Variation in femoral length across different age groups and its correlation with walking patterns: A cross-sectional observational study.

Authors

  • Dr. K. Zia Ul Haq Assistant Professor, Department of Anatomy, Neelima Institute of Medical Sciences, Hyderabad, Telangana, India
  • Dr. Siva Kumar Kotra Senior Resident, Department of Orthopaedics, Neelima Institute of Medical Sciences, Hyderabad, Telangana, India
  • Dr. Sowmyashree U Assistant Professor, Department of Community Medicine, Neelima Institute of Medical Sciences, Hyderabad, Telangana, India.

DOI:

https://doi.org/10.51168/sjhrafrica.v6i9.2053

Keywords:

Femoral length, age groups, step length, walking speed, gait analysis, biomechanics, anthropometry

Abstract

Background:
Femoral length plays a vital role in determining lower limb biomechanics and walking efficiency. Variations in femoral length across different age groups may influence gait parameters such as step length and walking speed. This study aimed to investigate femoral length variations with age and examine their correlation with walking patterns.

 Methods:

A cross-sectional observational study was conducted on 50 participants, divided into five equal age groups: 10–19, 20–29, 30–39, 40–49, and ≥50 years. Femoral length was measured using standardized anthropometric techniques. Gait parameters, including step length and walking speed, were recorded using a motion analysis setup. Descriptive statistics, ANOVA, and Pearson correlation analysis were employed to analyze the data.

 Results:

The mean femoral length was highest in the 20–29 age group (45.1 ± 2.1 cm) and lowest in the 10–19 group (41.8 ± 2.4 cm). Walking parameters showed similar trends, with peak step length (72.4 ± 4.8 cm) and walking speed (1.51 ± 0.14 m/s) observed in the 20–29 group. A moderate positive correlation was found between femoral length and step length (r = 0.62, p < 0.001), as well as between femoral length and walking speed (r = 0.58, p < 0.001).

 Conclusion:

Femoral length significantly varies across age groups and is positively correlated with walking efficiency. These findings underscore the importance of femoral length in gait biomechanics and may have implications in orthopedic assessment, rehabilitation, and prosthetic design.

 Recommendations:

 Incorporate femoral length assessment in gait evaluations to optimize rehabilitation strategies, prosthetic fitting, and age-specific orthopedic interventions.

Author Biographies

Dr. K. Zia Ul Haq , Assistant Professor, Department of Anatomy, Neelima Institute of Medical Sciences, Hyderabad, Telangana, India

is currently serving as an Assistant Professor in the Department of Anatomy at Neelima Institute of Medical Sciences, Hyderabad, Telangana, India. He completed his M.Sc. in Medical Anatomy from Kasturba Medical College, Manipal University, and earned his Ph.D. in the Faculty of Medicine from Index Medical College. With over 11 years of teaching experience, he has actively mentored undergraduate students, including successful guidance for ICMR-funded research projects. Dr. Haq has published three research papers in reputed peer-reviewed journals. ORCID ID: 0009-0004-6140-4209

Dr. Siva Kumar Kotra, Senior Resident, Department of Orthopaedics, Neelima Institute of Medical Sciences, Hyderabad, Telangana, India

is currently working as a Senior Resident in the Department of Orthopaedics at Neelima Institute of Medical Sciences, Hyderabad, Telangana, India. He completed his MBBS from Osmania Medical College and obtained his DNB from Sri Sathya Sai Institute of Higher Medical Sciences, Anantapur. Dr. Kotra is committed to academic excellence and clinical service, contributing actively to patient care and medical education. ORCID ID: 0009-0001-7430-3683

Dr. Sowmyashree U, Assistant Professor, Department of Community Medicine, Neelima Institute of Medical Sciences, Hyderabad, Telangana, India.

is currently working as an Assistant Professor in the Department of Community Medicine at Neelima Institute of Medical Sciences, Hyderabad, Telangana, India. She completed her MBBS from Kasturba Medical College, Manipal University, and obtained her MD in Community Medicine from Kempegowda Institute of Medical Sciences, Bangalore. Dr. Sowmyashree has published five research articles in reputed national and international journals. She is actively involved in mentoring undergraduate students and guiding them in ongoing research projects. ORCID ID: 0009-0000-3816-3014

References

Fan Y, Zhang B, Huang G, Zhang G, Ding Z, Li Z, Sinclair J, Fan Y. Sarcopenia: Body Composition and Gait Analysis. Front Aging Neurosci. 2022 Jul 13;14:909551. Doi: 10.3389/fnagi 2022.909551. PMID: 35912078; PMCID: PMC9326397. https://doi.org/10.3389/fnagi

