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.

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 Temporal and Spatial Characteristics of Gait During Performance of the Dynamic Gait Index in People With and People Without Balance or Vestibular Disorders

2008 ◽  
Vol 88 (5) ◽  
pp. 640-651 ◽  
Author(s):  
Gregory F Marchetti ◽  
Susan L Whitney ◽  
Philip J Blatt ◽  
Laura O Morris ◽  
Joan M Vance
Keyword(s):  
Intraclass Correlation ◽  
Vestibular Dysfunction ◽  
Vestibular Disorders ◽  
Cross Sectional ◽  
Control Subjects ◽  
Gait Characteristics ◽  
Gait Parameters ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Gait Index

Background and Purpose Understanding underlying gait characteristics during performance of the Dynamic Gait Index (DGI) could potentially guide interventions. The purpose of this study was to describe the characteristics and reliability of gait performance during the level walking items of the DGI in people with balance or vestibular dysfunction. The study was a cross-sectional investigation with 2-group comparisons. Subjects and Methods Forty-seven subjects (mean age=59.2 years, SD=8.5, range=24–90) participated in the study; 26 were control subjects, and 21 were subjects with balance or vestibular dysfunction. Three trials of each level gait item were administered to subjects as they ambulated on an instrumented walkway. Test-retest reliability was determined by use of an intraclass correlation coefficient (3,1) 2-way random-effects model for gait parameters associated with continuous walking and the item requiring turning and stopping quickly. Mean gait parameter differences between control subjects and subjects with balance or vestibular disorders were compared by use of a multivariate analysis of variance for each gait task. Results The reliability of most gait parameters during DGI performance were fair to excellent between trials. Subjects with balance or vestibular disorders demonstrated differences in gait characteristics compared with control subjects. The heterogeneity of the group of subjects with balance or vestibular disorders does not permit inferences to be drawn regarding the relationship between gait and any specific balance or vestibular diagnosis. The results are most pertinent to people with chronic balance or vestibular disorders. Discussion and Conclusion Gait parameters underlying dynamic walking appeared to be relatively reliable across multiple trials and distinguished subjects with balance or vestibular disorders. Evaluating a person's performance on items of the DGI may be useful in identifying gait deviations and in evaluating gait improvements as a result of interventions.

scholarly journals Use of Pressure-Measuring Insoles to Characterize Gait Parameters in Simulated Reduced-Gravity Conditions

Sensors ◽  
2021 ◽  
Vol 21 (18) ◽  
pp. 6244
Author(s):  
Christian Ison ◽  
Connor Neilsen ◽  
Jessica DeBerardinis ◽  
Mohamed B. Trabia ◽  
Janet S. Dufek
Keyword(s):  
Body Weight ◽  
Path Length ◽  
Center Of Pressure ◽  
Cross Sectional Study ◽  
Positive Pressure ◽  
Reduced Gravity ◽  
Cross Sectional ◽  
Lower Body Positive Pressure ◽  
Gait Parameters ◽  
Stance Time

Prior researchers have observed the effect of simulated reduced-gravity exercise. However, the extent to which lower-body positive-pressure treadmill (LBPPT) walking alters kinematic gait characteristics is not well understood. The purpose of the study was to investigate the effect of LBPPT walking on selected gait parameters in simulated reduced-gravity conditions. Twenty-nine college-aged volunteers participated in this cross-sectional study. Participants wore pressure-measuring insoles (Medilogic GmBH, Schönefeld, Germany) and completed three 3.5-min walking trials on the LBPPT (AlterG, Inc., Fremont, CA, USA) at 100% (normal gravity) as well as reduced-gravity conditions of 40% and 20% body weight (BW). The resulting insole data were analyzed to calculate center of pressure (COP) variables: COP path length and width and stance time. The results showed that 100% BW condition was significantly different from both the 40% and 20% BW conditions, p < 0.05. There were no significant differences observed between the 40% and 20% BW conditions for COP path length and width. Conversely, stance time significantly differed between the 40% and 20% BW conditions. The findings of this study may prove beneficial for clinicians as they develop rehabilitation strategies to effectively unload the individual’s body weight to perform safe exercises.

scholarly journals Relationship between leg-length discrepancy and plantar fasciitis

