Clinical Gait Evaluation of Patients with Lumbar Spine Stenosis

Sun, Jun; Liu, Yancheng; Yan, Songhua; Wang, Shasha; Lester, D. Kevin; Zeng, Jizhou; Zhang, Kuan

doi:10.1111/os.12367

Cited by 19 publications

(19 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Objective monitoring of activity and Gait Velocity using wearable accelerometer following lumbar microdiscectomy to detect recurrent disc herniation walking performance; used in conjunction with the walking test (10,11). There have been multiple case studies on the effectiveness of wearable accelerometers post spinal surgery, for instance recovery post minimally invasive fusion (9).…”

Section: Case Reportmentioning

confidence: 99%

Objective monitoring of activity and Gait Velocity using wearable accelerometer following lumbar microdiscectomy to detect recurrent disc herniation

Mobbs¹,

Katsinas²,

Choy³

et al. 2018

J Spine Surg

View full text Add to dashboard Cite

We report a case of a 39-year-old male with sciatica who underwent an L5/S1 microdiscectomy with objective physical activity measurements performed preoperatively and continually postoperatively up to 3-month using wireless accelerometer technology linked to the surgical practice; collecting distance travelled, daily step count (DSC) and Gait Velocity (GV). Preoperative, the patient was walking with a GV of 0.97 m/s and a DSC of less than 2,500. After the first month following surgery, the patient had increased mobility, with a GV of 1.58 m/s, and taking an average of over 4,500 steps per day. At day 57 postop, the patient experienced a recurrence of pain with reduction of GV, DSC and walking distance. Magnetic resonance imaging (MRI) was performed and revealed a recurrent disc herniation with further surgery on day 63, with a rapid return of function post 2 nd surgery. The use of wireless accelerometers is practical in obtaining objective physical activity measurements before and after lumbar microdiscectomy, and will assist the surgeon and rehabilitation provider to monitor outcomes, complications and assist in clinical decision making.

show abstract

Section: Case Reportmentioning

confidence: 99%

Objective monitoring of activity and Gait Velocity using wearable accelerometer following lumbar microdiscectomy to detect recurrent disc herniation

Mobbs¹,

Katsinas²,

Choy³

et al. 2018

J Spine Surg

View full text Add to dashboard Cite

show abstract

“…Sun J et al . reported the comfortable speed results for men and women were 1.20 ± 0.13 m/s and 1.09 ± 0.09 m/s for normal subjects, and 0.99 ± 0.18 m/s and 1.01 ± 0.24 m/s for LSS patients 31 . Conrad et al .…”

Section: Discussionmentioning

confidence: 91%

Impact of Sarcopenia on Clinical Outcomes of Minimally Invasive Lumbar Decompression Surgery

Toyoda

Hoshino

Ohyama

et al. 2019

Sci Rep

View full text Add to dashboard Cite

The purpose of this study was to clarify the clinical impact of sarcopenia on the outcome of minimally invasive lumbar decompression surgery. The records of 130 patients who were >65 years and underwent minimally invasive lumbar decompression surgery were retrospectively reviewed. We collected the Japanese Orthopaedic Association (JOA) score before surgery and at the final follow-up and measured appendicular muscle mass using bioimpedance analysis, hand-grip strength and gait speed. We diagnosed the patients with sarcopenia, dynapenia and normal stages using the European Working Group on Sarcopenia in Older People definition and used cutoff thresholds according to the algorithm set by the Asian Working Group for Sarcopenia. The average age of patients undergoing surgery was 76.9 years old. The JOA score improved from 12.6 points preoperatively to 24.3 points at final follow up. The prevalence of the sarcopenia, dynapenia and normal stages was 20.0, 31.6 and 43.8%. Clinical outcomes, such as JOA score, JOA score improvement ratio, visual analog scale for low back pain, leg pain and numbness, were not significantly different among each group. Multiple regression analysis showed that preoperative JOA score and low physical performance (low gait speed) were independently associated with poor clinical outcomes. The JOA score improved after minimally invasive lumbar decompression surgery even when the patients were diagnosed as being at different stages of sarcopenia. Low physical performance had the greater clinical impact on the clinical outcome of lumbar surgery than low skeletal muscle index.

show abstract

“…Gait metrics measured across the studies included gait cycle time, gait symmetry, gait velocity, cadence, step length, number of steps, postural symmetry and plantar pressure distribution [21–23]. No single gait metric was measured in any study.…”

Section: Resultsmentioning

confidence: 99%

“…Gait cycle, gait velocity, step length, and cadence were measured in two of the four studies [21, 23]. Gait cycle was defined as the time between initial contact of one foot with the ground and contact of the same foot, denoting a single stride (synonymous with stride duration).…”

Section: Resultsmentioning

confidence: 99%

“…of unique abstracts selectedNo. of unique articles selectedArticlesPubMed“gait” AND “wearable”680170–“gait” AND “spine” AND stenosis17843Sun 2018 [3, 21]Lee 2017 [22]Loske 2018 [23]Medline“gait” AND “wearable” AND spine210–“gait” AND “wearable”474150 – “gait” AND “lumbar stenosis”1010 – CINAHL“gait” AND “wearable”20900 – “gait” AND “stenosis”10210 – SPORTDiscus“gait” AND “wearable”17030–“gait” AND “stenosis”1720–Google Scholar“gait” AND “wearable” AND “lumbar spinal stenosis”7020–Other (e.g. hand search of citations)15561Nagai 2014 [13]Totals2067524…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

The role of wearable devices and objective gait analysis for the assessment and monitoring of patients with lumbar spinal stenosis: systematic review

Chakravorty

Mobbs

Anderson

et al. 2019

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background: The purpose of this systematic review was to evaluate the accuracy and reliability of wearable devices for objective gait measurement of Lumbar Spinal Stenosis (LSS) patients, with a focus on relevant gait metrics. Methods: Systematic searches were conducted of five electronic databases to identify studies that assessed gait metrics by wearable or portable technology. Data was collected according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement guidelines. Results: Four articles were identified for inclusion in this review. The objectives, methodology and quality of the studies varied. No single gait metric was investigated in all four studies, making comparison difficult. The most relevant metrics reported included gait cycle, gait velocity, step length and cadence, which were reported in two studies. Two studies explored gait symmetry. Differences between LSS patients and normal healthy subjects are demonstrable using wearable technology. Conclusions: The measurements of gait cycle, cadence, step length, gait velocity, and number of steps with wearable devices can be used in the gait measurement of LSS patients for initial assessment, and objective outcomes following interventions. However, data and analysis are limited, and further studies are necessary to comment on reliability.

show abstract

Clinical Gait Evaluation of Patients with Lumbar Spine Stenosis

Cited by 19 publications

References 35 publications

Objective monitoring of activity and Gait Velocity using wearable accelerometer following lumbar microdiscectomy to detect recurrent disc herniation

Objective monitoring of activity and Gait Velocity using wearable accelerometer following lumbar microdiscectomy to detect recurrent disc herniation

Impact of Sarcopenia on Clinical Outcomes of Minimally Invasive Lumbar Decompression Surgery

The role of wearable devices and objective gait analysis for the assessment and monitoring of patients with lumbar spinal stenosis: systematic review

Contact Info

Product

Resources

About