1
|
Guo X, Zhou Z, Wang Q. Robotic Brace Based Multi-Dimensional Assessment for Trunk Ability: A Preliminary Study in Patients with Spinal Cord Injury. IEEE Int Conf Rehabil Robot 2023; 2023:1-6. [PMID: 37941289 DOI: 10.1109/icorr58425.2023.10304681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2023]
Abstract
Evaluating trunk control ability is significant in guiding patients towards proper functional training. Most existing devices have only a singular assessment function, resulting in prolonged and asynchronous assessments. Devices with multi-dimensional assessment capabilities may address these limitations. This study utilizes a robotic brace, RoboBDsys-II, to assess the trunk ability of individuals with spinal disorders and to validate its effectiveness. The device can simultaneously collect kinematic, kinetic, and center of pressure data, reducing the assessment time and enabling the simultaneous assessment. The force platform is designed to measure the center of pressure and the force control of the parallel module is developed for the coronal movement assessment. Four patients with spinal cord injury participated in the study to assess their trunk range of motion and muscle strength. Results demonstrate that the trunk range of motion determines the center of pressure metrics in lateral bending experiments. Furthermore, RoboBDsys-II exhibits excellent test-retest reliability in lateral bending experiments and can reveal the muscle strength differences in different directions. The system has potential advantage in the trunk ability assessment.
Collapse
|
2
|
Association of Core Muscle Endurance with Weekly Workout Time, Speed, and the Symmetry of Frontal Core Motion during Indoor Walking and Cycling. Symmetry (Basel) 2022. [DOI: 10.3390/sym14112333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
This study investigated the factors that influence core muscle endurance, i.e., the symmetry of frontal core motion during indoor walking and cycling, the symmetry of lateral core muscle endurance, the symmetry of the hip abductor strength, the weekly workout time and fast walking and cycling speeds, while controlling for gender. Seventy-nine healthy young adults participated in this study. In a regression analysis, the core muscle endurance time was the dependent variable. The independent variables were the symmetry of frontal core motion (measured using a wireless earbud sensor during walking and cycling), the symmetry of side plank time and of hip abductor strength, the weekly workout time and fast walking and cycling speeds. In the multiple regression analysis, weekly workout time, fast walking speed, symmetry of frontal core motion during fast cycling and symmetry of lateral side plank time predicted core muscle endurance (adjusted R2 = 0.42). Thus, clinicians and fitness personnel should consider the association of core muscle endurance with the symmetry of frontal core motion during cycling and the symmetry of side plank holding time, as well as with the weekly workout time and a fast walking speed, when designing core muscle exercise programmes.
Collapse
|
3
|
Knee Osteoarthritis: Kinesiophobia and Isometric Strength of Quadriceps in Women. Pain Res Manag 2022; 2022:1466478. [PMID: 35573645 PMCID: PMC9098341 DOI: 10.1155/2022/1466478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Revised: 04/08/2022] [Accepted: 04/21/2022] [Indexed: 11/18/2022]
Abstract
Introduction Osteoarthritis is a disease characterized by progressive wear and tear of the joint, with the knee being the most affected region. These patients have reduced mobility and mobility, among other symptoms. Thus, it is necessary to know the variables that influence the ability to walk. Objective To analyze how much the gait capacity, in the performance of the six-minute walk test, can be influenced by the maximum isometric strength of the quadriceps or by kinesiophobia in women with knee osteoarthritis. Materials and Methods This is a cross-sectional study with a sample of 49 women diagnosed with osteoarthritis. The evaluation was carried out in a single moment. Variables studied isometric quadriceps strength, level of fear of movement (kinesiophobia), and ability to walk. Simple linear regression analyzes were performed, with gait ability as the dependent variable and maximum isometric strength and kinesiophobia as independent. Data were presented with mean and standard deviation and were analyzed by the SPSS Statistic 22.0 software, considering p < 0.05 as significant. Results The maximum isometric strength presents a significant difference, directly interfering with the gait ability; as kinesiophobia does not show a statistically significant difference, it does not directly interfere with the ability to walk. Conclusion Maximal quadriceps isometric strength directly interferes with gait ability in women with knee osteoarthritis, thus suggesting the inclusion of this strategy in treatment programs for this population.
