Asymmetry of gait initiation in patients with unilateral knee arthritis Jean-Michel Viton, MD, Michèle Timsit, MD, Serge Mesure, PhD, Jean Massion, PhD,

Slides:

Advertisements

Similar presentations

Combined Effects of a Valgus Knee Brace and Lateral Wedge Foot Orthotic on the External Knee Adduction Moment in Patients With Varus Gonarthrosis Rebecca.

Advertisements

The Effect of Custom-Made Braces for the Ankle and Hindfoot on Ankle and Foot Kinematics and Ground Reaction Forces Harold B. Kitaoka, MD, Xavier M.

Bradford C. Bennett, PhD, Mark F

Effects of Kinesio Taping on Venous Symptoms, Bioelectrical Activity of the Gastrocnemius Muscle, Range of Ankle Motion, and Quality of Life in Postmenopausal.

Effect of a functional knee brace on knee flexion and extension strength after anterior cruciate ligament reconstruction Trevor B. Birmingham, PhD, John.

Patricia M. Kluding, PT, PhD, Marcio Santos, PT, PhD

Biofeedback Training for Partial Weight Bearing in Patients After Total Hip Arthroplasty Zoltan Pataky, MD, Diego De León Rodriguez, Alain Golay, MD,

Sheng Li, MD, Charles W. Armstrong, PhD, Daniel Cipriani, MEd, PT

Differences in Gait Characteristics Between Persons With Bilateral Transtibial Amputations, Due to Peripheral Vascular Disease and Trauma, and Able-Bodied.

Does wearing a functional knee brace affect hamstring reflex time in subjects with anterior cruciate ligament deficiency during muscle fatigue? Rita.

Trunk Muscle Activation Patterns and Spine Kinematics When Using an Oscillating Blade: Influence of Different Postures and Blade Orientations Daniel.

Effect of bench height on sit-to-stand in children without disabilities and children with cerebral palsy1 Gabriella Hennington, MPT, Jean Johnson, MPT,

Trunk control in unstable sitting posture during functional activities in healthy subjects and patients with multiple sclerosis1 Daniela Lanzetta, PT,

Oxygen Consumption During Machine-Assisted and Unassisted Walking: A Pilot Study in Hemiplegic and Healthy Humans Delphine David, BSc(PT), Jean-Philippe.

Pelvic and lower limb compensatory actions of subjects in an early stage of hip osteoarthritis Eric Watelain, PhD, Franck Dujardin, MD, PhD, Franck Babier,

Attentional demands for static postural control after stroke

Quantification of pelvic rotation as a determinant of gait

Biomechanic Modeling of Sit-to-Stand to Upright Posture for Mobility Assessment of Persons With Chronic Stroke Claudia Mazzà, PhD, Steven J. Stanhope,

Gait and postural stability in obese and nonobese prepubertal boys

D. Casey Kerrigan, MD, MS, Laura W. Lee, MD, James J

Gait pattern classification of healthy elderly men based on biomechanical data Eric Watelain, PhD, Franck Barbier, PhD, Paul Allard, PhD, PEng, André.

Lisa A. Harvey, MAppSc, Jack Crosbie, PhD

The Effect of Custom-Made Braces for the Ankle and Hindfoot on Ankle and Foot Kinematics and Ground Reaction Forces Harold B. Kitaoka, MD, Xavier M.

Stepping in Persons Poststroke: Comparison of Voluntary and Perturbation-Induced Responses Katherine M. Martinez, PT, MA, Marie-Laure Mille, PhD, Yunhui.

Combined Effects of a Valgus Knee Brace and Lateral Wedge Foot Orthotic on the External Knee Adduction Moment in Patients With Varus Gonarthrosis Rebecca.

Patricia A. Goldie, PhD, Thomas A. Matyas, PhD, Owen M. Evans, PhD

Three-Dimensional Motions of Trunk and Pelvis During Transfemoral Amputee Gait Hélène Goujon-Pillet, PhD, Emilie Sapin, MSc, Pascale Fodé, MD, MSc, François.

