Dynamic Gait Parameters in Patients with Nonunion of the Tibia Following Treatment with the Ilizarov Method

2021 ◽  
Author(s):  
Andzelika Pajchert Kozlowska ◽  
Lukasz Pawik ◽  
Lukasz Szelerski ◽  
Slawomir Zarek ◽  
Radoslaw Górski ◽  
...  
Keyword(s):  
Maximum Force ◽  
Control Group ◽  
Ilizarov Method ◽  
Dynamic Parameters ◽  
Symmetrical Distribution ◽  
Gait Parameters ◽  
Tibial Nonunion ◽  
Parameter Values ◽  
Dynamic Gait ◽  
Experimental Group

Abstract INTRODUCTION: The purpose of this study was a comprehensive assessment of the dynamic parameters of gait in patients who underwent Ilizarov treatment for nonunion of the tibia. MATERIALS AND METHODS: The experimental group consisted of24 individuals treated with the Ilizarov method for nonunion of the tibia.The control group comprised31healthy individuals,matched for BMI,sex,and age.The dynamic gait parameters in patients and in the control group were measured with a Zebris pedobarographic platform. RESULTS: The treatment group and the control group showed statistically significant differences in terms of the following gait parameters:Maximum force 1NOL(non-operated-limb),Time maximum force1OL(operated-limb),Time maximum force 1 NOL,Maximum force 2NOL,Time maximum force 2OL,and Maximum force forefoot OL.Most of the evaluated gait parameters were bilaterally similar in patients group.The only significant differences between the operated and non-operated limb were seen in terms of Time maximum force 2and Maximum force forefoot. CONCLUSIONS: The most pronounced abnormalities in dynamic gait parameters were observed in the forefoot.The patients treated with the Ilizarov method did not achieve a complete normalization of dynamic gait parameters,as their gait parameters did not equal those measured in the control group.The Ilizarov method for the treatment of tibial nonunion helps restore a symmetrical distribution of gait parameter values between the affected limb and the healthy limb.Patients with tibial nonunion treated with the Ilizarov method continue to show some abnormalities in their dynamic gait parameters after treatment.

scholarly journals Assessment of Gait after Treatment of Tibial Nonunion with the Ilizarov Method

2021 ◽  
Vol 18 (8) ◽  
pp. 4217
Author(s):  
Łukasz Pawik ◽  
Felicja Fink-Lwow ◽  
Andżelika Pajchert Kozłowska ◽  
Łukasz Szelerski ◽  
Sławomir Żarek ◽  
...  
Keyword(s):  
Research Question ◽  
Social Dimension ◽  
Gait Velocity ◽  
Control Group ◽  
Ilizarov Method ◽  
Healthy Individuals ◽  
Time Step ◽  
Abnormal Gait ◽  
Gait Parameters ◽  
Tibial Nonunion

Background: Tibial nonunion is a common bone union disorder leading to abnormal gait, and thus reducing quality of life in the social dimension. Research question: The aim of our work was to comprehensively assess gait parameters of patients who had undergone Ilizarov treatment for tibial nonunion compared to a control group of healthy individuals. Methods: This study evaluated patients treated for aseptic tibial nonunion with the Ilizarov method. 24 patients with a mean age of 55.0 years were included in the study. The control group consisted of 32 healthy volunteers with no significant medical history who were selected to match the gender and age of patients in the study group so that the groups were homogeneous. A Zebris Medical GmbH pedobarographic platform was used to assess the gait parameters. Results: For all gait parameters examined, force forefoot max, force backfoot max, step length, stance phase, swing phase and step time, we observed statistically significant differences between the group that had undergone treatment and the control group. In the group of patients, statistically significant differences between the operated lower limb and the non-operated limb were only observed for the force forefoot max and step time parameters (p = 0.029 and p = 0.045, respectively). Patients presented a longer loading of the operated limb (0.720 s) than the non-operated limb (0.635 s). For the stride time, step cadence and gait velocity parameters, healthy subjects achieved much better results during locomotion, and these differences were statistically significant at p < 0.001. Significance: Treatment of tibial nonunion with the Ilizarov method did not restore normal gait parameters in our group of patients. In fact, the gait parameters of patients were significantly worse than the healthy individuals in the control group. Furthermore, gait parameters following treatment were not symmetrical, and the dynamics of the musculoskeletal system remained impaired.

scholarly journals Efficacy of axial TheraTogs on gait pattern in children with dyskinetic cerebral palsy: a randomized controlled trial

