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Canseco K, Becker BM, Muscott RK, Schmeling GJ, Fritz JM. Gait and strength assessment following surgical repair by intramedullary nailing of isolated tibial shaft fracture. J Orthop Res 2024; 42:618-627. [PMID: 37804214 DOI: 10.1002/jor.25704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Revised: 07/28/2023] [Accepted: 10/05/2023] [Indexed: 10/09/2023]
Abstract
The objective of the study was to evaluate the long-term strength and gait outcomes after intramedullary nailing of isolated tibial diaphyseal fractures. This retrospective cohort study was conducted at an academic Level I trauma center. Fifteen participants with isolated tibial diaphyseal fractures (OTA/AO 42) at least 2 years postoperative from intramedullary nailing (IMN) provided informed consent. The average age was 40 ± 14 (range, 24-69); there were nine men and six women. Knee flexion-extension strength data were collected. Temporal-spatial, kinematic, and kinetic gait parameters were measured and compared to historic control data. Participants completed the SF-36 and shortened musculoskeletal function assessment questionnaires. The mean length of follow-up between surgery and gait analysis was 6 ± 2 years. The fractured limb demonstrated deficits in quadriceps strength between 9.8% and 23.4% compared to the unaffected limb. Temporal-spatial parameters revealed slower walking speed, shorter stride length, decreased cadence, and shorter single-limb support time in the fractured limb. Altered kinematic and kinetic findings included a knee extension shift during stance, with an increased knee flexor moment demand and decreased total knee power during loading and midstance. These findings represent deficits in concentric and eccentric knee extensor activity. Additionally, the fractured limb demonstrated decreased ankle dorsiflexion during stance and diminished ankle push-off power. Long-term outcomes after IMN of tibial diaphyseal fractures demonstrate decreased quadriceps strength and altered gait parameters that may have implications to the high incidence of knee and ankle pain in the fractured limb.
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Affiliation(s)
- Karl Canseco
- Department of Orthopaedic Surgery, Medical College of Wisconsin, Wauwatosa, Wisconsin, USA
| | - Brittany M Becker
- Department of Orthopaedic Surgery, Medical College of Wisconsin, Wauwatosa, Wisconsin, USA
- Department of Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Rachel K Muscott
- Department of Orthopaedic Surgery, Medical College of Wisconsin, Wauwatosa, Wisconsin, USA
- Department of Orthopaedic Sports Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
- Orthopedic Surgery, Aurora Health Care, Hartford, Wisconsin, USA
| | - Gregory J Schmeling
- Department of Orthopaedic Surgery, Medical College of Wisconsin, Wauwatosa, Wisconsin, USA
| | - Jessica M Fritz
- Department of Orthopaedic Surgery, Medical College of Wisconsin, Wauwatosa, Wisconsin, USA
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Jäckle K, Yoshida T, Neigefink K, Meier MP, Seitz MT, Hawellek T, von Lewinski G, Roch PJ, Weiser L, Schilling AF, Lehmann W. Effects of Iliosacral Joint Immobilization on Walking after Iliosacral Screw Fixation in Humans. J Clin Med 2023; 12:6470. [PMID: 37892609 PMCID: PMC10607325 DOI: 10.3390/jcm12206470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2023] [Revised: 10/07/2023] [Accepted: 10/10/2023] [Indexed: 10/29/2023] Open
Abstract
BACKGROUND Pelvis fractures are commonly stabilized by surgical implants to facilitate their healing. However, such implants immobilize the iliosacral joint for up to a year until removal. We report how iliosacral joint immobilization affects the walking of patients. METHODS The gaits of patients with immobilized sacroiliac joints after unstable pelvic fracture (n = 8; mean age: 45.63 ± 23.19; five females and three males) and sex- and age-matched healthy control individuals (n = 8; mean age: 46.50 ± 22.91; five females and three males) were recorded and analyzed using a motion capture system. The forces between the tread and feet were also recorded. Standard gait parameters as well as dynamic patterns of joint angles and moments of the lower extremities were analyzed using the simulation software OpenSim. RESULTS With the exception of hip extensor strength, the monitored joint parameters of the patients showed task-dependent deviations during walking, i.e., plantarflexor force was increased when stepping on an elevated surface, as were hip flexion and extensor moments, knee flexion and extensor moments, as well as ankle dorsiflexion and the associated negative plantarflexor force during stance on the elevated surface. CONCLUSIONS Iliosacral joint fixation causes reduced forward and upward propulsion and requires an extended range of hip motion in the sagittal plane. Patients show significant mobility limitation after iliosacral screw fixation.
