دورية أكاديمية
Application of 2D Gait Analysis for the Assessment of Gait Disturbance in Patients with Spastic Tetraparesis.
| العنوان: | Application of 2D Gait Analysis for the Assessment of Gait Disturbance in Patients with Spastic Tetraparesis. |
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| المؤلفون: | Eliseev AS; Assistant, Kolokoltsev Department of Traumatology, Orthopedics and Neurosurgery Privolzhsky Research Medical University, 10/1 Minin and Pozharsky Square, Nizhny Novgorod, 603005, Russia., Kalinina SY; Assistant, Kolokoltsev Department of Traumatology, Orthopedics and Neurosurgery Privolzhsky Research Medical University, 10/1 Minin and Pozharsky Square, Nizhny Novgorod, 603005, Russia., Yashin KS; Assistant, Kolokoltsev Department of Traumatology, Orthopedics and Neurosurgery Privolzhsky Research Medical University, 10/1 Minin and Pozharsky Square, Nizhny Novgorod, 603005, Russia., Zolotova AS; Student Privolzhsky Research Medical University, 10/1 Minin and Pozharsky Square, Nizhny Novgorod, 603005, Russia., Morozov IN; Head of the Center for Neurorehabilitation in Spine and Spinal Cord Disorders Privolzhsky Research Medical University, 10/1 Minin and Pozharsky Square, Nizhny Novgorod, 603005, Russia., Slavin KV; Professor, Head of the Stereotaxic and Functional Neurosurgery Department University of Illinois at Chicago, 1200 W Harrison St., Chicago, IL, 60607, USA. |
| المصدر: | Sovremennye tekhnologii v meditsine [Sovrem Tekhnologii Med] 2021; Vol. 13 (5), pp. 24-29. Date of Electronic Publication: 2021 Oct 29. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Nizhegorodskai︠a︡ gosudarstvennai︠a︡ medit︠s︡inskai︠a︡ akademii︠a Country of Publication: Russia (Federation) NLM ID: 101604515 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2309-995X (Electronic) Linking ISSN: 20764243 NLM ISO Abbreviation: Sovrem Tekhnologii Med Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Nizhniĭ Novgorod : Nizhegorodskai︠a︡ gosudarstvennai︠a︡ medit︠s︡inskai︠a︡ akademii︠a︡ |
| مواضيع طبية MeSH: | Gait Analysis* , Muscle Spasticity*/diagnosis, Gait ; Humans ; Range of Motion, Articular ; Walking |
| مستخلص: | The aim of the study was to explore the use of 2D gait analysis for assessing gait abnormalities in patients with spastic tetraparesis associated with spinal cord injury and other lesions of the cervical spinal cord. Materials and Methods: The study included 12 patients with tetraparesis of various etiologies. Gait assessment was performed by video analysis using reflective markers (1.5 cm) and a special walking platform. The spatial coordinates of the markers were determined by capturing the reflected light with infrared LEDs located around the lenses of video cameras. Results: Using 2D gait analysis, numerical indicators of gait disturbance in spastic tetraparesis were obtained. We found a prolongation of the stand phase with a shortening of the swing phase (from 81.9 [76.1; 89.2] to 85.3 [74.4; 90.2]%; p=0.97) and the period of the double step (from 0.50 [0.45; 0.96] to 0.40 [0.34; 0.66]; p=0.4) in comparison with the target (normal) values (60% - for the stand phase; 1.41 - for the double-step period). The movements in the hip, knee, and ankle joints are described using numerical values.We then compared the data obtained from the left and right sides of the patient's body: there were no statistically significant differences between the two sets of data. We also compared the gait characteristics before and after treatment (in 4 patients). Statistically significant differences in values were obtained for the stand and swing phases (p=0.035), the range of motion in the hip joint (p=0.01), and gait velocity (p=0.046). Kendall's analysis revealed no significant correlation between the data obtained by video gait analysis and the gait changes by the Modified Ashworth Scale (р>0.05). Conclusion: 2D gait analysis is a promising method for quantifying gait disturbance in patients with spastic tetraparesis. It allows one to identify characteristic gait patterns, in particular, an increase in the stand phase with a shortening of the swing phase and the double step period, as well as a decrease in the range of motion in the hip joints with an increase in the knee and ankle ones. |
| References: | Spinal Cord. 2006 Dec;44(12):708-22. (PMID: 16636687) Clin Neurol Neurosurg. 2012 May;114(4):321-5. (PMID: 22104692) J Neurosurg Pediatr. 2009 Nov;4(5):487-93. (PMID: 19877786) Practitioner. 1964 Apr;192:540-2. (PMID: 14143329) J Clin Med. 2020 Mar 17;9(3):. (PMID: 32191997) J Neurosurg Pediatr. 2008 Mar;1(3):180-6. (PMID: 18352761) Clin Neurol Neurosurg. 2018 Aug;171:163-167. (PMID: 29913361) |
| فهرسة مساهمة: | Keywords: 2D gait analysis; gait biomechanics in tetraparesis; gait in spastic tetraparesis; spastic tetraparesis |
| تواريخ الأحداث: | Date Created: 20220310 Date Completed: 20220329 Latest Revision: 20220401 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC8858409 |
| DOI: | 10.17691/stm2021.13.5.03 |
| PMID: | 35265346 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2309-995X |
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| DOI: | 10.17691/stm2021.13.5.03 |