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Shamekh Mohamed El-Shamy ◽  
Ehab Mohamed Abd El Kafy
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Muscle Tone ◽  
Controlled Trial ◽  
Gait Pattern ◽  
Controlled Study ◽  
Control Group ◽  
Randomized Controlled ◽  
Gait Parameters ◽  
Experimental Group

Abstract Background TheraTogs promotes proprioceptive sense of a child with cerebral palsy and improves abnormal muscle tone, posture alignment, balance, and gait. Therefore, the aim of this study was to investigate the efficacy of TheraTogs orthotic undergarment on gait pattern in children with dyskinetic cerebral palsy. Thirty children with dyskinetic cerebral palsy were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received TheraTogs orthotic undergarment (12 h/day, 3 days/week) plus traditional physical therapy for 3 successive months and (2) a control group that received only traditional physical therapy program for the same time period. Gait parameters were measured at baseline and after 3 months of intervention using Pro-Reflex motion analysis. Results Children in both groups showed significant improvements in the gait parameters (P < 0.05), with significantly greater improvements in the experimental group than in the control group. Conclusions The use of TheraTogs may have a positive effect to improve gait pattern in children with dyskinetic cerebral palsy. Trial registration This trial was registered in the ClinicalTrial.gov PRS (NCT03037697).

Feasibility and Preliminary Efficacy of Gait Training Assisted by Multichannel Functional Electrical Stimulation in Early Stroke Rehabilitation: A Pilot Randomized Controlled Trial

2021 ◽  
Vol 35 (2) ◽  
pp. 131-144
Author(s):  
Maijke van Bloemendaal ◽  
Sicco A. Bus ◽  
Frans Nollet ◽  
Alexander C. H. Geurts ◽  
Anita Beelen
Keyword(s):  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Step Length ◽  
Gait Training ◽  
Control Group ◽  
Significant Group ◽  
Gait Symmetry ◽  
Gait Parameters ◽  
Walking Capacity ◽  
Experimental Group

Background. Many stroke survivors suffer from leg muscle paresis, resulting in asymmetrical gait patterns, negatively affecting balance control and energy cost. Interventions targeting asymmetry early after stroke may enhance recovery of walking. Objective. To determine the feasibility and preliminary efficacy of up to 10 weeks of gait training assisted by multichannel functional electrical stimulation (MFES gait training) applied to the peroneal nerve and knee flexor or extensor muscle on the recovery of gait symmetry and walking capacity in patients starting in the subacute phase after stroke. Methods. Forty inpatient participants (≤31 days after stroke) were randomized to MFES gait training (experimental group) or conventional gait training (control group). Gait training was delivered in 30-minute sessions each workday. Feasibility was determined by adherence (≥75% sessions) and satisfaction with gait training (score ≥7 out of 10). Primary outcome for efficacy was step length symmetry. Secondary outcomes included other spatiotemporal gait parameters and walking capacity (Functional Gait Assessment and 10-Meter Walk Test). Linear mixed models estimated treatment effect postintervention and at 3-month follow-up. Results. Thirty-seven participants completed the study protocol (19 experimental group participants). Feasibility was confirmed by good adherence (90% of the participants) and participant satisfaction (median score 8). Both groups improved on all outcomes over time. No significant group differences in recovery were found for any outcome. Conclusions. MFES gait training is feasible early after stroke, but MFES efficacy for improving step length symmetry, other spatiotemporal gait parameters, or walking capacity could not be demonstrated. Trial Registration. Netherlands Trial Register (NTR4762).

The Effect of Intermittent Fasting and Exercise on Some Physiological Parameters

2021 ◽  
Vol 15 (9) ◽  
pp. 2793-2798
Author(s):  
Yunus Berk ◽  
Şaban Ünver ◽  
Hasan Avlayan
Keyword(s):  
Physiological Parameters ◽  
Favorable Effect ◽  
Physiological Parameter ◽  
Control Group ◽  
Intermittent Fasting ◽  
Significant Difference ◽  
Post Test ◽  
Mean Differences ◽  
Parameter Values ◽  
Experimental Group

