Unit:
Κατεύθυνση Εφαρμοσμένη Εμβιομηχανική και Βιοϋλικά στην ΟρθοπαιδικήLibrary of the School of Health Sciences
Supervisors info:
Σταμάτιος Παπαδάκης, Διευθυντής, Ορθοπαιδική Κλινική, ΚΑΤ
Σταύρος Κουρκουλής, Καθηγητής, Τμήμα Μηχανολόγων Μηχανικών, ΕΜΠ
Κωνσταντίνος Σουλτάνης, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Διαφορές στην βάδιση μεταξύ ασθενών με αυχενική μυελοπάθεια και μαρτύρων χωρίς μυελοπάθεια: μετα-ανάλυση
Translated title:
Differences in gait between patients with cervical myelopathy and controls without myelopathy: a meta-analysis
Summary:
Background: Degenerative cervical myelopathy is a progressive pathological entity that significantly affects the functionality of patients. Degenerations in the cervical spine cause changes in the spinal cord which have effects on mobility and sensation. Among other effects, a significant deterioration has been noted in the patient's gait.
Aim: The aim of the present study is to quantitatively assess differences in gait between patients with degenerative cervical myelopathy and the normal population.
Methodology: The present study was carried out in three phases. In the first phase, we included a literature review of the international literature focusing on studies investigating gait analysis in patients with cervical myelopathy. In the second phase, after extracting quantitative data from each study, we synthesized the results using meta-analysis techniques. Finally, we assessed the reliability of the available literature data and the results of our own research.
Results: Fourteen studies met the study criteria. The quality of the studies was judged as satisfactory to very good according to the NOS scale. The highest and lowest scores were 8 and 5, respectively. Patients with myelopathy walked more slowly than controls (weighted mean difference 2.0 km/h), with a slower pace (1.05 steps/min), shorter stride (3.77 cm), longer stride time (1.13 s.), shorter stance time on one leg (0.01 s), longer stance time on two legs (1.26 s), and stride distance (1.24 m).
Conclusions: The gait pattern in cervical myelopathy is mainly characterized by reduced speed and increased support on both legs. The reduction in speed is attributed to the shorter stride and shorter stride distance. Additionally, gait analysis is a reliable tool for detecting changes in patients with degenerative cervical myelopathy.
Main subject category:
Health Sciences
Keywords:
Degenerative cervical myelopathy, Gait analysis, Gait speed, Gait cadence, Trot distance
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ΜΑΡΙΑ ΜΠΙΓΓΟΥ ΔΙΠΛΩΜΑΤΙΚΗ ΕΡΓΑΣΙΑ.DOC.pdf
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