Gait & posture最新文献

英文中文

Estimation of joint moments during ball throwing in simulated altered gravity conditions using a musculoskeletal modelling approach: preliminary results 利用肌肉骨骼建模方法估算模拟重力改变条件下投球过程中的关节力矩：初步结果

IF 2.2 3区医学 Q3 NEUROSCIENCES

Gait & posture

Pub Date : 2024-10-01 DOI: 10.1016/j.gaitpost.2024.08.061

A. Pica , I.G. Porco , E. Zimei , E. Braccili , S.M.G. Solinas , P. Picerno , U. Della Croce

引用次数: 0

Two-year 3D gait outcomes following in-situ pinning or modified Dunn procedure in children with slipped capital femoral epiphysis 股骨骺滑脱患儿原位固定或改良邓恩手术后两年的 3D 步态结果

IF 2.2 3区医学 Q3 NEUROSCIENCES

Gait & posture

Pub Date : 2024-10-01 DOI: 10.1016/j.gaitpost.2024.10.008

LN Dwan , DG Little , O Birke , EA Wojciechowski , AJ Mudge , MJ McKay , J St George , J Burns

Background

Slipped Capital Femoral Epiphysis (SCFE) is femoral head slippage off the femoral neck through the physis occurring in children aged 8–16 years. Surgical intervention is required in all paediatric cases and there is no universal agreement on choice of surgical procedure.

Research question

What are the two-year 3D gait outcomes in children with SCFE who have undergone in-situ pinning (PIN) or modified Dunn procedure (MDP) compared with normative reference values?

Methods

17 children with SCFE who had undergone PIN (n=7, slip severity mild to moderate) or MDP (n=10, slip severity moderate to severe) surgical procedures prospectively underwent a 3D gait analysis post-surgery (2∙0 ± 0∙5 years). Ten age-matched children were also recruited to provide normative reference values. The conventional gait model was modified to incorporate Hara hip equations and Lerner pelvic tracking methods. Gait Profile Scores, Gait Variable Scores, kinematics, kinetics and spatiotemporal data were calculated for each group.

Results

Overall gait pattern, determined by the Gait Profile Score, indicated that both SCFE groups differed from the normative reference group (PIN 6∙6 ± 2∙5⁰, MDP 6∙2 ± 2∙0⁰ vs. 4∙0 ± 1∙3⁰ norm, p<0∙05). Normalised walking speed was reduced in the MDP group (0∙40 ± 0∙04) compared to the normative reference group (0∙46 ± 0∙06; p=0∙032).

Significance

Gait patterns of children with SCFE treated with PIN was more markedly altered than that of children with SCFE treated with MDP, despite having lower SCFE severity. Increased external hip rotation observed in the PIN group may be a pre-cursor for osteoarthritis in adulthood. Therefore the use of the corrective MDP which normalises hip rotation may be beneficial for reducing functional impairments.

背景股骨头骨骺滑脱（SCFE）是指股骨头从股骨颈穿过骨骺滑脱，好发于8-16岁的儿童。研究问题与正常参考值相比，接受原位固定术（PIN）或改良邓恩术（MDP）的 SCFE 儿童两年后的 3D 步态结果如何？方法17名接受过PIN（7人，滑脱严重程度为轻度至中度）或MDP（10人，滑脱严重程度为中度至重度）手术治疗的SCFE患儿在术后（2∙0 ± 0∙5 年）接受了三维步态分析。同时还招募了 10 名年龄匹配的儿童，以提供常模参考值。对传统步态模型进行了修改，加入了 Hara 髋关节方程和 Lerner 骨盆跟踪方法。结果通过步态轮廓评分确定的总体步态模式表明，SCFE 两组均与常模参照组存在差异（PIN 6∙6 ± 2∙5⁰, MDP 6∙2 ± 2∙0⁰ vs. 常模 4∙0 ± 1∙3⁰, p<0∙05）。与常模参照组（0∙46 ± 0∙06；p=0∙032）相比，MDP组的正常化步行速度降低了（0∙40 ± 0∙04）。在 PIN 组中观察到的髋关节外旋增加可能是成年后骨关节炎的前兆。因此，使用可使髋关节旋转恢复正常的矫正性 MDP 可能有利于减少功能障碍。