Background: In this study, the effect of recently popular intermittent fasting on weight loss and the role of exercise combined with intermittent fasting on some physiological parameters were investigated. Aim: This study was conducted to investigate the effect of intermittent fasting combined with exercise and intermittent fasting alone on some physiological parameters. Methods: A total of 36 healthy individuals between 20 and 24 years of age, including 18 in the experimental group (exercising) and 18 in the control group (non-exercising), who were assigned by the random selection method, participated in the study. The individuals in the experimental group exercised 36 minutes a day, 5 days a week, along with intermittent fasting for 30 days. On the other hand, the control group did not exercise during this period. Results: When the within-group pre-test and post-test physiological parameter values were compared, a significant difference was found in all values of the experimental group (p<0.05). Similarly, a significant difference was found in the physiological parameter values of the control group (p<0.05) too, with the exception of body mass index and body fluid ratio. A statistically significant difference was found between the two groups in terms of the mean differences between the pre-test and post-test physiological parameter values (p < 0.05). Conclusion: Based on the findings, it could be concluded that intermittent fasting is an effective method for losing weight and reducing body fat and that adding low-intensity exercise to this routine ensures more effective weight reduction. Hence, starving for a certain period of time has a favorable effect on the physiological parameters, and the practice of exercising in addition to dieting further improves these values. Keywords: Intermittent fasting, Exercise, Health

scholarly journals The Effect of Simulated Leg-Length Discrepancy on the Dynamic Parameters of the Feet during Gait—Cross-Sectional Research

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 932
Author(s):  
Héctor Pereiro-Buceta ◽  
Ricardo Becerro-de-Bengoa-Vallejo ◽  
Marta Elena Losa-Iglesias ◽  
Daniel López-López ◽  
Emmanuel Navarro-Flores ◽  
...  
Keyword(s):  
Healthy Subjects ◽  
Peak Pressure ◽  
Dynamic Parameters ◽  
Leg Length ◽  
Cross Sectional ◽  
Length Discrepancy ◽  
Gait Parameters ◽  
Mean Pressure ◽  
Stance Time ◽  
Dynamic Gait

Background: The effect of Leg-Length Discrepancy (LLD) on dynamic gait parameters has been extensively discussed. Podobarography is the study of foot-to-ground pressure distribution. It has been used to test plantar footprint deviations that could reveal pathology. Purpose: The aim of this study is to determine the effects of simulated LLD on dynamic gait parameters measured with a pressure platform in healthy subjects. Methods: Thirty-seven healthy subjects participated in observational cross-sectional research. A procedure was performed to capture the dynamic parameters of each participant under five different simulated LLD conditions. Support time, mean pressure, and peak pressure measures were registered on three trials for each foot and LLD level per session. An analysis of variance (ANOVA) test for repeated measures was performed to check for differences between the different simulated LLD levels. Results: The stance time of the short leg had no significant changes. The stance time of the long leg increased by 3.51% (p < 0.001), mean pressure of the short leg increased by 1.23% (p = 0.005), and decreased by 5.89% in the long leg (p < 0.001). Peak pressure of the short leg decreased by 2.58% (p = 0.031) and the long leg decreased by 12.11% (p < 0.001). Conclusions: This study demonstrates that increasing LLD causes an asymmetrical foot-loading pattern, with decreased mean and peak pressure on the longer limb, and consequently an overload on the short side. Furthermore, an increasing LLD causes increased stance time on the long leg.

scholarly journals Effect of Six Weeks Cycle Ergometry on Selected Gait Parameters of Stroke Survivors

2010 ◽  
Author(s):  
Ayodele Onigbinde ◽  
Moruf Mustapha
Keyword(s):  
Conventional Therapy ◽  
Gait Cycle ◽  
Cycle Ergometer ◽  
Cycle Ergometry ◽  
Control Group ◽  
Stroke Survivors ◽  
Post Stroke ◽  
Gait Parameters ◽  
Heel Contact ◽  
Experimental Group

