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The influence of a thoracolumbosacral orthosis on gait performance in healthy adults during walking

Treść / Zawartość
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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Since the thorax and pelvis are primary determinants of normal and pathological walking, it is important to know how gait performance is influenced when the trunk is constraint. The objective of this study is to investigate the effect of a thoracolumbosacral orthosis (TLSO) on gait performance in healthy adults during overground walking. Methods: Fourteen healthy volunteers walked with and without TLSO. Outcome measures consisted of spatiotemporal parameters and clinically important joint angular time profiles of the lower limbs. Joint angular time profiles were assessed in the sagittal, frontal and transversal plane. A paired t-test was used for discrete parameters and spm1d for assessing the joint angular time profiles. Results: Walking with a constraint resulted in decreased stride time and step time, increased step width and cadence. In the sagittal plane, no significant differences were observed regarding joint kinematics in the hip, knee and ankle. In the frontal plane, decreased adduction during stance and abduction during swing was observed in the hip. In the transversal plane, increased external rotation of the hip and increased internal rotation of the ankle was seen when wearing a contstraint. Conclusions: Wearing a TLSO can already bring forth significant changes in gait performance, suggesting an important relationship between trunk movements and mobility.
Rocznik
Strony
15--21
Opis fizyczny
Bibliogr. 29 poz., rys., tab., wykr.
Twórcy
  • Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Science, University of Antwerp, Belgium
  • Multidisciplinary Motor Centre Antwerp, University of Antwerp, Belgium
autor
  • Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Science, University of Antwerp, Belgium
  • Multidisciplinary Motor Centre Antwerp, University of Antwerp, Belgium
autor
  • Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Science, University of Antwerp, Belgium
  • Multidisciplinary Motor Centre Antwerp, University of Antwerp, Belgium
autor
  • Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Science, University of Antwerp, Belgium
  • Multidisciplinary Motor Centre Antwerp, University of Antwerp, Belgium
  • RevArte Rehabilitation Hospital, Edegem, Antwerp, Belgium
Bibliografia
  • [1] SAUNDERS J.B., INMAN V.T., EBERHART H.D., The major determinants in normal and pathological gait, J. Bone Joint Surg. Am., 1953, 35-A(3), 543–558.
  • [2] LEWIS C.L., LAUDINCIA N.M., KHUU A., LOVERRO K.L., The human pelvis: variation in structure and function during gait, Anat. Rec. (Hoboken), 2017, 300(4), 633–642.
  • [3] HERR H., POPOVIC M., Angular momentum in human walking, J. Exp. Biol., 2008, 211(Pt 4), 467–481.
  • [4] SCHONER G., JIANG W.Y., KELSO J.A., A synergetic theory of quadrupedal gaits and gait transitions, J. Theor. Biol., 1990, 142(3), 359–391.
  • [5] SWINNEN E., BAEYENS J.P., PINTENS S., BUYL R., GOOSSENS M., MEEUSEN R. et al., Walking more slowly than with normal velocity: The influence on trunk and pelvis kinematics in young and older healthy persons, Clin. Biomech., 2013, 28(7), 800–806.
  • [6] ADKIN A.L., BLOEM B.R., ALLUM J.H., Trunk sway measurements during stance and gait tasks in Parkinson’s disease, Gait Posture. 2005, 22(3), 240–249.
  • [7] MIZUIKE C., OHGI S., MORITA S., Analysis of stroke patient walking dynamics using a tri-axial accelerometer, Gait Posture, 2009, 30(1), 60–64.
  • [8] VENEMAN J.F., MENGER J., VAN ASSELDONK E.H., VAN DER HELM F.C., VAN DER KOOIJ H., Fixating the pelvis in the horizontal plane affects gait characteristics, Gait Posture, 2008, 28(1), 157–163.
  • [9] DONELAN J.M., SHIPMAN D.W., KRAM R., KUO A.D., Mechanical and metabolic requirements for active lateral stabilization in human walking, J. Biomech., 2004, 37(6), 827–835.
  • [10] MUN K.R., GUO Z., YU H., Restriction of pelvic lateral and rotational motions alters lower limb kinematics and muscle activation pattern during over-ground walking, Med. Biol. Eng. Comput., 2016, 54(11), 1621–1629.
  • [11] MAHAUDENS P., BANSE X., DETREMBLEUR C., Effects of shortterm brace wearing on the pendulum-like mechanism of walking in healthy subjects, Gait Posture, 2008, 28(4), 703–707.
