Differences in gait and trunk movement between patients after ankle fracture and healthy subjects

作者：Chia‐Yu Hsu, Yuh‐Show Tsai, Cheng-Shiang Yau, Hung-Hai Shie, Chu-Ming Wu · 发表于：BioMedical Engineering OnLine · 年份：2019 · DOI：10.1186/s12938-019-0644-3 · 被引用次数：30 · 研究领域：Foot and Ankle Surgery、Bone fractures and treatments、Lower Extremity Biomechanics and Pathologies

BACKGROUND: Studies have shown that gait asymmetry and activity limitation can persist several months or years after ankle fracture. However, evidence of gait and trunk movement patterns following ankle fracture during the early rehabilitation period is scarce. Thus, we compared gait patterns and trunk movement during the early phase of rehabilitation between patients with ankle fracture and matched controls. METHODS: Ten patients with ankle fractures, and ten age- and sex-matched healthy controls were prospectively enrolled. An automated infrared-assisted, trunk accelerometer-based gait analysis system was used to measure walking speed, step length, and cadence. The median time of the evaluation following ankle fracture was 4.0 months. Trunk movement intensity was evaluated as acceleration root mean square. Trunk movement symmetry and regularity were analysed using the autocorrelation method. Differences in gait characteristics between the patient and control groups were analysed using the Mann-Whitney U test. Follow-up assessment of falls was performed 24 months after the fracture. The correlations between Lower Extremity Functional Scale (LEFS) scores/falls and gait parameters were evaluated using Spearman's rank correlation coefficient. RESULTS: Walking speed (p = 0.019), step length (p = 0.023), cadence (p = 0.003), and trunk movement intensity in anterior-posterior and vertical axis (p = 0.001, p = 0.003, respectively) were all significantly lower in the ankle fracture ...