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引用次数: 0

The association between aerobic capacity and spinal curvature and mobility in young soccer players 年轻足球运动员的有氧运动能力与脊柱弯曲和活动度之间的关系

IF 2.2 3区医学 Q3 NEUROSCIENCES

Gait & posture

Pub Date : 2024-10-01 DOI: 10.1016/j.gaitpost.2024.10.004

Elvan Felekoglu , Ilknur Naz , Umut Ziya Kocak , Sevtap Gunay Ucurum , Melissa Kopruluoglu , Merve Keskin , Derya Ozer Kaya

Background

There is a lot of research in terms of injuries and performance in football and nowadays aerobic capacity, spinal posture and mobility have been taken into consideration separately in terms of performance. Considering from a biomechanical perspective, we thought spinal curvature and mobility may affect aerobic performance and investigated the relationship between them.

Research question

Do young soccer players' segmental spinal curvature and mobility affect their aerobic capacity and maximal exercise performance?

Methods

Thirty-four young league players (mean age 16.56 ±1.11 years) were evaluated pre-season. Spinal assessments in the sagittal plane with a non-invasive, computer-assisted electromechanical device and aerobic capacity assessment with a cardiopulmonary exercise-testing device were applied. The relationship between spinal postural variables with aerobic capacity was done by Pearson correlation analysis, and simple linear regression analysis was used to estimate the effect of spinal curvature and mobility on aerobic performance.

Results

Various parameters of aerobic performance were related to spinal curvature and mobility. Maximal oxygen uptake (VO2max) and maximal heart rate (HRmax) were negatively correlated with thoracic angle (r=-0.343, p=0.047 and r=-0.344, p=0.046; respectively). Thoracic angle was also associated with tidal volume (VT) and VO2/HR (r=-0.347, p=0.044 and r=-0.348, p=0.044; respectively). Higher thoracic mobility caused to reach the anaerobic threshold (VAT) earlier (r=-0.368, p=0.032), at a lower speed (r=-0.367, p=0.033). In other segments, lumbar mobility was negatively correlated with VT at VAT (r=-0.346; p=0.045), while spinal inclination with HR at VAT (r=-0.387, p=0.024).

Significance

Although it is within physiological ranges, increased spinal curvature and mobility are associated with a decrease in aerobic capacity in young soccer players. Spinal curvature and mobility especially in the thoracic region may affect the aerobic performance of a soccer player. The trainers should consider spinal alignment for not only the technical and tactical but also the general performance of the soccer player.

研究背景关于足球运动中的伤病和表现方面的研究很多，如今，有氧运动能力、脊柱姿势和活动度已被分别纳入表现的考虑范围。从生物力学的角度考虑，我们认为脊柱弯曲度和活动度可能会影响有氧运动表现，并调查了它们之间的关系。研究问题年轻足球运动员的节段性脊柱弯曲度和活动度是否会影响他们的有氧能力和最大运动表现？方法34 名年轻联赛球员（平均年龄 16.56 ± 1.11 岁）在赛季前接受了评估。使用无创计算机辅助机电设备进行矢状面脊柱评估，并使用心肺运动测试设备进行有氧能力评估。脊柱姿势变量与有氧运动能力之间的关系采用皮尔逊相关分析法，简单线性回归分析法用于估计脊柱弯曲度和活动度对有氧运动能力的影响。最大摄氧量（VO2max）和最大心率（HRmax）与胸椎角度呈负相关（分别为r=-0.343，p=0.047和r=-0.344，p=0.046）。胸廓角度还与潮气量（VT）和 VO2/HR 相关（分别为 r=-0.347，p=0.044 和 r=-0.348，p=0.044）。胸廓活动度越高，达到无氧阈值（VAT）的时间越早（r=-0.368，p=0.032），速度越低（r=-0.367，p=0.033）。在其他区段，腰部活动度与 VAT 的 VT 呈负相关（r=-0.346；p=0.045），而脊柱倾斜度与 VAT 的 HR 呈负相关（r=-0.387，p=0.024）。脊柱弯曲度和活动度，尤其是胸椎部位的弯曲度和活动度，可能会影响足球运动员的有氧运动能力。训练员不仅要考虑足球运动员的技战术表现，还要考虑他们的总体表现。

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引用次数: 0

Characteristics associated with gait speed improvements from walking interventions for older adults: A responder analysis 老年人通过步行干预改善步速的相关特征：应答者分析。

IF 2.2 3区医学 Q3 NEUROSCIENCES

Gait & posture

Pub Date : 2024-10-01 DOI: 10.1016/j.gaitpost.2024.10.010

Valerie Shuman , Jessie M. VanSwearingen , Subashan Perera , Kathleen K. Mangione , Janet K. Freburger , Jennifer S. Brach

Background

Some older adults benefit to a great degree from walking interventions and others experience little improvement. Understanding the personal characteristics associated with greater treatment response to different interventions could assist clinicians in providing patients with matched interventions to optimize both outcomes and resource use.

