Quantitative Gait Analysis of Patients with Severe Symptomatic Spinal Stenosis Utilizing the Gait Profile Score: An Observational Clinical Study
Lumbar spine stenosis (LSS) typically manifests with neurogenic claudication, altering patients’ gait. The use of optoelectronic systems has allowed clinicians to perform 3D quantitative gait analysis to quantify and understand these alterations. Although several authors have presented analysis of s...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-02-01
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| Series: | Sensors |
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| Online Access: | https://www.mdpi.com/1424-8220/22/4/1633 |
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| author | Jan Lodin Marek Jelínek Martin Sameš Petr Vachata |
| author_facet | Jan Lodin Marek Jelínek Martin Sameš Petr Vachata |
| author_sort | Jan Lodin |
| collection | DOAJ |
| description | Lumbar spine stenosis (LSS) typically manifests with neurogenic claudication, altering patients’ gait. The use of optoelectronic systems has allowed clinicians to perform 3D quantitative gait analysis to quantify and understand these alterations. Although several authors have presented analysis of spatiotemporal gait parameters, data concerning kinematic parameters is lacking. Fifteen patients with LSS were matched with 15 healthy controls. Quantitative gait analysis utilizing optoelectronic techniques was performed for each pair of subjects in a specialized laboratory. Statistical comparison of patients and controls was performed to determine differences in spatiotemporal parameters and the Gait Profile Score (GPS). Statistically significant differences were found between patient and control groups for all spatiotemporal parameters. Patients had significantly different overall GPS (<i>p</i> = 0.004) and had limited internal/external pelvic rotation (<i>p</i> < 0.001) and cranial/caudal movement (<i>p</i> = 0.034), limited hip extension (<i>p</i> = 0.012) and abduction/adduction (<i>p</i> = 0.012) and limited ankle plantar flexion (<i>p</i> < 0.001). In conclusion, patients with LSS have significantly altered gait patterns in three regions (pelvis, hip and ankle) compared to healthy controls. Analysis of kinematic graphs has given insight into gait pathophysiology of patients with LSS and the use of GPS will allow us to quantify surgical results in the future. |
| first_indexed | 2024-03-09T21:04:58Z |
| format | Article |
| id | doaj.art-36d8d6759193469495fe8f169b011408 |
| institution | Directory Open Access Journal |
| issn | 1424-8220 |
| language | English |
| last_indexed | 2024-03-09T21:04:58Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Sensors |
| spelling | doaj.art-36d8d6759193469495fe8f169b0114082023-11-23T22:02:41ZengMDPI AGSensors1424-82202022-02-01224163310.3390/s22041633Quantitative Gait Analysis of Patients with Severe Symptomatic Spinal Stenosis Utilizing the Gait Profile Score: An Observational Clinical StudyJan Lodin0Marek Jelínek1Martin Sameš2Petr Vachata3Neurosurgical Department, J. E. Purkyně University, Masaryk Hospital of Krajská Zdravotní a.s., Sociální Péče 3316/12A, 400 11 Ústí nad Labem, Czech RepublicLaboratory for the Study of Movement, Faculty of Health Studies, J. E. Purkyně University in Ústí nad Labem, Pasteurova 3544/1, 400 96 Ústí nad Labem, Czech RepublicNeurosurgical Department, J. E. Purkyně University, Masaryk Hospital of Krajská Zdravotní a.s., Sociální Péče 3316/12A, 400 11 Ústí nad Labem, Czech RepublicNeurosurgical Department, J. E. Purkyně University, Masaryk Hospital of Krajská Zdravotní a.s., Sociální Péče 3316/12A, 400 11 Ústí nad Labem, Czech RepublicLumbar spine stenosis (LSS) typically manifests with neurogenic claudication, altering patients’ gait. The use of optoelectronic systems has allowed clinicians to perform 3D quantitative gait analysis to quantify and understand these alterations. Although several authors have presented analysis of spatiotemporal gait parameters, data concerning kinematic parameters is lacking. Fifteen patients with LSS were matched with 15 healthy controls. Quantitative gait analysis utilizing optoelectronic techniques was performed for each pair of subjects in a specialized laboratory. Statistical comparison of patients and controls was performed to determine differences in spatiotemporal parameters and the Gait Profile Score (GPS). Statistically significant differences were found between patient and control groups for all spatiotemporal parameters. Patients had significantly different overall GPS (<i>p</i> = 0.004) and had limited internal/external pelvic rotation (<i>p</i> < 0.001) and cranial/caudal movement (<i>p</i> = 0.034), limited hip extension (<i>p</i> = 0.012) and abduction/adduction (<i>p</i> = 0.012) and limited ankle plantar flexion (<i>p</i> < 0.001). In conclusion, patients with LSS have significantly altered gait patterns in three regions (pelvis, hip and ankle) compared to healthy controls. Analysis of kinematic graphs has given insight into gait pathophysiology of patients with LSS and the use of GPS will allow us to quantify surgical results in the future.https://www.mdpi.com/1424-8220/22/4/1633lumbar spine stenosiskinematic parametersgait analysisspatiotemporal parametersclaudicationoptoelectronic systems |
| spellingShingle | Jan Lodin Marek Jelínek Martin Sameš Petr Vachata Quantitative Gait Analysis of Patients with Severe Symptomatic Spinal Stenosis Utilizing the Gait Profile Score: An Observational Clinical Study Sensors lumbar spine stenosis kinematic parameters gait analysis spatiotemporal parameters claudication optoelectronic systems |
| title | Quantitative Gait Analysis of Patients with Severe Symptomatic Spinal Stenosis Utilizing the Gait Profile Score: An Observational Clinical Study |
| title_full | Quantitative Gait Analysis of Patients with Severe Symptomatic Spinal Stenosis Utilizing the Gait Profile Score: An Observational Clinical Study |
| title_fullStr | Quantitative Gait Analysis of Patients with Severe Symptomatic Spinal Stenosis Utilizing the Gait Profile Score: An Observational Clinical Study |
| title_full_unstemmed | Quantitative Gait Analysis of Patients with Severe Symptomatic Spinal Stenosis Utilizing the Gait Profile Score: An Observational Clinical Study |
| title_short | Quantitative Gait Analysis of Patients with Severe Symptomatic Spinal Stenosis Utilizing the Gait Profile Score: An Observational Clinical Study |
| title_sort | quantitative gait analysis of patients with severe symptomatic spinal stenosis utilizing the gait profile score an observational clinical study |
| topic | lumbar spine stenosis kinematic parameters gait analysis spatiotemporal parameters claudication optoelectronic systems |
| url | https://www.mdpi.com/1424-8220/22/4/1633 |
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