Correlations of <scp>J</scp>apanese Orthopaedic Association Scoring Systems with Gait Parameters in Patients with Degenerative Spinal Diseases

Zheng, Chen‐fan; Liu, Yan‐cheng; Hu, Yongcheng; Xiang, Qun; Zhang, Jidong; Zhang, Kuan

doi:10.1111/os.12280

Cited by 22 publications

(15 citation statements)

References 34 publications

(32 reference statements)

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“…In a systematic review of the literature, accelerometer and physical activity analyses using wearable devices ranked among the top five most frequently applied methods for objective outcome measurement in spine care 4 . To date, the activity levels of about 340 patients with lumbar degenerative diseases of the spine have been reported in nine research articles, which included patients with low back pain (LBP), lumbar spinal stenosis (LSS) and lumbar disc herniation (LDH) [8][9][10][11][12][13][14][15][16] .…”

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confidence: 99%

Objective activity tracking in spine surgery: a prospective feasibility study with a low-cost consumer grade wearable accelerometer

Stienen

Rezaii

et al. 2020

Sci Rep

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patient-reported outcome measures (pRoMs) are commonly used to estimate disability of patients with spinal degenerative disease. emerging technological advances present an opportunity to provide objective measurements of activity. In a prospective, observational study we utilized a lowcost consumer grade wearable accelerometer (LCA) to determine patient activity (steps per day) preoperatively (baseline) and up to one year (Y1) after cervical and lumbar spine surgery. We studied 30 patients (46.7% male; mean age 57 years; 70% Caucasian) with a baseline activity level of 5624 steps per day. The activity level decreased by 71% in the 1 st postoperative week (p < 0.001) and remained 37% lower in the 2 nd (p < 0.001) and 23% lower in the 4 th week (p = 0.015). At no time point until Y1 did patients increase their activity level, compared to baseline. Activity was greater in patients with cervical, as compared to patients with lumbar spine disease. Age, sex, ethnic group, anesthesia risk score and fusion were variables associated with activity. there was no correlation between activity and PROMs, but a strong correlation with depression. Determining activity using LCAs provides real-time and longitudinal information about patient mobility and return of function. Recovery took place over the first eight postoperative weeks, with subtle improvement afterwards.

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confidence: 99%

Objective activity tracking in spine surgery: a prospective feasibility study with a low-cost consumer grade wearable accelerometer

Stienen

Rezaii

et al. 2020

Sci Rep

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“…In contrast to the large amount of literature surrounding gait analysis in other neurological conditions [28], such as stroke [29], Parkinson's disease, and other neurological conditions [26], little is known about specific spatiotemporal gait parameters in DCM [9,28]. In a recent publication, Zheng et al [30] evaluated the correlation between the JOA score and specific gait parameters in patients with DCM and lumbar disc herniation (LDH). They found only a weak correlation between the JOA score and step duration, cycle duration, double-support time, gait speed, cadence, and stride length and no correlation with single-support time.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, our study shows a significant and moderately strong correlation between the mJOA score and both velocity and step length, as well as a relatively strong correlation between the mJOA score and the eGVI. Zheng et al [30] state that the JOA scoring system might not adequately reflect gait impairment and that gait analysis might be more reliable in detecting walking impairment. Since they found a better correlation between the JOA lumbar score and gait parameters, they suggested that the difference might be due to the use of fewer questions regarding walking in the JOA cervical score.…”

Section: Discussionmentioning

confidence: 99%

Quantitative Assessment of Gait Characteristics in Degenerative Cervical Myelopathy: A Prospective Clinical Study

