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Gait retraining

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https://www.readbyqxmd.com/read/29308956/management-of-a-patient-s-gait-abnormality-using-smartphone-technology-in-clinic-for-improved-qualitative-analysis-a-case-report
#1
William R VanWye, Donald L Hoover
BACKGROUND AND PURPOSE: Qualitative analysis has its limitations as the speed of human movement often occurs more quickly than can be comprehended. Digital video allows for frame-by-frame analysis, and therefore likely more effective interventions for gait dysfunction. Although the use of digital video outside laboratory settings, just a decade ago, was challenging due to cost and time constraints, rapid use of smartphones and software applications has made this technology much more practical for clinical usage...
January 8, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29289028/experience-does-not-influence-injury-related-joint-kinematics-and-kinetics-in-distance-runners
#2
Cristine E Agresta, Jillian Peacock, Jeffrey Housner, Ronald F Zernicke, Jessica Deneweth Zendler
PURPOSE: Increased running experience and more time spent running appears to be advantageous in reducing injury risk, although the reason behind this is unclear. It is plausible that more experience results in better running mechanics leading to less injuries. Running mechanics are often screened during clinical assessments and targeted for correction in gait retraining, particularly those thought to be global indicators of injury or those associated with elevated knee joint loading. Examining the biomechanics of runners who are less-injury prone can improve our understanding of the significance of faulty running mechanics in relation to injury...
December 20, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29248191/manipulating-post-stroke-gait-exploiting-aberrant-kinematics
#3
Megan E Reissman, Keith E Gordon, Yasin Y Dhaher
Post-stroke individuals often exhibit abnormal kinematics, including increased pelvic obliquity and hip abduction coupled with reduced knee flexion. Prior examinations suggest these behaviors are expressions of abnormal cross-planar coupling of muscle activity. However, few studies have detailed the impact of gait-retraining paradigms on three-dimensional joint kinematics. In this study, a cross-tilt walking surface was examined as a novel gait-retraining construct. We hypothesized that relative to baseline walking kinematics, exposure to cross-tilt would generate significant changes in subsequent flat-walking joint kinematics during affected limb swing...
December 6, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/29172095/innovations-and-pitfalls-in-the-use-of-wearable-devices-in-the-prevention-and-rehabilitation-of-running-related-injuries
#4
Richard W Willy
Running-related injuries are common and are associated with a high rate of reoccurrence. Biomechanics and errors in applied training loads are often cited as causes of running-related injuries. Clinicians and runners are beginning to utilize wearable technologies to quantify biomechanics and training loads with the hope of reducing the incidence of running-related injuries. Wearable devices can objectively assess biomechanics and training loads in runners, yet guidelines for their use by clinicians and runners are not currently available...
October 6, 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29137725/a-gait-retraining-system-using-augmented-reality-to-modify-footprint-parameters-effects-on-lower-limb-sagittal-plane-kinematics
#5
Sami Bennour, Baptiste Ulrich, Thomas Legrand, Brigitte M Jolles, Julien Favre
Improving lower-limb flexion/extension angles during walking is important for the treatment of numerous pathologies. Currently, these gait retraining procedures are mostly qualitative, often based on visual assessment and oral instructions. This study aimed to propose an alternative method combining motion capture and display of target footprints on the floor. The second objectives were to determine the error in footprint modifications and the effects of footprint modifications on lower-limb flexion/extension angles...
November 11, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/29100250/gait-retraining-from-rearfoot-strike-to-forefoot-strike-does-not-change-running-economy
#6
Jenevieve Lynn Roper, Deborah Doerfler, Len Kravitz, Janet S Dufek, Christine Mermier
Gait retraining is a method for management of patellofemoral pain, which is a common ailment among recreational runners. The present study investigated the effects of gait retraining from rearfoot strike to forefoot strike on running economy, heart rate, and respiratory exchange ratio immediately post-retraining and one-month post-retraining in recreational runners with patellofemoral pain. Knee pain was also measured. Sixteen participants (n=16) were randomly placed in the control (n=8) or experimental (n=8) group...
