Clinicians commonly use the WOMAC Index as a non-invasive subjective measure of the degree of pain, stiffness, and function for patients who suffer from knee osteoarthritis (OA). Researchers commonly use distance walked in 6 min as an objective functional measure of OA. The relationship between the WOMAC index and 6 min walk distance to gait mechanics in patients with knee OA has not been investigated, however. PURPOSE To determine differences between gait patterns as represented by angle-angle plots of the lower extremities when objective (distance walked in 6 min) and subjective (WOMAC score) measures are used to group patients suffering from knee OA. METHODS Fifty-two males and females (mean age =70.65 yrs  −+9.94 yrs) completed the WOMAC Inventory and were measured for total distance walked in 6 min. Twenty-two reflective markers and six digital cameras, each operating at 60 Hz, were used to capture 3-D kinematic variables as the participants walked on an elevated walkway at their freely chosen speed. Total score on the WOMAC (pain + stiffness + function) and distance walked in 6 min were used to rank order the 52 participants and divide them into three groups. Normalized joint kinematics for the hip, knee, and ankle for each participant in the three WOMAC (high, middle, low) and distance (short, medium, long) groups were averaged. Angle-angle plots of the average joint kinematics (hip-knee, knee-ankle, hip-ankle) for each of the three groups for the two measures of grouping (subjective = WOMAC self-reported scores and objective = distance walked in 6 min) were generated using Excel. RESULTS A Pearson Product Moment of the two measures (WOMAC and distance) revealed a correlation of −.44 and R2 of .20. Spatial-temporal values revealed similar timing when participants were grouped using WOMAC scores (stance = 61.8, 60.7, 61.25% of gait cycle for high, medium, and low, respectively) but different values when grouped using distance walked in 6 min (stance = 63.76, 60.96, 59.2% for short, medium, and long, respectively). Visual inspection of the angle-angle plots revealed similar shapes for the curves when grouped using WOMAC scores, but different degrees of joint flexion and extension. However, when participants were grouped using distance covered in 6 min, different patterns and degrees of joint flexion and extension were revealed. CONCLUSION Using an objective measure such as distance covered in 6 min is a better discriminator of levels of function (i.e., gait) in patients who suffer from knee OA than using a self-reported measure of function, pain, and stiffness such as the WOMAC Index. Supported by NIH grants 5P60AG10484-07 and M01RR0021.