Evaluation of dynamic spinal alignment changes and compensation using three-dimensional gait motion analysis for dropped head syndrome

Miura, Kousei; Kadone, Hideki; Asada, Tomoyuki; Sakashita, Kotaro; Sunami, Takahiro; Koda, Masao; Funayama, Toru; Takahashi, Hiroshi; Noguchi, Hiroshi; Sato, Kosuke; Eto, Fumihiko; Gamada, Hisanori; Inomata, Kento; Suzuki, Kenji; Yamazaki, Masashi

doi:10.1016/j.spinee.2022.07.096

Cited by 1 publication

(1 citation statement)

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“…Previous studies mainly focused on epidemiology, clinical treatment, and prognosis of TLK ( Chen et al, 2001 ; Macagno and O’Brien, 2006 ; Ikenaga et al, 2007 ; Buchowski et al, 2008 ; Crossfield et al, 2021 ); however, an assessment of the TLK function is currently lacking. In addition, studies on thoracic and cervical kyphosis with gait analysis of patients’ gait parameters have indicated that stride length, stride speed, and joint angle had a strong correlation with local kyphosis ( Miura et al, 2020 ; Asada et al, 2022 ; Miura et al, 2022 ). By analyzing the gait parameters with the same method, the effect of TLK on functional disorders can be quantified.…”

Section: Introductionmentioning

confidence: 99%

Impacts of gait biomechanics of patients with thoracolumbar kyphosis secondary to Scheuermann’s disease

Cheng

Jiang

Chen

et al. 2023

Front. Bioeng. Biotechnol.

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Introduction: Thoracolumbar kyphosis (TLK) is a common feature in patients with spinal deformities. However, due to limited studies, the impacts of TLK on gait have not been reported. The objective of the study was to quantify and evaluate the impacts of gait biomechanics of patients with TLK secondary to Scheuermann’s disease.Methods: Twenty cases of Scheuermann’s disease patients with TLK and twenty cases of asymptomatic participants were recruited into this study. And the gait motion analysis was conducted.Results: The stride length was shorter in the TLK group compared to control group (1.24 ± 0.11 m vs. 1.36 ± 0.21 m, p = 0.04). Compared to control group, the stride time and step time were more prolonged in the TLK group (1.18 ± 0.11s vs. 1.11 ± 0.08 s, p = 0.03; 0.59 ± 0.06 s vs. 0.56 ± 0.04 s, p = 0.04). The gait speed of the TLK group was significantly slower than it of control group (1.05 ± 0.12 m/s vs. 1.17 ± 0.14 m/s, p = 0.01); In the sagittal plane, the range of motion (ROM) of the hip in the TLK group was significantly smaller than that of the control group (37.71 ± 4.35° vs. 40.05 ± 3.71°, p = 0.00). In the transverse plane, the adduction/abduction ROMs of the knee and ankle, as well as the internal and external rotation of the knee, were smaller in TLK group than ROMs in the control group (4.66 ± 2.21° vs. 5.61 ± 1.82°, p = 0.00; 11.48 ± 3.97° vs. 13.16 ± 5.6°, p = 0.02; 9.00 ± 5.14° vs. 12.95 ± 5.78°, p = 0.00).Discussion: The main finding of this study was that measurements of gait patterns and joint movement of the TLK group were significantly lower than those of the control group. And these impacts have the potential to exacerbate degenerative progress of joints in the lower extremities. These abnormal features of gait can also serve as a guideline for physicians to focus on TLK in these patients.

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