November 3, 2017: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/29099654/control-of-impact-loading-during-distracted-running-before-and-after-gait-retraining-in-runners
#7
Roy T H Cheung, Winko W An, Ivan P H Au, Janet H Zhang, Zoe Y S Chan, Aislinn J MacPhail
Gait retraining using visual biofeedback has been reported to reduce impact loading in runners. However, most of the previous studies did not adequately examine the level of motor learning after training, as the modified gait pattern was not tested in a dual-task condition. Hence, this study sought to compare the landing peak positive acceleration (PPA) and vertical loading rates during distracted running before and after gait retraining. Sixteen recreational runners underwent a two-week visual biofeedback gait retraining program for impact loading reduction, with feedback on the PPA measured at heel...
November 3, 2017: Journal of Sports Sciences
https://www.readbyqxmd.com/read/29066433/gait-retraining-out-of-the-lab-and-onto-the-streets-with-the-benefit-of-wearables
#8
EDITORIAL
Christopher Napier, Jean-Francois Esculier, Michael A Hunt
No abstract text is available yet for this article.
October 24, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/29065279/gait-retraining-for-the-reduction-of-injury-occurrence-in-novice-distance-runners-1-year-follow-up-of-a-randomized-controlled-trial
#9
Zoe Y S Chan, Janet H Zhang, Ivan P H Au, Winko W An, Gary L K Shum, Gabriel Y F Ng, Roy T H Cheung
BACKGROUND: The increasing popularity of distance running has been accompanied by an increase in running-related injuries, such that up to 85% of novice runners incur an injury in a given year. Previous studies have used a gait retraining program to successfully lower impact loading, which has been associated with many running ailments. However, softer footfalls may not necessarily prevent running injury. PURPOSE: To examine vertical loading rates before and after a gait retraining program and assess the effectiveness of the program in reducing the occurrence of running-related injury across a 12-month observation period...
October 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28993130/gait-retraining-versus-foot-orthoses-for-patellofemoral-pain-a-pilot-randomised-clinical-trial
#10
Jason Bonacci, Michelle Hall, Natalie Saunders, Bill Vicenzino
OBJECTIVES: To determine the feasibility of a clinical trial that compares a 6-week, physiotherapist-guided gait retraining program with a foot orthoses intervention in runners with patellofemoral pain. DESIGN: Pilot randomised controlled trial. METHODS: Runners aged 18-40 years with clinically diagnosed patellofemoral pain were randomly allocated to either a 6-week gait retraining intervention of increasing cadence and use of a minimalist shoe or prefabricated foot orthoses...
October 2, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/28968547/hip-movement-pathomechanics-of-patients-with-hip-osteoarthritis-aim-at-reducing-hip-joint-loading-on-the-osteoarthritic-side
#11
Christophe A G Meyer, Mariska Wesseling, Kristoff Corten, Angela Nieuwenhuys, Davide Monari, Jean-Pierre Simon, Ilse Jonkers, Kaat Desloovere
This study aims at defining gait pathomechanics in patients with hip osteoarthritis (OA) and their effect on hip joint loading by combining analyses of hip kinematics, kinetics and contact forces during gait. Twenty patients with hip OA and 17 healthy volunteers matched for age and BMI performed three-dimensional gait analysis. Hip OA level was evaluated based on plane radiographs using the Tönnis classification. Hip joint kinematics, kinetics as well as hip contact forces were calculated. Waveforms were time normalized and compared between groups using statistical parametric mapping analysis...
September 22, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28928116/optimising-the-efficacy-of-gait-retraining
#12
EDITORIAL
Irene Davis
No abstract text is available yet for this article.
September 19, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28916956/transitioning-to-minimal-footwear-a-systematic-review-of-methods-and-future-clinical-recommendations
#13
REVIEW
Joe P Warne, Allison H Gruber
BACKGROUND: Recent interest in barefoot running has led to the development of minimalist running shoes that are popular in distance runners. A careful transition to these shoes has been suggested and examined in the literature. However, no guidelines based on systematic evidence have been presented. The purpose of this review is to systematically examine the methods employed in the literature to transition to minimal footwear (MFW), as well as the outcomes to these studies in distance runners...
September 15, 2017: Sports Medicine—Open
https://www.readbyqxmd.com/read/28888468/effect-of-visual-biofeedback-cycling-training-on-gait-in-patients-with-multiple-sclerosis
#14
A Hochsprung, A Granja Domínguez, E Magni, S Escudero Uribe, A Moreno García
INTRODUCTION: Gait alterations are present in a high percentage of patients with multiple sclerosis (MS). They appear from early stages of the disease and can limit patients' capacity to perform basic activities of daily living, affecting their quality of life. Visual biofeedback cycling training appears to be a useful tool in treating these impairments. This study aims to evaluate the short-term effect of visual biofeedback cycling training on gait in patients with MS. MATERIAL AND METHODS: A total of 61 patients with mild to moderate MS were randomly assigned to a control group and an intervention group...
