Three-dimensional Gait Quantitative Analysis in Postoperative Rehabilitation of Lumbar Degenerative Diseases: a Self-controlled Before-after Study

Overview

Journal Am J Transl Res

Specialty General Medicine

Date 2021 Jul 26

PMID 34306443

Citations 6

Authors

Chao Zhou

Haipeng Xia

Jun Yin

Yanping Zheng

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate the efficacy of three-dimensional (3-D) gait quantitative analysis in the surgical treatment and postoperative rehabilitation in patients with lumbar degenerative diseases.

Methods: This is a prospective study with self-controll before -after. A total of 48 patients with lumbar degenerative diseases and treated in our hospital were enrolled in the observation group, 40 healthy individuals were included in the control group. Gait analysis was carried out with 3-D motion acquisition and analysis system. The 3-D gait quantitative parameters of the two groups were compared preoperatively. These include time-distance parameters (gait speed, stride frequency, stride length, support phase), hip joint flexion angle and gait deviation index (GDI). The 3-D gait quantitative parameters in the observation group were analyzed post operation and during rehabilitation. Pearson correlation coefficient was used to evaluate the correlation between 3-D gait quantitative parameters and the patient's visual analog score (VAS), Japanese Orthopedic Association (JOA) score and Oswestry Disability Index (ODI).

Results: Compared with the healthy group, the time-distance parameters and the kinematics parameters of lower extremity joints in the observation group were significantly decreased (both P<0.001). The gait index indicated that there were significant gait abnormalities in the observation group (P<0.001). Two weeks after operation, the patient's VAS score, JOA score and ODI were significantly improved compared to the results preoperatively, as well as the 3-D gait quantitative parameters (all P<0.05). Further improvement was then observed after 12 weeks of rehabilitation training (all P<0.05), and the patient's gait was close to normal. Pearson correlation analysis showed that the improvement of the 3-D gait quantitative parameters positively correlated with VAS score, JOA score and ODI (all P<0.001).

Conclusion: The 3-D gait quantitative analysis can effectively evaluate the effect of operation and rehabilitation training.

Citing Articles

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