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

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.

scholarly journals Diabetes Mellitus and Gait Dysfunction: Possible Explanatory Factors

2008 ◽  
Vol 88 (11) ◽  
pp. 1365-1374 ◽  
Author(s):  
Jennifer S Brach ◽  
Jaime B Talkowski ◽  
Elsa S Strotmeyer ◽  
Anne B Newman
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Health Status ◽  
Lower Extremity ◽  
Gait Speed ◽  
Cardiovascular Health Study ◽  
Step Width ◽  
Explanatory Factors ◽  
Gait Characteristics ◽  
Lower Extremity Strength

Background and Objective Gait characteristics differ in individuals with diabetes compared with those without diabetes. Limited information regarding potential explanatory factors for this association exists. This study examined the association between diabetes and gait characteristics in older adults and explored potential explanatory factors. Design A cross-sectional, observational study design was used. Methods At the 1998–1999 clinic visit, 558 ambulatory older adults (mean age=79 years) from the Pittsburgh site of the Cardiovascular Health Study had an assessment of their gait characteristics, diabetes, health status, cognition, mood, lower-extremity circulation and sensation, vision, lower-extremity strength (force-producing capacity), physical activity, and body mass index (BMI). A series of linear regression models were developed to examine the association between diabetes and gait characteristics and to examine potential explanatory factors for the associations. Results Diabetes was related to gait speed (β=−.06 m/s); however, the association was partially explained by health status variables, cognition, mood, lower-extremity circulation and sensation, visual impairment, lower-extremity strength, physical activity, and BMI. Health status and lower-extremity strength each explained the greatest proportion of the association (β reduced 66% by each). Diabetes was related to step width (β=.02 m), and the association could not be explained by the examined factors. Conclusions Diabetes was associated with gait alterations in older adults. Slowed gait speed appears to be secondary to the peripheral effect of the disease on other body systems. The effect of diabetes on step width was not explained in the analyses and may be related to peripheral motor nerve function or central influences of the disease, which could not be assessed in this study.

scholarly journals The parameters of gait analysis related to ambulatory and balance functions in hemiplegic stroke patients: a gait analysis study

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Min Cheol Chang ◽  
Byung Joo Lee ◽  
Na-Young Joo ◽  
Donghwi Park
Keyword(s):  
Gait Analysis ◽  
Lower Limb ◽  
Gait Speed ◽  
Stance Phase ◽  
Pressure Sensors ◽  
Stroke Patients ◽  
Unaffected Side ◽  
Rehabilitative Treatment ◽  
Phase Time ◽  
Balance Functions

Abstract Background Ambulatory and balance functions are important for maintaining general health in humans. Gait analysis allows clinicians and researchers to identify the parameters to be focused on when assessing balance and ambulatory functions. In this study, we performed gait analysis with pressure sensors to identify the gait-analysis parameters related to balance and ambulatory functions in hemiplegic stroke patients. Methods We retrospectively reviewed the medical records of 102 patients with hemiplegic stroke who underwent gait analysis. Correlations between various temporospatial parameters in the gait analysis and the motor and balance functions assessed using functional ambulation category, modified Barthel index, and Berg balance scale were analyzed. Results Gait speed/height and the lower-limb stance-phase time/height were the only temporal and spatial parameters, respectively, that showed a statistical correlation with motor and balance functions. Conclusions Measurements of walking speed and stance-phase time of the unaffected lower limb can allow clinicians to easily assess the ambulatory and balance functions of hemiplegic stroke patients. Rehabilitative treatment focusing on increasing gait speed and shortening the stance-phase time of the unaffected side may improve the ambulatory and balance functions in these patients.

scholarly journals Associations Between Obesity With Low Muscle Mass and Physical Function in Patients With End-Stage Knee Osteoarthritis

2021 ◽  
Vol 12 ◽  
pp. 215145932110207
Author(s):  
Beom Su Kim ◽  
So Young Lee ◽  
Bo Ryun Kim ◽  
Jun Hwan Choi ◽  
Sang Rim Kim ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Physical Function ◽  
Muscle Mass ◽  
Gait Speed ◽  
Linear Regression Analysis ◽  
Stair Climbing ◽  
Normal Muscle ◽  
Timed Up And Go ◽  
Males And Females ◽  
End Stage

