Gait Asymmetry Assessed Using Portable Gait Analysis System
Study Details
Study Description
Brief Summary
To date, detailed analysis of movement patterns in orthopaedic conditions are mainly performed in research projects. Because these tests are time consuming, they are not feasible in clinical routine or in standard examinations. Novel technologies allow capturing detailed movement patters within a few minutes. The aim of this regional study is to compare aspects of movement tasks measured using a mobile gait analysis system to those measured using laboratory based systems and to determine aspects of gait patterns relevant for different orthopaedic conditions. Moreover, the researchers will investigate if these relevant aspects can be altered using surgical treatment or manual therapy.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
This is a cross-sectional study. Pre- and post-treatment data will only be collected in patients undergoing routine orthopaedic treatment.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| ankle osteoarthritis patients with ankle osteoarthritis scheduled for arthroplasty |
Procedure: arthroplasty
patients, who are scheduled for arthroplasty, will be measured before and on average 6 months after surgery
Other: manual therapy
patients, who are scheduled for manual therapy, will be measured before, immediately and on average 1 week after treatment
|
| knee osteoarthritis patients with knee osteoarthritis scheduled for arthroplasty |
Procedure: arthroplasty
patients, who are scheduled for arthroplasty, will be measured before and on average 6 months after surgery
Other: manual therapy
patients, who are scheduled for manual therapy, will be measured before, immediately and on average 1 week after treatment
|
| hip osteoarthritis patients with hip osteoarthritis scheduled for arthroplasty |
Procedure: arthroplasty
patients, who are scheduled for arthroplasty, will be measured before and on average 6 months after surgery
Other: manual therapy
patients, who are scheduled for manual therapy, will be measured before, immediately and on average 1 week after treatment
|
| lumbar spinal stenosis patients with lumbar spinal stenosis scheduled for lumbar spinal stenosis decompression |
Other: manual therapy
patients, who are scheduled for manual therapy, will be measured before, immediately and on average 1 week after treatment
Procedure: lumbar spinal stenosis decompression
patients, who are scheduled for lumbar spinal stenosis decompression, will be measured before and on average 6 months after surgery
|
| muscle contracture patients with functionally limited range of motion at the knee because of muscle contracture scheduled for manual therapy |
Other: manual therapy
patients, who are scheduled for manual therapy, will be measured before, immediately and on average 1 week after treatment
|
| healthy subjects healthy subjects |
Outcome Measures
Primary Outcome Measures
- symmetry index [up to 6 months]
gait asymmetry assessed using a portable and laboratory gait analysis systems
Secondary Outcome Measures
- change in symmetry index [up to 6 months]
changes in gait asymmetry assessed using a portable and laboratory gait analysis systems
- maximum isokinetic joint moment [Nm] [up to 6 months]
isokinetic muscle strength
- relative electromyographic (EMG) intensity [up to 6 months]
electromyographic activity normalised to activity during maximum voluntary contraction
- differences between maximum flexion and extension [degrees] [up to 6 months]
passive range of motion
Eligibility Criteria
Criteria
Inclusion Criteria:
- Age ≥ 40 years, for patients: diagnosed osteoarthritis at the ankle, knee or hip, lumbar spinal stenosis or limited range of motion at the knee
Exclusion Criteria:
-
Body mass index > 35kg/m2
-
Use of walking aids
-
Inability to walk for 6 minutes
-
Neuromuscular disorders affecting gait
-
Cardiovascular disease
-
Inability to follow procedures due to psychological disorders or dementia
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University Hospital Basel | Basel | Basel Stadt | Switzerland | 4031 |
Sponsors and Collaborators
- University Hospital, Basel, Switzerland
Investigators
- Principal Investigator: Annegret Mündermann, PhD, University Hospital, Basel, Switzerland
Study Documents (Full-Text)
None provided.More Information
Publications
- Fisher DS, Dyrby CO, Mündermann A, Morag E, Andriacchi TP. In healthy subjects without knee osteoarthritis, the peak knee adduction moment influences the acute effect of shoe interventions designed to reduce medial compartment knee load. J Orthop Res. 2007 Apr;25(4):540-6.
- Horstmann T, Listringhaus R, Brauner T, Grau S, Mündermann A. Minimizing preoperative and postoperative limping in patients after total hip arthroplasty: relevance of hip muscle strength and endurance. Am J Phys Med Rehabil. 2013 Dec;92(12):1060-9. doi: 10.1097/PHM.0b013e3182970fc4.
- Horstmann T, Listringhaus R, Haase GB, Grau S, Mündermann A. Changes in gait patterns and muscle activity following total hip arthroplasty: a six-month follow-up. Clin Biomech (Bristol, Avon). 2013 Aug;28(7):762-9. doi: 10.1016/j.clinbiomech.2013.07.001. Epub 2013 Jul 29.
- Horstmann T, Vornholt-Koch S, Brauner T, Grau S, Mündermann A. Impact of total hip arthroplasty on pain, walking ability, and cardiovascular fitness. J Orthop Res. 2012 Dec;30(12):2025-30. doi: 10.1002/jor.22163. Epub 2012 May 31.
- Mündermann A, Asay JL, Mündermann L, Andriacchi TP. Implications of increased medio-lateral trunk sway for ambulatory mechanics. J Biomech. 2008;41(1):165-70. Epub 2007 Aug 3.
- Mündermann A, Dyrby CO, Andriacchi TP. Secondary gait changes in patients with medial compartment knee osteoarthritis: increased load at the ankle, knee, and hip during walking. Arthritis Rheum. 2005 Sep;52(9):2835-44.
- Mündermann A, Dyrby CO, Hurwitz DE, Sharma L, Andriacchi TP. Potential strategies to reduce medial compartment loading in patients with knee osteoarthritis of varying severity: reduced walking speed. Arthritis Rheum. 2004 Apr;50(4):1172-8. Erratum in: Arthritis Rheum. 2004 Dec;50(12):4073.
- Mündermann A, Mündermann L, Andriacchi TP. Amplitude and phasing of trunk motion is critical for the efficacy of gait training aimed at reducing ambulatory loads at the knee. J Biomech Eng. 2012 Jan;134(1):011010. doi: 10.1115/1.4005540.
- Nüesch C, Barg A, Pagenstert GI, Valderrabano V. Biomechanics of asymmetric ankle osteoarthritis and its joint-preserving surgery. Foot Ankle Clin. 2013 Sep;18(3):427-36. doi: 10.1016/j.fcl.2013.06.002. Epub 2013 Jul 24. Review.
- Nüesch C, Huber C, Paul J, Henninger HB, Pagenstert G, Valderrabano V, Barg A. Mid- to Long-term Clinical Outcome and Gait Biomechanics After Realignment Surgery in Asymmetric Ankle Osteoarthritis. Foot Ankle Int. 2015 Aug;36(8):908-18. doi: 10.1177/1071100715577371. Epub 2015 Mar 20.
- Nüesch C, Valderrabano V, Huber C, Pagenstert G. Effects of supramalleolar osteotomies for ankle osteoarthritis on foot kinematics and lower leg muscle activation during walking. Clin Biomech (Bristol, Avon). 2014 Mar;29(3):257-64. doi: 10.1016/j.clinbiomech.2013.12.015. Epub 2013 Dec 31.
- Nüesch C, Valderrabano V, Huber C, von Tscharner V, Pagenstert G. Gait patterns of asymmetric ankle osteoarthritis patients. Clin Biomech (Bristol, Avon). 2012 Jul;27(6):613-8. doi: 10.1016/j.clinbiomech.2011.12.016. Epub 2012 Jan 18.
- 2015-139