Should gait analysis be a part of clinical orthopaedic reports?

Breur, Gert J.; Kim, Jongmin

doi:10.1111/j.1748-5827.2008.00560.x

Cited by 5 publications

(7 citation statements)

References 8 publications

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“…These findings are supportive of the observation that lameness, caused by pain or discomfort (Breur and Kim 2008; Sanchez-Bustinduy et al 2010) was absent, also reflecting the maintenance of skin seal in this investigation. Studies on unilateral above-knee amputees’ show a 20% offload between the amputated and non-amputated limbs (Summers et al 1987; Gauthier-Gagnon et al 2000).…”

Section: Discussionsupporting

confidence: 91%

“…Temporospatial parameters, such as these, can be used to measure lameness in quadrupeds (Breur and Kim 2008; Sanchez-Bustinduy et al 2010). The stride length and stance phase as percentages of the gait cycle from the amputated right forelimb were compared to the contralateral left forelimb at each time point to determine if the animals had a symmetrical gait.…”

Section: Methodsmentioning

confidence: 99%

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Percutaneous osseointegrated prostheses for amputees: Limb compensation in a 12-month ovine model

Shelton¹,

Beck²,

Bloebaum³

et al. 2011

Journal of Biomechanics

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Percutaneous osseointegrated prostheses are being investigated as an alternative strategy to attach prosthetic limbs to patients. Although the use of these implants has shown to be promising in clinical trials; the ability to maintain a skin seal around an osseointegrated implant interface is a major challenge to prevent superficial and deep periprosthetic infections. The specific aim of this study was to establish a translational load-bearing ovine model to assess postoperative limb compensation and gait symmetry following a percutaneous integrated implant. We tested the following hypotheses: (1) the animals would return to pre-amputation limb loads within 12-months; (2) the animals would return to a symmetrical gait pattern (stride length and time in stance) within 12-months. The results demonstrated that one month following surgery, the sheep loaded their amputated limb to a mean value of nearly 80% of their pre-amputation loading condition; by 12-months, this mean had dropped to approximately 74%. There were no statistical differences between the symmetry of the amputated forelimb and the contralateral forelimb at any time point for the animals stride length or the time spent in the stance phase of their gait cycle. Thus, the data showed that while the animals maintained symmetric gait patterns, they did not return to full weight-bearing after 12-months. The results of this study showed that a large animal load-bearing model had a symmetric gait and was weight bearing for up to 12 months. While the current investigation utilizes an ovine model, there data show that osseointegrated implant technology with postoperative follow-up can help our human patients return to symmetric gait and maintain an active lifestyle, leading to an improvement in their quality of life following amputation.

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Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Percutaneous osseointegrated prostheses for amputees: Limb compensation in a 12-month ovine model

Shelton¹,

Beck²,

Bloebaum³

et al. 2011

Journal of Biomechanics

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“…Force plate analysis and kinematic gait evaluation provide objective data on lameness and gait in dogs (Breur and Kim ). Kinematic data collection allows accurate description of gait movements whilst force plate analysis allows measurement of forces that affect motion (McLaughlin ).…”

Section: Introductionmentioning

confidence: 99%

“…Poor agreement between subjective scoring and objective measures such as gait analysis and large variations between observers using subjective methods have been reported (Quinn and others , Waxman and others ). Therefore, it has been suggested to use gait analysis as an objective measurement of lameness in randomised controlled clinical trials where lameness is a primary outcome measure (Breur and Kim ).…”

Section: Introductionmentioning

confidence: 99%

Intra‐articular morphine, bupivacaine or no treatment for postoperative analgesia following unilateral elbow joint arthroscopy

Gurney

Rysnik

Comerford

et al. 2012

J of Small Animal Practice

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OBJECTIVES: To compare intra-articular morphine or bupivacaine against no treatment following unilateral elbow joint arthroscopy using force plate analysis and pain scoring.METHODS: Thirty-one dogs were randomly allocated to receive 0·1 mg/kg intra-articular morphine, 0·5 mg/kg bupivacaine or no treatment following elbow arthroscopy. Force plate analysis, pain scoring and kinematic evaluation were performed before anaesthesia, 4 and 24 hours after surgery. Peak vertical force index, symmetry index, rate of loading, rate of unloading, stance time and range of motion were obtained from gait analysis. Pain scoring was performed every 4 hours and interventional analgesia (0·3 mg/kg methadone) was administered if necessary.RESULTS: Of 29 dogs analysed, peak vertical force index (P<0·001), symmetry index (P=0·01) and rate of unloading (P=0·01) decreased significantly over time in each group; however, this was not affected by treatment. No significant differences were observed in stance time or rate of loading over time. Kinematic (range of motion) evaluation was not complete for all dogs. Pain scores increased significantly at both time points postoperatively in the no treatment group (P=0·007) and in morphinetreated dogs at 4 hours compared to baseline (P=0·03). For intra-articular bupivacaine significant increases in pain scores were not detected (P=0·28).CLINICAL SIGNIFICANCE: No benefit to intra-articular bupivacaine or morphine was detected using peak vertical force index from force plate analysis. Bupivacaine prevented increases in pain scores at both time points as did morphine at the 24-hour evaluation, compared to no treatment.

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“…2,3 Instrumented gait analysis is an objective method for analyzing gait and involves the use of sophisticated equipment to measure both motion (kinematic analysis) and force (kinetic analysis). Although both kinematic and kinetic analyses have been used to evaluate dogs with hip joint disorders, 4-7,a they have not, to our knowledge, been used simultaneously.…”

mentioning

confidence: 99%

Development of a model to induce transient synovitis and lameness in the hip joint of dogs

Hassan¹,

Lambrechts

Moore³

et al. 2015

ajvr

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Results indicated that injection of a sodium urate suspension into the hip joint of healthy dogs reliably induced synovitis and signs of pain and lameness in the ipsilateral pelvic limb that lasted 24 hours. This model can be used in conjunction with instrumented gait analysis to provide information on gait changes associated with hip joint disease and might be useful for evaluating the efficacy of analgesics or other interventions for the treatment of hip joint disease in dogs.

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Should gait analysis be a part of clinical orthopaedic reports?

Cited by 5 publications

References 8 publications

Percutaneous osseointegrated prostheses for amputees: Limb compensation in a 12-month ovine model

Percutaneous osseointegrated prostheses for amputees: Limb compensation in a 12-month ovine model

Intra‐articular morphine, bupivacaine or no treatment for postoperative analgesia following unilateral elbow joint arthroscopy

Development of a model to induce transient synovitis and lameness in the hip joint of dogs

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