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The Most Significant Factor Affecting Gait and Postural Balance in Patients’ Activities of Daily Living Following Corrective Surgery for Deformity of the Adult Spine

Background and Objectives: Gait ability and spinal postural balance affect ADL in patients who underwent adult spinal deformity (ASD) surgery. However, it is still unclear how to determine what the cause is. This study was done to investigate various factors affecting gait, postural balance and acti...

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Autores principales: Sakaguchi, Tomoyoshi, Tanaka, Masato, Sake, Naveen, Latka, Kajetan, Fujiwara, Yoshihiro, Arataki, Shinya, Yamauchi, Taro, Takamatsu, Kazuhiko, Yasuda, Yosuke, Nakagawa, Masami, Takahashi, Nana, Kishimoto, Tomoya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9414781/
https://www.ncbi.nlm.nih.gov/pubmed/36013585
http://dx.doi.org/10.3390/medicina58081118
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author Sakaguchi, Tomoyoshi
Tanaka, Masato
Sake, Naveen
Latka, Kajetan
Fujiwara, Yoshihiro
Arataki, Shinya
Yamauchi, Taro
Takamatsu, Kazuhiko
Yasuda, Yosuke
Nakagawa, Masami
Takahashi, Nana
Kishimoto, Tomoya
author_facet Sakaguchi, Tomoyoshi
Tanaka, Masato
Sake, Naveen
Latka, Kajetan
Fujiwara, Yoshihiro
Arataki, Shinya
Yamauchi, Taro
Takamatsu, Kazuhiko
Yasuda, Yosuke
Nakagawa, Masami
Takahashi, Nana
Kishimoto, Tomoya
author_sort Sakaguchi, Tomoyoshi
collection PubMed
description Background and Objectives: Gait ability and spinal postural balance affect ADL in patients who underwent adult spinal deformity (ASD) surgery. However, it is still unclear how to determine what the cause is. This study was done to investigate various factors affecting gait, postural balance and activities of daily living (ADL) in patients who were operated on for ASD over a period of one year, following corrective surgery. Materials and Method: A cohort of 42 (2 men, 40 women, mean age, 71.1 years) who were operated on for ASD were included in this study. According to Oswestry Disability Index (ODI), based on their ADL, patients were segregated into satisfied and unsatisfied groups. Gait and postural balance abilities were evaluated before and after the operative procedure. Radiographs of spine and pelvis as well as the rehabilitation data (static balance, standing on single-leg; dynamic postural adaptation, timed up and go test (TUG); Gait Capability, walk velocity for a distance of 10 m) were acquired 12 months after surgery and analyzed. Spinopelvic parameters such as (lumbar lordosis (LL), pelvic tilt (PT), sagittal vertical axis (SVA), pelvic incidence (PI)) were marked and noted. The factors which affect patients’ satisfaction with their ADL were evaluated. Results: The ADL satisfied group included 18 patients (1 man, 17 women, mean age 68.6 years) and the unsatisfied group included 24 patients (1 man, 23 women, mean age 73.1 years). One year after the surgery, the two groups were tested. TUG (8.5 s vs. 12.8 s), 10 m walk velocity (1.26 m/s vs. 1.01 m/s), and single leg standing test (25 s vs. 12.8 s) were regarded as notably different. According to logistic regression analysis, only TUG was extracted as a significant factor. The cut-off value was 9.7 s, with sensitivity 75%, specificity 83%, area under the curve 0.824, and a 95% confidence interval of 0.695–0.953. Conclusions: A significant factor among all evaluations in postoperative ASD patients was TUG, for which the cut-off value for ADL satisfaction was 9.7 s.
