Walk and Run Test in Patients with Degenerative Compression of the Cervical Spinal Cord
Impaired gait is one of the cardinal symptoms of degenerative cervical myelopathy (DCM) and frequently its initial presentation. Quantitative gait analysis is therefore a promising objective tool in the disclosure of early cervical cord impairment in patients with degenerative cervical compression....
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| Language: | English |
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MDPI AG
2021-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/5/927 |
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| author | Zdenek Kadanka Zdenek Kadanka Tomas Skutil Eva Vlckova Josef Bednarik |
| author_facet | Zdenek Kadanka Zdenek Kadanka Tomas Skutil Eva Vlckova Josef Bednarik |
| author_sort | Zdenek Kadanka |
| collection | DOAJ |
| description | Impaired gait is one of the cardinal symptoms of degenerative cervical myelopathy (DCM) and frequently its initial presentation. Quantitative gait analysis is therefore a promising objective tool in the disclosure of early cervical cord impairment in patients with degenerative cervical compression. The aim of this cross-sectional observational cohort study was to verify whether an objective and easily-used walk and run test is capable of detecting early gait impairment in a practical proportion of non-myelopathic degenerative cervical cord compression (NMDCC) patients and of revealing any correlation with severity of disability in DCM. The study group consisted of 45 DCM patients (median age 58 years), 126 NMDCC subjects (59 years), and 100 healthy controls (HC) (55.5 years), all of whom performed a standardized 10-m walk and run test. Walking/running time/velocity, number of steps and cadence of walking/running were recorded; analysis disclosed abnormalities in 66.7% of NMDCC subjects. The DCM group exhibited significantly more pronounced abnormalities in all walk/run parameters when compared with the NMDCC group. These were apparent in 84.4% of the DCM group and correlated closely with disability as quantified by the modified Japanese Orthopaedic Association scale. A standardized 10-m walk/run test has the capacity to disclose locomotion abnormalities in NMDCC subjects who lack other clear myelopathic signs and may provide a means of classifying DCM patients according to their degree of disability. |
| first_indexed | 2024-03-09T06:08:49Z |
| format | Article |
| id | doaj.art-db24fe2641f0470e9d4ebe86e87ee80b |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T06:08:49Z |
| publishDate | 2021-03-01 |
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| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-db24fe2641f0470e9d4ebe86e87ee80b2023-12-03T12:01:01ZengMDPI AGJournal of Clinical Medicine2077-03832021-03-0110592710.3390/jcm10050927Walk and Run Test in Patients with Degenerative Compression of the Cervical Spinal CordZdenek Kadanka0Zdenek Kadanka1Tomas Skutil2Eva Vlckova3Josef Bednarik4Department of Neurology, University Hospital, 625 00 Brno, Czech RepublicDepartment of Neurology, University Hospital, 625 00 Brno, Czech RepublicFaculty of Medicine, Masaryk University, 625 00 Brno, Czech RepublicDepartment of Neurology, University Hospital, 625 00 Brno, Czech RepublicDepartment of Neurology, University Hospital, 625 00 Brno, Czech RepublicImpaired gait is one of the cardinal symptoms of degenerative cervical myelopathy (DCM) and frequently its initial presentation. Quantitative gait analysis is therefore a promising objective tool in the disclosure of early cervical cord impairment in patients with degenerative cervical compression. The aim of this cross-sectional observational cohort study was to verify whether an objective and easily-used walk and run test is capable of detecting early gait impairment in a practical proportion of non-myelopathic degenerative cervical cord compression (NMDCC) patients and of revealing any correlation with severity of disability in DCM. The study group consisted of 45 DCM patients (median age 58 years), 126 NMDCC subjects (59 years), and 100 healthy controls (HC) (55.5 years), all of whom performed a standardized 10-m walk and run test. Walking/running time/velocity, number of steps and cadence of walking/running were recorded; analysis disclosed abnormalities in 66.7% of NMDCC subjects. The DCM group exhibited significantly more pronounced abnormalities in all walk/run parameters when compared with the NMDCC group. These were apparent in 84.4% of the DCM group and correlated closely with disability as quantified by the modified Japanese Orthopaedic Association scale. A standardized 10-m walk/run test has the capacity to disclose locomotion abnormalities in NMDCC subjects who lack other clear myelopathic signs and may provide a means of classifying DCM patients according to their degree of disability.https://www.mdpi.com/2077-0383/10/5/927degenerative cervical myelopathynon-myelopathic degenerative cervical cord compressioncervical spinal cord compression10-m walk rest10-m run test |
| spellingShingle | Zdenek Kadanka Zdenek Kadanka Tomas Skutil Eva Vlckova Josef Bednarik Walk and Run Test in Patients with Degenerative Compression of the Cervical Spinal Cord Journal of Clinical Medicine degenerative cervical myelopathy non-myelopathic degenerative cervical cord compression cervical spinal cord compression 10-m walk rest 10-m run test |
| title | Walk and Run Test in Patients with Degenerative Compression of the Cervical Spinal Cord |
| title_full | Walk and Run Test in Patients with Degenerative Compression of the Cervical Spinal Cord |
| title_fullStr | Walk and Run Test in Patients with Degenerative Compression of the Cervical Spinal Cord |
| title_full_unstemmed | Walk and Run Test in Patients with Degenerative Compression of the Cervical Spinal Cord |
| title_short | Walk and Run Test in Patients with Degenerative Compression of the Cervical Spinal Cord |
| title_sort | walk and run test in patients with degenerative compression of the cervical spinal cord |
| topic | degenerative cervical myelopathy non-myelopathic degenerative cervical cord compression cervical spinal cord compression 10-m walk rest 10-m run test |
| url | https://www.mdpi.com/2077-0383/10/5/927 |
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