Objective: To investigate the prevalence of obesity with low muscle mass and its impact on physical function, quality of life (QOL) and pain in patients with end-stage knee osteoarthritis over 65 years old. Methods: In this cross-sectional study, we assessed a total of 562 patients. After separating the group into males and females, we divided patients into 4 further groups: normal BMI with normal muscle mass, obesity with normal muscle mass, normal BMI with low muscle mass and obesity with low muscle mass. All patients completed stair climbing test (SCT), 6-minute walk test, timed up and go test (TUG), instrumental gait analysis, Western Ontario McMaster Universities Osteoarthritis Index, VAS, and EuroQOL 5 dimensions questionnaire. Results: Obesity with low muscle mass was diagnosed in 6 males subjects (7.8%) and 9 female subjects (1.9%). Patients with obesity and low muscle mass performed the SCT-ascent and descent significantly slower than other body composition groups in both males and females. TUG in males and gait speed in females were also significantly slower in the obesity with low muscle mass group. Stepwise multiple linear regression analysis revealed that in males, obesity with low muscle mass was significantly predictive of SCT ascent (β = 0.409, p < 0.001), SCT-descent (β = 0.405, p < 0.001), and TUG (β = 0.283, p = 0.009), and in females, obesity with low muscle mass was significantly predictive of SCT-ascent (β = 0.231, p < 0.001), SCT-descent (β = 0.183, p < 0.001), and gait speed (β=-0.129, p = 0.004). Conclusions: This study confirms that the combination of obesity and low muscle mass is associated with impaired physical function in patients with end-stage knee osteoarthritis.

scholarly journals Multidimensional Sleep Health and Physical Functioning in Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 428-428
Author(s):  
Caitlan Tighe ◽  
Ryan Brindle ◽  
Sarah Stahl ◽  
Meredith Wallace ◽  
Adam Bramoweth ◽  
...  
Keyword(s):  
Older Adults ◽  
Lower Extremity ◽  
Grip Strength ◽  
Physical Functioning ◽  
Gait Speed ◽  
The United States ◽  
Depression Symptoms ◽  
Sleep Health ◽  
Lower Extremity Strength ◽  
Sleep Parameters

Abstract Prior studies link specific sleep parameters to physical functioning in older adults. Recent work suggests the utility of examining sleep health from a multidimensional perspective, enabling consideration of an individual’s experience across multiple different sleep parameters (e.g., quality, duration, timing). We examined the associations of multidimensional sleep health with objective, performance-based measures of physical functioning in older adults. We conducted a secondary analysis of 158 adults (Mage=71.8 years; 51.9% female) who participated in the Midlife in the United States (MIDUS) 2 and MIDUS Refresher studies. We used data from daily diaries, wrist actigraphy, and self-report measures to derive a composite multidimensional sleep health score ranging from 0-6, with higher scores indicating better sleep health. Physical function was assessed using gait speed during a 50-foot timed walk, lower extremity strength as measured by a chair stand test, and grip strength assessed with dynamometers. We used hierarchical regression to examine the associations between sleep health and gait speed, lower extremity strength, and grip strength. Age, sex, race, education, depression symptoms, medical comorbidity, and body mass index were covariates in each model. In adjusted analyses, better multidimensional sleep health was significantly associated with faster gait speed (B=.03, p=.01). Multidimensional sleep health was not significantly associated with lower limb strength (B=-.12, p=.89) or grip strength (B=.45, p=.40). Gait speed is a key indicator of functional capacity as well as morbidity and mortality in older adults. Multidimensional sleep health may be a therapeutic target for improving physical functioning and health in older adults.