2019 ◽  
Vol 13 (1) ◽  
pp. 77-82
Author(s):  
Henrique Mansur ◽  
Guilherme Gonçalves Feijó Carvalho ◽  
Thiago Coelho Paim Lima ◽  
Cesar Barbosa Gonçalves ◽  
João Luiz Quagliotti Durigan ◽  
...  
Keyword(s):  
Plantar Fasciitis ◽  
Cross Sectional Study ◽  
Lower Limbs ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
X Ray ◽  
Length Discrepancy ◽  
Foot Posture

Objective: This study evaluated the relationship between leg-length discrepancy (LLD) and plantar fasciitis (PF). Methods: A cross-sectional study was performed that measured the length of the lower limbs via a scanometry of patients with PF. Other risk factors such as body mass index (BMI), foot posture, and the presence of a plantar heel spur on foot X-ray were also evaluated. Results: Of the 54 participating patients, 44.4% were male with a mean age of 50.38 (23-73 years), 81.5% had pain in one foot, and 53.7% had plantigrade feet. We observed LLD in 88.9% of the sample, with a mean discrepancy of 0.749 cm (SD +/-0.63); 46.3% of the painful feet presented with spurs on X-ray. Conclusions: Approximately 90% of the patients presented with LLD, and the shorter limb was the affected side in most cases. Level of Evidence II; Prognostic Studies.

scholarly journals Hip-spine syndrome: cross-sectional-study of spinal alignment in patients with coxalgia

2018 ◽  
Vol 29 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Masayuki Miyagi ◽  
Kensuke Fukushima ◽  
Gen Inoue ◽  
Toshiyuki Nakazawa ◽  
Takayuki Imura ◽  
...  
Keyword(s):  
Japanese Orthopaedic Association ◽  
Vertical Axis ◽  
Leg Length Discrepancy ◽  
Spinal Alignment ◽  
Leg Length ◽  
Hip Joints ◽  
Sagittal Vertical Axis ◽  
Cross Sectional ◽  
X Ray ◽  
Length Discrepancy

Introduction: Patients presenting with hip diseases often have coexisting spine disorders, a condition that is termed “hip-spine syndrome.” However, few reports have evaluated total spinal alignments in patients with coxalgia. In this study, we retrospectively examined the relationship between several clinical and x-ray parameters of the hip joints and spinal alignment in patients with coxalgia. Methods: 100 patients with coxalgia (24 men, 76 women; average age, 60.0 years; age range, 16–88 years) were included. We retrospectively evaluated the following clinical and x-ray findings of hip joints and total spinal alignment: range of motion (ROM) and pain score components of the Japanese Orthopaedic Association Hip Score; leg length discrepancy (LLD); osteoarthritis (OA) stage of the hip; spinal coronal balance (Cobb angle and C7-central sacral ventral line [CSVL]); and spinal sagittal balance (sagittal vertical axis [SVA], pelvic tilt (PT), and pelvic incidence [PI]). Results: Significant positive correlations were detected between C7 - CSVL and LLD ( r = 0.35), whereas a significant negative correlation was found between SVA and hip ROM score ( r = −0.37). A significant positive correlation was also detected between SVA and OA stage of the hip ( r = 0.35). Conclusion: In the present study, large leg length discrepancy and hip pain may contribute to spinal coronal misalignment. In addition, advanced stage of OA and decreasing ROM of the hip may lead to increased spinal sagittal misalignment. These findings suggest that when evaluating spinal alignment, the progression of OA, LLD, and pain and ROM of the hip joint should be assessed.

scholarly journals Limb length discrepancy and gait parameters of amateur football players in Lagos State, Nigeria

2020 ◽  
Vol 32 (1) ◽  
pp. 1-3
Author(s):  
ASHIYAT KEHINDE AKODU ◽  
Oluwatomisin Adeoye Oluwatomisin Adeoye Akindele
Keyword(s):  
Limb Length Discrepancy ◽  
Cross Sectional Study ◽  
Limb Length ◽  
Football Players ◽  
Cross Sectional ◽  
Length Discrepancy ◽  
Abnormal Gait ◽  
Gait Parameters ◽  
Lagos State ◽  
The Relationship

Background: Football is a widely played sport globally. Limb length discrepancies have been found to be common among football players and these may lead to abnormal gait. Objectives: The purpose of this study was to determine the relationship between limb length discrepancy (LLD) and gait parameters of amateur football players in Lagos State, Nigeria. Methods: Eighty-nine amateur football players participated in the cross-sectional study. They were recruited from different stadia in Lagos State. Limb length and gait parameters were measured using tape and footprint measurements. Results: The prevalence of real limb length discrepancy among the participants was 75% (n = 67). The results of this study showed that the right leg was the shorter leg in 60% (n = 53) of the participants. There was no significant correlation between gait parameters and limb length measurement. Conclusion: Although limb length discrepancy is common among amateur football players in Lagos State, the relationship between limb length and gait parameters is weak.

