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3D kinematic analysis of patients’ gait before and after unilateral total hip replacement

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Purpose: The purpose of the study was to describe changes in the kinematic parameters in the patients’ gait after total hip replacement. Methods: Research group of men in the end stage of osteoarthritis indicated to the THR (n = 10; age 54.1 ± 7.5 years; weight 92.2 ± 9.6 kg; height 179.7 ± 5.9 cm). All participants underwent a total of three measurements: before surgery, 3 and 6 months after the surgery. Using the 3D kinematic analysis system, the patients’ gait was recorded during each measurement session and kinematic analysis was carried out. The parameters that were monitored included the sagittal range of motion while walking in the ankle, the knee and the hip joints of the operated and the unoperated limb, and the range in the hip joint’s frontal plane, the rotation of pelvis in the frontal and transverse planes, as well as the speed of walking and the walking step length. Results: Significant increases were found in sagittal range of motion in the operated hip joint, sagittal range of motion in the ankle joint on the unoperated side and in the walking step length of the unoperated limb. Conclusions: During walking after a THR, the sagittal range of motion in the ankle of the unoperated limb increases. Also, the range of motion in the sagittal plane on the operated joint increases, which is related to the lengthening of the step of the unoperated lower limb.
Rocznik
Strony
165--171
Opis fizyczny
Bibliogr. 21 poz., il., tab., wykr.
Twórcy
  • Department of Kinesiology, Faculty of Sports Studies, Masaryk University, Brno, Czech Republic
  • Department of Kinesiology, Faculty of Sports Studies, Masaryk University, Brno, Czech Republic
  • Department of Kinesiology, Faculty of Sports Studies, Masaryk University, Brno, Czech Republic
autor
  • Department of Orthopedic Surgery, Faculty Hospital Brno – Adult Age Medicine, Brno, Czech Republic
Bibliografia
  • [1] BEAULIEU M.L., LAMONTAGNE M., BEAULÉ P.E., Lower limb biomechanics during gait do not return to normal following total hip arthroplasty, Gait Posture, 2010, 32 (2), 269–275.
  • [2] BENNETT D., HUMPHREYS L., O’BRIEN S., KELLY C., ORR J.F., BEVERLAND D.E., Gait kinematics of age-stratified hip replacement patients – A large scale, long-term follow-up study, Gait Posture, 2008, 28 (2), 194–197.
  • [3] BENNETT D., OGONDA L., ELLIOTT D., HUMPHREYS L., BEVERLAND D.E., Comparison of gait kinematics in patients receiving minimally invasive and traditional hip replacement surgery: A prospective blinded study, Gait Posture, 2006, 23 (3), 374–382.
  • [4] BENNETT D., RYAN P., O’BRIEN S., BEVERLAND D.E., Gait kinetics of total hip replacement patients-A large scale, longterm follow-up study, Gait Posture, 2017, 53, 173–178.
  • [5] CONSTANTINOU M., LOUREIRO A., CARTY CH., MILLS P., BARRETT R., Hip joint mechanics during walking in individuals with mild-to-moderate hip osteoarthritis, Gait Posture, 2017, 53, 162–165.
  • [6] FOUCHER K.C., HURWITZ D.E., WIMMER M.A., Preoperative gait adaptations persist one year after surgery in clinically well-functioning total hip replacement patients, J. Biomech., 2007, 40 (15), 3432–3437.
  • [7] GALLO J., Orthopedics for students of medical and health faculties, Palacký University in Olomouc [Ortopedie pro studenty lékařských a zdravotnických fakult, Univerzita Palackého v Olomouci], 2011.
  • [8] HART R., ROZKYDAL Z., Long term results with THA Poldi [Dlouhodobé výsledky totální endoprotézy kyčelního kloubu Poldi], Acta Chir. Orthop. Tr., 1999, 66, 139–146.
  • [9] HORSTMANN T., LISTRINGHAUS R., HAASE G.B., GRAU S., MÜNDERMANN A., Changes in gait patterns and muscle activity following total hip arthroplasty: A six-month follow-up, Clin. Biomech., 2013, 28 (7), 762–769.
  • [10] KISS R.M., ILLYÉS Á., Comparison of gait parameters in patients following total hip arthroplasty with a direct-lateral or antero-lateral surgical approach, Hum. Movement Sci., 2012, 31 (5), 1302–1315.
  • [11] KOUDELA K., Ortopedie, Karolinum, 2004. [12] LEE J.M., The Current Concepts of Total Hip Arthroplasty, Hip Pelvis, 2016, 28 (4), 191–200.
  • [13] LEIGH R.J., OSIS S.T., FERBER R., Kinematic gait patterns and their relationship to pain in mild-to-moderate hip osteoarthritis, Clin. Biomech., 2016, 34, 12–15.
  • [14] MAZZOLI D., GIANNOTTI E., LONGHI M., PRATI P., MASIERO S., MERLO A., Age explains limited hip extension recovery at one year from total hip arthroplasty, Clin. Biomech., 2017, 48, 35–41.
  • [15] MUSIL D., Contribution of Minimally Invasive Total Hip Replacement - MIS-AL, Health and Social Aspects of MIS-AL Approach, Č. Bud., 2011. dissertation (Ph.D.). University of South Bohemia in České Budějovice. Faculty of Health and Social Science. [Přínos miniinvazivní MIS-AL techniky při implantaci totální náhrady kyčelního kloubu, zdravotně sociální aspekty MIS-AL přístupu, Č. Bud., 2011. disertační práce (Ph.D.). JIHOČESKÁ UNIVERZITA V ČESKÝCH BUDĚJOVICÍCH. Zdravotně sociální fakulta].
  • [16] ORNETTI P., LAROCHE D., MORISSET C., BEIS J.N., TAVERNIER C., MAILLEFERT J.F., Three-dimensional kinematics of the lower limbs in hip osteoarthritis during walking, J. Back Musculoskelet., 2011, 24 (4), 201–207.
  • [17] RENKAWITZ T., WEBER T., DULLIEN S., WOERNER M., DENDORFER S., GRIFKA J., WEBER M., Leg length and offset differences above 5mm after total hiparthroplasty are associated with altered gait kinematice, Gait Posture, 2016, 49, 196–201.
  • [18] TSAI T.Y., DIMITRIOU D., LI J.S., WOO NAM K., LI G., KWON Y.M., Asymmetric hip kinematics during gait in patients with unilateral total hip arthroplasty: In vivo 3-dimensional motion analysis, J. Biomech., 2015, 48 (4), 555–559.
  • [19] WESSELING M., MEYER C., CORTEN K., DESLOOVERE K., JONKERS I., Longitudinal joint loading in patients before and up to one year after unilateral total hip arthroplasty, Gait Posture, 2018, 61, 117–124.
  • [20] ZENI J., MADARA K., WITMER H., GERHARDT R., RUBANO J., The effect of surgical approach on gait mechanics after total hiparthroplasty, J. Electromyogr. Kines., 2018, 38, 28–36.
  • [21] ZENI J., POZZI F., ABUJABER S., MILLER L., Relationship between physical impairments and movement patterns during gait in patients with end-stage hip osteoarthritis, J. Orthop. Res., 2015, 33 (3), 382–389.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-f096e816-8488-46e0-a27f-7a94691cd414
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