Gait Analysis before and after Osteotomy for Hallux Valgus

Twenty-one female patients with bunions were treated by Mitchell osteotomy. Nineteen had clinically excellent or good results. This included no pain on walking, normal ambulation, and improved appearance. Two patients were dissatisfied. By using an instrumented treadmill the gait function was tested before and a median of 6 ½ months after operation. No significant improvements or losses were found in a large series of gait parameters. The benefits of operation were not due to an improved gait function and other factors must have influenced the final result.

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EFFICIENCY OF GAIT FUNCTION CORRECTION AT PATIENTSWITH CEREBRAL PALSY IN THE FORM OF SPASTIC DIPLEGIA

HERALD of North-Western State Medical University named after I I Mechnikov ◽

10.17816/mechnikov20157443-46 ◽

2015 ◽

Vol 7 (4) ◽

pp. 43-46

Author(s):

V V Eliseev ◽

T V Kulishova

Keyword(s):

Cerebral Palsy ◽

Electrical Stimulation ◽

Physical Training ◽

Spastic Diplegia ◽

Programmed Electrical Stimulation ◽

Gait Parameters ◽

Before And After ◽

Gait Function ◽

Stimulation Of

Under our observation were 71 patients with a spastic diplegia in the age of 3-16 years. Patients are parted on 2 groups. The first group have made 38 children received a treatment complex with application of a functional programmed electrical stimulation on apparatus «ACorD», the second - 33 children received a complex of treatment with application of an electrostimulator «Miorithm-040». Electrical stimulations in both groups of patients were exposed the weakened muscles of legs and a back. Both groups of patients received paraffinic applications, manual massage, a specialized complex of medical physical training, employment in a corrective suit «Adeli». Before and after a complex of procedures function of walking by a technique of research children's orthopedic institute was investigated. At observable patients after application of a rehabilitational complex with including various kinds of a muscle electrical stimulation improvement of gait parameters is noted. Authentically best results are received at application of a rehabilitational complex with including a functional programmed electrical stimulation of muscles.

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Seated Virtual Reality-Guided Exercise Improved Gait in a Postoperative Hallux Valgus Case

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182413267 ◽

2021 ◽

Vol 18 (24) ◽

pp. 13267

Author(s):

Masami Nakamoto ◽

Akihiro Kakuda ◽

Toshinori Miyashita ◽

Takashi Kitagawa ◽

Masashi Kitano ◽

...

Keyword(s):

Virtual Reality ◽

Hallux Valgus ◽

Exercise Therapy ◽

Foot Deformities ◽

Sensory Threshold ◽

Postural Adjustment ◽

Plantar Pressure Distribution ◽

Before And After ◽

Gait Function ◽

Therapy Interventions

Virtual reality (VR)-guided exercise therapy using mediVR KAGURA has been reported to improve gait function by extending the arm to spatial targets while sitting. We aimed to investigate toe and trunk–pelvic function and plantar sensation during gait in a postoperative patient with hallux valgus. A 60-year-old woman, whose foot deformities had improved 6 months earlier, participated in the study. The exercise therapy interventions were performed twice weekly for 15 min. This study used an A-B-A design: 1-week pre-phase, 3-week intervention phase, and 2-week post-phase. The plantar pressure distribution and thoracic and pelvic displacements during gait were recorded at the end of each phase. The tactile pressure thresholds of the foot were determined before and after each exercise. The maximum force and impulse under the hallux increased after the intervention. The sensory threshold of the hallux was reduced. The amplitude of the thoracic and pelvic displacement was shortened in lateral and extended in the vertical and progressional directions after the intervention. We found that a 3-week VR-guided exercise improved toe function, plantar sensation, and postural adjustment of the trunk and pelvis during gait in a patient who had undergone surgery for hallux valgus, and the effects continued for 2 weeks.

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Quantitative Gait Analysis Detects Significant Differences in Movement between Osteoarthritic and Nonosteoarthritic Guinea Pig Strains before and after Treatment with Flunixin Meglumine

Arthritis ◽

10.1155/2014/503519 ◽

2014 ◽

Vol 2014 ◽

pp. 1-8 ◽

Cited By ~ 3

Author(s):

K. S. Santangelo ◽

A. C. Kaeding ◽

S. A. Baker ◽

A. L. Bertone

Keyword(s):

Body Weight ◽

Guinea Pig ◽

Gait Analysis ◽

Walking Speed ◽

Gait Pattern ◽

Rapid Screening ◽

Flunixin Meglumine ◽

Gait Parameters ◽

Before And After ◽

Species Specific

A computer-aided gait analysis system was used to contrast two guinea pig strains with differing propensity for osteoarthritis (OA), with/without administration of a nonsteroidal anti-inflammatory drug. Walking speed and static/dynamic gait parameters were determined at baseline. Flunixin meglumine was given and animals were evaluated 4, 24, and 72 hours after treatment. Body weight was compared using unpaired t-tests. Knee joints were histologically evaluated using species-specific criteria; indices were analyzed using one-way ANOVA, Kruskal-Wallis test, followed by Dunn’s multiple comparisons. A generalized linear model followed by Tukey’s posttests juxtaposed gait parameters; walking speed was a covariate for other outcome measures. Body weight was not different between strains; OA-prone animals demonstrated more progressive chondropathy. At baseline, OA-prone animals had slower walking speeds, narrower hind limb bases of support, shorter stride lengths, and slower limb swing speeds relative to OA-resistant animals. These differences were not detected 4 or 24 hours after treatment. By 72 hours, OA-prone animals had returned to baseline values. These findings indicate a distinct voluntary gait pattern in a rodent model of bilateral primary OA, modification of which may allow rapid screening of novel therapies. Flunixin meglumine temporarily permitted OA-prone animals to move in a manner that was analogous to OA-resistant animals.