Kalsi-Ryan

Rienmueller

Riehm

et al. 2020

JCM

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It is challenging to discriminate the early presentation of Degenerative Cervical Myelopathy (DCM) as well as sensitively and accurately distinguishing between mild, moderate, and severe levels of impairment. As gait dysfunction is one of the cardinal symptoms of DCM, we hypothesized that spatiotemporal gait parameters, including the enhanced gait variability index (eGVI), could be used to sensitively discriminate between different severities of DCM. A total of 153 patients recently diagnosed with DCM were recruited and stratified on the basis of DCM severity grades, as measured using the modified Japanese Orthopedic Association (mJOA) scale. Demographic information and neurological status were collected. Gait assessments were performed using an 8 m walkway. Spearman rank correlation was used to identify relationships between gait parameters and mJOA values as well as the mJOA lower extremity (LE) subscore. Kruskal–Wallis H test was performed to evaluate differences between severity groups, as defined by mJOA classification. A significant and relatively strong correlation was found between the mJOA score and eGVI, as well as between the LE subscore of the mJOA and eGVI. Significant differences in the eGVI (X2(2, N = 153) = 55.04, p < 0.0001, ε2 = 0.36) were found between all groups of DCM severity, with a significant increase in the eGVI as DCM progressed from mild to moderate. The eGVI was the most discriminative gait parameter, which facilitated objective differentiation between varying severities of DCM. Quantitative gait assessments show promise as an accurate and objective tool to diagnose and classify DCM, as well as to potentially evaluate the impact of therapeutic interventions.

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“…Plain film radiography and dynamic lateral radiography of the cervical vertebra, CT scan, and MRI examination were performed. JOA scores, 40‐point scores, visual analogue scales (VAS), neck disability index (NDI), and Nurick scores were recorded.…”

Section: Methodsmentioning

confidence: 99%

Plasma VDBP, 25(OH)D, and GSH levels predict surgical outcome in patients with cervical spondylotic myelopathy

Peng

Zhan

Liu

et al. 2019

The Kaohsiung J of Med Scie

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This study intends to investigate the predictive values of plasma Vitamin D‐binding protein (VDBP), 25‐hydroxyvitamin D [25(OH)D], and glutathione (GSH) levels in the outcome of cervical spondylotic myelopathy (CSM) surgery. Surgery outcomes of 236 CSM patients were determined. Recovery rate was calculated according to Japanese Orthopaedic Association (JOA) scores during follow‐up. CSM patients with a recovery rate >50% were assigned with good prognosis and the rest were with fair prognosis. Preoperative and postoperative neurologic function scores were compared among groups. Plasma VDBP and 25(OH)D levels, as well as GSH levels were measured by ELISA and glutathione reductase recycling assay, respectively. Pearson's correlation coefficient was performed to analyze the correlation among plasma VDBP, 25(OH)D, and GSH levels. Receiver operating characteristic (ROC) curve was applied to evaluate the predictive value of plasma VDBP, 25(OH)D, and GSH levels for surgical outcome. Logistic regression model was used to analyze risk factors for surgical outcome. Compared with those with fair prognosis, CSM patients with good prognosis group exhibited higher postoperative neurologic function scores, plasma VDBP, 25(OH)D, and GSH levels, and better improvements in spinal cord compression and motions of the cervical vertebra. Plasma VDBP, 25(OH)D, and GSH levels were favorable prognostic factors for CSM surgical outcome. The sensitivity and specificity of plasma VDBP, plasma 25(OH)D, and plasma GSH were 89.8% and 91.7%, 85.8% and 84.4%, and 79.5% and 91.7%, respectively. Our study provides evidence that higher plasma VDBP, 25(OH)D, and GSH levels may predict better surgical outcome in CSM patients.

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Correlations of Japanese Orthopaedic Association Scoring Systems with Gait Parameters in Patients with Degenerative Spinal Diseases

Cited by 22 publications

References 34 publications

Objective activity tracking in spine surgery: a prospective feasibility study with a low-cost consumer grade wearable accelerometer

Objective activity tracking in spine surgery: a prospective feasibility study with a low-cost consumer grade wearable accelerometer

Quantitative Assessment of Gait Characteristics in Degenerative Cervical Myelopathy: A Prospective Clinical Study

Plasma VDBP, 25(OH)D, and GSH levels predict surgical outcome in patients with cervical spondylotic myelopathy

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