Assessment of passive musculoarticular ankle stiffness in children, adolescents and young adults with haemophilic ankle arthropathy

Lobet, Sébastien; Cartiaux, Olivier; Peerlinck, Kathelijne; Henrard, Séverine; Hermans, Cédric; Detrembleur, Christine; Deschamps, Kevin

doi:10.1111/hae.13467

Cited by 7 publications

(8 citation statements)

References 26 publications

(60 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our results showed excellent intra-and interoperator reliability of the EOD in healthy participants of 5 to 90 years old. Lobet et al (2018) showed comparable results in their study on the ankle, with good-to-excellent intra-and interday reliability in PMAS of the ankle in children, adolescents, and adults with hemophilia using the same assessment protocol. The reliability study showed that EOD might not be as accurate with the standard error of the mean (SEM) around 10% and MDC of 25%; this might be related to excessive forearm movement into the cast during the acquisitions at high frequencies or non-linear soft tissue behavior at high frequencies and should continue to be investigated.…”

Section: Reliabilitymentioning

confidence: 76%

Effect of Age and Body Size on the Wrist's Viscoelasticity in Healthy Participants From 3 to 90 Years Old and Reliability Assessment

Nguyen

Herman

Mahaudens

et al. 2020

Front. Sports Act. Living

View full text Add to dashboard Cite

Excessive or insufficient levels of passive musculoarticular stiffness (PMAS) can lead to joint impairment or instability. Quantifying the PMAS may provide a better understanding of neurological or musculoskeletal disorders. The aims of the present study were multiple: first, to assess the reliability of quantifying PMAS and to collect normative data on the wrist in healthy participants, and second, to assess the effect of age and body size on PMAS. For this purpose, a total of 458 participants from 3 to 90 years old were analyzed with an electromechanical oscillation device (EOD). Passive sinusoidal movements were induced in a flexion/extension pattern in the participants' wrists, enabling an objective measurement of elastic stiffness (EL) and viscous stiffness (VI). Both the dominant and non-dominant wrists were assessed. Two-way repeated-measures ANOVA revealed a sex differentiation from puberty (12-18 years old) and an increase of EL and VI from childhood to adulthood and a decrease of stiffness at old age. EL and VI values were associated with body size characteristics and age. After body size normalization, EL was no longer influenced by the variables measured. On the other hand, VI remained moderately influenced by age and body size. The current study was able to provide normative data of PMAS in the wrist of healthy participants.

show abstract

Section: Reliabilitymentioning

confidence: 76%

Effect of Age and Body Size on the Wrist's Viscoelasticity in Healthy Participants From 3 to 90 Years Old and Reliability Assessment

Nguyen

Herman

Mahaudens

et al. 2020

Front. Sports Act. Living

View full text Add to dashboard Cite

show abstract

“…In the lower limb, haemophilic arthropathy commonly affects the range of motion of the knee and ankle joints and has also an impact on muscle size, muscle force capacity and proprioception . While the interest in the musculoskeletal properties and biomechanics of movement of people with haemophilic arthropathy (PWHA) has recently increased, the effects of haemophilic arthropathy on neuromuscular control during gait have not been investigated.…”

Section: Introductionmentioning

confidence: 99%

Neuromuscular control during gait in people with haemophilic arthropathy

et al. 2019

View full text Add to dashboard Cite

Introduction Effects of haemophilic arthropathy on neuromuscular control during gait are currently unknown. Aims (a) To assess how haemophilic arthropathy affects the complexity of neuromuscular control during gait; (b) To investigate the relationship between complexity of neuromuscular control and joint impairment. Methods Thirteen control subjects (CG) walked overground at their preferred and a slow velocity and thirteen people with haemophilic arthropathy (PWHA) walking at their preferred velocity. Surface electromyography (EMG) was collected from eleven leg muscles. Electromyography variance explained by muscle synergies (sets of co‐activated muscles that can be recruited by a single signal) was calculated by the total variance accounted (tVAF). Three measures were used to evaluate complexity of neuromuscular control: (a) the number of synergies required for tVAF > 90%, (b) tVAF as a function of the number of muscle synergies, and (c) the dynamic motor control index (Walk‐DMC). Impairment of ankle and knee joints was determined by the Haemophilia Joint Health Score (HJHS). Results The same number of the muscle synergies was found for each group (P > 0.05). For both walking velocities tested, tVAF1 was higher in PHWA (P < 0.05). The Walk‐DMC of PWHA was lower than that of the CG for both walking velocities (P < 0.05). For PWHA, no significant correlation was found between HJHS (sum knee and ankle) and Walk‐DMC index (r = −0.32, P = 0.28). Conclusions These results indicate differences between PWHA and CG in the neuromuscular control of gait. The Walk‐DMC and tVAF1 may be useful measures to assess changes in neuromuscular control in response to treatment.

