Ankle Osteoarthritis, Hip Osteoarthritis, Knee Osteoarthritis, Lumbar Spine Stenosis, Muscle Contracture
Conditions
Keywords
gait asymmetry, joint angles
Brief summary
To date, detailed analysis of movement patterns in orthopaedic conditions are mainly performed in research projects. Because these tests are time consuming, they are not feasible in clinical routine or in standard examinations. Novel technologies allow capturing detailed movement patters within a few minutes. The aim of this regional study is to compare aspects of movement tasks measured using a mobile gait analysis system to those measured using laboratory based systems and to determine aspects of gait patterns relevant for different orthopaedic conditions. Moreover, the researchers will investigate if these relevant aspects can be altered using surgical treatment or manual therapy.
Detailed description
This is a cross-sectional study. Pre- and post-treatment data will only be collected in patients undergoing routine orthopaedic treatment.
Interventions
patients, who are scheduled for arthroplasty, will be measured before and on average 6 months after surgery
patients, who are scheduled for manual therapy, will be measured before, immediately and on average 1 week after treatment
patients, who are scheduled for lumbar spinal stenosis decompression, will be measured before and on average 6 months after surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 40 years, for patients: diagnosed osteoarthritis at the ankle, knee or hip, lumbar spinal stenosis or limited range of motion at the knee
Exclusion criteria
* Body mass index \> 35kg/m2 * Use of walking aids * Inability to walk for 6 minutes * Neuromuscular disorders affecting gait * Cardiovascular disease * Inability to follow procedures due to psychological disorders or dementia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| symmetry index | up to 6 months | gait asymmetry assessed using a portable and laboratory gait analysis systems |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in symmetry index | up to 6 months | changes in gait asymmetry assessed using a portable and laboratory gait analysis systems |
| maximum isokinetic joint moment [Nm] | up to 6 months | isokinetic muscle strength |
| relative electromyographic (EMG) intensity | up to 6 months | electromyographic activity normalised to activity during maximum voluntary contraction |
| differences between maximum flexion and extension [degrees] | up to 6 months | passive range of motion |
Countries
Switzerland