Azizan NA, Basaruddin KS, Salleh AF. The Effects of Leg Length Discrepancy on Stability and Kinematics-Kinetics Deviations: A Systematic Review. Appl Bionics Biomech. 2018 Jul 11;2018:5156348. Doi: 10.1155/2018/5156348. PMID: 30116295; PMCID: PMC6079584. https://doi.org/10.1155/2018/5156348

Paul SM, Gabor LR, Rudzinski S, Giovanni D, Boyce AM, Kelly MR, Collins MT. Disease severity and functional factors associated with walking performance in polyostotic fibrous dysplasia. Bone. 2014 Mar;60:41-7. doi: 10.1016/j.bone.2013.11.022. Epub 2013 Dec 4. PMID: 24316419; PMCID: PMC3985279. https://doi.org/10.1016/j.bone.2013.11.022

Khamis, S., Danino, B., Ovadia, D., & Carmeli, E. (2018). Correlation between Gait Asymmetry and Leg Length Discrepancy-What Is the Role of Clinical Abnormalities? Applied Sciences, 8(10), 1979. https://doi.org/10.3390/app8101979 https://doi.org/10.3390/app8101979

Mobbs RJ, Natarajan P, Fonseka RD, Betteridge C, Ho D, Mobbs R, Sy L, Maharaj M. Walking orientation randomness metric (WORM) score: pilot study of a novel gait parameter to assess walking stability and discriminate fallers from non-fallers using wearable sensors. BMC Musculoskelet Disord. 2022 Mar 29;23(1):304. doi: 10.1186/s12891-022-05211-1. PMID: 35351090; PMCID: PMC8966274. https://doi.org/10.1186/s12891-022-05211-1

Anderson DE, Madigan ML. Effects of age-related differences in femoral loading and bone mineral density on strains in the proximal femur during controlled walking. J Appl Biomech. 2013 Oct;29(5):505-16. doi: 10.1123/jab 29.5.505. Epub 2012 Nov 21. PMID: 23185080; PMCID: PMC3796161. https://doi.org/10.1123/jab.29.5.505

Marshall LM, Zmuda JM, Chan BK, Barrett-Connor E, Cauley JA, Ensrud KE, Lang TF, Orwoll ES; Osteoporotic Fractures in Men (MrOS) Research Group. Race and ethnic variation in proximal femur structure and BMD among older men. J Bone Miner Res. 2008 Jan;23(1):121-30. doi: 10.1359/jbmr.070908. PMID: 17892375; PMCID: PMC2663587. https://doi.org/10.1359/jbmr.070908

Harvey NC, Mahon PA, Robinson SM, Nisbet CE, Javaid MK, Crozier SR, Inskip HM, Godfrey KM, Arden NK, Dennison EM, Cooper C; SWS Study Group. Different indices of fetal growth predict bone size and volumetric density at 4 years of age. J Bone Miner Res. 2010 Apr;25(4):920-7. doi: 10.1359/jbmr.091022. PMID: 20437610; PMCID: PMC3793299. https://doi.org/10.1359/jbmr.091022

Jiang C, Liu X, Su Q, Huang D, Tu X, Ke X, Lin Z. Gait kinematic and kinetic characteristics among older adults with varying degrees of frailty: a cross-sectional study. Sci Rep. 2025 Mar 29;15(1):10915. doi: 10.1038/s41598-025-95101-y. PMID: 40157994; PMCID: PMC11954902. https://doi.org/10.1038/s41598-025-95101-y

Bogin B, Varela-Silva MI. Leg length, body proportion, and health: a review with a note on beauty. Int J Environ Res Public Health. 2010 Mar;7(3):1047-75. doi: 10.3390/ijerph7031047. Epub 2010 Mar 11. PMID: 20617018; PMCID: PMC2872302. https://doi.org/10.3390/ijerph7031047

Popescu C, Matei D, Amzolini AM, Trăistaru MR. Comprehensive Gait Analysis and Kinetic Intervention for Overweight and Obese Children. Children (Basel). 2025 Jan 23;12(2):122. doi: 10.3390/children12020122. PMID: 40003224; PMCID: PMC11854336. https://doi.org/10.3390/children12020122

Stergiou N, Decker LM. Human movement variability, nonlinear dynamics, and pathology: is there a connection? Hum Mov Sci. 2011 Oct;30(5):869-88. doi: 10.1016/j.humov.2011.06.002. Epub 2011 Jul 29. PMID: 21802756; PMCID: PMC3183280. https://doi.org/10.1016/j.humov.2011.06.002

Downloads

Published

2025-09-30

How to Cite

Dr. K. Zia Ul Haq, Kotra, D. S. K. ., & Dr. Sowmyashree U. (2025). Variation in femoral length across different age groups and its correlation with walking patterns: A cross-sectional observational study. Student’s Journal of Health Research Africa, 6(9), 8. https://doi.org/10.51168/sjhrafrica.v6i9.2053

Issue

Section

Section of Orthopedics