Collapse
|
4
|
Association between Abnormal Gait Patterns and an Elevated Degree of Pain after Daily Walking: A Preliminary Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19052842. [PMID: 35270535 PMCID: PMC8910192 DOI: 10.3390/ijerph19052842] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 02/11/2022] [Accepted: 02/16/2022] [Indexed: 02/04/2023]
Abstract
This study aimed to investigate whether abnormal gait patterns are associated with experiencing an elevated degree of pain after daily walking. In this preliminary, cross-sectional study, 223 community-dwelling older adults were assessed for pain experienced after daily walking using a simple question that involved asking the subject about their past experiences of an elevated degree of pain after walking for 400 m or more. Gait patterns were assessed using the Comprehensive Gait Assessment using InerTial Sensor score (C-GAITS score), derived from the data measured by Inertial sensors attached to the lower trunk and heel when subjects walked along a 15 m walkway at a self-selected preferred speed. The score was the sum of 10 gait parameter scores. The lower scores indicated more and worse abnormal gait patterns. In total, 24 older adults (10.8%) reported that they experienced pain after daily walking. According to the multiple logistic regression analyses, older adults with a lower total C-GAITS score had a significantly greater probability of having past experiences of pain after walking (odds ratio = 1.11, 95% confidence interval = 1.03–1.20). The findings of this study suggest that more and worse abnormal gait patterns among older adults in a clinical walking test are associated with an elevated degree of pain after daily walking.
Collapse
|
5
|
Saida T, Kawada M, Kuroki D, Nakai Y, Miyazaki T, Kiyama R, Tsuneyoshi Y. Accelerometer Measurement of Trunk Lateral Fluctuation During Walking Following Total Knee Arthroplasty in Patients With Osteoarthritis. J Aging Phys Act 2020; 28:669-674. [PMID: 32208361 DOI: 10.1123/japa.2019-0149] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2019] [Revised: 12/10/2019] [Accepted: 12/14/2019] [Indexed: 11/18/2022]
Abstract
This study aimed to clarify the effect of total knee arthroplasty (TKA) on trunk fluctuation and regularity of gait in patients with knee osteoarthritis by an accelerometer. The participants included 18 patients with knee osteoarthritis undergoing TKA. The gait at a comfortable velocity was assessed pre- and post-TKA by a triaxial accelerometer attached to the neck and lumbar regions. Measurement post-TKA was performed 4 weeks after surgery. Trunk fluctuation was estimated by the root mean square (RMS) of acceleration and RMS ratio (the ratio of RMS in each direction to the total RMS). Regularity of gait was estimated using the autocorrelation function. The results showed that TKA significantly decreased the RMS ratio in mediolateral acceleration of the neck and lumbar regions and reduced gait regularity. TKA appears to reduce compensatory trunk motion through the improvement of knee function. An assessment of trunk fluctuation using an accelerometer is useful for the clinical assessment of patients with knee osteoarthritis pre- and post-TKA.
Collapse
|
6
|
Sinsurin K, Valldecabres R, Richards J. An exploration of the differences in hip strength, gluteus medius activity, and trunk, pelvis, and lower-limb biomechanics during different functional tasks. Int Biomech 2020; 7:35-43. [PMID: 33998384 PMCID: PMC8130717 DOI: 10.1080/23335432.2020.1728381] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
The purpose of the study was to explore differences in the coronal biomechanics of the trunk, pelvis, hip, and knee joints, and gluteus medius muscle activity (GMed) during walking and step down from two riser heights. Joint kinematics and kinetics from 20 healthy participants were recorded using a 10-camera Qualisys system and force plates, and GMed EMG was recorded using a Delsys Trigno system. Hip abductor strength was measured using a hand-held dynamometer. Pelvic obliquity and lateral trunk bending excursions were significantly higher in walking than in step-down tasks. Significantly greater knee adduction moments were seen during both step-down tasks compared to level walking with significantly greater GMed activity. However, a significant interaction between side and task was seen for hip adduction moment, with step-down tasks showing lower hip moments than during walking, with greater peak hip moments being more apparent in the dominant limb. This suggests the GMed has a greater stabilizing role during the step-down tasks, although walking required a greater mechanical demand. Health professionals should expect to find less excursion of lateral trunk bending in step-down tasks compared to level walking and consider that GMed has different roles in these two tasks.
