Deviations in gait metrics in patients with chronic ankle instability: a case control study

Abstract

BackgroundGait metric alterations have been previously reported in patients suffering from chronic ankle instability (CAI). Previous studies of gait in this population have been comprised of relatively small cohorts, and the findings of these studies are not uniform. The objective of the present study was to examine spatiotemporal gait metrics in patients with CAI and examine the relationship between self-reported disease severity and the magnitude of gait abnormalities.MethodsForty-four patients with CAI were identified and compared to 53 healthy controls. Patients were evaluated with spatiotemporal gait analysis via a computerized mat and with the Short Form (SF) - 36 health survey.ResultsPatients with CAI were found to walk with approximately 16% slower walking velocity, 9% lower cadence and approximately 7% lower step length. Furthermore, the base of support, during walking, in the CAI group was approximately 43% wider, and the single limb support phase was 3.5% shorter compared to the control group.All of the SF-36 8-subscales, as well as the SF-36 physical component summary and SF-36 mental component summary, were significantly lower in patients with CAI compared to the control group. Finally, significant correlations were found between most of the objective gait measures and the SF-36 mental component summary and SF-36 physical component summary.ConclusionsThe results outline a gait profile for patients suffering from CAI. Significant differences were found in most spatiotemporal gait metrics. An important finding was a significantly wider base of support. It may be speculated that these gait alterations may reflect a strategy to deal with imbalance and pain. These findings suggest the usefulness of gait metrics, alongside with the use of self-evaluation questionnaires, in assessing disease severity of patients with CAI.

<p>Film-Forming Sprays for Topical Drug Delivery</p>

“…The pH value is measured and adjusted to improve the stability of the active substance or make it suitable for the area of application. For skin pH ranging from 4–6, 102 the pH of diabetic wounds ranges from 6.5–8, 103 whereas faster healing time for burns occurs below pH 7.32. 104 The pH adjustment of the preparation aims to prevent irritation and changes in the physiological condition of the wound in the healing process.…”

Gait abnormalities in patients with chronic ankle instability can improve following a non-invasive biomechanical therapy: a retrospective analysis

“…A recent study35 ) showed significant differences in spatiotemporal gait data of patients with CAI compared with healthy controls. Patients with CAI had lower walking velocity, lower cadence, and shorter step length.…”

Gait Assessment of Patients with Spontaneous Osteonecrosis of the Knee: A Retrospective Case Controlled Study

“…The research methodology was similar to other research works that examined patients with different musculoskeletal conditions [21][22][23]. Ethics committee approval was obtained at Assaf Haropeh Medical Center, Zerifin, Israel.…”