GAIT ANALYSIS IN PEDIATRIC LOWER EXTREMITY AMPUTEES

1992 ◽  
Vol 12 (6) ◽  
pp. 830
Author(s):  
R. Kirklin Ashley ◽  
G. T. Vallier ◽  
S. R. Skinner
Keyword(s):  
Lower Extremity ◽  
Gait Analysis

scholarly journals Accelerometric Gait Analysis Devices in Children—Will They Accept Them? Results From the AVAPed Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Isabella Wiedmann ◽  
Marcello Grassi ◽  
Ibrahim Duran ◽  
Ricardo Lavrador ◽  
Evelyn Alberg ◽  
...  
Keyword(s):  
Gait Analysis ◽  
Real World ◽  
Gait Speed ◽  
Daily Living ◽  
Walking Speed ◽  
Pediatric Population ◽  
Rehabilitation Medicine ◽  
Cross Sectional ◽  
Laboratory Conditions ◽  
Significant Difference

Aims: To assess children's acceptance to wear a 3D-accelerometer which is attached to the waist under real-world conditions, and also to compare gait speed during supervised testing with the non-supervised gait speed in every-day life.Methods: In a controlled observational, cross sectional study thirty subjects with cerebral palsy (CP), with level I&amp;II of the Gross Motor Function Classification System (GMFCS) and 30 healthy control children (Ctrl), aged 3–12 years, were asked to perform a 1-min-walking test (1 mwt) under laboratory conditions, and to wear an accelerometric device for a 1-week wearing home measurement (1 WHM). Acceptance was measured via wearing time, and by a questionnaire in which subjects rated restrictions in their daily living and wearing comfort. In addition, validity of 3D-accelerometric gait speed was checked through gold standard assessment of gait speed with a mobile perambulator.Results: Wearing time amounted to 10.3 (SD 3.4) hours per day, which was comparable between groups (T = 1.10, P = 0.3). Mode for wearing comfort [CP 1, Range (1,4), Ctrl 1, Range (1,6)] and restriction of daily living [CP 1, Range (1,3), Ctrl 1, Range (1,4)] was comparable between groups. Under laboratory conditions, Ctrl walked faster in the 1 mwt than CP (Ctrl 1.72 ± 0.29 m/s, CP 1.48 ± 0.41 m/s, P = 0.018). Similarly, a statistically significant difference was found when comparing real-world walking speed and laboratory walking speed (CP: 1 mwt 1.48 ± 0.41 m/s, 1 WHM 0.89 ± 0.09 m/s, P = 0.012; Ctrl: 1mwt 1.72 ± 0.29, 1 WHM 0.97 ± 0.06, P &lt; 0.001).Conclusion: 3D-accelerometry is well-enough accepted in a pediatric population of patients with CP and a Ctrl group to allow valid assessments. Assessment outside the laboratory environment yields information about real world activity that was not captured by routine clinical tests. This suggests that assessment of habitual activities by wearable devices reflects the functioning of children in their home environment. This novel information constitutes an important goal for rehabilitation medicine. The study is registered at the German Register of Clinical Trials with the title “Acceptance and Validity of 3D Accelerometric Gait Analysis in Pediatric Patients” (AVAPed; DRKS00011919).

scholarly journals Actualities of balance diagnostics system model development for persons with disabilities

2015 ◽  
Vol 3 ◽  
pp. 65
Author(s):  
Aleksandrs Gorbunovs ◽  
Bruno Zuga ◽  
Janis Kapenieks ◽  
Atis Kapenieks ◽  
Rudolfs Gulbis ◽  
...  
Keyword(s):  
Model Development ◽  
Position Paper ◽  
System Model ◽  
Health Improvement ◽  
Balance Function ◽  
Persons With Disabilities ◽  
The World ◽  
Diagnostics System ◽  
Balance Functions ◽  
And Training

<p class="R-AbstractKeywords"><span lang="EN-GB">In Latvia so far there have not been made comprehensive studies to provide balance function diagnostics for people with disabilities, which would have to continue with further creation of appropriate system. However, Latvian researchers developed methods and technology for the rehabilitation and health improvement. At the same time it is also recognized that there is a lack of dedicated efficient and widely accessible for patients systems, equipment and tools to make balance function and dysfunction diagnostics, as well an improvement of the patients’ movement capabilities. This position paper gives a brief overview about the latest technical engineering solution trends and developments in the world, which could be suited and developed to create the conformable new, rather simple, accessible and cheap system. Such system will have to ensure the diagnostics of balance functions of the persons with disabilities and encourage them to use mentioned equipment for testing and training of their balance and movement functionality.</span></p>

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