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Gait Analysis in the Rehabilitation Process

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Rehabilitation After Limb Salvage Surgery
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Abstract

Gait analysis is the systematic and quantitative instrumental assessment of the biomechanical measures of locomotion, aimed at understanding the etiology of locomotor abnormalities and at assisting clinicians in their decisional process. In this brief outline we will present the technologies used to obtain the main quantitative descriptors of gait: space-temporal (step length/ width, cadence, speed…), kinematic (articular angles, range of motion, velocity…), dynamic (ground reaction forces, joint moments...), and electromyographical (timing, frequency of muscle contractions,…) parameters. The key role of data obtained from gait cycle analysis to address the clinical and rehabilitation processes will be described in some case reports.

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References

  1. Gage JR, DeLuca PA, Renshaw TS. Gait analysis: principle and applications with emphasis on its use in cerebral palsy. Instr Course Lect. 1996;45:491–507.

    CAS  PubMed  Google Scholar 

  2. Cavagna GA, Thys H, Zamboni A. The sources of external work in level walking and running. J Physiol. 1976;262:639–57.

    Article  CAS  Google Scholar 

  3. Winter DA, Patla AE, Prince F, Ishac M, Gielo-Perczak K. Stiffness control of balance in quiet standing. J Neurophysiol. 1998;80:1211–21.

    Article  CAS  Google Scholar 

  4. Bresler B, Frankel JP. The forces and moments in the leg during level walking. Trans ASME. 1950;72:27–36.

    Google Scholar 

  5. Steindler A. A historical review of the studies and investigations made in relation to human gait. J Bone Jt Surg Am. 1953;35-A:540–2.

    Article  CAS  Google Scholar 

  6. Whittle MW. Clinical gait analysis: a review. Hum Mov Sci. 1996;15:369–87.

    Article  Google Scholar 

  7. Inman VT, Ralston HJ, Todd F. Human walking. Philadelphia: Williams and Wilkins; 1981.

    Google Scholar 

  8. Whittle MW. Calibration and performance of a three-dimensional television system for kinematic analysis. J Biomech. 1982;15:185–96.

    Article  CAS  Google Scholar 

  9. Elftman H. The measurement of the external force in walking. Science. 1938;88:152–3.

    Article  CAS  Google Scholar 

  10. Amar J. The human motor. New York: Dutton; 1920.

    Google Scholar 

  11. Perry J, Burnfield JM. Gait analysis: normal and pathological function. Thorofare, NJ: SLACK Incorporated; 2010.

    Google Scholar 

  12. Rose GK. Clinical gait assessment: a personal view. J Med Eng Technol. 1983;7:273–9.

    Article  CAS  Google Scholar 

  13. Pinzone O, Schwartz MH, Thomason P, Baker R. The comparison of normative reference data from different gait analysis services. Gait Posture. 2014;40:286–90.

    Article  Google Scholar 

  14. Hollman JH, McDade EM, Petersen RC. Normative spatiotemporal gait parameters in older adults. Gait Posture. 2011;34:111–8.

    Article  Google Scholar 

  15. Lovecchio N, Zago M, Sciumè L, Lopresti M, Sforza C. Squat exercise to estimate knee megaprosthesis rehabilitation: a pilot study. J Phys Ther Sci. 2015;27:2409–12.

    Article  Google Scholar 

  16. Lovecchio N, et al. Lower limbs kinematic assessment of the effect of a gym and hydrotherapy rehabilitation protocol after knee megaprosthesis: a case report. J Phys Ther Sci. 2016;28:1064–70.

    Article  Google Scholar 

  17. Baj A, et al. Stair ascent and descent in assessing donor-site morbidity following osteocutaneous-free fibula transfer: a preliminary study. J Oral Maxillofac Surg. 2015;73:184–93.

    Article  Google Scholar 

  18. Di Giuli R, et al. Donor-site morbidity after osteocutaneous-free fibula transfer: longitudinal analysis of gait performance. J Oral Maxillofac Surg. 2019;77:648–57.

    Article  Google Scholar 

  19. Baker R. Gait analysis methods in rehabilitation. J Neuroeng Rehabil. 2006;3:4.

    Article  Google Scholar 

  20. Temporiti F, et al. Gait analysis in patients after bilateral versus unilateral total hip arthroplasty. Gait Posture. 2019;72:46–50.

    Article  Google Scholar 

  21. Cimolin V, et al. Gait patterns in Prader-Willi and Down syndrome patients. J Neuroeng Rehabil. 2010;7:28.

    Article  Google Scholar 

  22. Zhou J, Butler EE, Rose J. Neurologic correlates of gait abnormalities in cerebral palsy: implications for treatment. Front Hum Neurosci. 2017;11:103.

    Article  Google Scholar 

  23. Ciprandi D, Zago M, Bertozzi F, Sforza C, Galvani C. Influence of energy cost and physical fitness on the preferred walking speed and gait variability in elderly women. J Electromyogr Kinesiol. 2018;43:1–6.

    Article  Google Scholar 

  24. Callisaya ML, Blizzard L, Schmidt MD, McGinley JL, Srikanth VK. Ageing and gait variability—a population-based study of older people. Age Ageing. 2010;39:191–7.

    Article  Google Scholar 

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Correspondence to C. Sforza .

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Lovecchio, N., Zago, M., Sforza, C. (2021). Gait Analysis in the Rehabilitation Process. In: Lopresti, M., Panella, L. (eds) Rehabilitation After Limb Salvage Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-66352-0_13

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  • DOI: https://doi.org/10.1007/978-3-030-66352-0_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-66351-3

  • Online ISBN: 978-3-030-66352-0

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