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Real-world gait and turning in individuals scheduled for total knee arthroplasty.
Boekesteijn, Ramon J; Keijsers, Noël L W; Defoort, Koen; Mancini, Martina; Bruning, Frank J; El-Gohary, Mahmoud; Geurts, Alexander C H; Smulders, Katrijn.
Afiliación
  • Boekesteijn RJ; Department of Research, Sint Maartenskliniek, Nijmegen, the Netherlands; Department of Rehabilitation, Donders Institute for Brain Cognition and Behaviour, Radboud University Medical Center, the Netherlands. Electronic address: r.boekesteijn@maartenskliniek.nl.
  • Keijsers NLW; Department of Research, Sint Maartenskliniek, Nijmegen, the Netherlands; Department of Rehabilitation, Donders Institute for Brain Cognition and Behaviour, Radboud University Medical Center, the Netherlands; Department of Sensorimotor Neuroscience, Donders Institute for Brain, Cognition and Behaviou
  • Defoort K; Department of Orthopedic Surgery, Sint Maartenskliniek, Nijmegen, the Netherlands.
  • Mancini M; Department of Neurology, School of Medicine, Oregon Health & Science University, Portland, USA.
  • Bruning FJ; Department of Research, Sint Maartenskliniek, Nijmegen, the Netherlands.
  • El-Gohary M; APDM Wearable Technologies, a Clario Company, Portland, Oregon, USA.
  • Geurts ACH; Department of Rehabilitation, Donders Institute for Brain Cognition and Behaviour, Radboud University Medical Center, the Netherlands.
  • Smulders K; Department of Research, Sint Maartenskliniek, Nijmegen, the Netherlands.
Clin Biomech (Bristol, Avon) ; 119: 106332, 2024 Oct.
Article en En | MEDLINE | ID: mdl-39241348
ABSTRACT

BACKGROUND:

Improving mobility - specifically walking - is an important treatment goal of total knee arthroplasty. Objective indicators for mobility, however, are lacking in clinical evaluations. This study aimed to compare real-world gait and turning between individuals scheduled for total knee arthroplasty and healthy controls, using continuous monitoring with inertial measurement units.

METHODS:

Real-world gait and turning data were collected for 5-7 days in individuals scheduled for total knee arthroplasty (n = 34) and healthy controls (n = 32) using inertial measurement units on the feet and lower back. Gait and turning parameters were compared between groups using a linear regression model. Data was further analyzed by stratification of gait bouts based on bout length, and turns based on turning angle and turning direction.

FINDINGS:

Dominant real-world gait speed was 0.21 m/s lower in individuals scheduled for total knee arthroplasty compared to healthy controls. Stride time was 0.05 s higher in individuals scheduled for total knee arthroplasty. Step time asymmetry was not different between the groups. Regarding walking activity, individuals scheduled for total knee arthroplasty walked 72 strides/h less than healthy controls, and maximum bout length was 316 strides shorter. Irrespective of the size of the turn, turning velocity was lower in individuals scheduled for total knee arthroplasty.

INTERPRETATION:

Individuals scheduled for total knee arthroplasty showed specific walking and turning limitations in the real-world. Parameters derived from inertial measurement units reflected a rich profile of real-world mobility measures indicative of walking limitation of individuals scheduled for total knee arthroplasty, which may provide a relevant outcome dimension for future studies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Caminata / Artroplastia de Reemplazo de Rodilla / Marcha Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Biomech (Bristol, Avon) Asunto de la revista: ENGENHARIA BIOMEDICA / FISIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Caminata / Artroplastia de Reemplazo de Rodilla / Marcha Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Biomech (Bristol, Avon) Asunto de la revista: ENGENHARIA BIOMEDICA / FISIOLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido