Andrea Demeco, Alessandro de Sire, Nicola Marotta, Antonio Frizziero, Antonello Salerno, Giorgio Filograna, Marco Cavajon, Cosimo Costantino
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引用次数: 0
Abstract
BackgroundLow bone mineral density (LBMD) significantly contributes to loss of independence, gait impairment, and increased fall risk. Instrumental gait analysis provides an accurate evaluation of walking ability, that represent the first step for a personalized rehabilitation.ObjectiveTo collect and describe the available literature on the effect of LBMD on walking characteristics and the use of motion analysis systems in patients with LBMD.MethodsWe performed a literature search of the last ten years on PubMed, Web of Science and Scopus of papers on older people and patients with LBMD in terms of gait parameters, balance, and fall risk. The review protocol was registered on PROSPERO (CRD42024590090).ResultsThe database search identified totally 756 records; after duplicates deletion, 13 were considered eligible. The results reported that subjects with LBMD had kinematic alterations of the walk, alterations of posture, speed of walking and the strength generated in the gait. Patients with osteoporosis show a reduction of gait speed and trunk asymmetry; moreover, there is a a decrease in body rotation and lower hip and ankle moments in post-menopausal women.ConclusionsPatients with LBMD showed gait alterations that can higher the risk of falls. In this context, gait analysis can be useful in detecting variations in pattern, symmetry, gait speed and posture in elderly patients, that can represent an essential step for a personalized rehabilitation program.
背景:低骨密度(LBMD)显著导致独立性丧失、步态障碍和跌倒风险增加。仪器步态分析提供了行走能力的准确评估,这是个性化康复的第一步。目的收集和描述关于下肢骨髓瘤对患者行走特征的影响以及运动分析系统的使用的现有文献。方法我们在PubMed、Web of Science和Scopus上检索了近十年来有关老年人和LBMD患者的步态参数、平衡和跌倒风险的文献。该审查方案已在PROSPERO注册(CRD42024590090)。结果检索到756条记录;删除重复项后,13个被认为符合条件。结果显示,患有LBMD的受试者在行走、姿势、行走速度和步态中产生的力量方面发生了运动学改变。骨质疏松症患者表现出步态速度和躯干不对称的减少;此外,绝经后妇女的身体旋转和下髋关节和踝关节时刻减少。结论LBMD患者步态改变可增加跌倒风险。在这种情况下,步态分析可以用于检测老年患者的模式,对称性,步态速度和姿势的变化,这可以代表个性化康复计划的重要步骤。
期刊介绍:
The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty.
In each issue clinicians can find information which they can use in their patient setting the very next day.