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Affiliation(s)
- Katharina Jäckle
- Department of Trauma Surgery, Orthopaedics and Plastic Surgery, University Medical Center Göttingen, Robert-Koch Str. 40, 37075 Göttingen, Germany; (T.Y.); (K.N.); (M.-P.M.); (M.-T.S.); (T.H.); (G.v.L.); (P.J.R.); (L.W.); (W.L.)
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Su PH, Huang YH, Yeh CW, Chen CY, Lo YS, Chen HT, Tsai CH. What Are the Key Factors of Functional Outcomes in Patients with Spinopelvic Dissociation Treated with Triangular Osteosynthesis? J Clin Med 2022; 11:jcm11226715. [PMID: 36431191 PMCID: PMC9699448 DOI: 10.3390/jcm11226715] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Revised: 10/31/2022] [Accepted: 11/11/2022] [Indexed: 11/16/2022] Open
Abstract
For patients with spinopelvic dissociation (SPD), triangular osteosynthesis is the current method for the fixation of the posterior pelvis. This study aimed to assess the recovery process and radiographic parameters associated with the functional outcomes in patients with SPD treated by triangular osteosynthesis. We collected data from 23 patients with SPD. To investigate the key aspect regarding the functional outcomes of these patients, we measured pre- and post-operative parameters, and a statistical analysis adjusted for age, gender, and time windows was used. The radiographic displacement measurement in the pre-operative period showed that the EQ-5D-5L increased by 2.141 per outlet ratio unit. The EQ-5D-5L increased by 1.359 per inlet ratio unit and 1.804 per outlet ratio during the postoperative period. The EQ-VAS increased significantly only with the inlet ratio in the postoperative period (1.270 per inlet ratio). A vertical reduction in SPD during the surgery can achieve more satisfactory outcomes than a horizontal anatomical reduction, in which the horizontal displacement causes inferior functional outcomes.
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Affiliation(s)
- Po-Han Su
- School of Medicine, China Medical University, Taichung 404, Taiwan
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung 404, Taiwan
| | - Yi-Hsun Huang
- School of Medicine, China Medical University, Taichung 404, Taiwan
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung 404, Taiwan
| | - Chen-Wei Yeh
- School of Medicine, China Medical University, Taichung 404, Taiwan
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung 404, Taiwan
| | - Chun-Yen Chen
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung 404, Taiwan
- Department of Orthopedic Surgery, Wei Gong Memorial Hospital, Miaoli 351, Taiwan
| | - Yuan-Shun Lo
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung 404, Taiwan
- Department of Orthopedic Surgery, China Medical University Bei Gang Hospital, Yunlin 651, Taiwan
| | - Hsien-Te Chen
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung 404, Taiwan
| | - Chun-Hao Tsai
- School of Medicine, China Medical University, Taichung 404, Taiwan
- Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung 404, Taiwan
- Department of Sports Medicine, College of Health Care, China Medical University, Taichung 404, Taiwan
- Correspondence:
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Analysis of Postoperative Gait, Hip Strength, and Patient-Reported Outcomes After OTA/AO 61-B and 61-C Pelvic Ring Injuries. J Orthop Trauma 2022; 36:432-438. [PMID: 35175987 DOI: 10.1097/bot.0000000000002359] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/11/2022] [Indexed: 02/02/2023]
Abstract
OBJECTIVES To examine clinical gait parameters, hip muscle strength, pelvic functional outcomes, and psychological outcomes after surgical fixation of OTA/AO 61-B and 61-C pelvic ring injuries. DESIGN Retrospective review identified 10 OTA/AO 61-B patients and 9 OTA/AO 61-C patients for recruitment who were between 1 and 5 years after pelvic fixation. Gait and strength assessments, and patient-reported outcome scores were performed/collected and analyzed. SETTING Outpatient clinical motion performance laboratory. PATIENTS/PARTICIPANTS Patients with OTA/AO 61-B and OTA/AO 61-C fractures who were between 1 and 5 years after pelvic fixation. MAIN OUTCOME MEASUREMENTS Hip strength, kinetics, and spatial-temporal outcomes; Majeed Pelvic Outcome Score; Short Form 36; Hamilton Anxiety/Depression Rating Scales. RESULTS There were no differences in age, body mass index, or time since definitive fixation between OTA/AO 61-B and 61-C groups. The OTA/AO 61-C group had higher median injury severity scores, longer length of stay, and greater postoperative pelvic fracture displacement. There was no difference in bilateral hip strength, bilateral peak hip moments, peak hip power, and walking speed between groups. Patients with OTA/AO 61-C fractures had lower scores on Short Form 36 General Health and Majeed Work, with a trend toward a lower Total Majeed score. There were no differences in self-reported total anxiety and depression symptoms. CONCLUSIONS This study did not identify any gait, strength, or psychological differences between OTA/AO 61-B and 61-C injuries at 1-5 years of follow-up. However, increased injury severity in OTA/AO 61-C patients may have residual consequences on perceived general health and ability to work. This pilot study establishes a template for future research into functional recovery of patients with severe pelvic ring trauma. LEVEL OF EVIDENCE Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.