  • [12] WU W.H., LIN X.C., MEIJER O.G., GAO J.T., HU H., PRINS M.R. et al., Effects of experimentally increased trunk stiffness on thorax and pelvis rotations during walking, Hum. Mov. Sci., 2014, 33, 194–202.
  • [13] TAIAR R., MITTON A., CAMBIER J., GUENAUOUI I., MICHEL S., ABDI E., POLIDORI G., Biomechanics of the immediate impact of wearing a rigid thoracolumar corset on gait kinetmatics and spatiotemporal parameters, MATEC Web of Confernces, 2018, 145, 04007.
  • [14] CHOCKALINGAM N., CHATTERLEY F., HEALY A.C., GREENHALGH A., BRANTHWAITE H.R., Comparison of pelvic complex kinematics during treadmill and overground walking, Arch. Phys. Med. Rehabil., 2012, 93(12), 2302–2308.
  • [15] RUSSEL D.M., KELLERAN K.J., MORRISON S., Bracing the trunk and neck in young adults leads to a more aged-like gait, Gait Posture, 2016 Sep., 49, 388–393.
  • [16] KONZ R., FATONE S., GARD., Effect of restricted spinal motion on gait, J. Rehabil. Res. Dev., 2009, 43(2), 161–170.
  • [17] SONG H.N., KIM Y.M., KIM K., A kinematic analysis of the lower limb with regard to restricted spinal motion during gait, J. Phys. Ther. Sci., 2017, 29(1), 81–84.
  • [18] HAK L., HOUDIJK H., STEENBRINK F., MERT A., VAN DER WURFF P., BEEK P.J., VAN DIEËN J.H., Speeding up or slowing down?: Gait adaptations to preserve gait stability in response to balance perturbations, Gait Posture, 2012, 36(2), 260–264.
  • [19] GILL J., ALLUM J.H., CARPENTER M.G., HELD-ZIOLKOWSKA M., ADKIN A.L., HONEGGER F., PIERCHALA K., Trunk sway measures of postural stability during clinical balance tests: effects of age, J. Gerontol. A Biol. Sci. Med. Sci., 2001, 56(7), M438–M447.
  • [20] DAVIS R.B., OUNPUU S., TYBURSKI D., GAGE J.R., A Gait Analysis Data-Collection and Reduction Technique, Hum. Movement Sci., 1991, 10(5), 575–587.
  • [21] PATAKY T.C., ROBINSON M.A., VANRENTERGHEM J., Regionof-interest analyses of one-dimensional biomechanical trajectories: bridging 0D and 1D theory, augmenting statistical power, Peer J., 2016, 4, e2652.
  • [22] PATAKY T.C., VANRENTERGHEM J., ROBINSON M.A., The probability of false positives in zero-dimensional analyses of onedimensional kinematic, force and EMG trajectories, J. Biomech., 2016, 49(9), 1468–1476.
  • [23] VAN EMMERIK R.E., WAGENAAR R.C., WINOGRODZKA A., WOLTERS E.C., Identification of axial rigidity during locomotion in Parkinson disease, Arch. Phys. Med. Rehabil., 1999, 80(2), 186–191.
  • [24] SEAY J.F., VAN EMMERIK R.E., HAMILL J., Low back pain status affects pelvis-trunk coordination and variability duringwalking and running, Clin. Biomech., 2011, 26(6), 572–578.
  • [25] VAN CRIEKINGE T., SAEYS W., HALLEMANS A., VELGHE S., VISKENS P., VEREECK L. et al., Trunk biomechanics during hemiplegic gait after stroke: A systematic review, Gait Posture, 2017(54), 133–143.
  • [26] PREECE S.J., MASON D., BRAMAH C., The coordinated movement of the spine and pelvis during running, Hum. Mov. Sci., 2016, 45, 110–118.
  • [27] PERRY J., Normal and pathological gait, Atlas of Orthotics, 2nd ed., St. Louis: C.V. Mosby, pp. 76–111.
  • [28] HUANG Y., MEIJER O.G., LIN J., BRUIJN S.M., WU W., LIN X. et al., The effects of stride length and stride frequency on trunk coordination in human walking, Gait Posture, 2010, 31(4), 444–449.
  • [29] LIANG B.W., WU W.H., MEIJER O.G., LIN J.H., LV G.R., LIN X.C. et al., Pelvic step: the contribution of horizontal pelvis rotation to step length in young healthy adults walking on a treadmill, Gait Posture, 2014, 39(1), 105–10.
Uwagi
Opracowanie rekordu w ramach umowy 509/P-DUN/2018 ze środków MNiSW przeznaczonych na działalność upowszechniającą naukę (2019).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-619ad0db-7ef5-4044-8276-cf4611dafc58
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