Muscle activation pattern during gait and stair activities following total hip arthroplasty with a direct anterior approach: a comprehensive case study 

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Presentation transcript:

Muscle activation pattern during gait and stair activities following total hip arthroplasty with a direct anterior approach: a comprehensive case study  Swati Chopra, PhD, Michael Taunton, MD, Kenton Kaufman, PhD  Arthroplasty Today  Volume 4, Issue 1, Pages 27-32 (March 2018) DOI: 10.1016/j.artd.2017.06.006 Copyright © 2017 Mayo Clinic - This transfer is subject to applicable Mayo terms located on the following page: http://www.mayoclinic.org Terms and Conditions

Figure 1 Preoperative anteroposterior (AP) (a), postoperative AP (b), and cross-table lateral (c) radiographic imaging of the right hip. Implant positioning postoperatively is found to be optimal. Arthroplasty Today 2018 4, 27-32DOI: (10.1016/j.artd.2017.06.006) Copyright © 2017 Mayo Clinic - This transfer is subject to applicable Mayo terms located on the following page: http://www.mayoclinic.org Terms and Conditions

Figure 2 Moment and power outcome over 100% of the gait cycle. Gray solid and dashed lines represent means and standard deviation in controls; black solid lines represent operated side and black dotted lines represent the contralateral asymptomatic side. Arthroplasty Today 2018 4, 27-32DOI: (10.1016/j.artd.2017.06.006) Copyright © 2017 Mayo Clinic - This transfer is subject to applicable Mayo terms located on the following page: http://www.mayoclinic.org Terms and Conditions

Figure 3 Time domain EMG outcome over 100% of the gait cycle in % of maximum voluntary isometric contraction during 3 trials of (a) level walking, (b) stair ascent, and (c) stair descent. Black horizontal lines represent the period of normal muscle activation in a gait cycle; 3 vertical lines near 60% of the cycle represent toe-off for each of the 3 trials. GM, gluteus medius; G Mx, gluteus maximus; HS, hamstrings. Arthroplasty Today 2018 4, 27-32DOI: (10.1016/j.artd.2017.06.006) Copyright © 2017 Mayo Clinic - This transfer is subject to applicable Mayo terms located on the following page: http://www.mayoclinic.org Terms and Conditions

Figure 3 Time domain EMG outcome over 100% of the gait cycle in % of maximum voluntary isometric contraction during 3 trials of (a) level walking, (b) stair ascent, and (c) stair descent. Black horizontal lines represent the period of normal muscle activation in a gait cycle; 3 vertical lines near 60% of the cycle represent toe-off for each of the 3 trials. GM, gluteus medius; G Mx, gluteus maximus; HS, hamstrings. Arthroplasty Today 2018 4, 27-32DOI: (10.1016/j.artd.2017.06.006) Copyright © 2017 Mayo Clinic - This transfer is subject to applicable Mayo terms located on the following page: http://www.mayoclinic.org Terms and Conditions

Figure 3 Time domain EMG outcome over 100% of the gait cycle in % of maximum voluntary isometric contraction during 3 trials of (a) level walking, (b) stair ascent, and (c) stair descent. Black horizontal lines represent the period of normal muscle activation in a gait cycle; 3 vertical lines near 60% of the cycle represent toe-off for each of the 3 trials. GM, gluteus medius; G Mx, gluteus maximus; HS, hamstrings. Arthroplasty Today 2018 4, 27-32DOI: (10.1016/j.artd.2017.06.006) Copyright © 2017 Mayo Clinic - This transfer is subject to applicable Mayo terms located on the following page: http://www.mayoclinic.org Terms and Conditions

Appendix I Figure Preoperative and 12-month postoperative range of motion during 100% of the gait cycle for the 3 planes of motion is given for the trunk, pelvis, hip, knee, and ankle joints. The gray solid line represents average controls and the gray dotted line represents standard deviation; the black dashed line represents preoperative and black solid line represents 12 months of THA-DAA. Arthroplasty Today 2018 4, 27-32DOI: (10.1016/j.artd.2017.06.006) Copyright © 2017 Mayo Clinic - This transfer is subject to applicable Mayo terms located on the following page: http://www.mayoclinic.org Terms and Conditions