Lower extremity characteristics in recurrent clubfoot: Clinical and gait analysis findings that may influence decisions for additional surgery

Before conclusions can be drawn with respect to the quality of adaptations in human gait, the day-to-day consistency of the variables of interest must be known. The present study estimated the day-to-day consistency of kinematic variables collected during barefoot walking and running. Sixteen healthy subjects performed two gait analysis sessions based on skin markers. Test sessions were at least 1 week apart. In total, 48 ranges of motion were monitored for the hip, knee, ankle, and midfoot joint. Based on differences between the repeated gait analysis sessions, the day-to-day consistency was estimated. It was found that the day-to-day consistency was of the magnitude of 3 to 4 degrees for almost all ranges of motion independently of the test condition, the investigated joints, or the cardinal body plane. It was concluded that future studies on effects of interventions or on the characterization of pathological versus normative gait should consider the provided values of day-to-day consistency to improve their interpretation and conclusions.

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An analysis of limb-threatening lower extremity wound complications after 1090 consecutive coronary artery bypass procedures

Vascular Medicine ◽

10.1177/1358836x9900400205 ◽

1999 ◽

Vol 4 (2) ◽

pp. 83-88 ◽

Cited By ~ 14

Author(s):

Terisa A Thomas ◽

Spence M Taylor ◽

Martin M Crane ◽

Wendy R Cornett ◽

Eugene M Langan ◽

...

Keyword(s):

Risk Factors ◽

Coronary Artery ◽

Soft Tissue ◽

Lower Extremity ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Significant Risk ◽

Wound Complications ◽

Additional Surgery ◽

Lower Extremity Wound

The objective of this study was to examine and characterize limb-threatening lower extremity wound or soft tissue complications after coronary artery bypass (CABG) and determine risk factors for their cause. While minor wound problems of the leg after CABG are not uncommon, serious limb-threatening complications, though less frequent, do occur and are often de-emphasized in the surgical literature. A review of 1090 consecutive CABG procedures performed from January 1, 1995 through December 31, 1995 was instituted, which screened for limb-threatening lower extremity wound or soft tissue complications defined as wounds that: required additional surgery for treatment; prolonged the length of stay; or which required lengthy home health nursing for treatment. Minor lymph leaks, leg swelling, infections or wound problems treated as an outpatient were excluded. Of 1090 patients, 54 (5.0%) experienced a limb-threatening lower extremity complication. Complications were categorized as vein harvest incision non-healing (n = 36, 66.7%), decubitus ulceration (n = 11, 20.4%), forefoot ischemia/embolization (n = 10, 18.5%), groin hematoma/abscess (n = 6, 11.1%), severe cellulitis (n = 3, 5.6%), or a combination (n = 12, 22.2%). Statistically significant risk factors by univariate and bivariate analysis for a complication included older age (68 years vs 62 years, p = 0.007), female sex (57% vs 28%, p, 0.001), diabetes (57% vs 33%, p = 0.005) and longer pump time (129 min vs 114 min, p = 0.009). These complications necessitated five major lower extremity amputations and nine revascularization procedures. Chronic lower extremity ischemia from peripheral vascular disease (PVD) was a major contributing factor for the development of wounds in at least 23 (42.6%) of these patients, though suspected in only 10 (43.5%) preoperatively. A non-healing vein harvest incision below the knee of a patient retrospectively found to have inadequate distal circulation for healing occurred in 17 (31.5%) of the total 54 cases. It was concluded that non-healing vein incisions, decubitus ulcers and forefoot ischemic lesions frequently occurring in older diabetic females with undetected pre-existing PVD, comprise the majority of limb-threatening leg complications after CABG. Nearly one-third of the complications may have been avoided had the vein harvest incision not been made at the ankle of a patient with unappreciated PVD.

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Movement deviation and asymmetry assessment with three dimensional gait analysis of both upper- and lower extremity results in four different clinical relevant subgroups in unilateral cerebral palsy

Clinical Biomechanics ◽

10.1016/j.clinbiomech.2014.02.006 ◽

2014 ◽

Vol 29 (4) ◽

pp. 381-386 ◽

Cited By ~ 12

Author(s):

Dan Lundh ◽

Scott Coleman ◽

Jacques Riad

Keyword(s):

Cerebral Palsy ◽

Lower Extremity ◽

Gait Analysis ◽

Three Dimensional ◽

Unilateral Cerebral Palsy

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Evaluation of balance functions using temporo-spatial gait analysis parameters in patients with brain lesions

Scientific Reports ◽

10.1038/s41598-021-82358-2 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Byung Joo Lee ◽

Na-Young Joo ◽

Sung Hyun Kim ◽

Chung Reen Kim ◽

Dongseok Yang ◽

...

Keyword(s):

Lower Extremity ◽

Gait Analysis ◽

Gait Speed ◽

Linear Regression Analysis ◽

Brain Lesions ◽

Stair Climbing ◽

Balance Function ◽

Step Width ◽

Gait Function ◽

Balance Functions

AbstractThis study aimed to compare gait analysis and balance function measurements, such as the Berg balance scale (BBS) score to seek specific measurements that can represent the balance functions of patients with brain lesions. Additionally, we also compared other different gait function scale scores with gait analysis measurements. This study included 77 patients with brain lesions admitted to our institution between January 2017 and August 2020. Their gait analysis parameters and clinical data, including personal data; clinical diagnosis; duration of the disease; cognition, ambulation, and stair-climbing sub-scores of the modified Barthel index (MBI); manual muscle test (MMT) findings of both lower extremities; functional ambulation category (FAC); and BBS score, were retrospectively analyzed. A multiple linear regression analysis was performed to identify the gait analysis parameters that would significantly correlate with the balance function and other physical performances. In the results, the BBS scores were significantly correlated with the gait speed and step width/height2. However, the other gait function measurements, such as the FAC and ambulation and stair-climbing sub-scores of the MBI, were correlated only with the gait speed. Additionally, both the summations of the lower extremity MMT findings and anti-gravity lower extremity MMT findings were correlated with the average swing phase time. Therefore, in the gait analysis, the gait speed may be an important factor in determining the balance and gait functions of the patients with brain lesions. Moreover, the step width/height2 may be a significant factor in determining their balance function. However, further studies with larger sample sizes should be performed to confirm this relationship.

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The Development of the Plantar Pressure Sensor Shoes for Gait Analysis

Journal of Robotics and Mechatronics ◽

10.20965/jrm.2008.p0289 ◽

2008 ◽

Vol 20 (2) ◽

pp. 289-295 ◽

Cited By ~ 4

Author(s):

Masaki Hirasawa ◽

◽

Hidetaka Okada ◽

Makoto Shimojo

Keyword(s):

Lower Extremity ◽

Gait Analysis ◽

Pressure Sensor ◽

Plantar Pressure ◽

Movement Analysis ◽

Gait Pattern ◽

Living Things ◽

Analysis Instrument

Humans are the only living things which make a erect bipedalism. We are evolving the lower extremity - below a pelvis, and gained the more complicated and more sophisticated gait pattern.In the area of the biomechanics or the rehabilitation, movement analysis instrument has been developed. However, almost of them are attended with the feeling of a constraint, or the measurement place will be limited.We tried to make sensor shoes which can survey operation of the leg without a feeling of a restraint as much as possible.

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