September 6, 2017: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/28872105/using-a-split-belt-treadmill-to-evaluate-generalization-of-human-locomotor-adaptation
#15
Erin V L Vasudevan, Rami J Hamzey, Eileen M Kirk
Understanding the mechanisms underlying locomotor learning helps researchers and clinicians optimize gait retraining as part of motor rehabilitation. However, studying human locomotor learning can be challenging. During infancy and childhood, the neuromuscular system is quite immature, and it is unlikely that locomotor learning during early stages of development is governed by the same mechanisms as in adulthood. By the time humans reach maturity, they are so proficient at walking that it is difficult to come up with a sufficiently novel task to study de novo locomotor learning...
August 23, 2017: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/28843186/backward-compared-to-forward-over-ground-gait-retraining-have-additional-benefits-for-gait-in-individuals-with-mild-to-moderate-parkinson-s-disease-a-randomized-controlled-trial
#16
Roné Grobbelaar, Ranel Venter, Karen Estelle Welman
Over ground gait retraining in the reverse direction has shown to be beneficial for neurological rehabilitation, but has not yet been investigated in Parkinson's disease (PD). Backwards walking (BW) might be a useful training alternative to improve PD gait and possibly reduce fall risk during complex multi-directional daily activities. The primary aim was to compare the effect of an eight-week forward (FWG) and backwards (BWG) gait retraining program on gait parameters in PD individuals. Twenty-nine participants (aged 71...
October 2017: Gait & Posture
https://www.readbyqxmd.com/read/28822329/changes-in-gluteal-muscle-forces-with-alteration-of-footstrike-pattern-during-running
#17
Charles Nathan Vannatta, Thomas W Kernozek, Naghmeh Gheidi
Gait retraining is a common form of treatment for running related injuries. Proximal factors at the hip have been postulated as having a role in the development of running related injuries. How altering footstrike affects hip muscles forces and kinematics has not been described. Thus, we aimed to quantify differences in hip muscle forces and hip kinematics that may occur when healthy runners are instructed to alter their foot strike pattern from their habitual rear-foot strike to a forefoot strike. This may gain insight on the potential etiology and treatment methods of running related lower extremity injury...
October 2017: Gait & Posture
https://www.readbyqxmd.com/read/28813854/automated-stand-up-and-sit-down-detection-for-robot-assisted-body-weight-support-training-with-the-float
#18
Mathias Bannwart, Dominique Emst, Chris Easthope, Marc Bolliger, Georg Rauter
Patients with impaired walking function are often dependent on assistive devices to retrain gait and regain independence in life. To provide adequate support, gait rehabilitation devices have to be manually set to the correct support mode or have to recognize the type and starting point of a certain motion automatically. For automated motion type detection, machine learning-based classification algorithms using sensor signals from different body parts can achieve robust performance. However, until today, there is only little work available to detect motion onset...
July 2017: IEEE ... International Conference on Rehabilitation Robotics: [proceedings]
https://www.readbyqxmd.com/read/28755679/effect-of-walking-on-sand-on-gait-kinematics-in-individuals-with-multiple-sclerosis
#19
Maayken E L van den Berg, Christopher J Barr, James V McLoughlin, Maria Crotty
BACKGROUND: Walking in the real-world involves negotiating challenging or uneven surfaces, including sand. This can be challenging for people with Multiple Sclerosis (PWMS) due to motor deficits affecting the lower extremities. The study objective was to characterise kinematic gait adaptations made by PWMS when walking on sand and describe any immediate post-adaptation effects. METHODS: 17 PWMS (mean age 51.4 ± 5.5, Disease Steps 2.4 ± 1.0), and 14 age-and gender matched healthy adults (HA) took part in a case-control study...
August 2017: Multiple Sclerosis and related Disorders
https://www.readbyqxmd.com/read/28683418/tibial-impact-accelerations-in-gait-of-primary-school-children-the-effect-of-age-and-speed
#20
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
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