Gait analysis – Available platforms for outcome assessment

Klöpfer-Krämer, Isabella; Brand, Andreas; Wackerle, Hannes; Müßig, Janina Anna; Kröger, Inga; Augat, Peter

doi:10.1016/j.injury.2019.11.011

Cited by 62 publications

(41 citation statements)

References 58 publications

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“…For instance, the measurement and quantified metrics of muscle activity during crawling can help to determine whether patients suffer from muscle fatigue and overtraining during quadrupedal training, and kinematic and locomotor metrics can be used to evaluate the effectiveness of crawling intervention on motor function improvement in the long term. As we mentioned in the introduction, objective assessment of motor function during walking can be conducted by gait analysis, which has been widely used in clinics and typically provides quantified metrics of kinematic and muscle activities (79)(80)(81)(82)(83). For those infants without walking ability, movement abnormalities are usually assessed by scores obtained on screening tests or visual analysis of their movement quality (84)(85)(86), which are relatively subjective and with poor specificity.…”

Section: Crawling Measurement As Early Identification Of Motor Function In Early Infancymentioning

confidence: 99%

Measurement and Analysis of Human Infant Crawling for Rehabilitation: A Narrative Review

Xiong

Liu

et al. 2021

Front. Neurol.

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When a child shows signs of potential motor developmental disorders, early diagnosis of central nervous system (CNS) impairment is beneficial. Known as the first CNS-controlled mobility for most of infants, mobility during crawling usually has been used in clinical assessments to identify motor development disorders. The current clinical scales of motor development during crawling stage are relatively subjective. Objective and quantitative measures of infant crawling afford the possibilities to identify those infants who might benefit from early intervention, as well as the evaluation of intervention progress. Thus, increasing researchers have explored objective measurements of infant crawling in typical and atypical developing infants. However, there is a lack of comprehensive review on infant-crawling measurement and analysis toward bridging the gap between research crawling analysis and potential clinical applications. In this narrative review, we provide a practical overview of the most relevant measurements in human infant crawling, including acquisition techniques, data processing methods, features extraction, and the potential value in objective assessment of motor function in infancy; meanwhile, the possibilities to develop crawling training as early intervention to promote the locomotor function for infants with locomotor delays are also discussed.

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Section: Crawling Measurement As Early Identification Of Motor Function In Early Infancymentioning

confidence: 99%

Measurement and Analysis of Human Infant Crawling for Rehabilitation: A Narrative Review

Xiong

Liu

et al. 2021

Front. Neurol.

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“…All spatial and temporal variables of gait can thus be obtained. Two or more force platforms embedded in a walkway make it possible to simultaneously record ground reaction forces during the stance phase of gait and measure the displacement of the center of pressure (CoP), i.e., the point of application of the resultant ground reaction forces [ 15 ], providing an estimation of joint moments (kinetics). In turn, surface EMG allows us to measure spatial and temporal activation of several muscles involved in gait as well as their intensity of activation [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Gait Alterations in Adults after Ankle Fracture: A Systematic Review

et al. 2022

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(1) Background: Ankle fracture results in pain, swelling, stiffness and strength reduction, leading to an altered biomechanical behavior of the joint during the gait cycle. Nevertheless, a common pattern of kinematic alterations has still not been defined. To this end, we analyzed the literature on instrumental gait assessment after ankle fracture, and its correlation with evaluator-based and patient-reported outcome measures. (2) Methods: We conducted a systematic search, according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, of articles published from January 2000 to June 2021 in PubMed, Embase and PEDro on instrumental gait assessment after ankle fracture. (3) Results: Several changes in gait occur after ankle fracture, including a reduction in step length, swing time, single support time, stride length, cadence, speed and an earlier foot-off time in the affected side. Additionally, trunk movement symmetry (especially vertical) is significantly reduced after ankle fracture. The instrumental assessments correlate with different clinical outcome measures. (4) Conclusions: Instrumental gait assessment can provide an objective characterization of the gait alterations after ankle fracture. Such assessment is important not only in clinical practice to assess patients’ performance but also in clinical research as a reference point to evaluate existing or new rehabilitative interventions.

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“…Gait is a complex process involving the body, and it is related to balance and postural control ability, and the integration of sensory input is very important to maintaining balance during walking [ 8 , 9 ]. However, in stroke patients, it is difficult to integrate sensory input due to the deterioration of proprioceptive sense, and it is difficult to maintain balance due to partial weight support, and the gait ability and performance independent of daily activities deteriorate [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Visual Cue Deprivation Balance Training with Head Control on Balance and Gait Function in Stroke Patients

Nam

Lee

2022

Medicina

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Background and Objectives: Visual cue deprivation is the instability of head control is increased. The purpose of this study is to investigate the effects of visual cue deprivation balance training by applying head control feedback to the balance and gait ability of stroke patients. Materials and Methods: The study was conducted on 41 patients diagnosed with hemiplegia due to stroke. Subjects were randomly assigned to any of the following groups: the experimental group, the experimental group, or the control group. The randomization method used a simple randomization method. To evaluate changes in balance function, a LOS (Limit of Stability) and a BBS (Berg Balance Scale) were performed. In addition, to evaluate changes in ST (stride time), SL (stride length), and cadence, a LEGSys were performed. Results: A two-way repeated ANOVA was conducted to analyze the differences between groups. There were significant differences between groups in all variables for the balance function. There were significant differences between groups in all variables for the balance function. There were significant differences between groups in SL and cadence for the gait function. Conclusions: Visual cue deprivation balance training applying head control feedback is effective in improving dynamic balance ability and cadence. It is necessary to constantly maintain the head orientation by feedback and to properly control the head movement.

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Gait analysis – Available platforms for outcome assessment

Cited by 62 publications

References 58 publications

Measurement and Analysis of Human Infant Crawling for Rehabilitation: A Narrative Review

Measurement and Analysis of Human Infant Crawling for Rehabilitation: A Narrative Review

Gait Alterations in Adults after Ankle Fracture: A Systematic Review

Effects of Visual Cue Deprivation Balance Training with Head Control on Balance and Gait Function in Stroke Patients

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