Purpose: Restoration of gait in stroke survivors is a major goal in rehabilitation. Recently, treadmill training has been introduced as a measure to improve the post stroke gait pattern, but there is still limited data on the use of the cycle ergometer. The primary aim was to compare selected gait parameters of hemiplegics subjects who received cycle ergometry and those who had traditional physiotherapy. Method: A total of twenty-four (24) subjects were alternately allocated to 2 groups, but only 20 completed the experimental procedure. The two groups received baseline traditional physiotherapy while the experimental group used a cycle ergometer as an addition. Participants pedaled at a predetermined cadence of 50 rpm until the participant indicated that he or she could not pedal any longer, and this training was repeated 3 times per week for 6 weeks. To measure outcomes, the participants were instructed to walk on a 3-meter walkway with sprinkled powder to show the footprints. The prints were then utilized to measure the selected parameters (step length, stride length and step width). The period of time from one heel contact of one foot to the following occurrence of the same event with the same foot is taken as gait cycle, while cadence was determined as number of steps per minute. The Wisconsin gait scale was used to measure any changes in the affected limb. Descriptive statistics and Analysis of variance (ANOVA) were used to analyze the data. Results: The initial cadence of the experimental group was 42.17steps/minute while the final was 64.00steps/min. Also, the initial cadence of the control group was 40.50steps/min while the final was 52.25steps/min. Similarly, the gait cycle improved from 20.83 seconds to 31.67 seconds for the experimental group while that of the control group improved from 20.00 to 25.75 seconds. This showed that there was significant improvement in cadence (p < 0.00) and gait cycle (p < 0.00) when cycle ergometry was combined with conventional therapy compared to those who had only conventional therapy. Also, the Wisconsin Gait Scale score improved significantly for the experimental group (p < 0.02). Conclusion: This study concluded that selected parameters of the gait of people post-stroke were improved when cycle ergometry was combined with conventional therapy. Further research is indicated.

scholarly journals 131 Impact of Virtual Reality Training in Patients After HIP Arthroplasty on Pressure Distribution in Standing and Walking

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv28-iv33
Author(s):  
Anna Hadamus ◽  
Dariusz Białoszewski ◽  
Edyta Urbaniak ◽  
Aleksandra Justyna Kowalska ◽  
Kamil Wydra ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Pressure Distribution ◽  
Hip Arthroplasty ◽  
Training Programme ◽  
Control Group ◽  
Foot Pressure ◽  
Static Tests ◽  
Gait Parameters ◽  
Vr Training ◽  
Experimental Group

Abstract Introduction Patients after hip arthroplasty (THR) load the feet asymmetrically during standing or walking. Many reports indicate effectiveness of the Virtual Reality (VR) training in reeducation of postural stability, gait parameters and symmetry. The aim of this study was to assess if VR training programme based on non-walking exercises improve gait parameters or change foot pressure distribution. Materials and methods 56 patients after THR were randomly assigned to an experimental group (30 people) and a control group (26 people). The control group (CG) attended a standard post-operative rehabilitation programme, while 12 sessions of VR training were added to the standard programme in the experimental group (EG). Each patient performed standing with eyes opened and gait test on Zebris FDM-T treadmill. We calculated spatio-temporal parameters, foot pressure distribution and CoP displacement. The results were considered significant for p &lt;0.05. Results In the static tests, the force on the forefoot and the rearfoot of the operated limb increased in EG (p&lt;0.05). The force on the non-operated-side foot decreased and the force of the foot on the operated side increased in CG (p &lt;0.05). No differences were found in the CoP movement in both groups. Most of the gait parameters improved significantly in both groups (p&lt;0.05). However, EG obtained superior results in comparison to CG (p &lt;0.05) after rehabilitation with regard to step time in the operated limb, stride time, cadence and maximum force in the midfoot area in the operated limb. Conclusions 1. The significantly better gait performance parameters obtained in the experimental group indicate a better movement capacity in these patients. This suggests that using VR in motor re-education in patients after THR may enhance the effects of rehabilitation. 2. Further studies are necessary to assess the influence of VR training on pressure distribution both in static and dynamic tests.

scholarly journals Gait Symmetry Analysis in Patients after Treatment of Pilon Fractures by the Ilizarov Method

Symmetry ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 349 ◽  
Author(s):  
Łukasz Pawik ◽  
Paweł Wietecki ◽  
Artur Leśkow ◽  
Andżelika Pajchert Kozłowska ◽  
Sławomir Żarek ◽  
...  
Keyword(s):  
Lower Limb ◽  
Healthy Subjects ◽  
Lower Limbs ◽  
Control Group ◽  
Ilizarov Method ◽  
Study Group ◽  
Stride Time ◽  
Gait Symmetry ◽  
Gait Parameters ◽  
Pilon Fractures

The aim of this study was to comprehensively assess the gait parameters in patients who had undergone treatment of pilon fractures by the Ilizarov method. We analyzed gait parameters in patients who had undergone treatment for pilon fractures by the Ilizarov method; 20 patients aged 47.0 years (25.2–78.6) were included in the study. The control group consisted of 32 healthy volunteers. Gait examination was performed using the pedobarographic platform. Statistically significant differences in the following gait parameters: maximum forefoot force (%), step length (cm), and step time (s) were found between the study group and the control group, between the nonoperated leg, and both the operated leg and the dominant limb. Statistically significant differences in the study group between the treated lower limb and the healthy lower limb were only observed in the case of the maximum forefoot force parameter (%). Healthy subjects from the control group obtained significantly higher values during locomotion for stride time, cadence step, and velocity than the patients, with stride time being statistically significantly shorter and the velocity and the cadence step higher. We observed symmetry in the gait parameters after treating pilon fractures by the Ilizarov method. This method of stabilization allows the restoration of gait parameters, with results similar to those obtained after the treatment of other motor organ pathologies described in the literature, although different from those observed in healthy subjects. In particular, the biomechanics of the lower limbs remain disturbed.