Research question

What personal characteristics are associated with improved gait speed for older adults participating in walking interventions?

Methods

This was a secondary analysis of 236 older adults from a trial comparing “Standard” (lower-extremity strength and walking endurance) to “Plus” (additional task-specific training for walking) interventions on gait speed in older adults (≥65 years). Predictors included sociodemographic characteristics, health status, physical performance, and self-reported function. We fitted linear regression models to 12-week change in gait speed.

Results

Predictors of improved gait speed in Standard group included: younger age (β=-0.015), lower BMI (β=-0.005), slower gait speed (β=-0.015), longer Figure 8 Walk time (β=0.010), and higher Late Life Function and Disability Instrument scores (β=0.003). The parsimonious set of multivariable predictors were never married (β=0.081), not a caregiver (β=0.208), no cancer history (β=-0.052), slower chair rise times (β=0.010), slower gait speed (β=-0.021), and better overall function and disability (β=0.006).

Predictors of improved gait speed in Plus group included: lower BMI (β=-0.004), farther Six-Minute Walk distance (β=0.014), and greater modified Gait Efficacy Scale (β=0.002). The parsimonious set of multivariable predictors were increased age (β=0.026), no cardiovascular disease (β=0.137), greater total physical activity counts per day (β=0.003), slower baseline gait speed (β=-0.072), and longer Six-Minute Walk distance (β=0.054).

Significance

Those with the combination of suboptimal physical performance and strong self-report of function may benefit from standard strength and conditioning. Individuals may best respond to task-specific training when health status and physical performance are suboptimal and not overtly compromised. Matching interventions with personal characteristics may enhance efficacy of treatments to improve walking in older adults.

背景：一些老年人从步行干预中获益匪浅，而另一些则改善甚微。了解与对不同干预措施的治疗反应相关的个人特征，有助于临床医生为患者提供匹配的干预措施，以优化治疗效果和资源利用：研究问题：哪些个人特征与参与步行干预的老年人步速改善相关？这是一项对236名老年人进行的二次分析，这些老年人来自一项比较 "标准"（下肢力量和步行耐力）和 "加强"（针对步行的额外任务训练）干预措施对老年人（≥65岁）步速影响的试验。预测因素包括社会人口学特征、健康状况、体能表现和自我功能报告。我们对 12 周的步速变化建立了线性回归模型：结果：标准组步速改善的预测因素包括：年龄较小（β=-0.015）、体重指数较低（β=-0.005）、步速较慢（β=-0.015）、图 8 步行时间较长（β=0.010）、晚年功能和残疾量表评分较高（β=0.003）。多变量预测因子的拟合集合为：从未结婚（β=0.081）、非照顾者（β=0.208）、无癌症病史（β=-0.052）、较慢的椅子起立时间（β=0.010）、较慢的步速（β=-0.021）以及较好的整体功能和残疾状况（β=0.006）。加法组步态速度改善的预测因素包括：较低的体重指数（β=-0.004）、较远的六分钟步行距离（β=0.014）和较大的改良步态功效量表（β=0.002）。多变量预测因子的拟合值为年龄增大（β=0.026）、无心血管疾病（β=0.137）、每天总体力活动次数增加（β=0.003）、基线步速较慢（β=-0.072）和六分钟步行距离较长（β=0.054）：意义：那些身体机能不达标且自我报告功能较强的人可能会从标准的力量和体能训练中受益。当健康状况和体能表现都不理想但没有明显受损时，个人可能会对特定任务训练做出最佳反应。将干预措施与个人特征相匹配，可提高改善老年人步行的治疗效果。

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引用次数: 0

How non-specific low back pain affects gait kinematics: a systematic review and meta-analysis 非特异性腰背痛如何影响步态运动学：系统回顾与荟萃分析

