Gait Disorders In Patients After Polytrauma

Open access

Abstract

Evaluation of the gait of patients after polytrauma is important, as it indicates the ability of patients to the previous activities and work. The aim of our study was to evaluate the gait of patients with lower limb injuries in the medium-term after polytrauma. Three-dimensional instrumental gait analysis was performed in 26 polytrauma patients (16 women and 10 men; mean age 38.6 years), 14 to 41 months after the trauma. Spatio-temporal parameters, motions in pelvis and lower extremities joints in sagittal plane and vertical load ground reaction force were analysed. Gait parameters in polytrauma patients were compared with a healthy control group. Polytrauma patients in the injured side had decreased step length, cadence, hip extension, maximum knee flexion, vertical load ground reaction force, and increased stance time and pelvic anterior tilt; in the uninjured side they had decreased step length, cadence, maximum knee flexion, vertical load ground reaction force and increased stance time (p < 0.05). The use of the three-dimensional instrumental gait analysis in the evaluation of polytrauma patients with lower limb injuries consequences makes it possible to identify the gait disorders not only in the injured, but also in the uninjured side.

If the inline PDF is not rendering correctly, you can download the PDF file here.

  • Anaņjeva T. Pavāre Z. Vētra A. Lāriņš V. (2010). Gait parameters of persons with total hip artroplasty. LASE (Latvian Academy of Sport Education) J. Sport Sci. 1 42–48.

  • Archer K. R. Castillo R. C. MacKenzie E. J. Bosse M. J. (2006). Gait symmetry and walking speed analysis following lower-extremity trauma. Phys. Ther. 86 1630–1640.

  • Bleyenheuft C. Detrembleur C. (2012). Kinematic covariation in pediatric adult and elderly subjects: Is gait control influenced by age? Clin. Biomech. 27 568–572.

  • Castillo R. C. MacKenzie E. J. Bosse M. J.; LEAP Study Group. (2011). Orthopaedic trauma clinical research: Is 2-year follow up necessary? Results from a longitudinal study of severe extremity trauma. J. Trauma71 1726–1731.

  • Esquenazi A. Talatu M. (2000). Gait analysis: Technology and clinical applications. In: Grabois M. Garrison S. J. Hart K. A. Lehmkuhl L. D. (eds.). Physical Medicine and Rehabilitation: The complete approach (pp. 242–262). Cambrige Malden: Blackwell Science.

  • Jahn K. Zwergal A. Schniepp R. (2010). Gait disturbances in old age. Dtsch. Arztebl. Int. 107 306–315.

  • Kubota M. Uchida K. Kokubo Y. Shimada S. Matsuo H. Yayama T. Miyazaki T. Takeura N. Yoshida A. Baba H. (2012). Changes in gait pattern and hip muscle strength after open reduction and internal fixation of acetabular fracture. Arch. Phys. Med. Rehabil. 93 2015–2021.

  • Monaco V. Micera S. (2012). Age related neuromuscular adaption does not affect the mechanical efficiency of lower limbs walking. Gait Posture 36 350–355.

  • Pape H. C. Zelle B. A. Lohse R. Hildebrand F. Krettek C. Panzica M. Duhme V. Sittaro N.A. (2006). Evaluation and outcome of patients after polytrauma: Can patients be recruited for long term follow up? Injury37 1197–1203.

  • Perry J. (1992). Gait Analysis: Normal and Pathological Function. New York: SLACK Incorporated. 551 pp. (at pp. 89–129).

  • Perry J. Burnfield J. M. (2010). Gait Analysis: Normal and Pathological Function. 2nd ed. New York: SLACK Incorporated. 410 pp.

  • Pfeifer R. Pape H. C. (2011). Late outcome after severe fractures. In: Pape H. C Sanders R. Borrelli J. (eds.). The Poly-traumatized Patient with Fractures. A Multi-disciplinary Approach (pp. 349–355). London New York: Springer.

  • Stevenson M. Segui-Gomez M. Lescohier I. Di Scala C. McDonald-Smith G. (2001). An overview of the injury severity score and the new injury severity score. Inj. Prev. 7 10–13.

  • Tran T. Thordarson D. (2002). Functional outcome of multiple injured patients with associated foot injury. Foot Ankle Int. 23 340–343.

  • Trentz O. L. (2007). Polytrauma: Pathophysiology priorities and management principles. In: Rüedi T. P. Buckley R. E. Moran C. G. (eds.). AO Principles of Fracture Management. 2nd ed. (pp. 336–346). Switzerland: AO Publishing.

Search
Journal information
Impact Factor


CiteScore 2018: 0.3

SCImago Journal Rank (SJR) 2018: 0.137
Source Normalized Impact per Paper (SNIP) 2018: 0.192

Metrics
All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 226 71 5
PDF Downloads 104 54 2