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Selection of gait parameters for modified Gillette Gait Index using Hellwig Correlation Based Filter method, random forest method, and correlation methods

Syczewska Małgorzata, Kocel Krzysztof, Swiecicka Anna, Graff Krzysztof, Krawczyk Maciej, Wasiewicz Piotr, Kalinowska Małgorzata, Szczerbik Ewa

Biocybernetics and Biomedical Engineering

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2020

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Vol. 40, no. 3

1267--1276

EN

Objective gait analysis provide a large number of data, which are used for planning further treatment of the patient. Data from groups of patients are used for comparisons of different treatment methods, assessment of the severity of gait deviations, design of classification systems. The Gilette Gait Index (GGI) was designed to express the level of abnormality of the gait pattern of patients with cerebral palsy by one number: a measure of distance between the set of discrete gait parameters of a patient from a similar set of a healthy subject, based on 16 parameters. Gait pathology in other disorders is different, thus other variables may better describe their level of pathology. The aim was to see if modified GGI can be constructed based on other sets of gait variables. To decide which gait variables should be taken three different analytical methods were used: Hellwig Correlation Based Filter, random forest, and correlation methods. Gait data of 84 patients were retrospectively selected: 30 had spastic cerebral palsy, 24 scoliosis, 30 suffered the stroke. The results show, that in the final sets of the 16 parameters chosen by the analyses there are some parameters, which were not present in the original list of GGI. If the number of sixteen parameters is kept, there are more than one optimal set of parameters. In conclusion, the use of analytical methods enabled the choice of sets of 16 gait parameters which are specific for the medical problem, and the calculation of modified GGIs.

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Biomechanical evaluation of swing-through crutch gait in patients with lower extremity injury

Rzepnicka Agata, Kabaciński Jarosław, Murawa Michał, Fryzowicz Anna, Syczewska Małgorzata, Dworak Lechosław Bogdan

Acta of Bioengineering and Biomechanics

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2020

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Vol. 22, no. 1

111--117

EN

The main purpose was to determine the values of spatio-temporal parameters and ground reaction forces during the swingthrough crutch gait. Methods: Eighteen male patients with unilateral injury within the foot, ankle or shank (age: 25.4 ± 7.7 years, body height: 1.79 ± 0.06 m, body mass: 76.1 ± 11.5 kg) participated in the study. In the experiment, 6-camera optoelectronic motion capture system and force platform were used. The measurements of spatio-temporal parameters and ground reaction force (GRF) were performed for uninjured lower extremity (ULE), crutch on the ULE side (CrU) and crutch on the injured lower extremity side (CrI). Results: Analysis demonstrated a significantly longer stance phase and a significantly shorter swing phase for ULE than crutches ( p < 0.05), and a significantly longer first, compared to the second, double support phase ( p < 0.05). Comparisons showed also significantly higher maximum values of the vertical GRF and extreme values of the horizontal antero-posterior GRF for ULE than crutches ( p < 0.05) as well as for CrI than CrU ( p < 0.05). Conclusions: The present study provides biomechanical data related to the spatio-temporal parameters and GRFs for the swing-through crutch gait in patients with the lower extremity injuries.

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How does applying of one or two orthoses influence gait parameters of children with hemiplegia?

Boryczka-Trefler Anna, Syczewska Małgorzata, Stępowska Jolanta

Acta of Bioengineering and Biomechanics

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2019

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Vol. 21, no. 2

95--100

EN

The aim of this study was to evaluate how wearing one or two orthoses influence the gait parameters in children with hemiplegia. Four children with hemiplegic cerebral palsy participated in the study. Patients were from 3 to 7 years old; one girl and three boys; one patient with right side hemiplegia, three patients with left side hemiplegia. Patients underwent the VICON MX system gait analysis three times (sessions): one with bare feet, the other two with shoes and orthoses: one with orthoses used unilaterally on palsied limb, one with orthoses used bilaterally. The following gait parameters were analyzed: velocity, cadence, pelvis tilt, range of pelvic movement in sagittal plane, separately for affected and non-affected side: step length, stance time (as a percentage of the gait cycle), range of hip movement in sagittal plane, knee flexion at initial contact, maximum knee flexion in swing phase. Results of the study showed which and how many gait parameters changed while wearing one in comparison with two orthoses. The results did not give a clear indication which condition is better: wearing one or two orthoses, however they suggest that when the orthotic devices are considered for patients with hemiplegic cerebral palsy, the objective, instrumented gait analysis can be used to take the best decision whether one or two orthoses should be prescribed.

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Balance control of children and adolescents suffering from vertigo symptoms: in what way posturography is helpful in clinical evaluation of vestibular system pathology?

Szczerbik Ewa, Iwanicka-Pronicka Katarzyna, Syczewska Małgorzata, Kalinowska Małgorzata, Graff Krzysztof

Acta of Bioengineering and Biomechanics

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2019

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Vol. 21, no. 1

73--78

EN

The aim of the study was to determine balance parameters in a group of young patients with vertigo symptoms and to verify posturography helpfulness in clinical evaluation of vestibular system pathology. Methods: 77 children and adolescents of age 3–18 suffering from vertigo episodes participated in the study (46 girls, 31 boys). They underwent audiology objective tests and balance test on stable surface. Calculated balance parameters were analyzed in reference to: eyes opened and closed, age influence, sway comparison in anterior-posterior and medial-lateral, differences between subgroups with and without vestibular deficits. Discriminant analysis was performed to assess classification ability to impaired group in two cases: only balance parameters and both audiology and balance parameters. Results: Patients with vertigo symptoms generally keep their balance properly on stable surface. Balance parameters do not depend on presence of vestibular system pathology. Values increased in eyes closed conditions. Left/Right and Anterior/Posterior differences were not statistically significant. The negative correlation between age and some balance parameters is present, stronger in the case of eyes opened and weaker or absent in vestibular impaired group. Also, correlations between axes were found, higher in impaired group in comparison with not impaired one. Conclusions: Discrimination based on balance parameters is poor not comparable to one built on combined: audiology and balance parameters, so typical balance parameters’ analysis is not so useful in clinical practice when the reason of vertigo episodes should be assessed, but verify compensation process and measure with objective numbers the progress of recovering, the actual functional patient’s status.