IF 2.2 3区医学 Q3 NEUROSCIENCES

Gait & posture

Pub Date : 2024-10-01 DOI: 10.1016/j.gaitpost.2024.08.038

F. Dal Farra , N. Lopomo , M. Fascia , E. Scalona , V. Cimolin

引用次数: 0

Quantitative analysis of motor performance in patients with Mowat Wilson Syndrome using inertial sensors 利用惯性传感器对莫瓦特-威尔逊综合征患者的运动表现进行定量分析

IF 2.2 3区医学 Q3 NEUROSCIENCES

Gait & posture

Pub Date : 2024-10-01 DOI: 10.1016/j.gaitpost.2024.08.021

M.C. Bisi , F. Sperandeo , A. Fetta , L. Bergonzini , A. Utili , L. Soliani , V. Di Pisa , D.M. Cordelli , R. Stagni

引用次数: 0

The effect of functional electrical stimulation on freezing of gait in people with parkinsons’ disease: a pilot study 功能性电刺激对帕金森病患者步态冻结的影响：一项试点研究

IF 2.2 3区医学 Q3 NEUROSCIENCES

Gait & posture

Pub Date : 2024-10-01 DOI: 10.1016/j.gaitpost.2024.08.019

L. Bellotti , S. Marcu , A. Marzegan , I. Bersch , A. Castagna

引用次数: 0

A clinical application of gait quality patterns in osteoarthritis 骨关节炎步态质量模式的临床应用。

IF 2.2 3区医学 Q3 NEUROSCIENCES

Gait & posture

Pub Date : 2024-10-01 DOI: 10.1016/j.gaitpost.2024.10.011

Alan Castro Mejia , Philipp Gulde , Consuelo González Salinas

Aim

To investigate whether a smartphone-based gait analysis tool can reliably output gait quality parameters that can be cross-analyzed to establish individual & disease-based changes in gait quality patterns.

Methods

A cross-sectional study made up of a 48-patients undergoing disability certification at the “Dr. José Castro Villagrana” or the “Dr. David Fragoso Lizalde” Health Centers in Mexico City, Mexico. Their sensorimotor performance was evaluated through an in-house smartphone/IMU based digital tool. Gait was analyzed by means of frequency analysis of the acceleration of the body mass measured at the sternum. A composite gait quality score was determined through principal component analysis based primarily on the explainability and uniformity of gait. Quality independence against demographic variables (age & weight) was tested through ANCOVA. The association between gait quality and gait parameters was analyzed by using multiple linear regression.

Results

A multiple regression model developed with a limited set of gait quality parameters successfully predicted gait smoothness with a 97.05 % accuracy with a mean square error of 0.085 between predicted and actual quality scores. The model demonstrates different predictive capacities across disease groups, with Osteoarthrosis + Osteoporosis having the highest R² at 0.98 (p < 0.001) and Coxarthrosis having the lowest explained R² at 0.79 (p < 0.001).

Conclusions

The assessment of gait quality, in family medicine, with low-cost digital tools is an area of opportunity yet to be explored. This tool can potentially disrupt the current disability workflow between primary and specialty care to have an objective method of assessing gait within a clinical consult. Individual patient-level benchmarking can give us insights into the patient's disease status, develop practical intervention strategies, and control the cost and quality of medical care by predicting an individualized course of disability or rehabilitation. Further studies are needed to validate digital gait assessments as clinical decision support tools for day-to-day clinical operations.