Collapse
Affiliation(s)
- Komsak Sinsurin
- Biomechanics and Sports Research Unit, Faculty of Physical Therapy, Mahidol University , Nakhon Pathom, Thailand
| | | | - Jim Richards
- Allied Health Research Unit, University of Central Lancashire , Preston, UK
| |
Collapse
|
7
|
Sparkes V, Whatling GM, Biggs P, Khatib N, Al-Amri M, Williams D, Hemming R, Hagen M, Saleem I, Swaminathan R, Holt C. Comparison of gait, functional activities, and patient-reported outcome measures in patients with knee osteoarthritis and healthy adults using 3D motion analysis and activity monitoring: an exploratory case-control analysis. Orthop Res Rev 2019; 11:129-140. [PMID: 31572022 PMCID: PMC6760015 DOI: 10.2147/orr.s199107] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Accepted: 05/07/2019] [Indexed: 12/01/2022] Open
Abstract
Objective To examine functional performance differences using kinematic and kinetic analysis between participants with and without knee osteoarthritis (OA) to determine which outcomes best characterize persons with and without knee OA. Methods Participants with unilateral moderate knee OA (Kellgren–Lawrence grades 2 or 3) and controls without knee pain were matched for age, gender, and body mass index. Primary outcomes included temporal parameters, joint rotations and moments, and ground reaction forces assessed via 3D motion capture during walking and ascending/descending stairs. Secondary outcomes included timed functional activities (sit to stand; tying shoelaces), 48 hrs lower limb activity monitoring, and patient-reported outcome measures (Knee Injury and Osteoarthritis Outcome Score, Western Ontario and McMaster Universities Osteoarthritis Index, European Quality of Life–5 Dimensions). Results Eight matched pairs were analyzed. Compared with controls, OA participants exhibited significant reductions in peak frontal hip and sagittal knee moments, and decreased peak anterior ground reaction force with the affected limb while walking. Ascending stairs, OA participants had slower speed, fewer strides per minute, longer cycle and stance times, and increased trunk range of motion (ROM) in assessments of both limbs; longer swing time and reduced ankle ROM in the affected limb; and increased knee frontal ROM in the unaffected limb. Descending stairs, OA participants had fewer strides per minute and decreased trunk transverse ROM in assessments of both limbs; increased knee frontal ROM in the affected limb; and longer strides, shorter stance and cycle times, increased trunk sagittal and decreased knee transverse ROMs in the unaffected limbs vs controls. Compared with controls, OA participants had slower walking cadence (120–130 vs 100–110 steps/min, respectively), took significantly longer on timed functional measures, and had significantly worse scores in patient-reported outcomes. Conclusion Several objectives and patient-reported measures examined in this study could potentially be considered as outcomes in pharmacologic or physical therapy OA trials.
Collapse
Affiliation(s)
- Valerie Sparkes
- School of Healthcare Sciences, Biomechanics and Bioengineering Research Centre Versus Arthritis, College of Biomedical and Life Sciences, Cardiff University, Cardiff CF24 0AB, UK
| | - Gemma M Whatling
- School of Engineering, College of Physical Sciences and Engineering, Cardiff University, Cardiff CF24 3AA, UK.,Arthritis Research UK Biomechanics and Bioengineering Centre, Cardiff University, Cardiff CF10 3AT, UK
| | - Paul Biggs
- School of Engineering, College of Physical Sciences and Engineering, Cardiff University, Cardiff CF24 3AA, UK.,Arthritis Research UK Biomechanics and Bioengineering Centre, Cardiff University, Cardiff CF10 3AT, UK
| | - Nidal Khatib
