What is the expected gait pattern in patients with low back pain?

The expected gait pattern in patients with low back pain typically involves forward flexion during the stance phase. This occurs as individuals may adopt a protective posture to avoid exacerbating their discomfort. Forward flexion helps to minimize stress on the lumbar spine, allowing patients to walk in a way that feels safer and more manageable, despite the pain they may experience.

This gait adaptation can result in a noticeable change in walking dynamics, such as shorter steps and a more hunched posture. By leaning forward, individuals often compensate for the pain and attempt to stabilize their lower back, which can significantly alter how their legs swing and how they distribute their weight while walking.

This contrasts with other patterns that may not be commonly associated with low back pain. For instance, a rapid pace with minimal trunk movement would require a level of stability and strength that individuals with low back pain may lack. Similarly, asymmetrical leg swing and overextension of the knees do not reflect the muscle and joint compensations that often arise in those dealing with low back pain.