Advertisement

Is Clinical Gait Analysis Useful in Guiding Rehabilitation Therapy Decisions in Patients with Spinal Cord Damage?

  • Anna MurphyEmail author
  • Barry Rawicki
  • Stella Kravtsov
  • Peter New
Conference paper
Part of the Biosystems & Biorobotics book series (BIOSYSROB, volume 15)

Abstract

This is a retrospective open cohort case series that describes biomechanical data provided by three dimensional gait analysis (3DGA) in adults with incomplete spinal cord damage (ISCD) and outlines how the recommendations helped optimize rehabilitation therapy. 3DGA data were collected on 40 adults over 17 years of age with SCD due to traumatic or non-traumatic causes. Following clinical assessment and placement of retroflective markers, patients walked barefoot at preferred speed along a 10 m walkway as per clinical protocol. 3DGA data suggests the most common gait deviation in patients with ISCD occurs in the sagittal plane with compensations made in the transverse plane. These data guided therapy options in many of the patients in this study, at times suggesting alternate methods of treatment to those originally posed by the referrer.

Keywords

American Spinal Injury Association Rehabilitation Therapy Intrathecal Baclofen Modify Ashworth Scale Fourth Order Butterworth Filter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    P.L. Ditunno, M. Patrick, M. Stineman, J.F. Ditunno, Who wants to walk? Preferences for recovery after SCI: a longitudinal and cross-sectional study. Spinal Cord 46, 500–506 (2008)CrossRefGoogle Scholar
  2. 2.
    A.B. Jackson, C.T. Carnel, J.F. Ditunno, M. Schmidt Read, M.L. Boninger, M.A. Schmeler et al., Outcome measures for gait and ambulation in the spinal cord injury population. J. Spinal Cord Med. 31, 487–499 (2008)CrossRefGoogle Scholar
  3. 3.
    D. Levine, J. Richards, M.W. Whittle, Whittle’s gait analysis (Churchill Livingstone, London, 2012)Google Scholar
  4. 4.
    D.A. Fuller, M.A. Keenan, A. Esquenazi, J. Whyte, N.H. Mayer, R. Fidler-Sheppard, The impact of instrumented gait analysis on surgical planning: treatment of spastic equinovarus deformity of the foot and ankle. Foot Ankle Int. 23, 738–743 (2002)CrossRefGoogle Scholar
  5. 5.
    J.H. Patrick, Case for gait analysis as part of the management of incomplete spinal cord injury. Spinal Cord 41, 479–482 (2003)CrossRefGoogle Scholar
  6. 6.
    H.A. Chang, T.Y. Chuang, S.J.L. Lee, H.C. Lee, Y.H. Shih, H. Cheng, Temporal differences in relative phasing of gait initiation and first step length in patients with cervical and lumbosacral spinal cord injuries. Spinal Cord 42, 281–289 (2004)CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Anna Murphy
    • 1
    Email author
  • Barry Rawicki
    • 1
  • Stella Kravtsov
    • 1
  • Peter New
    • 2
  1. 1.Clinical Gait Analysis Service Monash HealthMelbourneAustralia
  2. 2.Rehabilitation and Aged Services, Medicine Program, Monash Health and Spinal Rehabilitation ServiceCaulfield Hospital, Alfred Health MelbourneMelbourneAustralia

Personalised recommendations