allow for
accurate and unobscured placement of markers, no sub-
jects were obese (body mass index = 23.5 ± 2.2 kg/m
2
).
Before participation, all signed a consent form approved
by the Institutional Review Board of the University of
Connecticut.
Instrumentation and Procedures
Three-dimensional movement kinematics were captured
at 240 Hz using a seven-camera infrared Qualisys Motion
Capture System. Before initiating motion capture, the
system was calibrated to establish the location of the