- School of Engineering, College of Physical Sciences and Engineering, Cardiff University, Cardiff CF24 3AA, UK.,Arthritis Research UK Biomechanics and Bioengineering Centre, Cardiff University, Cardiff CF10 3AT, UK
| | - Mohammad Al-Amri
- School of Healthcare Sciences, Biomechanics and Bioengineering Research Centre Versus Arthritis, College of Biomedical and Life Sciences, Cardiff University, Cardiff CF24 0AB, UK.,Arthritis Research UK Biomechanics and Bioengineering Centre, Cardiff University, Cardiff CF10 3AT, UK
| | - David Williams
- School of Engineering, College of Physical Sciences and Engineering, Cardiff University, Cardiff CF24 3AA, UK.,Arthritis Research UK Biomechanics and Bioengineering Centre, Cardiff University, Cardiff CF10 3AT, UK
| | - Rebecca Hemming
- School of Healthcare Sciences, Biomechanics and Bioengineering Research Centre Versus Arthritis, College of Biomedical and Life Sciences, Cardiff University, Cardiff CF24 0AB, UK.,Arthritis Research UK Biomechanics and Bioengineering Centre, Cardiff University, Cardiff CF10 3AT, UK
| | - Martina Hagen
- Medical Affairs, Pain Relief Category, GSK Consumer Healthcare S.A., Nyon 1260, Switzerland
| | - Ishaak Saleem
- School of Engineering, College of Physical Sciences and Engineering, Cardiff University, Cardiff CF24 3AA, UK.,Arthritis Research UK Biomechanics and Bioengineering Centre, Cardiff University, Cardiff CF10 3AT, UK
| | - Ramesh Swaminathan
- School of Engineering, College of Physical Sciences and Engineering, Cardiff University, Cardiff CF24 3AA, UK.,Arthritis Research UK Biomechanics and Bioengineering Centre, Cardiff University, Cardiff CF10 3AT, UK
| | - Cathy Holt
- School of Engineering, College of Physical Sciences and Engineering, Cardiff University, Cardiff CF24 3AA, UK.,Arthritis Research UK Biomechanics and Bioengineering Centre, Cardiff University, Cardiff CF10 3AT, UK
| |
Collapse
|
8
|
Oka T, Asai T, Kubo H, Fukumoto Y. Association of fear of falling with acceleration-derived gait indices in older adults with knee osteoarthritis. Aging Clin Exp Res 2019; 31:645-651. [PMID: 30128664 DOI: 10.1007/s40520-018-1022-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Accepted: 08/10/2018] [Indexed: 11/28/2022]
Abstract
BACKGROUND Knee osteoarthritis (OA) and fear of falling (FoF) are important factors contributing to trunk oscillation during walking. It is of a clinical importance to clarify the association of FoF with trunk oscillation during walking in older adults with knee OA (knee OA adults). AIM The purpose of this study was to investigate the association of FoF with trunk oscillation during walking in knee OA adults. METHODS Forty-one patients who met the criteria participated in the study and were classified into two groups based on their answer to a question on FoF. An accelerometer was attached at the level of the third lumbar vertebra (L3) and the seventh cervical vertebra (C7), and the accelerations at L3 and C7 were measured during a 10-m gait test. Using these data, the acceleration-derived gait indices, such as stride time variability (STV), root mean square (RMS), and autocorrelation at the trunk in the anteroposterior (AP) and mediolateral (ML) directions, were computed. RESULTS FoF was associated with a higher STV value and a smaller RMS value in the ML direction at L3. DISCUSSION The decreased trunk oscillation in the ML direction in knee OA adults with FoF may reflect a positive, compensatory adaptation for trunk control. CONCLUSION Knee OA adults with FoF decreased trunk oscillation during walking than those without FoF.
Collapse
Affiliation(s)
- Tomohiro Oka
- Department of Rehabilitation, Anshin Hospital, 1-4-12, Minatojima Minamimachi, Chuo-ku, Kobe City, Hyogo, 650-0047, Japan.
- Department of Community Health Sciences, Kobe University Graduate School of Health Science, 7-10-2, Tomogaoka, Suma-ku, Kobe City, Hyogo, 654-0142, Japan.
