Hip Movement is the Key to Walking again

A pilot study published in Clinical Biomechanics (PubMed, 2026) found that recovery of hip flexion range of motion on the affected side was significantly associated with gains in walking speed during early rehabilitation after hip fracture. The findings suggest that restoring hip movement — not simply pushing for faster walking — may be the more meaningful clinical target.

Our take: Efficient hip movement is essential for confident, stable walking.

At the London Podiatry Centre, we can accurately assess hip movement in all planes using advanced 3D motion-analysis systems, including Movella and Vicon. These systems allow us to measure how the hip moves during walking, rather than relying only on observation or subjective feedback.

This is particularly valuable after injury, surgery or during rehabilitation. Hip extension and flexion — the backward and forward movement of the hip — are critical parts of an efficient stride. If hip movement is restricted, weak or poorly controlled, walking can become less efficient and the body may compensate through the pelvis, back, knees or feet.

Our role is to provide objective gait data that helps guide treatment. We work closely with physiotherapists and other rehabilitation teams, giving them detailed information about how the patient is really moving. This helps ensure that rehabilitation is targeted, measurable and based on evidence rather than guesswork.

Just as importantly, we can track progress over time. If hip rehabilitation is working, we should see measurable improvements in gait efficiency, stride pattern, hip control and walking confidence. If progress is not happening as expected, the rehabilitation plan can be adjusted.

Good walking ability is strongly linked with independence, balance and quality of life. Reduced walking efficiency, slower cadence and poor hip control may increase the risk of instability and falls, particularly in older or vulnerable patients.

By measuring hip function accurately, we can help patients and their rehabilitation teams make better decisions, monitor recovery and work towards safer, stronger and more efficient movement.

About the authors
Mr Ron McCulloch — Consultant Podiatric Surgeon, Centre Director, and specialist in clinical biomechanics, gait analysis and Morton's neuroma.
Dr Andrew Collinson — PhD in clinical biomechanics.

Source: PubMed · https://londonpodiatry.com/en/specialities/Gait-biomechanics/