Relationship Between Hip Abductor Rate of Force Development and Mediolateral Stability in Older Adults Shuo-Hsiu J. Chang, PT, MS, Vicki S. Mercer, PT,

Jaqueline M. Bond, BAppSc, Meg Morris, PhD

Mirror versus stationary cross feedback in controlling the center of foot pressure displacement in quiet standing in elderly subjects Jacques Vaillant,

James H. Rimmer, PhD, Stephen S. Rubin, PhD, David Braddock, PhD

Functional Outcomes After Limb-Salvage Surgery and Endoprosthetic Reconstruction With an Expandable Prosthesis: A Report of 4 Cases Kathleen Beebe, MD,

Rong Song, PhD, Kai Yu Tong, PhD, Xiao Ling Hu, PhD

Hugh Anton, MD Archives of Physical Medicine and Rehabilitation

Effect of Ankle-Foot Orthosis Alignment and Foot-Plate Length on the Gait of Adults With Poststroke Hemiplegia Stefania Fatone, PhD, Steven A. Gard,

Mark W. Rogers, PhD, PT, Carl G

Driving Pedal Reaction Times After Right Transtibial Amputations

Hyeong-Dong Kim, PhD, Denis Brunt, EdD

Immediate Effects of a New Microprocessor-Controlled Prosthetic Knee Joint: A Comparative Biomechanical Evaluation Malte Bellmann, Dipl-Ing, Thomas Schmalz,

Bilateral anterior superior iliac spine pressure ulcers: A case report

Comparative Biomechanical Analysis of Current Microprocessor-Controlled Prosthetic Knee Joints Malte Bellmann, Dipl-Ing, Thomas Schmalz, PhD, Siegmar.

Effects of upper limb unilateral isometric efforts on postural stabilization in subjects with hemiparesis Anne Martine Bertrand, MSc, OT, Daniel Bourbonnais,

Michael Fredericson, MD, Jeremy J. White, BS, John M

Heather M. Holder-Powell, PhD, Olga M. Rutherford, PhD

Partial weight-bearing gait using conventional assistive devices

Assessment of Seated Postural Control in Children: Comparison of a Force Platform Versus a Pressure Mapping System Michèle Lacoste, BSc, OT, Marc Therrien,

Effects of Walking With a Shopping Trolley on Spinal Posture and Loading in Subjects With Neurogenic Claudication Christine M. Comer, MSc, Derrick White,

Comparison of the International Committee of the Red Cross Foot With the Solid Ankle Cushion Heel Foot During Gait: A Randomized Double-Blind Study Katia.

The effect of shoe wedges and lifts on symmetry of stance and weight bearing in hemiparetic individuals Gianna M. Rodriguez, MD, Alexander S. Aruin,

Denis Brunt, EdD, Brigid Greenberg, MHS, Sharmin Wankadia, MHS, Mark A

James A. Yaggie, PhD, RKT, Stephen J. McGregor, PhD

Heng-Ju Lee, MS, Li-Shan Chou, PhD

Energy expenditure and gait characteristics of a bilateral amputee walking with C-leg prostheses compared with stubby and conventional articulating prostheses

Reference Values for Median Nerve Conduction to the Pronator Quadratus

Biofeedback Training for Partial Weight Bearing in Patients After Total Hip Arthroplasty Zoltan Pataky, MD, Diego De León Rodriguez, Alain Golay, MD,

Influence of Posture and Muscle Length on Stretch Reflex Activity in Poststroke Patients With Spasticity Judith F. Fleuren, MD, Mark J. Nederhand, MD,

Whole Body Vibration Versus Conventional Physiotherapy to Improve Balance and Gait in Parkinson’s Disease Georg Ebersbach, MD, Daniela Edler, MD, Olaf.

Reliability and comparison of weight-bearing ability during standing tasks for individuals with chronic stroke Janice J. Eng, PhD, PT/OT, Kelly S. Chu,

Changes in Postural Control in Hemiplegic Patients After Stroke Performing a Dual Task Laurent Bensoussan, MD, Jean-Michel Viton, MD, PhD, Marco Schieppati,

Wendy L. Gilleard, PhD, Jack Crosbie, PhD, Richard Smith, PhD

Test Methods to Detect Hip and Knee Muscle Weakness and Gait Disturbance in Patients With Hip Osteoarthritis Anton Rasch, MD, Nils Dalén, MD, PhD, Hans.

