Influence of BMI on Gait Characteristics of Young Adults: 3D Evaluation Using Inertial Sensors

Rosso, Valeria; Agostini, Valentina; Takeda, Ryo; Tadano, Shigeru; Gastaldi, Laura

doi:10.3390/s19194221

Cited by 28 publications

(37 citation statements)

References 43 publications

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“…There are studies that analyze walking in overweight or obese subjects, but in healthy patients who have never undergone ACL reconstruction or any other damage to both lower limbs. Here, the literature agrees (24)(25)(26) to say that subjects with a BMI reflecting overweight or obesity present walking disorders both in terms of spatio-temporal benchmarks and qualitatively. Indeed, we notice adaptations of the above and underlying joints but also of the knee, slower walking, longer single and double support times, reduced joint moments.…”

Section: Comparison With Literaturesupporting

confidence: 75%

<strong>Determination of Risk Factors Associated With Walking Disorders After Anterior Cruciate Ligament Surgery With Hamstring Graft : A Controlled Multicenter Study </strong>

Gaignon¹,

Mazeas²,

Traullé³

et al. 2020

Preprint

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Today, rupture of the anterior cruciate ligament is the most common heavy injury in athletes, but it can also occur in sedentary subjects. Its treatment, always adapted to the lifestyle, age and will of the patient, often remains surgical. However, despite its frequency and universality, there are still walking disorders following the operation. These disorders sometimes persist for several months, or even several years after surgery. The present study is therefore interested in determining the risk factors linked to walking disorders following reconstruction of the anterior cruciate ligament. The objective of this study is to determine what risk factors associated with walking disorders are after reconstruction of the anterior cruciate ligament by hamstring graft. This study focused on factors that may exist at 3 and 6 months postoperatively. Two populations participated in this study, a healthy population and a population having benefited from reconstruction of the anterior cruciate ligament. The operated test group is divided into two subgroups, one with a postoperative period of 3 months and the second at 6 months. All subjects were subjected to the same protocol, their gait on the treadmill was analyzed and evaluated with an Optogait® analysis system. A univariate analysis was carried out first. Then, a multivariate analysis by adjustment method was carried out in order to eliminate the potential confounding factors. The comparison of the results between the populations in the univariate analysis shows an absence of significant results however there are trends. The statistical results of the multivariate analysis showed interactions in the two subgroups of the operated population.In fact, it turns out that at 3 months there is a tendency to worse gait disorders in subjects with a high BMI reflecting overweight, when an associated surgical procedure has taken place on the meniscus, in subjects over 35 years of age and males. On the other hand, at 6 months, the tendency to worsening is visible only in the strata represented by subjects with a BMI corresponding to overweight, as well as in subjects having benefited from a meniscal suture associated with ACL reconstruction. .The results of the present study show that there are certain factors which tend to increase the risk of these walking disorders after reconstruction of the anterior cruciate ligament by hamstring graft, these factors are different depending on the time postoperative.

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Section: Comparison With Literaturesupporting

confidence: 75%

<strong>Determination of Risk Factors Associated With Walking Disorders After Anterior Cruciate Ligament Surgery With Hamstring Graft : A Controlled Multicenter Study </strong>

Gaignon¹,

Mazeas²,

Traullé³

et al. 2020

Preprint

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show abstract

“…Indeed, since both LGS and RF are bi-articular muscles, this configuration makes it possible obtaining relevant biomechanical information using a minimum set of sEMG probes. SEMG signals can be acquired synchronously with foot-switch signals, joint kinematic signals, and a video recording (55). Figure 2 provides an example of signals acquired during a typical recording session performed using the multichannel recording system STEP32 (Medical Technology, Italy) (53).…”

Section: Introductionmentioning

confidence: 99%

Surface Electromyography Applied to Gait Analysis: How to Improve Its Impact in Clinics?

et al. 2020

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Surface electromyography (sEMG) is the main non-invasive tool used to record the electrical activity of muscles during dynamic tasks. In clinical gait analysis, a number of techniques have been developed to obtain and interpret the muscle activation patterns of patients showing altered locomotion. However, the body of knowledge described in these studies is very seldom translated into routine clinical practice. The aim of this work is to analyze critically the key factors limiting the extensive use of these powerful techniques among clinicians. A thorough understanding of these limiting factors will provide an important opportunity to overcome limitations through specific actions, and advance toward an evidence-based approach to rehabilitation based on objective findings and measurements.

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“…Maintaining the strength of the gluteal musculature can be a huge challenge for these individuals. These alterations produce anteroposterior and mediolateral instability of the upper body, with functional limitation and predisposition to injuries [12][13][14]. Gluteus medius muscle atrophy increases with advancing age, which can contribute to falls and hip fractures [15].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the gluteus medius strength between obese and eutrophic individuals: a cross-sectional study

Fenato

Araujo

Guimarães

2020

Preprint

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Background: The hip abductor muscles play an important role in stabilizing the pelvis during gait, with its main function being performed by the gluteus medius. Gluteus medius insufficiency is associated with biomechanical alterations and musculoskeletal disorders. Due to being overweight and a possible muscle mass decrease, maintaining the abductor muscular function can be a great challenge for the obese. However, it is still unclear whether the musculature of obese individuals manages to compensate for these alterations. Therefore, the aim of this study was to compare the gluteus medius strength between obese and normal weight individuals using a digital hand-held dynamometer.Methods: Twenty-five obese (BMI > 35 kg / m2) participated in the study, being matched in gender, age, and height with normal weight individuals. The gluteus medius strength was measured by a single examiner using a belt-stabilized hand-held digital dynamometer on the knee of individuals positioned in lateral decubitus. Three measurements were recorded with rest intervals, considering only the highest value measured for each limb for analysis. The difference between pairs was calculated and the data distribution pattern was assessed using the Shapiro-Wilk test (p < 0.05), and the matrices of the variables were standardized and analyzed using the principal component analysis (PCA).Results: For the strength variables (Newtons) on both sides, no statistical differences were detected between the groups (p > 0.05). However, statistical differences were detected in these variables between the groups (p < 0.05) when normalizing the measurements in relation to individuals' weights (Newtons / kilograms). The PCA indicates that both strength in absolute values and normalized by weight are reduced in obese individuals.Conclusions: These findings indicate that obese individuals have the same or lower strength (PCA) to move more mass, which may suggest a relative weakness that induces functional limitation.Trial registration: The study was approved by the UNIOESTE Human Research Ethics Committee (#1.180.202) in July 2015.

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Influence of BMI on Gait Characteristics of Young Adults: 3D Evaluation Using Inertial Sensors

Cited by 28 publications

References 43 publications

<strong>Determination of Risk Factors Associated With Walking Disorders After Anterior Cruciate Ligament Surgery With Hamstring Graft : A Controlled Multicenter Study </strong>

<strong>Determination of Risk Factors Associated With Walking Disorders After Anterior Cruciate Ligament Surgery With Hamstring Graft : A Controlled Multicenter Study </strong>

Surface Electromyography Applied to Gait Analysis: How to Improve Its Impact in Clinics?

Comparison of the gluteus medius strength between obese and eutrophic individuals: a cross-sectional study

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