A single hydrotherapy session increases range of motion and stride length in Labrador retrievers diagnosed with elbow dysplasia

2018 ◽  
Vol 234 ◽  
pp. 105-110 ◽  
Author(s):  
T. Preston ◽  
A.P. Wills
2013 ◽  
Vol 54 (4) ◽  
pp. 195-200 ◽  
Author(s):  
A. K. Lappalainen ◽  
S. Mölsä ◽  
A. Liman ◽  
M. Snellman ◽  
O. Laitinen-Vapaavuori

1991 ◽  
Vol 74 (2) ◽  
pp. 178-184 ◽  
Author(s):  
Christopher L. Vaughan ◽  
Barbara Berman ◽  
Warwick J. Peacock

✓ A recent increase in the popularity of selective posterior rhizotomy for reduction of spasticity in cerebral palsy has led to a demand for more objective studies of outcome and long-term follow-up results. The authors present the results of gait analysis on 14 children with spastic cerebral palsy, who underwent selective posterior rhizotomy in 1985. Sagittal plane gait patterns were studied before surgery and at 1 and 3 years after surgery using a digital camera system. The parameters measured included the range of motion at the knee and thigh, stride length, speed of walking, and cadence. The range of motion at the knee was significantly increased at 1 year after surgery and further improved to a nearly normal range at 3 years after surgery. In contrast, postoperative measurements of thigh range exceeded normal values at 1 year, but decreased toward normal range at 3 years. While improvements in range of motion continued between Years 1 and 3, the children developed a more extended thigh and knee position, which indicated a more upright walking posture. Stride length and speed of walking also improved, while cadence remained essentially unchanged. This 3-year follow-up study, the first to examine rhizotomy using an objective approach, has provided some encouraging results regarding early functional outcome.


2015 ◽  
Vol 26 (4) ◽  
pp. 94-101
Author(s):  
U Singh ◽  
Raj Kumar ◽  
Sanjay Wadhwa ◽  
SL Yadav

Abstract Objective Analysis of clinical gait pattern, change in spasticity and range of motion (ROM) in cerebral palsy patient (CP) with spastic lower limb muscle after injecting botulinum toxin- A. Study Design Prospective study Methods 28 children (18 male and 10 female) with spastic CP had problems in normal walking, aged 2–9 years (mean age 4.65 years), consecutively treated in the PMR department over a 2-year period, were prospectively followed-up and clinically assessed pre- and post-treatment (at 2 weeks and 2 months) both objectively and subjectively. Objective assessment included gait parameters -- stride length, cadence, velocity, step length, base of support; active and passive range of motion (ROM), (measured by goniometry) and spasticity on modified Ashworth scale. Subjective assessment was done by asking questionnaire in terms of comfort, ease of care, perineal hygiene, walking. Injections were given using clinical palpatory method on OPD basis. All patients received botulinum toxin-A injections, followed with exercises and activities and orthosis as needed. Results Significant improvement was achieved for spasticity reduction in gastrocnemius (p< 0.001), hamstring and adductor (p=0.050), ankle AROM & PROM (p< 0.001), active knee extension (p=0.009), popliteal angle (p=0.015) and percentage left and right foot contact (p< 0.001), whereas non-significant change was observed in step length, cadence, velocity, stride length, and base of support. Parents felt subjective improvement in most of the cases (>90%). Conclusions Botulinum toxin- A injection is effective in the treatment of spastic lower limb muscles for equinus/ crouching/scissoring gait in cerebral palsy children. The treatment was feasible and easily implemented. Botulinum toxin- A injections were well tolerated, yielded no serious treatment-related adverse events.


2011 ◽  
Vol 189 (2) ◽  
pp. 169-176 ◽  
Author(s):  
J.A. Woolliams ◽  
T.W. Lewis ◽  
S.C. Blott

2020 ◽  
Author(s):  
R.J. Boekesteijn ◽  
J.M.H. Smolders ◽  
V.J.J.F. Busch ◽  
A.C.H. Geurts ◽  
K. Smulders

AbstractObjectiveTo identify non-redundant gait parameters sensitive to end-stage knee and hip osteoarthritis (OA), with a specific focus on turning, dual task performance, and upper body motion in addition to straight-ahead gait.DesignGait was compared between individuals with unilateral, end-stage knee (n=25) or hip OA (n=26) scheduled for joint replacement, and healthy controls (n=27). For 2 minutes, subjects walked back-and-forth along a 6 meter trajectory making 180° turns, with and without a secondary cognitive task. Gait parameters were collected using 4 inertial measurement units on the feet and trunk. The dataset was reduced using factor analysis. One gait parameter from each factor was selected based on factor loading and effect size of the comparison between OA groups and healthy controls.ResultsFour independent domains of gait were obtained: speed-spatial, speed-temporal, dual task cost, and upper body motion. Turning parameters did not constitute a separate domain. From these domains, stride length (speed-spatial) and cadence (speed-temporal) had the strongest factor loadings and effect sizes for both knee and hip OA, and lumbar sagittal range of motion (upper body motion) for hip OA only.ConclusionsStride length, cadence, and lumbar sagittal range of motion were non-redundant and sensitive parameters, representing gait adaptations in individuals with knee or hip OA. Turning or dual task parameters had no additional value for evaluating gait in knee and hip OA. These findings hold promise for the objective evaluation of gait in the clinic. Future steps should include testing of responsiveness to interventions aiming to improve mobility.