| | - Tsuyoshi Asai
- Department of Medical Rehabilitation, Faculty of Rehabilitation, Kobe Gakuin University, 518 Ikawadanicho, Arise, Nishi-ku, Kobe City, 651-2180, Japan
| | - Hiroki Kubo
- Faculty of Medical Rehabilitation, Kobe Gakuin University Graduate School, 518 Ikawadanicho, Arise, Nishi-ku, Kobe City, 651-2180, Japan
- Department of Rehabilitation, Itami Kousei Neurosurgical Hospital, Itami, Japan
| | - Yoshihiro Fukumoto
- Department of Medical Rehabilitation, Faculty of Rehabilitation, Kobe Gakuin University, 518 Ikawadanicho, Arise, Nishi-ku, Kobe City, 651-2180, Japan
| |
Collapse
|
9
|
Iijima H, Shimoura K, Ono T, Aoyama T, Takahashi M. Proximal gait adaptations in individuals with knee osteoarthritis: A systematic review and meta-analysis. J Biomech 2019; 87:127-141. [PMID: 30904334 DOI: 10.1016/j.jbiomech.2019.02.027] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2018] [Revised: 02/23/2019] [Accepted: 02/27/2019] [Indexed: 10/27/2022]
Abstract
Clarifying proximal gait adaptations as a strategy to reduce knee joint loading and pain for individuals with knee osteoarthritis (OA) contributes to understanding the pathogenesis of multi-articular OA changes and musculoskeletal pain in other joints. We aimed to determine whether biomechanical alterations in knee OA patients during level walking is increased upper trunk lean in the frontal and sagittal planes, and subsequent alteration in external hip adduction moment (EHAM) and external hip flexion moment (EHFM). A literature search was conducted in PubMed, PEDro, CINAHL, and Cochrane CENTRAL through May 2018. Where possible, data were combined into a meta-analysis; pooled standardized mean differences (SMD) of between knee OA patients and healthy adults were calculated using a random-effect model. In total, 32 articles (2037 participants, mean age, 63.0 years) met inclusion criteria. Individuals with knee OA had significantly increased lateral trunk lean toward the ipsilateral limb (pooled SMD: 1.18; 95% CI: 0.59, 1.77) along with significantly decreased EHAM. These subjects also displayed a non-significantly increased trunk/pelvic flexion angle and EHFM. The GRADE approach judged all measures as "very low." These results may indicate that biomechanical alterations accompanying knee OA are associated with increased lateral trunk lean and ensuing alterations in EHAM. Biomechanical alterations in the sagittal plane were not evident. Biomechanical adaptations might have negative sequelae, such as secondary hip abductor muscle weakness and low back pain. Thus, investigations of negative sequelae due to proximal gait adaptations are warranted.
Collapse
Affiliation(s)
- Hirotaka Iijima
- Department of System Design Engineering, Faculty of Science and Technology, Keio University, Yokohama, Japan; Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan; Japan Society for the Promotion of Science, Tokyo, Japan.
| | - Kanako Shimoura
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
| | - Tomoko Ono
- School of Science for Open and Environmental Systems, Graduate School of Science and Technology, Keio University, Yokohama, Japan.
| | - Tomoki Aoyama
- Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
| | - Masaki Takahashi
- Department of System Design Engineering, Faculty of Science and Technology, Keio University, Yokohama, Japan.
| |
Collapse
|
10
|
How do rocker-soled shoes influence the knee adduction moment in people with knee osteoarthritis? An analysis of biomechanical mechanisms. J Biomech 2017; 57:62-68. [DOI: 10.1016/j.jbiomech.2017.03.030] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2016] [Revised: 02/02/2017] [Accepted: 03/31/2017] [Indexed: 11/20/2022]
|
11
|
Sawa R, Doi T, Misu S, Saito T, Sugimoto T, Murata S, Asai T, Yamada M, Ono R. The severity and number of musculoskeletal pain associated with gait in community-dwelling elderly individuals. Gait Posture 2017; 54:242-247. [PMID: 28351745 DOI: 10.1016/j.gaitpost.2017.03.013] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Revised: 03/05/2017] [Accepted: 03/06/2017] [Indexed: 02/02/2023]
Abstract
BACKGROUND The association of quantitative gait characteristics, such as gait variability with musculoskeletal pain is poorly understood. We aimed to examine whether gait speed and gait variability are associated with musculoskeletal pain assessed by the severity and the number of sites in community-dwelling elderly individuals. METHODS A total of 176 elderly individuals participated in this study. The wireless motion-recording sensor units were attached to the lower trunk and heel during gait, and an autocorrelation coefficient was calculated in three directions as parameters of gait variability of trunk movement. Musculoskeletal pain was assessed in two aspects: severity and the number of sites. RESULTS Moderate/severe pain intensity was significantly associated with slow gait speed and low AC in a mediolateral direction (P=0.024 and 0.026, respectively). Participants with musculoskeletal pain in multiple sites had significantly lower autocorrelation coefficient in mediolateral direction than did those without pain (P=0.003). CONCLUSIONS Presence of moderate/severe pain intensity in at least one site or any-intensity pain in multiple sites is associated with slower gait speed and higher gait variability of trunk movement in well-functioning elderly individuals living in the community. Additional studies are necessary to elucidate the causal relationships between musculoskeletal pain and gait.
