Gait analysis of patients with distal radius fracture by using a novel laser Timed Up-and-Go system

Fujita, Koji; Iijima, Hirotaka; Eguchi, Ryo; Kuroiwa, Tomoyuki; Sasaki, Tōru; Yokoyama, Yukihiro; Koyama, Tatsuya; Nimura, Akimoto; Kato, Ryuichi; Okawa, Atsushi; Takahashi, Masaki

doi:10.1016/j.gaitpost.2020.06.005

Cited by 11 publications

(18 citation statements)

References 26 publications

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“…In cases of center location settings, COM distance from the center of rotation and COM trajectory can be evaluated. The COM distance of patients with dementia was shorter than that of healthy controls, while that of patients with distal radius fracture was longer[74]. Patients with PD did not show a certain trend in total COM distance.…”

Section: Discussionmentioning

confidence: 99%

Identification of Disease-Specific Turning Movement Hallmarks: A Systematic Review towards Establishment of Disease Screening Algorithm

Ogawa

Takeda²,

Yoshino

et al. 2022

Preprint

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Background: Patients with nervous system and musculoskeletal diseases display gait disturbance that is a leading cause of falls. Identification of disease-specific movement hallmarks is therefore an essential first step in preventing falls. Since turning, a common daily activity, is a unique movement that requires inter-limb spatial coordination, turning may be a suitable observational target for the identification of disease-specific movement disorder. However, to date, few comprehensive systematic review regarding disease-specific alterations in turning movement is available. Research question: This systematic review with meta-analysis summarized the level of knowledge regarding movement disorders during turning in patients with nervous system and musculoskeletal diseases. Methods: A systematic review was conducted of papers throughout 2021 in accordance with PRISMA guideline. Including criteria were (1) were published in a peer-reviewed journal, (2) were written in English, (3) included adult patients who were diagnosed with musculoskeletal or nervous system diseases, (4) had a control group of age-matched healthy adults, and (5) outcomes included turning parameters. Results: Meta-analysis revealed a significantly larger step number, longer turn duration, and shorter step length in patients with Parkinson's disease (PD) than in controls during the 180 degree turn, suggesting that these biomechanical alterations may be, at least in part, movement disorders associated with PD. Notably, this review identified methodological heterogeneity for turning movement assessments, which limited the identification of disease-specific movement disorders. Significance: This work serves as a call to action for the establishment of a standard assessment protocol towards the identification of disease-specific turning movement disorders and effective disease screening.

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Section: Discussionmentioning

confidence: 99%

Identification of Disease-Specific Turning Movement Hallmarks: A Systematic Review towards Establishment of Disease Screening Algorithm

Ogawa

Takeda²,

Yoshino

et al. 2022

Preprint

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“…The protocol for the laser TUG test was based on a protocol used in a previous study 15,16 . We prepared a laptop computer connected to an LRS (UTM-30LX, Hokuyo Automatic Co Ltd, Osaka, Japan) and a pressure sensor (SEN-08713, SparkFun Electronics, CO), a standard chair without armrests with a seat height of 40 cm, a marker indicating the turning point, and two poles for calibration.…”

Section: Methodsmentioning

confidence: 99%

“…The required sample size was determined based on previous studies 15,21 . We considered a 1 seconds difference in total TUG-test time to be clinically meaningful.…”

Section: Methodsmentioning

confidence: 99%

“…To create a simple method for gait analysis, we developedavariationofthe TimedUpand Go (TUG)test, which we named the laser TUG test; in this test, we used a laser range sensor (LRS) and pressure sensor. 15,16 The original TUG test is commonly used for the assessment of lower extremity function. 17 During the TUG test, we recorded the time taken by a participant to stand up from a seated position on a chair, walk 3 m, turn around, walk back to the chair, and sit down.…”

mentioning

confidence: 99%

“…To create a simple method for gait analysis, we devel-opedavariationofthe TimedUpand Go (TUG)test, which we named the laser TUG test; in this test, we used a laser range sensor (LRS) and pressure sensor 15,16 . The original TUG test is commonly used for the assessment of lower extremity function 17 .…”

mentioning

confidence: 99%

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Analysis of Spastic Gait in Patients With Cervical Myelopathy Using the Timed Up and Go Test With a Laser Range Sensor

Koyama

Fujita

Iijima

et al. 2021

Spine

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Cross-sectional study.Objective. This study aimed to objectively evaluate spastic gait and reveal its novel characteristics via analysis of gait in patients with cervical myelopathy (CM) using the Timed Up and Go (TUG) test with a laser range sensor. Summary of Background Data. Among patients with CM, spastic gait is a common diagnostic symptom; thus, objective assessments of spastic gait would be useful for the diagnosis of CM and recognition of disease status. Although spastic gait has been objectively evaluated in previous studies, the methods employed in those studies are not suitable for clinical settings. Methods. In total, 37 and 24 participants were recruited for a control group and CM group, respectively. CM was diagnosed by spine surgeons. We developed a laser TUG test, in which the position and velocity of both the legs were captured. The parameter values for both groups were statistically compared, and odds ratios were calculated using logistic regression analyses.Results. The total TUG-test time, time to stand up, time to first step, number of steps, and trajectory error for the CM group were significantly higher than those for the control group, whereas the average velocity and average stride length for the CM group were significantly lower than those for the control group. There was a significant independent association between the total TUG-test time and CM. The optimal cutoff point of the total test time for CM risk was approximately 9 seconds. Conclusion. Through the use of the laser TUG test, we were able to identify characteristics of spastic gait, which leads to difficulty in standing and taking the first step, wobbling while walking, and an increased risk of falling. We found that the risk of CM was higher if the individual took longer than 9 seconds to complete the TUG test.

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Compensatory gait mechanics in person with multiple toe amputation: A single case report

Iijima,

Eguchi,

Aya

et al. 2023

Clinical Case Reports

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Key Clinical MessageThis case highlights the biomechanical influence of toe amputation on contralateral limb force elevation, possibly through reduced ipsilateral plantar flexor torque production. These findings provide insight into toe amputation‐related compensatory gait mechanics with greater inter‐limb asymmetry, which may increase the risk of musculoskeletal comorbidities, including osteoarthritis in contralateral limb.

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Gait analysis of patients with distal radius fracture by using a novel laser Timed Up-and-Go system

Cited by 11 publications

References 26 publications

Identification of Disease-Specific Turning Movement Hallmarks: A Systematic Review towards Establishment of Disease Screening Algorithm

Identification of Disease-Specific Turning Movement Hallmarks: A Systematic Review towards Establishment of Disease Screening Algorithm

Analysis of Spastic Gait in Patients With Cervical Myelopathy Using the Timed Up and Go Test With a Laser Range Sensor

Compensatory gait mechanics in person with multiple toe amputation: A single case report

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