2015 ◽  
Vol 7 (4) ◽  
pp. 122-127 ◽  
Author(s):  
L Hady Laura ◽  
T Fosgate Geoffrey ◽  
Michael Weh J

2020 ◽  
Vol 55 (12) ◽  
pp. 1247-1254
Author(s):  
Rachel M. Koldenhoven ◽  
Amy Virostek ◽  
Alexandra F. DeJong ◽  
Michael Higgins ◽  
Jay Hertel

Context Exercise-related lower leg pain (ERLLP) is common in runners. Objective To compare biomechanical (kinematic, kinetic, and spatiotemporal) measures obtained from wearable sensors as well as lower extremity alignment, range of motion, and strength during running between runners with and those without ERLLP. Design Case-control study. Setting Field and laboratory. Patients or Other Participants Of 32 young adults who had been running regularly (&gt;10 mi [16 km] per week) for ≥3 months, 16 had ERLLP for ≥2 weeks and 16 were healthy control participants. Main Outcome Measure(s) Both field and laboratory measures were collected at the initial visit. The laboratory measures consisted of alignment (arch height index, foot posture index, navicular drop, tibial torsion, Q-angle, and hip anteversion), range of motion (great toe, ankle, knee, and hip), and strength. Participants then completed a 1.67-mi (2.69-km) run along a predetermined route to calibrate the RunScribe devices. The RunScribe wearable sensors collected kinematic (pronation excursion and maximum pronation velocity), kinetic (impact g and braking g), and spatiotemporal (stride length, step length, contact time, stride pace, and flight ratio) measures. Participants then wore the sensors during at least 3 training runs in the next week. Results The ERLLP group had a slower stride pace than the healthy group, which was accounted for as a covariate in subsequent analyses. The ERLLP group had a longer contact time during the stance phase of running (mean difference [MD] = 18.00 ± 8.27 milliseconds) and decreased stride length (MD = −0.11 ± 0.05 m) than the control group. For the clinical measures, the ERLLP group demonstrated increased range of motion for great-toe flexion (MD = 13.9 ± 4.6°) and ankle eversion (MD = 6.3 ± 2.7°) and decreased strength for ankle inversion (MD = −0.49 ± 0.23 N/kg), ankle eversion (MD = −0.57 ± 0.27 N/kg), and hip flexion (MD = −0.99 ± 0.39 N/kg). Conclusions The ERLLP group exhibited a longer contact time and decreased stride length during running as well as strength deficits at the ankle and hip. Gait retraining and lower extremity strengthening may be warranted as clinical interventions in runners with ERLLP.


2012 ◽  
Vol 193 (2) ◽  
pp. 486-492 ◽  
Author(s):  
I.C.M. Lavrijsen ◽  
H.C.M. Heuven ◽  
G. Voorhout ◽  
B.P. Meij ◽  
L.F.H. Theyse ◽  
...  

2009 ◽  
Vol 181 (1) ◽  
pp. 53-55 ◽  
Author(s):  
Natasha S. Rose ◽  
Alison J. Northrop ◽  
Charlotte V. Brigden ◽  
Jaime H. Martin

1993 ◽  
Vol 9 (1) ◽  
pp. 15-26 ◽  
Author(s):  
Nancy Hamilton

A study was undertaken to determine the kinematic nature of the decline in sprint velocity that has been found to occur with aging. Subjects included 162 Master’s sprinters ranging in age from 30 to 94 years. Data were collected at a national championship meet and a World Veterans Championships through use of videotape and the Peak Performance Motion Measurement System. From the digitized videotape data, measures of sprint stride velocity, stride length, stride period, support time, swing time, flight time, and hip, knee, and trunk range of motion were calculated. Velocity, stride length, flight time, swing time, and range of motion in the hip and knee all decreased significantly (p<.05) with age, whereas stride period and support time increased. Further, the proportional relationship between the components of the stride was significantly (p<.05) altered. From this it was inferred that as these sprinters aged there was a decreased ability to exert muscle force as well as a decreased ability to move quickly through a full range of lower extremity motion.


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