MeSH

Gait Analysis, Smartphone, Primary Health Care, Osteoarthrosis

目的：研究基于智能手机的步态分析工具能否可靠地输出步态质量参数，并通过交叉分析确定步态质量模式的个体和疾病变化：这项横断面研究由墨西哥墨西哥城 "何塞-卡斯特罗-比利亚格拉纳博士 "或 "大卫-弗拉戈索-利萨尔德博士 "健康中心的 48 名接受残疾认证的患者组成。他们的感知运动表现通过基于智能手机/IMU 的内部数字工具进行评估。通过对胸骨处测得的体质量加速度进行频率分析，对步态进行了分析。主要根据步态的可解释性和一致性，通过主成分分析确定综合步态质量得分。通过方差分析检验了步态质量与人口统计学变量（年龄和体重）之间的独立性。采用多元线性回归分析步态质量与步态参数之间的关联：结果：利用有限的一组步态质量参数建立的多元回归模型成功预测了步态平稳性，准确率为 97.05%，预测质量得分与实际质量得分之间的均方误差为 0.085。该模型对不同疾病组的预测能力不同，其中骨关节病+骨质疏松症的R2最高，为0.98（p < 0.001），而髋关节病的解释R2最低，为0.79（p < 0.001）：在全科医学中，利用低成本数字工具评估步态质量是一个尚待开发的领域。该工具有可能打破目前初级医疗和专科医疗之间的残疾工作流程，在临床会诊中使用客观的方法评估步态。患者个人层面的基准可以让我们深入了解患者的疾病状况，制定切实可行的干预策略，并通过预测个性化的残疾或康复过程来控制医疗护理的成本和质量。要验证数字步态评估作为临床决策支持工具在日常临床操作中的有效性，还需要进一步的研究。MESH：步态分析、智能手机、初级卫生保健、骨关节病。

{"title":"A clinical application of gait quality patterns in osteoarthritis","authors":"Alan Castro Mejia , Philipp Gulde , Consuelo González Salinas","doi":"10.1016/j.gaitpost.2024.10.011","DOIUrl":"10.1016/j.gaitpost.2024.10.011","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate whether a smartphone-based gait analysis tool can reliably output gait quality parameters that can be cross-analyzed to establish individual & disease-based changes in gait quality patterns.</div></div><div><h3>Methods</h3><div>A cross-sectional study made up of a 48-patients undergoing disability certification at the “Dr. José Castro Villagrana” or the “Dr. David Fragoso Lizalde” Health Centers in Mexico City, Mexico. Their sensorimotor performance was evaluated through an in-house smartphone/IMU based digital tool. Gait was analyzed by means of frequency analysis of the acceleration of the body mass measured at the sternum. A composite gait quality score was determined through principal component analysis based primarily on the explainability and uniformity of gait. Quality independence against demographic variables (age & weight) was tested through ANCOVA. The association between gait quality and gait parameters was analyzed by using multiple linear regression.</div></div><div><h3>Results</h3><div>A multiple regression model developed with a limited set of gait quality parameters successfully predicted gait smoothness with a 97.05 % accuracy with a mean square error of 0.085 between predicted and actual quality scores. The model demonstrates different predictive capacities across disease groups, with Osteoarthrosis + Osteoporosis having the highest R<sup>2</sup> at 0.98 (p < 0.001) and Coxarthrosis having the lowest explained R<sup>2</sup> at 0.79 (p < 0.001).</div></div><div><h3>Conclusions</h3><div>The assessment of gait quality, in family medicine, with low-cost digital tools is an area of opportunity yet to be explored. This tool can potentially disrupt the current disability workflow between primary and specialty care to have an objective method of assessing gait within a clinical consult. Individual patient-level benchmarking can give us insights into the patient's disease status, develop practical intervention strategies, and control the cost and quality of medical care by predicting an individualized course of disability or rehabilitation. Further studies are needed to validate digital gait assessments as clinical decision support tools for day-to-day clinical operations.</div></div><div><h3>MeSH</h3><div>Gait Analysis, Smartphone, Primary Health Care, Osteoarthrosis</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages 284-289"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of Quantitative Metrics for Spontaneous Movement Analysis Using a Single RGB-D Camera: A Case Study of Twins with Divergent Health Profiles 使用单台 RGB-D 摄像机评估自发运动分析的定量指标：一对健康状况不同的双胞胎的案例研究

IF 2.2 3区医学 Q3 NEUROSCIENCES

Gait & posture

Pub Date : 2024-10-01 DOI: 10.1016/j.gaitpost.2024.08.017

D. Balta , I.G. Porco , H. Hoang , M.M. Schladen , A. Cereatti , P.S. Lum , U. Della Croce

引用次数: 0

Compensation strategies during perturbed gait 扰动步态时的补偿策略

IF 2.2 3区医学 Q3 NEUROSCIENCES

Gait & posture

Pub Date : 2024-10-01 DOI: 10.1016/j.gaitpost.2024.08.059

M. Petrarca , M. Favetta , S. Carniel , S. Gazzellini , A. Speroni , G. Della Bella , D. Lettori , S. Summa , A. Berthoz

引用次数: 0

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