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Gait & Posture

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https://www.readbyqxmd.com/read/28734700/predicting-muscle-forces-during-the-propulsion-phase-of-single-leg-triple-hop-test
#1
Felipe Costa Alvim, Paulo Roberto Garcia Lucareli, Luciano Luporini Menegaldo
Functional biomechanical tests allow the assessment of musculoskeletal system impairments in a simple way. Muscle force synergies associated with movement can provide additional information for diagnosis. However, such forces cannot be directly measured noninvasively. This study aims to estimate muscle activations and forces exerted during the preparation phase of the single leg triple hop test. Two different approaches were tested: static optimization (SO) and computed muscle control (CMC). As an indirect validation, model-estimated muscle activations were compared with surface electromyography (EMG) of selected hip and thigh muscles...
July 15, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28712512/higher-pain-level-and-lower-functional-capacity-are-associated-with-the-number-of-altered-kinematics-in-women-with-patellofemoral-pain
#2
Deisi Ferrari, Ronaldo Valdir Briani, Danilo de Oliveira Silva, Marcella Ferraz Pazzinatto, Amanda Schenatto Ferreira, Neri Alves, Fábio Mícolis de Azevedo
This study investigated whether women with patellofemoral pain (PFP) present kinematic alterations in proximal, local, and distal factors simultaneously, and determined the association between the number of kinematic alterations, pain level, and functional status. A three-dimensional motion analysis system was used to analyze the peak hip adduction, peak knee flexion, and peak rearfoot eversion, addressing the proximal, local, and distal factors, respectively, in fifty women. Functional status and pain level were assessed using the anterior knee pain scale (AKPS) and a visual analogic scale...
July 10, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28711652/dual-task-walking-over-a-compliant-foam-surface-a-comparison-of-people-with-transfemoral-amputation-and-controls
#3
Sara J Morgan, Brian J Hafner, Valerie E Kelly
People with lower limb amputation are unable to reliably sense ground characteristics due to compromised sensory inputs from the missing limb. As a result, they may rely on compensatory strategies, such as use of cognitive resources, when walking over complex surfaces. This study examined interactions between cognition and walking over a compliant surface in 14 people with transfemoral amputation (TFA) and 14 controls using a dual-task paradigm. Walking was assessed with quantitative motion analysis in both single-task (walking alone) and dual-task (walking while performing a cognitive task) conditions over a compliant foam surface...
July 10, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28711361/does-crutch-length-influence-gait-parameters-after-total-hip-replacement-surgery
#4
Marco Freddolini, Francesco Esposito, Massimiliano Marcucci, Andrea Corvi, Palmina Braccio, Leonardo Latella
After total hip replacement surgery, crutches are often prescribed to enable patients to walk independently. Purpose of this study was to evaluate possible crutch length influence on gait performance and symmetry, including spatiotemporal and kinetics parameters. Thirty patients were randomly assigned to elbow flexed (EF) or elbow extended (EE) crutch setup. Subjects were asked to walk on the laboratory path, instrumented with motion tracking system and force platforms. Spatiotemporal gait parameters and ground reaction force (GRF) parameters for both limbs and crutch support were evaluated...
July 10, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28704684/root-mean-square-of-lower-trunk-acceleration-during-walking-in-patients-with-unilateral-total-hip-replacement
#5
Osamu Wada, Tsuyoshi Asai, Yoshinori Hiyama, Shingo Nitta, Kiyonori Mizuno
Although several studies have described abnormal trunk motion before and after total hip arthroplasty (THA) surgery, few studies have examined trunk motion using accelerometry. The aim of this study was to determine whether abnormal trunk motion persisted after THA using accelerometry. A total of 24 female patients (61.0±6.9years) and 20 healthy female subjects (59.9±6.8years) participated in this study. Patients were assessed at 1 month prior to surgery and 12 months after surgery. Trunk acceleration during gait was measured using a triaxial accelerometer attached to the L3 spinous process...
July 8, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28704683/visual-targeting-one-step-before-force-plates-has-no-effect-on-gait-parameters-in-orthopaedic-patients-during-level-walking
#6
Katrin Bracht-Schweizer, Marie Freslier, Sebastian Krapf, Jacqueline Romkes
In clinical gait analysis, it is challenging to acquire usable force plate data for a patient in a limited amount of time. The aim of this study was to compare three measurement protocols, to investigate if any one of them was more time-efficient than the others at collecting kinetic data. Three conditions were compared for 15 orthopaedic patients: 1) approaching the force plate with four steps, 2) approaching the force plate with six steps, and 3) approaching the force plate with four steps while stepping on a target one step before the first force plate...
July 8, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28704685/dynamic-balance-changes-within-three-weeks-of-fitting-a-new-prosthetic-foot-component
#7
Jenny A Kent, Nicholas Stergiou, Shane R Wurdeman
Balance during walking is of high importance to prosthesis users and may affect walking during baseline observation and evaluation. The aim of this study was to determine whether changes in walking balance occurred during an adaptation period following the fitting of a new prosthetic component. Margin of stability in the medial-lateral direction (MOSML) and an anterior instability margin (AIM) were used to quantify the dynamic balance of 21 unilateral transtibial amputees during overground walking. Participants trialled two prosthetic feet presenting contrasting movement/balance constraints; a Higher Activity foot similar to that of their own prosthesis, and a Lower Activity foot...
