Calf Muscle Contraction During Walking: a New Critical Preposition in Clinical Biomechanics: A Conceptual Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 400
- 试验地点
- 1
- 主要终点
- length of the calf muscle
研究概览
简要总结
Walking is the most familiar form of exercise, the calf muscle plays an important role in the stance phase of the normal gait cycle of gait. The relative contribution of the calf muscle to the total positive work of the lower extremities during walking is approximately 51% and 73% in the elderly and younger people respectively. This study will explore the different types of calf muscle activation during normal gait cycle based on the previous literature and will introduce a new proposition in the biomechanics of calf muscle contraction..Also, this study will address the role of this muscle during gait and the effects of calf muscle weakness on the lumbar spine.
详细描述
400 patients with a history of calf muscles' weakness throughout the last 3 years will be included in the study. The patients suffered from unresolved CLBP with radiculopathy contralateral to their calf muscle atrophy (i.e., an ipsilateral calf muscle weakness induces contralateral lumbar radiculopathy) that did not respond to physical therapy or any medication for long patients in an out-patient clinic in Egypt (2016 to 2022) are screened for calf muscle weakness secondry to ankle injury. Patients with lumbar disc herniation (confirmed by MRI) and radiculopathy contralateral to the calf muscle weakness are recruited to participate in this study A better understanding of the calf muscle contraction can provide a valuable insight into how the calf muscle works during walking, predict calf muscle injuries and develop specific exercise to enable the patients with calf muscle dysfunction. .................................................................................................................................
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The patients suffered from unresolved CLBP with radiculopathy contralateral to their calf muscle atrophy (i.e., an ipsilateral calf muscle weakness induces contralateral lumbar radiculopathy) that did not respond to physical therapy or any medication for long
排除标准
- •any spinal deformity or previous spinal surgeries. Spinal tumors or fracture or presence of active infection in the lumbar spine. Cauda equine lesion, the presence of any comorbidities such as hypertension, DM, hyperlipidemia, obesity, and any autoimmune disease, history of patients who suffered from cancer, unexplained weight loss, immunosuppression, prolonged use of steroids, intravenous drug use, urinary tract infection, pain that is increased or unrelieved by rest, fever, significant trauma related to age, bladder or bowel incontinence, urinary retention (with overflow incontinence), saddle anesthesia, loss of anal sphincter tone, major motor weakness in lower extremities, fever, and vertebral tenderness
结局指标
主要结局
length of the calf muscle
时间窗: three months
ultrasosnography and EMG are used to detect the length of the calf muscle
次要结局
未报告次要终点
研究者
Noha Khaled Shoukry
lecturer
Cairo University