Effect of Sacroiliac Joint Manipulation on Selected Gait Parameters in Healthy Subjects

2017 ◽  
Vol 19 (4) ◽  
pp. 0-0
Author(s):  
Sebastian Wójtowicz ◽  
Igor Sajko ◽  
Anna Hadamus ◽  
Anna Mosiołek ◽  
Dariusz Białoszewski
Keyword(s):  
Sacroiliac Joint ◽  
Healthy Subjects ◽  
Contralateral Side ◽  
Control Group ◽  
Sacroiliac Joints ◽  
Gait Parameters ◽  
Iliosacral Joint ◽  
Gait Economy ◽  
Functional Gait ◽  
Experimental Group

Background. The sacroiliac joints have complicated biomechanics. While the movements in the joints are small, they exert a significant effect on gait. This study aimed to assess how sacroiliac joint manipulation influences selected gait parameters. Material and method. The study enrolled 57 healthy subjects. The experimental group consisted of 26 participants diagnosed with dysfunction of one sacroiliac joint. The control group was composed of 31 persons. All subjects from the experimental group underwent sacroiliac joint manipulation. Results. The experimental group showed significant lengthening of the step on both sides and the stride length in this group increased as well. Moreover, the duration of the stride increased (p=0.000826). The maximum midfoot pressure was higher and maximum heel pressure decreased. The differences were statistically significant. Conclusions. 1. Subclinical dysfunctions of the sacroiliac joints may cause functional gait disturbance. 2. Manipulation of the iliosacral joint exerts a significant effect on gait parameters, which may lead to improved gait economy and effec­tiveness. 3. Following manipulation of one iliosacral joint, altered gait parameters are noted on both the manipulated side and the contralateral side, which may translate into improved quality of locomotion.

Gait, cost and time implications for changing from PTB to ICEX®sockets

2004 ◽  
Vol 28 (2) ◽  
pp. 115-120 ◽  
Author(s):  
D. Datta ◽  
I. Harris ◽  
B. Heller ◽  
J. Howitt ◽  
R. Martin
Keyword(s):  
Controlled Trial ◽  
Force Plate ◽  
Control Group ◽  
Significance Level ◽  
Gait Characteristics ◽  
Gait Parameters ◽  
Significant Difference ◽  
Time Required ◽  
Randomised Controlled ◽  
Experimental Group

The ICEX®system (Ossur, Iceland), allows a socket to be manufactured directly onto the stump and is thought to provide improved comfort due to better pressure distribution whilst being easier to fit and manufacture.The aims of this project were to a) compare gait performance by measuring several gait characteristics, b) compare production and fitting times, c) investigate financial implications and d) attempt to gauge the amputees’ subjective opinions of socket comfort.A randomised, controlled trial was conducted on 27 trans-tibial amputees with an existing patellar tendon bearing (PTB) socket on the Endolite™ system (Chas A. Blatchford, UK). Twenty one (21) subjects completed the study. Of these, 10 in the control group received new PTB sockets while 11 in the experimental group received ICEX®.Gait analysis wearing existing sockets was performed and kinetic data obtained from a force plate. This was repeated with the new sockets after a 6 week period of adjustment. Mann-Whitney tests were used in statistical evaluations with a significance level of 5%. Subjects were asked to score their prosthesis for comfort using the Socket Comfort Score (Hanspal et al., 2003) and the frequency of visits for socket adjustments over a three-month period post-delivery of the sockets was recorded.This study demonstrates no significant difference in any of the gait parameters measured. Though the time required to manufacture a PTB prosthesis was found to be considerably longer than the ICEX®, the overall cost for producing the ICEX®was significantly greater. Subjects showed only minor comfort preference for the ICEX®design and there was no significant difference in the mean number of visits for socket adjustments.In view of the considerable additional cost of providing ICEX®and the lack of evidence of improvement in any parameter tested, the routine provision of ICEX®prostheses to unselected trans-tibial amputees cannot be recommended.

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