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المؤلفون: Jeremy M. Gililland, K. Bo Foreman, Jesse C. Christensen, Ryan L. Mizner, Christopher E. Pelt, Paul C. LaStayo, Andrew E. Anderson
المصدر: Knee
مصطلحات موضوعية: Male, medicine.medical_specialty, Longitudinal study, Knee Joint, Movement, medicine.medical_treatment, Psychological intervention, Walking, Biofeedback, behavioral disciplines and activities, Article, Quadriceps Muscle, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Gait (human), Surveys and Questionnaires, medicine, Humans, Knee, Orthopedics and Sports Medicine, Longitudinal Studies, Range of Motion, Articular, Arthroplasty, Replacement, Knee, Gait, Aged, 030222 orthopedics, business.industry, Biomechanics, Biofeedback, Psychology, Recovery of Function, 030229 sport sciences, Middle Aged, Arthroplasty, humanities, Biomechanical Phenomena, Kinetics, Treatment Outcome, Gait analysis, Female, Gait Analysis, Motor learning, business, human activities, Follow-Up Studies
الوصف: BACKGROUND: This study aimed to evaluate clinical and biomechanical changes in self-report survey, quadriceps strength and gait analysis over 3- and 6-months post-total knee arthroplasty (TKA) and confirm the immediate effects of two forms of kinetic biofeedback on improving inter-limb biomechanics during a physically demanding decline walking task. METHODS: Thirty patients with unilateral TKA underwent testing at 3- and 6-months following surgery. All underwent self-report survey, quadriceps strength and gait analysis testing. Patients were assigned to one of two types of biofeedback [vertical ground reaction force (vGRF), knee extensor moment (KEM)]. RESULTS: No decrease in gait asymmetry was observed in non-biofeedback trials over time (p>0.05), despite significant improvements in self-report physical function (p
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7ca28f6012d49d50512dc150b89e74a8Test
https://doi.org/10.1016/j.knee.2021.03.014Test -
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المؤلفون: Daniel J Scott, Scott Coleman, Samuel Ford, Yahya Daoud, James W. Brodsky
المصدر: Journal of Bone and Joint Surgery. 103:477-482
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, medicine.medical_treatment, Ankle replacement, Walking, Arthroplasty, Replacement, Ankle, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Gait (human), medicine, Humans, Orthopedics and Sports Medicine, Force platform, Prospective Studies, Range of Motion, Articular, Gait, Aged, 030222 orthopedics, business.industry, 030229 sport sciences, General Medicine, Middle Aged, Sagittal plane, Biomechanical Phenomena, Preferred walking speed, Treatment Outcome, medicine.anatomical_structure, Gait analysis, Female, Surgery, Ankle, Gait Analysis, Range of motion, business, Ankle Joint, Follow-Up Studies
الوصف: BACKGROUND In vivo gait analysis provides objective measurement of patient function and can quantify that function before and after ankle reconstruction. Previous gait studies have shown functional improvement for up to 4 years following total ankle arthroplasty (TAA), but to date, there are no published studies assessing function at ≥5 years following TAA. We hypothesized that patients who underwent TAA would show significant improvements in walking function at a minimum follow-up of 5 years, compared with their preoperative function, as measured by changes in temporospatial, kinematic, and kinetic gait parameters. METHODS Three-dimensional gait analysis with a 12-camera digital motion-capture system and double force plates was utilized to record temporospatial, kinematic, and kinetic measures in 33 patients who underwent TAA with either the Scandinavian Total Ankle Replacement (Stryker; n = 28) or Salto Talaris Ankle (Integra LifeSciences; n = 5). Gait analysis was performed preoperatively and at a minimum follow-up of 5 years (mean, 7.6 years; range, 5 to 13 years). RESULTS Significant improvements were observed in multiple gait parameters, with temporospatial increases in cadence (+9.5 steps/min; p < 0.0001), step length (+4.4 cm; p = 0.0013), and walking speed (+0.2 m/s; p < 0.0001), and kinematic increases in total sagittal range of motion (+2.0°; p = 0.0263), plantar flexion at initial contact (+2.7°; p = 0.0044), and maximum plantar flexion (+2.0°; p = 0.0488). Kinetic analysis revealed no loss of peak ankle power, despite patients aging. CONCLUSIONS To our knowledge, this is the first study to report 7-year functional outcomes of TAA, quantified by objective, in vivo measurements of patient gait. Patients were shown to have sustained improvement in multiple objective parameters of gait compared with preoperative function. LEVEL OF EVIDENCE Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6dea7d3571142c1286fd0ddab1f53d9aTest
