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Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy

This study aimed to evaluate the subclinical gait abnormalities and the postoperative gait improvements in patients with degenerative cervical myelopathy using three-dimensional gait analysis. We reviewed the gait analysis of 62 patients who underwent surgical treatment for degenerative cervical mye...

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Autores principales: Lee, Dong-Ho, Yoo, Jong Yoon, Cho, Jae Hwan, Hwang, Chang Ju, Lee, Choon Sung, Kim, Chunghwan, Ha, Jung-Ki, Park, Kun-Bo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8160212/
https://www.ncbi.nlm.nih.gov/pubmed/34045643
http://dx.doi.org/10.1038/s41598-021-90884-2
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author Lee, Dong-Ho
Yoo, Jong Yoon
Cho, Jae Hwan
Hwang, Chang Ju
Lee, Choon Sung
Kim, Chunghwan
Ha, Jung-Ki
Park, Kun-Bo
author_facet Lee, Dong-Ho
Yoo, Jong Yoon
Cho, Jae Hwan
Hwang, Chang Ju
Lee, Choon Sung
Kim, Chunghwan
Ha, Jung-Ki
Park, Kun-Bo
author_sort Lee, Dong-Ho
collection PubMed
description This study aimed to evaluate the subclinical gait abnormalities and the postoperative gait improvements in patients with degenerative cervical myelopathy using three-dimensional gait analysis. We reviewed the gait analysis of 62 patients who underwent surgical treatment for degenerative cervical myelopathy. The asymptomatic gait group included 30 patients and the gait disturbance group included 32 patients who can walk on their own slowly or need assistive device on stairs. The step width (17.2 cm vs. 15.9 cm, P = 0.003), stride length (105.2 cm vs. 109.1 cm, P = 0.015), and double-limb support duration (13.4% vs. 11.7%, P = 0.027) improved only in the asymptomatic gait group. Preoperatively, the asymptomatic gait group exhibited better maximum knee flexion angle (60.5° vs. 54.8°, P = 0.001) and ankle plantarflexion angle at push-off (− 12.2° vs. − 6.5°, P = 0.001) compared to the gait disturbance group. Postoperatively, maximum knee flexion angle (62.3° vs. 58.2°, P = 0.004) and ankle plantarflexion angle at push-off (− 12.8° vs. − 8.3°, P = 0.002) were still better in the asymptomatic gait group, although both parameters improved in the gait disturbance group (P = 0.005, 0.039, respectively). Kinematic parameters could improve in patients with gait disturbance. However, temporospatial parameters improvement may be expected when the operative treatment is performed before apparent gait disturbance.
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spelling pubmed-81602122021-05-28 Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy Lee, Dong-Ho Yoo, Jong Yoon Cho, Jae Hwan Hwang, Chang Ju Lee, Choon Sung Kim, Chunghwan Ha, Jung-Ki Park, Kun-Bo Sci Rep Article This study aimed to evaluate the subclinical gait abnormalities and the postoperative gait improvements in patients with degenerative cervical myelopathy using three-dimensional gait analysis. We reviewed the gait analysis of 62 patients who underwent surgical treatment for degenerative cervical myelopathy. The asymptomatic gait group included 30 patients and the gait disturbance group included 32 patients who can walk on their own slowly or need assistive device on stairs. The step width (17.2 cm vs. 15.9 cm, P = 0.003), stride length (105.2 cm vs. 109.1 cm, P = 0.015), and double-limb support duration (13.4% vs. 11.7%, P = 0.027) improved only in the asymptomatic gait group. Preoperatively, the asymptomatic gait group exhibited better maximum knee flexion angle (60.5° vs. 54.8°, P = 0.001) and ankle plantarflexion angle at push-off (− 12.2° vs. − 6.5°, P = 0.001) compared to the gait disturbance group. Postoperatively, maximum knee flexion angle (62.3° vs. 58.2°, P = 0.004) and ankle plantarflexion angle at push-off (− 12.8° vs. − 8.3°, P = 0.002) were still better in the asymptomatic gait group, although both parameters improved in the gait disturbance group (P = 0.005, 0.039, respectively). Kinematic parameters could improve in patients with gait disturbance. However, temporospatial parameters improvement may be expected when the operative treatment is performed before apparent gait disturbance. Nature Publishing Group UK 2021-05-27 /pmc/articles/PMC8160212/ /pubmed/34045643 http://dx.doi.org/10.1038/s41598-021-90884-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Lee, Dong-Ho
Yoo, Jong Yoon
Cho, Jae Hwan
Hwang, Chang Ju
Lee, Choon Sung
Kim, Chunghwan
Ha, Jung-Ki
Park, Kun-Bo
Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy
title Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy
title_full Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy
title_fullStr Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy
title_full_unstemmed Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy
title_short Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy
title_sort subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8160212/
https://www.ncbi.nlm.nih.gov/pubmed/34045643
http://dx.doi.org/10.1038/s41598-021-90884-2
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