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Rosenblum U, Melzer I, Zeilig G, Plotnik M. Muscle activation profile is modulated by unexpected balance loss in walking. Gait Posture 2022; 93:64-72. [PMID: 35091185 DOI: 10.1016/j.gaitpost.2022.01.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 12/30/2021] [Accepted: 01/16/2022] [Indexed: 02/02/2023]
Abstract
BACKGROUND During an unexpected loss of balance, avoiding a fall requires people to readjust their footing rapidly and effectively. A deeper understanding of muscle activation patterns in response to unexpected balance loss will provide insights into the mechanisms of balance recovery responses. This could have implications for treatment of people with balance deficits. RESEARCH QUESTION Explore the differences in balance recovery responses to perturbations in different phases of the gait cycle (single-support vs. double-support) in terms of biomechanical behavior (i.e., stepping and dynamic stability characteristics) and lower-limb muscle activation patterns. METHODS Muscle activation patterns of the ankle and knee muscles and muscle fiber type recruitment resulting from unannounced, mediolateral (i.e., right/left) horizontal-surface perturbations during walking was investigated in twenty healthy adults (27.00 ± 2.79 years, ten females). Surface electromyography (sEMG) total spectral power for specific frequency bands (40-60 Hz, 60-150 Hz, 150-250 Hz, 250-400 Hz and 400-1000 Hz), from tibialis anterior (TA) and vastus lateralis (VL) muscles were analyzed. Three mixed-effects models assessed behavioral and lower-limb muscle activation patterns resulting from perturbations in the gait cycle's single- and double-support phases. Statistical significance was set a priori at p < 0.05. RESULTS Compared to non-perturbed walking, we found a significant increase in the total spectral power of lower-extremity muscles during the first three seconds after perturbation. During the double-support phase of gait, we found a different muscle fiber type recruitment pattern between VL and TA muscles. However, there were no significant differences between VL and TA muscles for perturbations implemented in single-support phases. SIGNIFICANCE Our findings support the notion that muscle operating frequency is modulated in real-time to fit functional goal requirements, such as a rapid change of footing in response to unexpected loss of balance in single and double-support phases of gait.
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Affiliation(s)
- Uri Rosenblum
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Tel Hashomer, Israel; Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
| | - Itshak Melzer
- Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel
| | - Gabi Zeilig
- Department of Neurological Rehabilitation, Sheba Medical Center, Tel HaShomer, Israel; Department of Physical and Rehabilitation Medicine, Faculty of Medicine, Tel Aviv University, Israel; School of Health Professions, Ono Academic College, Kiryat Ono, Israel
| | - Meir Plotnik
- Center of Advanced Technologies in Rehabilitation, Sheba Medical Center, Tel Hashomer, Israel; Department of Physiology and Pharmacology, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel; Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.
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Evaluation and management of low-energy pelvic ring fractures in elderly patients: a narrative review. CURRENT ORTHOPAEDIC PRACTICE 2021. [DOI: 10.1097/bco.0000000000001019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Szulc P. Impact of Bone Fracture on Muscle Strength and Physical Performance-Narrative Review. Curr Osteoporos Rep 2020; 18:633-645. [PMID: 33030682 DOI: 10.1007/s11914-020-00623-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/29/2020] [Indexed: 02/07/2023]
Abstract
PURPOSE OF REVIEW Low muscle strength and poor physical performance are associated with high risk of fracture. Many studies assessed clinical and functional outcomes of fractures. Fewer studies analyzed the impact of fractures on muscle strength and physical performance. RECENT FINDINGS Vertebral fractures (especially multiple and severe ones) are associated with back pain, back-related disability, lower grip strength, lower strength of lower limbs, lower gait speed, and poor balance. Patients with hip fracture have slower gait and lower quadriceps strength. Non-vertebral fractures were associated with lower strength of the muscles adjacent to the fracture site (e.g., grip strength in the case of distal radius fracture, knee extensors in the case of patellar fracture) and poor physical function dependent on the muscles adjacent to the fracture site (e.g., limited range of motion of the shoulder in the case of humerus fracture, gait disturbances in the case of the ankle fracture). Individuals with a fracture experience a substantial deterioration of muscle strength and physical performance which exceeds that related to aging and is focused on the period close to the fracture occurrence. After fracture, muscle strength increased and physical performance improved. The rate of normalization depended partly on the therapeutic approach and on the rehabilitation program. A subgroup of patients, mainly the elderly, never returns to the pre-fracture level of physical performance. The permanent decline of physical function after fracture may be related to the limitation of movements due to pain, low physical activity, poor health before the fracture, and reduced efficacy of retraining after immobilization.