Collapse
Affiliation(s)
- Ryuichi Sawa
- Department of Physical Therapy, School of Health Sciences at Narita, International University of Health and Welfare, 4-3, Kōzunomori, Narita-city, Chiba, 286-8686, Japan.
| | - Takehiko Doi
- Section for Health Promotion Department for Research and Development to Support Independent Life of Elderly, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu-city, Aichi, 474-8511, Japan
| | - Shogo Misu
- Department of Community Health Sciences, Kobe University Graduate School of Health Sciences, 7-9-2 Tomogaoka, Suma-ward, Kobe-city, Hyogo, 654-0142, Japan; Kobe City Hospital Organization, Kobe City Medical Center, West Hospital, 2-4 Ichibann-cho, Nagata, Kobe-city, Hyogo, 653-0013, Japan
| | - Takashi Saito
- Department of Community Health Sciences, Kobe University Graduate School of Health Sciences, 7-9-2 Tomogaoka, Suma-ward, Kobe-city, Hyogo, 654-0142, Japan
| | - Taiki Sugimoto
- Department of Community Health Sciences, Kobe University Graduate School of Health Sciences, 7-9-2 Tomogaoka, Suma-ward, Kobe-city, Hyogo, 654-0142, Japan; The Center for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu-city, Aichi, 474-8511, Japan; Medical Genome Center, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu-city, Aichi, 474-8511, Japan
| | - Shunsuke Murata
- Department of Community Health Sciences, Kobe University Graduate School of Health Sciences, 7-9-2 Tomogaoka, Suma-ward, Kobe-city, Hyogo, 654-0142, Japan
| | - Tsuyoshi Asai
- Department of Physical Therapy, Faculty of Rehabilitation, Kobegakuin University, 518 Arise Tanimachi Ikawadani,Nishi-ward, Kobe-city, Hyogo, 651-2180, Japan
| | - Minoru Yamada
- Graduate School of Comprehensive Human Sciences, University of Tsukuba, 3-29-1 Otsuka,Bunkyo-ward, Tokyo, 112-0012, Japan
| | - Rei Ono
- Department of Community Health Sciences, Kobe University Graduate School of Health Sciences, 7-9-2 Tomogaoka, Suma-ward, Kobe-city, Hyogo, 654-0142, Japan
| |
Collapse
|
12
|
Gait variability analysed using an accelerometer is associated with locomotive syndrome among the general elderly population: The GAINA study. J Orthop Sci 2016; 21:354-60. [PMID: 27020175 DOI: 10.1016/j.jos.2016.02.003] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2015] [Revised: 11/15/2015] [Accepted: 02/03/2016] [Indexed: 11/23/2022]
Abstract
BACKGROUND Gait variability analysed using an accelerometer provides a unique measurement of locomotive dysfunction in patients with musculoskeletal disease or in frail elderly subjects. Therefore, assessing gait variability may become a clinical screening method for the locomotive syndrome. The purpose of this study was to investigate whether gait variability analysed using an accelerometer was associated with locomotive syndrome in the general elderly population. METHODS A total of 273 residents were screened after a yearly medical check-up, and of these, 223 subjects (mean age, 73.6 ± 8.3 years) met the eligibility criteria. Demographic information, body function and structure measurements (bone mass, grip strength, muscle mass, and postural alignment), and gait parameters were assessed. Gait variability analysis was based on acceleration using a wireless tri-axial accelerometer attached to the 3rd lumbar vertebra process by a trunk belt. Autocorrelation coefficients were used to represent gait variability in three directions: vertical, mediolateral, and anteroposterior. The subjects were classified as either having or not having the locomotive syndrome based on the 5-question Geriatric Locomotive Function Scale. RESULTS Of the 223 subjects, 41 (18.3%) had the locomotive syndrome. Autocorrelation coefficients in three directions were lower in the subjects with locomotive syndrome. Using multivariate logistic regression analysis with adjustment factors, of the autocorrelation coefficients only gait variability in the vertical axis remained a significant independent associated with the locomotive syndrome. CONCLUSION This finding suggested that gait variability based on evaluation of autocorrelation coefficients in the vertical axis measured using an accelerometer has the potential to become a screening method for the locomotive syndrome in the general elderly population.