Associations between gait kinematics, gross motor function and physical activity among young people with cerebral palsy: A cross sectional study

2021 ◽  
pp. 1-10
Author(s):  
Jennifer M. Ryan ◽  
Grace Lavelle ◽  
Marika Noorkoiv ◽  
Damien Kiernan ◽  
Nicola Theis ◽  
...  
Keyword(s):  
Physical Activity ◽  
Motor Function ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Gait Parameters ◽  
Stance Time ◽  
Gmfcs Level

INTRODUCTION: The aim of this study was to investigate the association between gait parameters, gross motor function and physical activity (PA) in young people with cerebral palsy (CP). METHODS: Thirty-eight adolescents aged between 10–19 years with spastic CP in GMFCS levels I-III (mean [standard deviation] age 13.7 [2.4] yr; 53%female) were included in this cross-sectional study. Hip, knee and ankle joint excursion and stance time was assessed using 3D gait analysis. Self-selected walking speed was assessed during a timed 10 m overground walk and treadmill walking. Gross motor function was assessed using dimensions D and E of the Gross Motor Function Measure (GMFM-66). Moderate-to-vigorous PA, light PA and step-count were assessed using an accelerometer. Linear regression was used to examine associations. RESULTS: After adjusting for age, sex and GMFCS level, percentage stance time was associated with dimension E of the GMFM-66 (β= –0.29, 95%CI –0.54 to –0.05). There was no evidence that any other gait parameters were associated with GMFM-66 dimensions D or E. There was also no evidence that gait parameters or GMFM-66 dimensions D or E were associated with step-count or time in PA after adjusting for age, sex and GMFCS level. DISCUSSION: The findings provide an insight into the complexity of the relationship between gait quality or ability at the impairment level, function as measured in a controlled environment, and the performance of habitual PA, which is essential for health among children with CP.

scholarly journals Influence of leg length discrepancy on balance and gait in post-stroke patients: a correlational study

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Shailesh Gardas ◽  
Hemakshi Shah
Keyword(s):  
Postural Sway ◽  
Weight Bearing ◽  
Leg Length ◽  
Stroke Patients ◽  
Length Discrepancy ◽  
Eyes Closed ◽  
Gait Parameters ◽  
Intergroup Comparison ◽  
Eyes Open ◽  
Group B

Abstract Background A frequent complaint by stroke patients presenting for physiotherapy was perceived shortness of the affected lower limb and inability to weight bear onto the affected side. So, the present study aimed to evaluate influence of limb length discrepancy (LLD) on balance and gait parameters in patients with stroke. Subjects and methods Twenty participants were recruited based on the inclusion and exclusion criteria and were divided into two groups group A (LLD ≤ 1 cm) and group B (LLD > 1 cm). Postural sway was measured under wide base eyes open, wide base eyes closed, narrow base eyes open, and narrow base eyes closed conditions. Weight-bearing asymmetry and functional balance were assessed using the percentage body weight asymmetry and Berg balance scale. Also, step leg ratio and 10-M walk test was used to assess gait parameters. Results Intergroup comparison of postural sway exhibited a significant difference between groups in the AP direction in wide-based eyes open (WBEO), wide-based eyes closed (WBEC), narrow-based eyes open (NBEO), and narrow-based eyes closed (NBEC) conditions whereas only in NBEC condition in mediolateral direction; with group B (LLD > 1 cm) displaying a greater mean postural sway in all the conditions. The correlation of LLD with postural sway showed a significant positive correlation within AP direction under all the conditions and in WBEC and NBEC conditions in mediolateral direction. Intergroup comparison of step length ratio (SLR) showed a statistical difference between groups, and a negative correlation was found between LLD and SLR. A negative correlation was also seen between percentage weight-bearing asymmetry (PWBA) and speed as well as Berg’s balance scale (BBS), and a positive correlation was observed between BBS and speed. Conclusion Leg length discrepancy results in a significant decrease in balance control in the sagittal and frontal planes in patients with stroke. It also adds to the asymmetries in their gait. Therefore, LLD should be considered as a factor for balance and gait asymmetries in post-stroke patients.

Sign in / Sign up

Export Citation Format

Share Document