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Affiliation(s)
- Pawel Szulc
- INSERM UMR 1033, University of Lyon, Hôpital Edouard Herriot, Lyon, France.
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The relationship between gait and functional outcomes in patients treated with circular external fixation for malunited tibial fractures. Gait Posture 2019; 68:569-574. [PMID: 30640157 DOI: 10.1016/j.gaitpost.2019.01.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Revised: 12/21/2018] [Accepted: 01/06/2019] [Indexed: 02/02/2023]
Abstract
BACKGROUND Lower extremity fractures have a profound negative effect on a patient's gait and outcomes. Correction of deformity, and with it normalization of objective gait parameters, may result in better subjective and objective functional outcomes in patients treated with circular external fixation for malunited tibial fractures. AIM The purpose of this study was to investigate the relationships between gait parameters, patient reported outcome measures (PROMs), and health related quality of life measures in patients treated with circular external fixation for the correction of deformity related to tibial malunions. METHODS This retrospective study included patients with posttraumatic tibial deformities, aged 14-65, with a minimum follow-up of 24 months following deformity correction. Patients with congenital deformities, head injuries, spinal cord injury, neurological disorders, or contralateral lower limb amputation were excluded. Functional outcomes were assessed by the Foot Function Index (FFI); Short Form 12 (SF-12); the EQ 5D; and the ASAMI score. Gait analysis was performed using Dartfish® and the Edinburgh Visual Gait Score (EVGS). The relationships between the EVGS and functional outcome scores were analyzed using Pearsons' moment correlations with Bonferroni corrections. RESULTS Eleven patients with a mean age of 42 (range 23-57) were analyzed. The mean EVGS was 2.6 ± 2.1, the mean FFI 29.6 ± 33.4, the mean EQ5 Index Value 0.7 ± 0.2, the mean EQ5 VAS 85.4 ± 19.5, the SF12 mean Physical Component Score (PCS) 46.7 ± 11.1, and the mean Mental Component Score (MCS) 55.2 ± 7.5. The following relationships were strong and significant: EVGS and FFI (r = 0.7; P = 0.02), EVGS and PCS (r = -0.82; P = 0.02), and FFI and EQ5 (r = -0.79, P = 0.05). SIGNIFICANCE The results of this study suggest that correction of deformity with realignment and restoration of normal anatomy was associated with improved functional outcomes and physical well-being. Patient reported quality of life is strongly associated with patient perceived functional outcome, but not with objective gait parameters.
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A Mechanical Sensor Designed for Dynamic Joint Angle Measurement. JOURNAL OF HEALTHCARE ENGINEERING 2017; 2017:8465212. [PMID: 29065653 PMCID: PMC5390652 DOI: 10.1155/2017/8465212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/29/2016] [Revised: 01/14/2017] [Accepted: 01/30/2017] [Indexed: 11/18/2022]
Abstract
Background. The measurement of the functional range of motion (FROM) of lower limb joints is an essential parameter for gait analysis especially in evaluating rehabilitation programs. Aim. To develop a simple, reliable, and affordable mechanical goniometer (MGR) for gait analysis, with six-degree freedom to dynamically assess lower limb joint angles. Design. Randomized control trials, in which a new MGR was developed for the measurements of FROM of lower limb joints. Setting. Reliability of the designed MGR was evaluated and validated by a motion analysis system (MAS). Population. Thirty healthy subjects participated in this study. Methods. Reliability and validity of the new MGR were tested by intraclass correlation coefficient (ICC), Bland-Altman plots, and linear correlation analysis. Results. The MGR has good inter- and intrarater reliability and validity with ICC ≥ 0.93 (for both). Moreover, measurements made by MGR and MAS were comparable and repeatable with each other, as confirmed by Bland-Altman plots. Furthermore, a very high degree of linear correlation (R ≥ 0.92 for all joint angle measurements) was found between the lower limb joint angles measured by MGR and MAS. Conclusion. A simple, reliable, and affordable MGR has been designed and developed to aid clinical assessment and treatment evaluation of gait disorders.