Collapse
|
13
|
FANG YING, FITZHUGH EUGENEC, CROUTER SCOTTE, GARDNER JACOBK, ZHANG SONGNING. Effects of Workloads and Cadences on Frontal Plane Knee Biomechanics in Cycling. Med Sci Sports Exerc 2016; 48:260-6. [DOI: 10.1249/mss.0000000000000759] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
14
|
[Quantification of gait using insole type foot pressure monitor : clinical application for chronic hemiplegia]. J UOEH 2014; 36:41-8. [PMID: 24633184 DOI: 10.7888/juoeh.36.41] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Home-based stroke hemiplegia patients tend to fall easily. Poor toe clearance is reported to be one of the causes of falling, although there are many other related factors. We developed a low-priced insole type portable foot pressure measurement device, and measured the foot pressure distribution and the foot pressure-time curve of 20 chronic hemiplegia patients and compared them with 36 healthy controls. We also analyzed the outdoor gait of a chronic hemiplegia patient on flat ground, on rough terrain, walking up stairs and on a downward slope. The result was that the load rate of the unaffected heel was significantly increased in hemiplegic gait, and there was a significant negative correlation between the affected side stance phase rate and gait time for 10 m distance (r = -0.73, P < 0.01). The primary role of the unaffected side and the poor toe clearance on the affected side were assured in the uneven ground gait, and it was suggested that chronic hemiplegia patients tend to be highly dependent on their unaffected side during indoor and outdoor gait.
Collapse
|
15
|
Simic M, Wrigley TV, Hinman RS, Hunt MA, Bennell KL. Altering foot progression angle in people with medial knee osteoarthritis: the effects of varying toe-in and toe-out angles are mediated by pain and malalignment. Osteoarthritis Cartilage 2013; 21:1272-80. [PMID: 23973141 DOI: 10.1016/j.joca.2013.06.001] [Citation(s) in RCA: 102] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2012] [Revised: 05/21/2013] [Accepted: 06/05/2013] [Indexed: 02/02/2023]
Abstract
OBJECTIVES To evaluate if altering the foot progression angle (FPA) by varying magnitudes during gait alters the external knee adduction moment (KAM), knee flexion moment (KFM), knee extension moment (KEM) and/or symptoms in people with medial knee osteoarthritis (OA). Potential influence of pain and knee malalignment on load-modifying effects of FPA was investigated. DESIGN Participants (n = 22) underwent 3-dimensional gait analysis to measure KAM peaks, KAM impulse, KFM and KEM peaks. Following natural gait, five altered FPA conditions were performed in random order (10° toe-in, 0° FPA, 10° toe-out, 20° toe-out and 30° toe-out). A projection screen displayed their real-time FPA. Pain/discomfort at knees and feet/ankles were evaluated for each condition. Linear mixed models were used for statistical analysis. RESULTS Toe-in reduced the early stance peak KAM and KEM but increased the KAM impulse, late stance peak and KFM. Toe-out reduced the KAM impulse, late stance peak and KFM (P < 0.001) but increased the early stance peak KAM and KEM. All effects were greater in participants with more varus knees. Pain significantly mediated the effect of altered FPA on the KAM impulse and late stance peak. In more painful individuals, toe-in was predicted to reduce the KAM impulse and late stance peak, and increase them for toe-out gait. There were no immediate symptomatic changes. CONCLUSIONS Effects of altered FPA vary across all medial knee load parameters and it is difficult to determine an optimal direction of FPA change. Future studies should consider Western Ontario McMaster Universities OA Index (WOMAC) pain to judge the likely effects of altered FPA.
Collapse
Affiliation(s)
- M Simic
- Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, University of Melbourne, Australia.
| | | | | | | | | |
Collapse
|
16
|
Bennell KL, Wrigley TV, Hunt MA, Lim BW, Hinman RS. Update on the Role of Muscle in the Genesis and Management of Knee Osteoarthritis. Rheum Dis Clin North Am 2013; 39:145-76. [DOI: 10.1016/j.rdc.2012.11.003] [Citation(s) in RCA: 115] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
|
17
|
Simic M, Hunt MA, Bennell KL, Hinman RS, Wrigley TV. Trunk lean gait modification and knee joint load in people with medial knee osteoarthritis: The effect of varying trunk lean angles. Arthritis Care Res (Hoboken) 2012; 64:1545-53. [DOI: 10.1002/acr.21724] [Citation(s) in RCA: 84] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
|