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spelling pubmed-94147812022-08-27 The Most Significant Factor Affecting Gait and Postural Balance in Patients’ Activities of Daily Living Following Corrective Surgery for Deformity of the Adult Spine Sakaguchi, Tomoyoshi Tanaka, Masato Sake, Naveen Latka, Kajetan Fujiwara, Yoshihiro Arataki, Shinya Yamauchi, Taro Takamatsu, Kazuhiko Yasuda, Yosuke Nakagawa, Masami Takahashi, Nana Kishimoto, Tomoya Medicina (Kaunas) Article Background and Objectives: Gait ability and spinal postural balance affect ADL in patients who underwent adult spinal deformity (ASD) surgery. However, it is still unclear how to determine what the cause is. This study was done to investigate various factors affecting gait, postural balance and activities of daily living (ADL) in patients who were operated on for ASD over a period of one year, following corrective surgery. Materials and Method: A cohort of 42 (2 men, 40 women, mean age, 71.1 years) who were operated on for ASD were included in this study. According to Oswestry Disability Index (ODI), based on their ADL, patients were segregated into satisfied and unsatisfied groups. Gait and postural balance abilities were evaluated before and after the operative procedure. Radiographs of spine and pelvis as well as the rehabilitation data (static balance, standing on single-leg; dynamic postural adaptation, timed up and go test (TUG); Gait Capability, walk velocity for a distance of 10 m) were acquired 12 months after surgery and analyzed. Spinopelvic parameters such as (lumbar lordosis (LL), pelvic tilt (PT), sagittal vertical axis (SVA), pelvic incidence (PI)) were marked and noted. The factors which affect patients’ satisfaction with their ADL were evaluated. Results: The ADL satisfied group included 18 patients (1 man, 17 women, mean age 68.6 years) and the unsatisfied group included 24 patients (1 man, 23 women, mean age 73.1 years). One year after the surgery, the two groups were tested. TUG (8.5 s vs. 12.8 s), 10 m walk velocity (1.26 m/s vs. 1.01 m/s), and single leg standing test (25 s vs. 12.8 s) were regarded as notably different. According to logistic regression analysis, only TUG was extracted as a significant factor. The cut-off value was 9.7 s, with sensitivity 75%, specificity 83%, area under the curve 0.824, and a 95% confidence interval of 0.695–0.953. Conclusions: A significant factor among all evaluations in postoperative ASD patients was TUG, for which the cut-off value for ADL satisfaction was 9.7 s. MDPI 2022-08-18 /pmc/articles/PMC9414781/ /pubmed/36013585 http://dx.doi.org/10.3390/medicina58081118 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sakaguchi, Tomoyoshi
Tanaka, Masato
Sake, Naveen
Latka, Kajetan
Fujiwara, Yoshihiro
Arataki, Shinya
Yamauchi, Taro
Takamatsu, Kazuhiko
Yasuda, Yosuke
Nakagawa, Masami
Takahashi, Nana
Kishimoto, Tomoya
The Most Significant Factor Affecting Gait and Postural Balance in Patients’ Activities of Daily Living Following Corrective Surgery for Deformity of the Adult Spine
title The Most Significant Factor Affecting Gait and Postural Balance in Patients’ Activities of Daily Living Following Corrective Surgery for Deformity of the Adult Spine
title_full The Most Significant Factor Affecting Gait and Postural Balance in Patients’ Activities of Daily Living Following Corrective Surgery for Deformity of the Adult Spine
title_fullStr The Most Significant Factor Affecting Gait and Postural Balance in Patients’ Activities of Daily Living Following Corrective Surgery for Deformity of the Adult Spine
title_full_unstemmed The Most Significant Factor Affecting Gait and Postural Balance in Patients’ Activities of Daily Living Following Corrective Surgery for Deformity of the Adult Spine
title_short The Most Significant Factor Affecting Gait and Postural Balance in Patients’ Activities of Daily Living Following Corrective Surgery for Deformity of the Adult Spine
title_sort most significant factor affecting gait and postural balance in patients’ activities of daily living following corrective surgery for deformity of the adult spine
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9414781/
https://www.ncbi.nlm.nih.gov/pubmed/36013585
http://dx.doi.org/10.3390/medicina58081118
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