July 5, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28719842/spatiotemporal-gait-changes-with-use-of-an-arm-swing-cueing-device-in-people-with-parkinson-s-disease
#8
Elizabeth Thompson, Peter Agada, W Geoffrey Wright, Hendrik Reimann, John Jeka
Impaired arm swing is a common motor symptom of Parkinson's disease (PD), and correlates with other gait impairments and increased risk of falls. Studies suggest that arm swing is not merely a passive consequence of trunk rotation during walking, but an active component of gait. Thus, techniques to enhance arm swing may improve gait characteristics. There is currently no portable device to measure arm swing and deliver immediate cues for larger movement. Here we test report pilot testing of such a device, ArmSense (patented), using a crossover repeated-measures design...
July 4, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28711651/psychometric-properties-of-measures-of-gait-quality-and-walking-performance-in-young-people-with-cerebral-palsy-a-systematic-review
#9
REVIEW
Asfarina Zanudin, Thomas H Mercer, Kavi C Jagadamma, Marietta L van der Linden
Availability of outcome measures (OMs) with robust psychometric properties is an essential prerequisite for the evaluation of interventions designed to address gait deterioration in young people with Cerebral Palsy (CP). This review evaluates evidence for the reliability, validity and responsiveness of outcome measures of gait quality and walking performance in young people with CP. A systematic search was performed in MEDLINE, CINAHL, PubMed and Scopus. Articles that met the eligibility criteria were selected...
July 4, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28692855/recuperation-of-slow-walking-in-de-novo-parkinson-s-disease-is-more-closely-associated-with-increased-cadence-rather-than-with-expanded-stride-length
#10
Kyum-Yil Kwon, Hye Mi Lee, Sung Hoon Kang, Seon Jong Pyo, Han Jun Kim, Seong-Beom Koh
INTRODUCTION: Gait characteristics in the early stages of Parkinson's disease (PD) have been less investigated so far. Moreover, the levodopa effect on gait in early PD remains to be further elucidated. We prospectively designed the study to examine gait dynamics and effect of dopaminergic treatment in patients with de novo PD. METHODS: Spatiotemporal parameters were measured in healthy controls and drug naïve patients with PD, using computerized analysis with GAITRite system during usual gait...
July 1, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28735202/effect-of-wii-fit%C3%A2-exercise-therapy-on-gait-parameters-in-ankle-sprain-patients-a-randomized-controlled-trial
#11
Ilona M Punt, Stéphane Armand, Jean-Luc Ziltener, Lara Allet
Ankle sprains are the most common sport related injuries. An alternative to physical therapy in the treatment of ankle sprains is home based exercise therapy. This study aims to compare the effectiveness of Wii Fit™ exercise therapy in ankle sprain patients on temporal-spatial and kinematic gait parameters with a) conventional therapy and b) a control group not receiving exercise therapy. Ninety patients were randomly assigned to a Wii Fit™, physical therapy or control group. Temporal-spatial and kinematic gait parameters were assessed at baseline, 6 weeks and 6 months follow-up...
June 29, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28697399/patellar-bracing-affects-semg-activity-of-leg-and-thigh-muscles-during-stance-phase-in-patellofemoral-pain-syndrome
#12
Fatemeh Salarie Sker, Mehrdad Anbarian, Amir H Yazdani, Pouria Hesari, Arash Babaei-Ghazani
BACKGROUND: Decreases in patellofemoral pain symptoms with bracing treatment have been established; but, the mechanisms remain unclear. The purpose of this study was to determine the immediate and long-term effects of the patellar bracing on electromyography (EMG) activity of the Vastus Medialis (VM) and Lateralis (VL), Rectus Femoris, lateral Gastrocnemius, Biceps Femoris and Semitendinosus (ST) muscles during level walking. METHODS: 12 eligible women aged 20-30 years with diagnosis of patellofemoral pain participated in the before and after study...
June 29, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28688367/postural-motor-learning-in-parkinson-s-disease-the-effect-of-practice-on-continuous-compensatory-postural-regulation
#13
Karen Van Ooteghem, James S Frank, Fay B Horak
INTRODUCTION: Although balance training is considered the most effective treatment for balance impairments in Parkinson's disease (PD), few studies have examined if learning for balance control remains intact with PD. This study aimed to determine if learning for automatic postural responses is preserved in people with PD. METHODS: Eleven participants with moderate PD (68±6.4years; H&Y: 2-3) on their usual medication maintained balance on a platform that oscillated forward and backward with variable amplitude and constant frequency...
