Gait Asymmetry Assessed Using Portable Gait Analysis System (Asymmetry)
Gait Asymmetry in Orthopaedic Conditions of the Lower Extremity Assessed Using Portable and Laboratory Based Systems: Cross-sectional Observational Single-centre Pilot Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
-
-
Basel Stadt
-
Basel, Basel Stadt, Switzerland, 4031
- University Hospital Basel
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age ≥ 40 years, for patients: diagnosed osteoarthritis at the ankle, knee or hip, lumbar spinal stenosis or limited range of motion at the knee
Exclusion Criteria:
- Body mass index > 35kg/m2
- Use of walking aids
- Inability to walk for 6 minutes
- Neuromuscular disorders affecting gait
- Cardiovascular disease
- Inability to follow procedures due to psychological disorders or dementia
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
healthy subjects
|
|
|
ankle osteoarthritis
patients with ankle osteoarthritis scheduled for arthroplasty
|
patients, who are scheduled for arthroplasty, will be measured before and on average 6 months after surgery
patients, who are scheduled for manual therapy, will be measured before, immediately and on average 1 week after treatment
|
|
knee osteoarthritis
patients with knee osteoarthritis scheduled for arthroplasty
|
patients, who are scheduled for arthroplasty, will be measured before and on average 6 months after surgery
patients, who are scheduled for manual therapy, will be measured before, immediately and on average 1 week after treatment
|
|
hip osteoarthritis
patients with hip osteoarthritis scheduled for arthroplasty
|
patients, who are scheduled for arthroplasty, will be measured before and on average 6 months after surgery
patients, who are scheduled for manual therapy, will be measured before, immediately and on average 1 week after treatment
|
|
lumbar spinal stenosis
patients with lumbar spinal stenosis scheduled for lumbar spinal stenosis decompression
|
patients, who are scheduled for manual therapy, will be measured before, immediately and on average 1 week after treatment
patients, who are scheduled for lumbar spinal stenosis decompression, will be measured before and on average 6 months after surgery
|
|
muscle contracture
patients with functionally limited range of motion at the knee because of muscle contracture scheduled for manual therapy
|
patients, who are scheduled for manual therapy, will be measured before, immediately and on average 1 week after treatment
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
symmetry index
Time Frame: up to 6 months
|
gait asymmetry assessed using a portable and laboratory gait analysis systems
|
up to 6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
change in symmetry index
Time Frame: up to 6 months
|
changes in gait asymmetry assessed using a portable and laboratory gait analysis systems
|
up to 6 months
|
|
maximum isokinetic joint moment [Nm]
Time Frame: up to 6 months
|
isokinetic muscle strength
|
up to 6 months
|
|
relative electromyographic (EMG) intensity
Time Frame: up to 6 months
|
electromyographic activity normalised to activity during maximum voluntary contraction
|
up to 6 months
|
|
differences between maximum flexion and extension [degrees]
Time Frame: up to 6 months
|
passive range of motion
|
up to 6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Annegret Mündermann, PhD, University Hospital, Basel, Switzerland
Publications and helpful links
General Publications
- Fisher DS, Dyrby CO, Mundermann A, Morag E, Andriacchi TP. In healthy subjects without knee osteoarthritis, the peak knee adduction moment influences the acute effect of shoe interventions designed to reduce medial compartment knee load. J Orthop Res. 2007 Apr;25(4):540-6. doi: 10.1002/jor.20157.
- Horstmann T, Listringhaus R, Haase GB, Grau S, Mundermann A. Changes in gait patterns and muscle activity following total hip arthroplasty: a six-month follow-up. Clin Biomech (Bristol, Avon). 2013 Aug;28(7):762-9. doi: 10.1016/j.clinbiomech.2013.07.001. Epub 2013 Jul 29.
- Horstmann T, Listringhaus R, Brauner T, Grau S, Mundermann A. Minimizing preoperative and postoperative limping in patients after total hip arthroplasty: relevance of hip muscle strength and endurance. Am J Phys Med Rehabil. 2013 Dec;92(12):1060-9. doi: 10.1097/PHM.0b013e3182970fc4.
- Horstmann T, Vornholt-Koch S, Brauner T, Grau S, Mundermann A. Impact of total hip arthroplasty on pain, walking ability, and cardiovascular fitness. J Orthop Res. 2012 Dec;30(12):2025-30. doi: 10.1002/jor.22163. Epub 2012 May 31.
- Mundermann A, Mundermann L, Andriacchi TP. Amplitude and phasing of trunk motion is critical for the efficacy of gait training aimed at reducing ambulatory loads at the knee. J Biomech Eng. 2012 Jan;134(1):011010. doi: 10.1115/1.4005540.
- Mundermann A, Asay JL, Mundermann L, Andriacchi TP. Implications of increased medio-lateral trunk sway for ambulatory mechanics. J Biomech. 2008;41(1):165-70. doi: 10.1016/j.jbiomech.2007.07.001. Epub 2007 Aug 3.
- Mundermann A, Dyrby CO, Andriacchi TP. Secondary gait changes in patients with medial compartment knee osteoarthritis: increased load at the ankle, knee, and hip during walking. Arthritis Rheum. 2005 Sep;52(9):2835-44. doi: 10.1002/art.21262.
- Mundermann A, Dyrby CO, Hurwitz DE, Sharma L, Andriacchi TP. Potential strategies to reduce medial compartment loading in patients with knee osteoarthritis of varying severity: reduced walking speed. Arthritis Rheum. 2004 Apr;50(4):1172-8. doi: 10.1002/art.20132. Erratum In: Arthritis Rheum. 2004 Dec;50(12):4073.
- Nuesch C, Huber C, Paul J, Henninger HB, Pagenstert G, Valderrabano V, Barg A. Mid- to Long-term Clinical Outcome and Gait Biomechanics After Realignment Surgery in Asymmetric Ankle Osteoarthritis. Foot Ankle Int. 2015 Aug;36(8):908-18. doi: 10.1177/1071100715577371. Epub 2015 Mar 20.
- Nuesch C, Valderrabano V, Huber C, Pagenstert G. Effects of supramalleolar osteotomies for ankle osteoarthritis on foot kinematics and lower leg muscle activation during walking. Clin Biomech (Bristol, Avon). 2014 Mar;29(3):257-64. doi: 10.1016/j.clinbiomech.2013.12.015. Epub 2013 Dec 31.
- Nuesch C, Barg A, Pagenstert GI, Valderrabano V. Biomechanics of asymmetric ankle osteoarthritis and its joint-preserving surgery. Foot Ankle Clin. 2013 Sep;18(3):427-36. doi: 10.1016/j.fcl.2013.06.002. Epub 2013 Jul 24.
- Nuesch C, Valderrabano V, Huber C, von Tscharner V, Pagenstert G. Gait patterns of asymmetric ankle osteoarthritis patients. Clin Biomech (Bristol, Avon). 2012 Jul;27(6):613-8. doi: 10.1016/j.clinbiomech.2011.12.016. Epub 2012 Jan 18.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2015-139
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