https://doi.org/10.2106/jbjs.20.00659Test -
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المؤلفون: Mayank Seth, Emma Haldane Beisheim, Jaclyn Megan Sions, John Robert Horne, Peter C. Coyle, Ryan T. Pohlig, Gregory E. Hicks
المصدر: Physiotherapy Theory and Practice. 38:3108-3118
مصطلحات موضوعية: Adult, medicine.medical_specialty, Rehabilitation, business.industry, medicine.medical_treatment, Artificial Limbs, Physical Therapy, Sports Therapy and Rehabilitation, Walking, Physical function, Amputation, Surgical, Preferred walking speed, Cross-Sectional Studies, Physical medicine and rehabilitation, Gait (human), Gait asymmetry, Amputation, Lower limb amputation, Gait analysis, medicine, Humans, business, Gait, human activities
الوصف: BACKGROUND Adults with lower-limb amputation walk with an asymmetrical gait and exhibit poor functional outcomes, which may negatively impact quality-of-life. OBJECTIVE To evaluate associations between gait asymmetry and performance-based physical function among adults with lower-limb amputation. METHODS A cross-sectional study involving 38 adults with a unilateral transtibial (N = 24; 62.5 ± 10.5 years) or transfemoral amputation (N = 14; 59.9 ± 9.5 years) was conducted. Following gait analysis (capturing step length and stance time asymmetry at self-selected (SSWS) and fast walking speeds (FWS)), participants completed performance-based measures (i.e. Timed Up and Go (TUG), the 10-Meter Walk Test (10mwt), and the 6-Minute Walk Test (6MWT)). RESULTS Step length and stance time asymmetry (at SSWS and FWS) were significantly correlated with each performance-based measure (p
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fdd758cdc6d9d4dd0fa0cc1be7dbfc0eTest
https://doi.org/10.1080/09593985.2021.1990449Test -
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المصدر: Journal of Foot and Ankle Research, Vol 13, Iss 1, Pp 1-17 (2020)
Journal of Foot and Ankle Researchمصطلحات موضوعية: Adult, Foot Deformities, Male, Pes cavus, medicine.medical_specialty, lcsh:Diseases of the musculoskeletal system, medicine.medical_treatment, MEDLINE, Walking, CINAHL, Review, Cochrane Library, Multiple sclerosis, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Prevalence, medicine, Humans, Orthopedics and Sports Medicine, Muscle Strength, Gait, 030203 arthritis & rheumatology, Lower extremity, Muscle Weakness, Rehabilitation, Foot, business.industry, Research, 030229 sport sciences, Middle Aged, medicine.disease, Muscle Spasticity, Case-Control Studies, Gait analysis, Female, medicine.symptom, lcsh:RC925-935, Gait Analysis, business, Balance problems
الوصف: Background Multiple sclerosis (MS) often affects ambulation and the function of the lower limbs. However, little is known about how much research has been conducted on lower extremity health in patients with MS. Objective To analyse empirical studies and their evidence on lower extremity health in patients with MS, in order to identify the need for future studies in key areas. Methods A systematic scoping review was conducted. A literature search of Medline (PubMed), CINAHL (EBSCO) and the Cochrane Library databases was performed. The search covered the period up to 15 January 2020 from the earliest records available. This led to the inclusion of 42 empirical articles. The data were analysed using content analysis and quantification techniques. Results The research on lower extremity health focused primarily on two main areas: gait and lower extremity muscle strength. Lower extremity health was assessed using a variety of methods, most of which consisted of objective physical tests and gait analysis. Patients with MS had many problems with the health of their lower extremities, which manifested in walking difficulties, balance problems, muscle weaknesses and spasticity. In the feet, pes cavus, claw toes, oedema and altered foot sensation were common. Conclusions MS affects lower limb and foot health, and these problems can affect patients’ daily lives. However, the extent of these problems is poorly understood, partly due to the dearth of research on lower limb and foot health. Therefore, further research is warranted in order to better understand the impact of MS on foot and lower limb health in everyday life.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::93eb11672975d92720e04df852a2b1c2Test
http://link.springer.com/article/10.1186/s13047-020-00423-xTest -