show abstract

“…These findings were not confirmed in a more recent study by Lobet et al (2017) who found that children and adolescents with haemophilic arthropathy are functionally less disabled than structural evaluations would suggest, contrarily to adult patients, 8 who present progressive quadriceps weakness with increasing age stages, as compared to healthy individuals 9 . More recently, Lobet et al 10 studied the effect of structural joint damage on the elastic stiffness of the ankle in CwH and highlighted that the latter was significantly increased in children and adults with unilateral affected ankle joints compared to the non‐affected side. The same research group also observed a poorer postural control in this young study population, suggesting that a complex pathophysiological and neurophysiological modulation is initiated by chronic bleedings, which may originate both from unilateral and bilateral deterioration of the musculoskeletal system 11 .…”

Section: Introductionmentioning

confidence: 85%

Paediatric patients with blood‐induced ankle joint arthritis demonstrate physiological foot joint mechanics and energetics during walking

et al. 2020

Self Cite

View full text Add to dashboard Cite

Aim: To compare foot joint kinetics and energetics in male paediatric boys with and without blood-induced ankle joint destruction to these of matched control groups. Methods: A cross-sectional study was conducted in which 3D gait analysis data were collected from thirty-five male children (6-21 years) with severe or moderate haemophilia and twenty-six typically developing boys. Structural integrity of the tarsal foot joints of all haemophilic patients was assessed using the IPSG-MRI scale. All participants walked barefoot while adopting a physiological gait pattern. Three subgroups were created based on the IPSG-MRI scores: a group with no joint involvement (HealthyHaemo), with uni-or bilaterally involvement (PathoHaemo) and with only unilaterally involvement (Haemo_Unilateral_Patho). Results: The PathoHaemo group presented a significant lower Lisfranc peak dorsiflexion angular velocity (34.7°/s vs 71.4°/s, P = .000, Cohen d = 1.31) and a significantly higher Lisfranc peak plantarflexion angular velocity (−130.5°/s vs −51.8°/s, P = .000, Cohen d = 0.98) compared to the control group. The Haemo_Unilateral_Patho side had a significant higher Chopart peak dorsiflexion angular velocity compared to the Haemo_Unilateral_Healthy side (41.7°/s vs 31.9°/s, P = .002, Cohen d = 1.16). Conclusion: No evidence for mild and severe gait deviations could be demonstrated. Internal moments, used as a surrogate measure of joint loading, quantified by the multi-segment foot model were found to be similar within the three subanalyses. We suggest that the ongoing musculoskeletal development in children compensates for structural damage to the ankle joint.

show abstract

Assessment of passive musculoarticular ankle stiffness in children, adolescents and young adults with haemophilic ankle arthropathy

Abstract: This study confirmed increased ES in the severely affected ankles of CAAwH compared to non-affected sides. No differences in the ankle viscoelastic properties of CAAwH with or without joint damage were observed, however, compared to matched TDB.

Cited by 7 publications

References 26 publications

Effect of Age and Body Size on the Wrist's Viscoelasticity in Healthy Participants From 3 to 90 Years Old and Reliability Assessment

Effect of Age and Body Size on the Wrist's Viscoelasticity in Healthy Participants From 3 to 90 Years Old and Reliability Assessment

Neuromuscular control during gait in people with haemophilic arthropathy

Paediatric patients with blood‐induced ankle joint arthritis demonstrate physiological foot joint mechanics and energetics during walking

Contact Info

Product

Resources

About