Diara Raiane Santos, Emilly Zatta Pimenta, Thabata Pasquini Soeira, Felipe de Souza Serenza, Mariana Demétrio de Sousa Pontes, Carlos Fernando Pereira da Silva Herrero
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引用次数: 0
摘要
研究目的本研究旨在描述一种运动步态评估方案,并确定与健康患者相比,颈椎病患者步态的主要变化:共招募了 14 名确诊为 CSM 的患者,并对其进行了三维步态分析。通过红外发射相机捕捉患者的运动轨迹,该相机可识别下肢上的跟踪标记。使用参考位置,患者沿着橡胶步道行走。步态轮廓评分(GPS)和运动分析轮廓(MAP)用于分析变量。结果采用学生 t 检验,置信区间为 95%。使用 R Core Team (2016) 软件进行统计分析,以图形方式将研究结果与健康患者的数据进行比较:在比较双侧运动学数据时,未发现统计学差异。然而,图形分析显示,与健康人相比,CSM 患者的步态发生了变化。所有动作都存在差异,其中髋关节和膝关节屈伸、背屈和跖屈以及髋关节内旋和外旋的差异更为明显:我们介绍了使用 GPS 和 MAP 进行步态运动学评估的方案,并展示了 CSM 患者步态运动学与健康人的差异。证据等级 II,前瞻性研究。
QUANTITATIVE AND QUALITATIVE INVESTIGATION OF THREE-DIMENSIONAL GAIT ANALYSIS IN PATIENTS WITH CERVICAL MYELOPATHY.
Objective: This study aims to describe a kinematic gait assessment protocol and identify its main alterations in individuals with cervical spondylotic myelopathy (CSM) compared to healthy patients.
Methods: In total, 14 patients diagnosed with CSM were enrolled and submitted to a three-dimensional gait analysis. The movement of patients was captured with infrared emission cameras that identified tracking markers placed on the lower limbs. Reference positions were used, and the patients walked along a rubberized walkway. The Gait Profile Score (GPS) and Movement Analysis Profile (MAP) were used to analyze variables. Results were subjected to a Student's t-test at 95% confidence interval. The R Core Team (2016) software was used for statistical analysis, graphically comparing the study results with data from healthy patients.
Results: When comparing the kinematic data bilaterally, no statistical differences were found. However, graphical analysis showed changes in the gait of patients with CSM compared to healthy individuals. There were differences in all movements, with a more significant discrepancy in hip and knee flexion and extension, dorsiflexion and plantar flexion, and internal and external hip rotation.
Conclusion: We describe a protocol for gait kinematics assessment using GPS and MAP, and we presented the differences in gait kinematics in patients with CSM compared to healthy individuals. Level of Evidence II, Prospective study.
期刊介绍:
A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.