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المؤلفون: Nicola Vitiello, Francesco Giovacchini, Simona Crea, Elena Martini, Chiara Fanciullacci, Andrea Parri, Barbara Meoni, C. B. Sanz-Morere, Raffaele Molino-Lova, Stefano Doronzio, Antonella Giffone, Gabriele Arnetoli, Þór Friðriksson, Duane Romo, Roberto Conti
المصدر: Journal of NeuroEngineering and Rehabilitation, Vol 18, Iss 1, Pp 1-17 (2021)
Journal of NeuroEngineering and Rehabilitationمصطلحات موضوعية: Orthotic Devices, 030506 rehabilitation, medicine.medical_specialty, medicine.medical_treatment, Pilot Projects, Health Informatics, Neurosciences. Biological psychiatry. Neuropsychiatry, Walking, Kinematics, Exoskeleton, Gait rehabilitation, Gait training, Hip orthosis, Overground walking, Transfemoral amputees, Aged, Gait, Humans, Middle Aged, Quality of Life, Amputees, Robotics, 03 medical and health sciences, 0302 clinical medicine, Gait (human), Physical medicine and rehabilitation, Medicine, Rehabilitation, business.industry, Research, Preferred walking speed, medicine.anatomical_structure, Gait analysis, Ankle, 0305 other medical science, business, human activities, 030217 neurology & neurosurgery, RC321-571
الوصف: Background Transfemoral amputation is a serious intervention that alters the locomotion pattern, leading to secondary disorders and reduced quality of life. The outcomes of current gait rehabilitation for TFAs seem to be highly dependent on factors such as the duration and intensity of the treatment and the age or etiology of the patient. Although the use of robotic assistance for prosthetic gait rehabilitation has been limited, robotic technologies have demonstrated positive rehabilitative effects for other mobility disorders and may thus offer a promising solution for the restoration of healthy gait in TFAs. This study therefore explored the feasibility of using a bilateral powered hip orthosis (APO) to train the gait of community-ambulating TFAs and the effects on their walking abilities. Methods Seven participants (46–71 years old with different mobility levels) were included in the study and assigned to one of two groups (namely Symmetry and Speed groups) according to their prosthesis type, mobility level, and prior experience with the exoskeleton. Each participant engaged in a maximum of 12 sessions, divided into one Enrollment session, one Tuning session, two Assessment sessions (conducted before and after the training program), and eight Training sessions, each consisting of 20 minutes of robotically assisted overground walking combined with additional tasks. The two groups were assisted by different torque-phase profiles, aiming at improving symmetry for the Symmetry group and at maximizing the net power transferred by the APO for the Speed group. During the Assessment sessions, participants performed two 6-min walking tests (6mWTs), one with (Exo) and one without (NoExo) the exoskeleton, at either maximal (Symmetry group) or self-selected (Speed group) speed. Spatio-temporal gait parameters were recorded by commercial measurement equipment as well as by the APO sensors, and metabolic efficiency was estimated via the Cost of Transport (CoT). Additionally, kinetic and kinematic data were recorded before and after treatment in the NoExo condition. Results The one-month training protocol was found to be a feasible strategy to train TFAs, as all participants smoothly completed the clinical protocol with no relevant mechanical failures of the APO. The walking performance of participants improved after the training. During the 6mWT in NoExo, participants in the Symmetry and Speed groups respectively walked 17.4% and 11.7% farther and increased walking speed by 13.7% and 17.9%, with improved temporal and spatial symmetry for the former group and decreased energetic expenditure for the latter. Gait analysis showed that ankle power, step width, and hip kinematics were modified towards healthy reference levels in both groups. In the Exo condition metabolic efficiency was reduced by 3% for the Symmetry group and more than 20% for the Speed group. Conclusions This study presents the first pilot study to apply a wearable robotic orthosis (APO) to assist TFAs in an overground gait rehabilitation program. The proposed APO-assisted training program was demonstrated as a feasible strategy to train TFAs in a rehabilitation setting. Subjects improved their walking abilities, although further studies are required to evaluate the effectiveness of the APO compared to other gait interventions. Future protocols will include a lighter version of the APO along with optimized assistive strategies.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6289b77085e77be6f35aab2e5092fcfdTest