Intrasession reliability of the “center of pressure minus center of mass” variable of postural control in the healthy elderly Hélène Corriveau, MSc,

Dragana Frzovic, BPhty(Hons), Meg E. Morris, PhD, Lindsay Vowels, PhD

Ania Winogrodzka, MD, Robert C

Reaching-lifting-placing task during standing after stroke: Coordination among ground forces, ankle muscle activity, and hand movement Ann Kusoffsky,

Preventing fatigue of fast striated muscles of the pelvic floor and slow striated muscles of the limb by manipulating the on-off time of electric stimulation

Compensatory advantages of toe walking

Jackie S. Hebert, MD, Adrian B. Liggins, PhD, PEng

Clare E. Milner, PhD, Mary E. O'Bryan, BSEd

Weight-Bearing Asymmetry in Relation to Measures of Impairment and Functional Mobility for People With Knee Osteoarthritis Cory L. Christiansen, PT,

Presentation transcript:

Asymmetry of gait initiation in patients with unilateral knee arthritis Jean-Michel Viton, MD, Michèle Timsit, MD, Serge Mesure, PhD, Jean Massion, PhD, Jean-Pierre Franceschi, MD, Alain Delarque, MD Archives of Physical Medicine and Rehabilitation Volume 81, Issue 2, Pages 194-200 (February 2000) DOI: 10.1016/S0003-9993(00)90140-0 Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 1 Gait initiation phases with left leg supporting, right leg moving. Postural phase: standing with both feet on the first force-plate. Monopodal phase: standing on the left leg. Double support phase: while left foot is still on the first force-plate right foot has landed on the second force-plate. Archives of Physical Medicine and Rehabilitation 2000 81, 194-200DOI: (10.1016/S0003-9993(00)90140-0) Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 2 Displacement of the center of pressure during gait initiation with the left leg supporting and the right leg moving; T1: the center of pressure begins to shift backward and toward the moving leg. T2: onset of the displacement of the right lateral malleolus marker. T3: landing of the right foot. T4: take-off of the left foot. Archives of Physical Medicine and Rehabilitation 2000 81, 194-200DOI: (10.1016/S0003-9993(00)90140-0) Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 3 Force-plate recordings in one patient: (A) Displacement of the center of pressure (CP) in the sagittal (CPy) and frontal (CPx) planes; horizontal lines and vertical arrows indicate how measurement of the peak amplitude of the initial backward and lateral CP shift was performed. (B) Horizontal ground reaction forces (Fy) in the sagittal plane during gait initiation in one patient; the areas under the Fy curve were measured during the postural phase (P1) (stripes) and the monopodal phase (P2) (squares). The integrated values are expressed in Newton-seconds. Archives of Physical Medicine and Rehabilitation 2000 81, 194-200DOI: (10.1016/S0003-9993(00)90140-0) Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 4 Diagram of a subject standing on the AMTI force-plate, about to initiate gait toward the Kistler force-plate. Sixteen light-reflecting markers are placed on anatomic landmarks. Two pairs of cameras are positioned ahead and on the side of the subject. Archives of Physical Medicine and Rehabilitation 2000 81, 194-200DOI: (10.1016/S0003-9993(00)90140-0) Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 5 Various phases of gait initiation, left leg supporting: (A) T1, center of pressure (CPx) starts its shift to the right in the frontal plane on force-plate 1 with a simultaneous backward CP shift in the sagittal plane (CPy). (B) T2, first displacement of the right lateral malleolus marker. (C) T3, as the right foot lands recordings on force-plate 2 begin. (A) T4, as take-off from force-plate 1 begins recordings on force-plate 1 stop. (B) Displacement of the left lateral malleolus marker shortly precedes T4. P1, postural phase; P2, monopodal phase; P3, double support phase. Archives of Physical Medicine and Rehabilitation 2000 81, 194-200DOI: (10.1016/S0003-9993(00)90140-0) Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 6 Comparison of the durations of the postural, monopodal, and double-support phases, and of the total movement duration in patients when the affected limb is supporting (ALS), in patients when the sound limb is supporting (SLS), and in control subjects. *p <.05. Archives of Physical Medicine and Rehabilitation 2000 81, 194-200DOI: (10.1016/S0003-9993(00)90140-0) Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 7 Comparison of the maximal velocity of the anterior iliac spine marker on the moving side and of the step lengths in patients when the affected limb is supporting (ALS, ■), in patients when the sound limb is supporting (SLS, ■), and in control subjects (□). *p <.05; **p <.01; ***p <.001. Archives of Physical Medicine and Rehabilitation 2000 81, 194-200DOI: (10.1016/S0003-9993(00)90140-0) Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions

Fig. 8 Comparison of the horizontal ground reaction forces in the sagittal plane (Fy) during the postural phase and the monopodal phase in patients when the affected limb is supporting (ALS, ■), when the sound limb is supporting (SLS, ■), and in control subjects (□) *p <.05; **p <.01; ***p <.001. Archives of Physical Medicine and Rehabilitation 2000 81, 194-200DOI: (10.1016/S0003-9993(00)90140-0) Copyright © 2000 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation Terms and Conditions