12/10/2026
Your walking speed could be a sixth vital sign.
In clinic, we routinely measure blood pressure, heart rate, temperature, respiratory rate and oxygen saturation. Many clinicians now argue that gait speed deserves a place alongside them, as a simple marker of mobility, confidence and how someone is managing day to day.
When we assess someone with knee, hip or lower back pain, we often see the same pattern: slower walking, shorter steps and more time with both feet on the ground. That’s a compensation to avoid pain, not a personal failing.
The useful thing is that walking can now be measured more simply and repeatedly. Everyday technology, such as a smartphone, can support basic gait measures like walking speed, step length and time in stance. It doesn’t diagnose anything or replace a clinical assessment, but it can help us build our hypotheses, compare movement over time rather than relying on one look down a corridor. Research increasingly supports this more practical approach.
Over time, a slower, less confident walk can mean less muscle work and less everyday movement, which may make it harder to get back to the activities you enjoy.
Apos® is a personalised, non-invasive medical device calibrated by a clinician to support load redistribution and gait re-education. It’s worn for around one hour a day at home and considered alongside exercise, not instead of it. Apos® is NICE-recommended for knee osteoarthritis, and clinically proven in hip and persistent lower back pain.
Have you noticed your walking pace change? Tell us in the comments.