https://doaj.org/article/482da58162854342b2e124a46863f041Test -
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المساهمون: Amsterdam Movement Sciences - Restoration and Development, Rehabilitation medicine
المصدر: Clinical Biomechanics, 70, 146-152. Elsevier Limited
Clinical Biomechanics, 70
Booth, A T C, van der Krogt, M M, Buizer, A I, Steenbrink, F & Harlaar, J 2019, ' The validity and usability of an eight marker model for avatar-based biofeedback gait training ', Clinical Biomechanics, vol. 70, pp. 146-152 . https://doi.org/10.1016/j.clinbiomech.2019.08.013Testمصطلحات موضوعية: Male, medicine.medical_specialty, Knee Joint, Computer science, medicine.medical_treatment, Biophysics, Biofeedback, Walking, Statistical parametric mapping, Virtual reality, Cerebral palsy, 03 medical and health sciences, 0302 clinical medicine, Gait (human), Physical medicine and rehabilitation, Gait training, medicine, Humans, Computer Simulation, Knee, Orthopedics and Sports Medicine, Child, Gait, Retrospective Studies, Hip, Rehabilitation, business.industry, Reproducibility of Results, Biofeedback, Psychology, Usability, 030229 sport sciences, medicine.disease, Biomechanical Phenomena, Exercise Therapy, Gait analysis, Female, Gait Analysis, business, human activities, 030217 neurology & neurosurgery
الوصف: Background: Virtual reality presents a platform for therapeutic gaming, and incorporation of immersive biofeedback on gait may enhance outcomes in rehabilitation. Time is limited in therapeutic practice, therefore any potential gait training tool requires a short set up time, while maintaining clinical relevance and accuracy. The aim of this study was to develop, validate, and establish the usability of an avatar-based application for biofeedback-enhanced gait training with minimal set up time. Methods: A simplified, eight marker model was developed using eight passive markers placed on anatomical landmarks. This allowed for visualisation of avatar-based biofeedback on pelvis kinematics, hip and knee sagittal angles in real-time. Retrospective gait analysis data from typically developing children (n = 41) and children with cerebral palsy (n = 25), were used to validate eight marker model. Gait outcomes were compared to the Human Body Model using statistical parametric mapping. Usability for use in clinical practice was tested in five clinical rehabilitation centers with the system usability score. Findings: Gait outcomes of Human Body Model and eight marker model were comparable, with small differences in gait parameters. The discrepancies between models were
وصف الملف: application/pdf
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::256fe1b64fb50f35f9752f2f8b6e41daTest
https://doi.org/10.1016/j.clinbiomech.2019.08.013Test -
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المؤلفون: Constance R. Chu, Thomas P. Andriacchi, Jessica L. Asay, Jennifer C. Erhart-Hledik, Gordhan B. Mahtani
المصدر: Journal of Orthopaedic Research. 40:129-137
مصطلحات موضوعية: Adult, medicine.medical_specialty, Knee Joint, Anterior cruciate ligament reconstruction, Anterior cruciate ligament, medicine.medical_treatment, 0206 medical engineering, Walking, 02 engineering and technology, Osteoarthritis, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Quality of life, medicine, Humans, Orthopedics and Sports Medicine, Patient Reported Outcome Measures, 030203 arthritis & rheumatology, Anterior Cruciate Ligament Reconstruction, business.industry, Anterior Cruciate Ligament Injuries, Osteoarthritis, Knee, medicine.disease, 020601 biomedical engineering, Gait, ACL injury, medicine.anatomical_structure, Gait analysis, Quality of Life, Patient-reported outcome, business
الوصف: Disruptions in knee biomechanics during walking following anterior cruciate ligament (ACL) injury have been suggested to lead to the development of premature knee osteoarthritis (OA) and to be potential markers of OA risk and targets for intervention. This study investigated if side-to-side differences in early stance peak vertical ground reaction force (vGRF) during walking 2 years after ACL reconstruction are associated with longer-term (10 years post-reconstruction) changes in patient-reported outcomes. Twenty-eight participants (mean age: 28.7 ± 6.4 years) with primary unilateral ACL reconstruction underwent gait analysis for assessment of peak vGRF and completed Knee Injury and Osteoarthritis Outcome Score (KOOS) and International Knee Documentation Committee (IKDC) surveys at 2 