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Gut Microbiome in a Russian Cohort of Pre- and Post-Cholecystectomy Female Patients

Journal of Personalized Medicine ◽

10.3390/jpm11040294 ◽

2021 ◽

Vol 11 (4) ◽

pp. 294

Author(s):

Irina Grigor’eva ◽

Tatiana Romanova ◽

Natalia Naumova ◽

Tatiana Alikina ◽

Alexey Kuznetsov ◽

...

Keyword(s):

Gut Microbiota ◽

Relative Abundance ◽

Gut Microbiome ◽

Gallstone Disease ◽

Illumina Miseq ◽

Rrna Gene ◽

Bacterial Phyla ◽

Female Patients ◽

Composition And Structure ◽

Before And After

The last decade saw extensive studies of the human gut microbiome and its relationship to specific diseases, including gallstone disease (GSD). The information about the gut microbiome in GSD-afflicted Russian patients is scarce, despite the increasing GSD incidence worldwide. Although the gut microbiota was described in some GSD cohorts, little is known regarding the gut microbiome before and after cholecystectomy (CCE). By using Illumina MiSeq sequencing of 16S rRNA gene amplicons, we inventoried the fecal bacteriobiome composition and structure in GSD-afflicted females, seeking to reveal associations with age, BMI and some blood biochemistry. Overall, 11 bacterial phyla were identified, containing 916 operational taxonomic units (OTUs). The fecal bacteriobiome was dominated by Firmicutes (66% relative abundance), followed by Bacteroidetes (19%), Actinobacteria (8%) and Proteobacteria (4%) phyla. Most (97%) of the OTUs were minor or rare species with ≤1% relative abundance. Prevotella and Enterocossus were linked to blood bilirubin. Some taxa had differential pre- and post-CCE abundance, despite the very short time (1–3 days) elapsed after CCE. The detailed description of the bacteriobiome in pre-CCE female patients suggests bacterial foci for further research to elucidate the gut microbiota and GSD relationship and has potentially important biological and medical implications regarding gut bacteria involvement in the increased GSD incidence rate in females.

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Agreement and consistency of five different clinical gait analysis systems in the assessment of spatiotemporal gait parameters

Gait & Posture ◽

10.1016/j.gaitpost.2021.01.013 ◽

2021 ◽

Vol 85 ◽

pp. 55-64

Author(s):

Julian Rudisch ◽

Thomas Jöllenbeck ◽

Lutz Vogt ◽

Thomas Cordes ◽

Thomas Jürgen Klotzbier ◽

...

Keyword(s):

Gait Analysis ◽

Gait Parameters ◽

Clinical Gait Analysis

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Robot-Assisted Gait Training in Patients with Multiple Sclerosis: A Randomized Controlled Crossover Trial

Medicina ◽

10.3390/medicina57070713 ◽

2021 ◽

Vol 57 (7) ◽

pp. 713

Author(s):

Cristiano Sconza ◽

Francesco Negrini ◽

Berardo Di Matteo ◽

Alberto Borboni ◽

Gennaro Boccia ◽

...

Keyword(s):

Crossover Trial ◽

Gait Training ◽

Treatment Session ◽

Control Group ◽

Walk Test ◽

Robot Assisted ◽

Randomized Controlled ◽

Gait Parameters ◽

Before And After

Background and Objectives: Gait disorders represent one of the most disabling aspects in multiple sclerosis (MS) that strongly influence patient quality of life. The improvement of walking ability is a primary goal for rehabilitation treatment. The aim of this study is to evaluate the effectiveness of robot-assisted gait training (RAGT) in association with physiotherapy treatment in patients affected by MS in comparison with ground conventional gait training. Study design: Randomized controlled crossover trial. Materials and Methods: Twenty-seven participants affected by MS with EDSS scores between 3.5 and 7 were enrolled, of whom seventeen completed the study. They received five training sessions per week over five weeks of conventional gait training with (experimental group) or without (control group) the inclusion of RAGT. The patients were prospectively evaluated before and after the first treatment session and, after the crossover phase, before and after the second treatment session. The evaluation was based on the 25-foot walk test (25FW, main outcome), 6 min walk test (6MWT), Tinetti Test, Modified Ashworth Scale, and modified Motricity Index for lower limbs. We also measured disability parameters using Functional Independence Measure and Quality of Life Index, and instrumental kinematic and gait parameters: knee extensor strength, double-time support, step length ratio; 17 patients reached the final evaluation. Results: Both groups significantly improved on gait parameters, motor abilities, and autonomy recovery in daily living activities with generally better results of RAGT over control treatment. In particular, the RAGT group improved more than control group in the 25FW (p = 0.004) and the 6MWT (p = 0.022). Conclusions: RAGT is a valid treatment option that in association with physiotherapy could induce positive effects in MS-correlated gait disorders. Our results showed greater effectiveness in recovering gait speed and resistance than conventional gait training.

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