The Spatiotemporal Gait Parameters in LDH Patient

Marmara University208 enrolled

Overview

The aim of this study was to assessment on the interaction of spatial and temporal gait parameters and gait asymmetry in patients with Lumbar Disc Herniation (LDH) before and 15 days after surgery.

The participants were divided into LDH and healthy control groups. The analysis of the spatiotemporal gait parameters was performed using the "Win-Track" gait analysis platform system for two groups. In addition, the analysis of spatiotemporal gait parameters of 60 participants who had the planned lumbar discectomy surgery, was tested before and 15 days after surgery. The pain intensity of the patients was recorded by the Visual Analog Scale (VAS) immediately before performing the analysis. After then participants completed ten passes on the "Win-Track" Gait Analysis Platform at their self-selected walking speed. The arithmetic mean of the three flawless walking data was used for analysis. The gait symmetry index was used to calculate the walking asymmetry.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

208

Conditions

Lumbar Disc Herniation Pain

Interventions

All of the spatial and Temporal Gait parametersOTHER

Eligibility

Sex: ALLMin age: 25 YearsMax age: 80 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Individuals who were diagnosed with LDH by a specialist; * Patients had a medical history and proven by MRI with more or less evidence of degenerative lumbar disc; * Aged between 25-80 years old; * Pain symptom on the lumbal area or lower extremity. Exclusion Criteria: * Patients who have previously received surgery or physical therapy treatment; * Having congenital deformity in the spine or lower extremity; * History of spinal surgery or other diseases affecting gait; * Pregnancy; * Situations that may cause gait balance problems; * Using assistive gait appliance.

Outcomes

Primary Outcomes

Visual Analog Scale (VAS)

Pain intensity was obtained using a Visual Analog Scale (VAS). VAS is usually a horizontal line, 10 cm in length, anchored by word descriptors at each end with "No Pain" (score of zero) on the left side up to "pain as bad as it could be" or the "worst imaginable pain" (Score of 100 \[100-mm scale\]) on the right side. The patient was asked to mark the line point that represented his or her current pain.

Time frame: The pain intensity of the patients was recorded immediately before performing the analysis.

Step length (cm)

Step length is the distance between the heel contact point of one foot and that of the other foot. The step length (cm) was recorded separately for both extremities.

Time frame: Changes from the step length at 2 weeks

Gait cycle length (cm)

Gait cycle length is the distance between successive foot contacts of the same limbs. The gait cycle length (cm) was recorded separately for both extremities.

Time frame: Changes from the gait cycle length at 2 weeks

Cadence (step/min)

Cadence is the number of steps per minute.

Time frame: Changes from the cadence at 2 weeks

Velocity (cm/s)

Velocity is the distance covered in a given period.

Time frame: Changes from the velocity at 2 weeks

Gait cycle duration (seconds)

Gait cycle duration is the time between successive foot contacts of the same limbs. The gait cycle duration (seconds) was recorded separately for both extremities.

Time frame: Changes from the gait cycle duration at 2 weeks

Step duration (seconds)

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.