years post-surgery (2.2 ± 0.3 years) and completed surveys at follow-up 10 years post-surgery (10.5 ± 0.9 years). Associations between changes (10-2 years) in patient-reported outcomes and between limb-differences in vGRF were assessed with Pearson or Spearman's ρ correlation coefficients and exploratory backwards elimination multiple linear regression analyses. Differences in vGRF between symptomatic progressors and non-progressors were also assessed. The side-to-side difference in vGRF was related to the variability in longer-term changes in patient-reported outcome metrics and distinguished symptomatic progressors from non-progressors. Participants with higher vGRF in the reconstructed (ACLR) limb versus the contralateral limb had worsening of IKDC (R = -0.391, p = 0.040), KOOS pain (ρ = -0.396, p = 0.037), KOOS symptoms (ρ = -0.572, p = 0.001), and KOOS quality of life (R = -0.458, p = 0.014) scores at follow-up. Symptomatic progressors had greater vGRF in the ACLR limb as compared to the contralateral limb at baseline than non-progressors (p = 0.023). These data highlight associations between a simple-to-measure gait metric and the development of long-term clinical symptoms after an ACL injury.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4ae2499bf835c3fe57bda18b948ff410Test
https://doi.org/10.1002/jor.25025Test -
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المؤلفون: Mukul Mukherjee, Jiawen Gao, Qi Qi, Jiajia Yao, Wenli Wang, Takashi Sado, Yichao Zhao
المصدر: Journal of NeuroEngineering and Rehabilitation, Vol 18, Iss 1, Pp 1-12 (2021)
Journal of NeuroEngineering and Rehabilitationمصطلحات موضوعية: Adult, Male, 030506 rehabilitation, medicine.medical_specialty, Wearable, medicine.medical_treatment, Health Informatics, Walking, lcsh:RC321-571, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, medicine, Humans, Exoskeleton Device, Survivors, Stroke, Postural Balance, Gait, lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry, Gait Disorders, Neurologic, Balance (ability), Aged, Rehabilitation, Exotendon, business.industry, Research, Stroke Rehabilitation, Robotics, Middle Aged, medicine.disease, Exoskeleton, Clinical trial, Lower Extremity, Gait analysis, Feasibility Studies, Female, 0305 other medical science, business, human activities, 030217 neurology & neurosurgery
الوصف: Background Compared with traditional physical therapy for stroke patients, lower extremity exoskeletons can provide patients with greater endurance and more repeatable and controllable training, which can reduce the therapeutic burden of the therapist. However, most exoskeletons are expensive, heavy or require active power to be operated. Therefore, a lighter, easy to wear, easy to operate, low-cost technology for stroke rehabilitation would be a welcome opportunity for stroke survivors, caregivers and clinicians. One such device is the Kickstart Walk Assist system and the purpose of this study was to determine feasibility of using this unpowered exoskeleton device in a sample of stroke survivors. Methods Thirty stroke survivors were enrolled in the study and experienced walking with the Kickstart exoskeleton device that provided spring-loaded assistance during gait. After 5 days of wearing the exoskeleton, participants were evaluated in the two states of wearing and not wearing the exoskeleton. Outcome measures included: (a) spatio-temporal gait measures, (b) balance measures and (c) exoskeleton-use feedback questionnaire. Results In comparison to not wearing the device, when participants wore the Kickstart walking system, weight bearing asymmetry was reduced. The time spent on the 10-m walk test was also reduced, but there was no difference in the timed-up-and-go test (TUGT). Gait analysis data showed reduction in step time and double support time. Stroke survivors were positive about the Kickstart walking system’s ability to improve their balance, speed and gait. In addition, their confidence level and willingness to use the device was also positive. Conclusions These findings show the feasibility of using the Kickstart walking system for improving walking performance in stroke survivors. Our future goal is to perform a longer duration study with more comprehensive pre- and post-testing in a larger sample of stroke survivors. Trial registration Chinese Clinical Trial Registry, ChiCTR2000032665. Registered 5 May 2020—Retrospectively registered, http://www.chictr.org.cn/showproj.aspx?proj=53288Test
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c81c7281dbc855a862ab4c07fa70e6bfTest
https://doaj.org/article/bab67765de3e4ee3892920c5a7f82c70Test -
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المصدر: Sensors, Vol 21, Iss 6244, p 6244 (2021)
Sensors (Basel, Switzerland)
Sensors
Volume 21
Issue 18مصطلحات موضوعية: Gravity (chemistry), medicine.medical_specialty, medicine.medical_treatment, Walking, Kinematics, TP1-1185, gait characteristics, Biochemistry, Article, biomechanics, Analytical Chemistry, stance time, Young Adult, Gait (human), Physical medicine and rehabilitation, center of pressure, medicine, Humans, reduced-gravity exercise, Electrical and Electronic Engineering, Treadmill, Gait, Instrumentation, Mathematics, Rehabilitation, Chemical technology, Biomechanics, Atomic and Molecular Physics, and Optics, Biomechanical Phenomena, Shoes, anti-gravity treadmill, Cross-Sectional Studies, pressure-measuring insoles, Gait analysis, gait analysis, Exercise Test, Center of pressure (fluid mechanics)
الوصف: 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.وصف الملف: application/pdf
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::371f5c318c9ab607b37bb6c2a4856241Test
https://www.mdpi.com/1424-8220/21/18/6244Test -
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المؤلفون: Lucian B. Solomon, Dominic Thewlis, Stuart C. Millar, Jasvir S. Bahl, John B. Arnold, Stuart A. Callary, Mark Taylor, François Fraysse
المساهمون: Bahl, Jasvir S, Millar, Stuart C, Fraysse, François, Arnold, John B, Taylor, Mark, Callary, Stuart, Solomon, Lucian B, Thewlis, Dominic
المصدر: The Journal of bone and joint surgery. American volume. 103(13)
مصطلحات موضوعية: Adult, medicine.medical_specialty, total hip arthroplasty, Time Factors, medicine.medical_treatment, Arthroplasty, Replacement, Hip, Physical activity, Walking, Prosthesis, biomechanics, 03 medical and health sciences, 0302 clinical medicine, Accelerometry, Medicine, Humans, Orthopedics and Sports Medicine, 030212 general & internal medicine, Functional ability, Patient Reported Outcome Measures, Postoperative Period, Prospective Studies, Exercise, Gait, Pelvis, Aged, Aged, 80 and over, business.industry, Biomechanics, 030229 sport sciences, General Medicine, Middle Aged, activity patterns, Biomechanical Phenomena, medicine.anatomical_structure, Gait analysis, walking gait, Preoperative Period, Physical therapy, Surgery, Sedentary Behavior, business, Gait Analysis, Sleep, Total hip arthroplasty, Follow-Up Studies
الوصف: Despite marked improvements in self-reported pain, perceived functional ability, and gait function following primary total hip arthroplasty (THA), it remains unclear whether these improvements translate into improved physical activity and sleep behaviors. The aim of this study was to determine the change in 24-hour activity profile (waking activities and sleep) and laboratory-based gait function from preoperatively to 2 years following the THA.Fifty-one patients undergoing primary THA at a single public hospital were recruited. All THAs were performed using a posterior surgical approach with the same prosthesis type. A wrist-worn accelerometer was used to capture 24-hour activity profiles preoperatively and at 1 and 2 years postoperatively. Three-dimensional gait analysis was performed to determine changes in temporospatial and kinematic parameters of the hip and pelvis.Patients showed improvements in all temporospatial and kinematic parameters with time. Preoperatively, patients were sedentary or asleep for a mean time (and standard deviation) of 19.5 ± 2.2 hours per day. This remained unchanged up to 2 years postoperatively (19.6 ± 1.3 hours per day). Sleep efficiency remained suboptimal (85%) at all time points and was worse at 2 years (77% ± 10%) compared with preoperatively (84% ± 5%). More than one-quarter of the sample were sedentary for11 hours per day at 1 year (32%) and 2 years (41%), which was greater than the preoperative percentage (21%). Patients accumulated their activity performing light activities; however, patients performed less light activity at 2 years compared with preoperative levels. No significant differences (p = 0.935) were observed for moderate or vigorous activity across time.Together with improvements in self-reported pain and perceived physical function, patients had significantly improved gait function postoperatively. However, despite the opportunity for patients to be more physically active postoperatively, patients were more sedentary, slept worse, and performed less physical activity at 2 years compared with preoperative levels.Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d49769c1da50fcc62a02a56ca92e2fe5Test
https://pubmed.ncbi.nlm.nih.gov/34406143Test
