Preoperative and Postoperative Spatiotemporal Gait Parameters and Gait Asymmetry in Patients With Lumbar Disc Herniation: a Prospective, Cross-sectional Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 208
- 主要终点
- Visual Analog Scale (VAS)
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 25 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •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.
结局指标
主要结局
Visual Analog Scale (VAS)
时间窗: The pain intensity of the patients was recorded immediately before performing the analysis.
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.
Step length (cm)
时间窗: Changes from the step length at 2 weeks
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.
Gait cycle length (cm)
时间窗: Changes from the gait cycle length at 2 weeks
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.
Cadence (step/min)
时间窗: Changes from the cadence at 2 weeks
Cadence is the number of steps per minute.
Velocity (cm/s)
时间窗: Changes from the velocity at 2 weeks
Velocity is the distance covered in a given period.
Gait cycle duration (seconds)
时间窗: Changes from the gait cycle duration at 2 weeks
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.
Step duration (seconds)
时间窗: Changes from the step duration at 2 weeks
Step duration is the time between two consecutive heel strikes. The step duration (seconds) was recorded separately for both extremities.
Double stance duration (seconds)
时间窗: Changes from the double stance duration at 2 weeks
Double stance duration is the time over which the body is supported by both legs. The double stance duration (seconds) was recorded separately for both extremities.
Swing duration (seconds)
时间窗: Changes from the swing duration at 2 weeks
Swing duration is the time taken for the leg to swing through while the body is in single support on the other leg. The swing duration (seconds) was recorded separately for both extremities.
Gait symmetry
时间窗: Changes from the gait asymmetry at 2 weeks (preoperative and postoperative).
Gait symmetry is a coordinated and consistent activity of locomotion between left and right limb during walking.
次要结局
未报告次要终点