June 28, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28728130/superficial-plantar-cutaneous-sensation-does-not-trigger-barefoot-running-adaptations
#14
M A Thompson, K M Hoffman
It has long been proposed that the gait alterations associated with barefoot running are mediated by alterations in sensory feedback, yet there has been no data to support this claim. Thus, the purpose of this study was to examine the role of superficial plantar cutaneous feedback in barefoot and shod running. METHODS: 10 healthy active subjects (6 male, 4 female); mass: 65.2+9.7kg; age: 27+7.1years participated in this study. 10 over-ground running trials were completed in each of the following conditions: barefoot (BF), shod (SHOD), anesthetized barefoot (ANEST BF) and anesthetized shod (ANEST SHOD)...
June 27, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28684162/low-back-pain-development-differentially-influences-centre-of-pressure-regularity-following-prolonged-standing
#15
Kayla M Fewster, Kaitlin M Gallagher, Samuel H Howarth, Jack P Callaghan
Occupations requiring prolonged periods of static standing are associated with the development of low back pain (LBP). Certain individuals are susceptible to LBP development during prolonged standing (pain developers, PDs) while others are not (non-pain developers, NPDs). Linear centre of pressure (COP) measures suggest that standing balance control is negatively influenced following prolonged standing, and that PDs and NPDs may be differentially affected. The objective of this study was to determine if nonlinear standing balance control, quantified on COP, using sample entropy, is altered after 2-h of standing...
June 27, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28683420/shoulder-assessment-according-to-the-international-classification-of-functioning-by-means-of-inertial-sensor-technologies-a-systematic-review
#16
REVIEW
Liesbet De Baets, Rob van der Straaten, Thomas Matheve, Annick Timmermans
This review investigates current protocols using Inertial Measurement Units (IMUs) in shoulder research, and outlines future paths regarding IMU use for shoulder research. Different databases were searched for relevant articles. Criteria for study selection were (1) research in healthy persons or persons with shoulder problems, (2) IMUs applied as assessment tool for the shoulder (in healthy subjects and shoulder patients) or upper limb (in shoulder patients), (3) peer-reviewed, full-text papers in English or Dutch...
June 27, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28683419/deviating-running-kinematics-and-hamstring-injury-susceptibility-in-male-soccer-players-cause-or-consequence
#17
Joke Schuermans, Damien Van Tiggelen, Tanneke Palmans, Lieven Danneels, Erik Witvrouw
BACKGROUND: Although the vast majority of hamstring injuries in male soccer are sustained during high speed running, the association between sprinting kinematics and hamstring injury vulnerability has never been investigated prospectively in a cohort at risk. PURPOSE: This study aimed to objectify the importance of lower limb and trunk kinematics during full sprint in hamstring injury susceptibility. STUDY DESIGN: Cohort study; level of evidence, 2...
June 27, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28683418/tibial-impact-accelerations-in-gait-of-primary-school-children-the-effect-of-age-and-speed
#18
Oren Tirosh, Guy Orland, Alon Eliakim, Dan Nemet, Nili Steinberg
Tibial stress fractures are associated with increased lower extremity loading at initial foot-ground contact, reflected in high peak positive acceleration (>8g) of the tibia in adults. There is no reported data on peak positive acceleration of the tibia in children during walking and running. The aim of this study was to establish tibial peak positive acceleration responses in children across a range of age and gait speeds. Twenty-four children aged 8.5±1.4years with no known gait pathology comprised two age groups; Young (7-9year, n=12) and Older (10-12 years, n=12)...
June 27, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28683417/gait-deficiencies-associated-with-peripheral-artery-disease-are-different-than-chronic-obstructive-pulmonary-disease
#19
John D McCamley, Eric J Pisciotta, Jennifer M Yentes, Shane R Wurdeman, Stephen I Rennard, Iraklis I Pipinos, Jason M Johanning, Sara A Myers
OBJECTIVE: Previous studies have indicated that patients with peripheral artery disease (PAD), display significant differences in their kinetic and kinematic gait characteristics when compared to healthy, aged-matched controls. The ability of patients with chronic obstructive pulmonary disease (COPD) to ambulate is also limited. These limitations are likely due to pathology-driven muscle morphology and physiology alterations establish in PAD and COP, respectively. Gait changes in PAD were compared to gait changes due to COPD to further understand how altered limb muscle due to disease can alter walking patterns...
June 27, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28683416/trunk-lower-limb-coordination-pattern-during-gait-in-patients-with-ataxia
#20
Pietro Caliandro, Chiara Iacovelli, Carmela Conte, Chiara Simbolotti, Paolo M Rossini, Luca Padua, Carlo Casali, Francesco Pierelli, Giuseppe Reale, Mariano Serrao
OBJECTIVE: Although deficit of coordination between the upper and lower body segments might play an important role in impairing gait and stability in ataxic patients, this deficit has not been investigated in subjects with ataxia so far. To evaluate the coordination between trunk and thigh in a sample of patients with ataxia compared with healthy controls and to correlate the coordination measures with the clinical severity. DESIGN: Prospective observational study...
June 27, 2017: Gait & Posture
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