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Salari P, Cannada LK, Moed BR. Do asymptomatic patients have normal function after percutaneous fixation of the posterior pelvic ring? A case-control pilot study. J Orthop Surg Res 2015; 10:68. [PMID: 25982104 PMCID: PMC4438342 DOI: 10.1186/s13018-015-0190-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2014] [Accepted: 03/26/2015] [Indexed: 11/21/2022] Open
Abstract
Background Following treatment of a posterior pelvic disruption, residual deformity or associated injuries can adversely affect functional recovery. No study has been performed on gait and functional outcome after closed reduction and percutaneous screw fixation (CRPSF) of posterior pelvic disruption in clinically asymptomatic patients. The purpose of this study was to determine if gait and functional outcome are different from normal in asymptomatic patients with a posterior pelvic injury after CRPSF, serving as a pilot study in this regard. Methods Six asymptomatic patients with no grossly evident gait abnormality, treated by CRPSF for a posterior pelvic disruption, were included in the study (SG). A control group (CG) of six healthy volunteers was created. All participants completed the 12-Item Short Form Health Survey version 2 (SF-12v2), the Majeed Pelvic Score (MPS), and the Iowa Pelvic Score (IPS). In addition, the participants’ gait was analyzed. Results Pelvic drop was significantly smaller on the uninjured side in the SG when compared to the injured side in the SG. There was no significant difference between the injured and uninjured side for other gait parameters within the SG. Knee angle at initial contact was significantly greater on the injured side when compared to the CG. The SG scored statistically worse than the CG on the Physical Component Summary part of the SF-12v2. However, when evaluated by age group using national mean scores, the SG differences were minimal. All six patients in our study scored “excellent” on both MPS and IPS. Conclusions Despite having subclinical alterations in gait, asymptomatic pelvic ring injured patients show minimal, if any, evidence of impaired functional outcome following successful reduction of a posterior pelvic disruption treated by CRPSF.
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Affiliation(s)
- Pooria Salari
- Department of Orthopaedic Surgery, Saint Louis University School of Medicine, 3635 Vista Avenue, 7th Floor Desloge Towers, St. Louis, MO, 63110, USA.
| | - Lisa K Cannada
- Department of Orthopaedic Surgery, Saint Louis University School of Medicine, 3635 Vista Avenue, 7th Floor Desloge Towers, St. Louis, MO, 63110, USA.
| | - Berton R Moed
- Department of Orthopaedic Surgery, Saint Louis University School of Medicine, 3635 Vista Avenue, 7th Floor Desloge Towers, St. Louis, MO, 63110, USA.
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Rosenbaum D, Macri F, Lupselo FS, Preis OC. Gait and function as tools for the assessment of fracture repair - the role of movement analysis for the assessment of fracture healing. Injury 2014; 45 Suppl 2:S39-43. [PMID: 24857027 DOI: 10.1016/j.injury.2014.04.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Assessment of gait and function might be as sensitive tool to monitor the progress of fracture healing. Currently available assessment tools for function use instrumented three dimensional gait analysis or pedobarography. The analysis is focused on gait or movement parameters and seeks to identify abnormalities or asymmetries between legs or arms. The additional inclusion of muscle function by electromyography can further elucidate functional performance and its temporal development. Alternative approaches abstain from directly assessing function in the laboratory but rather determine the amount of activities of daily living or the mere ability to perform defined tasks such as walking, stair climbing or running. Some of these methods have been applied to determine recovery after orthopaedic interventions including fracture repair. The combination of lab-based functional measurements and assessment of physical activities in daily live may offer a valuable level of information about the gait quality and quantity of individual patients which sheds light on functional limitations or rehabilitation of gait and mobility after a disease or injury and the respective conservative, medical or surgical treatment.
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Affiliation(s)
- Dieter Rosenbaum
- Institute for Experimental Musculoskeletal Medicine, Movement Analysis Lab, University Hospital Münster, Albert-Schweitzer-Campus 1, D3, 48129 Münster, Germany.
| | - Felipe Macri
- Department of Orthopaedics and Traumatology, Hospital Governador Celso Ramos, Florianópolis, SC, Brazil
| | - Fernando Silva Lupselo
- Department of Orthopaedics and Traumatology, Hospital Governador Celso Ramos, Florianópolis, SC, Brazil
| | - Osvaldo Cristiano Preis
- Department of Orthopaedics and Traumatology, Hospital Governador Celso Ramos, Florianópolis, SC, Brazil
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Effect of a textured insole on balance and gait symmetry. Exp Brain Res 2013; 231:201-8. [DOI: 10.1007/s00221-013-3685-z] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2013] [Accepted: 08/11/2013] [Indexed: 10/26/2022]
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