Angle-Angle Diagrams in the Assessment of Locomotion in Persons with Multiple Sclerosis: A Preliminary Study

Giminiani, Riccardo Di; Lorenzo, Davide Di; Greca, Stefano La; Russo, Luca; Masedu, Francesco; Totaro, Rocco; Padua, Elvira

doi:10.3390/app12147223

Cited by 5 publications

(6 citation statements)

References 18 publications

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“…To better study both the Si-St and St-Si movements in stroke patients with spastic hemiplegia, we divided the entire “Si-St-Si” movement into distinct Si-St and St-Si phase. As a result, the angle-angle diagram for each phase does not resemble the circular angle-angle diagram typically observed for a complete gait cycle [ 30 , 36 ], as depicted in Fig. 2 B.…”

Section: Methodsmentioning

confidence: 96%

Analysis of inter-joint coordination during the sit-to-stand and stand-to-sit tasks in stroke patients with hemiplegia

Hou

et al. 2023

BMC Sports Sci Med Rehabil

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Background Inter-joint coordination is an important factor affecting postural stability, and its variability increases after fatigue. This study aimed to investigate the coordination pattern of lower limb joints during the sit-to-stand (Si-St) and stand-to-sit (St-Si) tasks in stroke patients and explore the influence of duration on inter-joint coordination. Methods Thirteen stroke hemiplegia patients (five with left paretic and eight right paretic) and thirteen age-matched healthy subjects were recruited. The Si-St and St-Si tasks were performed while each subject’s joint kinematics were recorded using a three-dimensional motion capture system. Sagittal joint angles of the bilateral hip, knee and ankle joints as well as the movement duration were extracted. The angle-angle diagrams for the hip-knee, hip-ankle and knee-ankle joint were plotted to assess the inter-joint coordination. The inter-joint coordination was quantified using geometric characteristics of the angle-angle diagrams, including perimeter, area and dimensionless ratio. The coefficient of variation (CV) was performed to compare variability of the coordination parameters. Results There were no significant differences in the perimeter, area and dimensionless ratio values of the bilateral hip-knee, hip-ankle and knee-ankle inter-joints during Si-St and St-Si tasks in the stroke group. The perimeter values of bilateral hip-knee and knee-ankle inter-joints in the stroke group were lower (P<0.05) than in the healthy group during Si-St and St-Si tasks. Although no significant bilateral differences were found, the inter-joint coordination in stroke patients decreased with the increased movement duration of both Si-St and St-Si tasks. Additionally, the CV of the hip-knee inter-joint area during the Si-St task in the stroke group was less than (P<0.05) that in the healthy group. Conclusion Stroke patients exhibit different inter-joint coordination patterns than healthy controls during the Si-St and St-Si tasks. The duration affects joint coordination, and inter-joint coordination is limited on the hemiplegic side joint pairs, which may lead to inconsistency in the rhythm of the left and right leg inter-joint movements and increase the risk of falls. These findings provide new insights into motor control rehabilitation strategies and may help planning targeted interventions for stoke patients with hemiplegia.

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Section: Methodsmentioning

confidence: 96%

Analysis of inter-joint coordination during the sit-to-stand and stand-to-sit tasks in stroke patients with hemiplegia

Hou

et al. 2023

BMC Sports Sci Med Rehabil

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Section: Methodsmentioning

confidence: 99%

“…Kinematic analysis was conducted using a model of 18 body reflective markers (Figure 3), positioned on the most used body landmarks according to other studies about NW or motion analysis [2,23,25,26,[42][43][44][45][46][47]. The last two minutes of each trial were taken into account for the kinematic analysis, aiming to reduce the stride variability [48].…”

Section: Kinematic Datamentioning

confidence: 99%

The Impact of Nordic Walking Pole Length on Gait Kinematic Parameters

Russo

Belli

Blasio

et al. 2023

JFMK

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Nordic walking (NW) is a popular physical activity used to manage chronic diseases and maintain overall health and fitness status. This study aimed to compare NW to ordinary walking (W) with regard to pole length and to identify kinematic differences associated with different poles’ length (55%, 65% and 75% of the subject’s height, respectively). Twelve male volunteers (21.1 ± 0.7 years; 1.74 ± 0.05 m; 68.9 ± 6.1 kg) were tested in four conditions (W, NW55, NW65 and NW75) at three different speeds (4-5-6 km∗h−1). Each subject performed a total of twelve tests in a random order. Three-dimensional kinematics of upper and lower body were measured for both W and NW, while oxygen consumption levels (VO2) and rating of perceived exertion (RPE) were measured only for NW trials with different poles’ length. NW showed a higher step length, lower elbow motion and higher trunk motion (p < 0.05) compared to W. Additionally, NW65 did not show any kinematic or RPE differences compared to NW55 and NW75. Only NW75 showed a higher elbow joint (p < 0.05) and lower pole (p < 0.05) range of motion compared to NW55 and a higher VO2 (p < 0.05) compared to NW55 and NW65 at 6 km∗h−1. In conclusion, the use of the poles affects the motion of the upper and lower body during gait. Poles with shorter or longer length do not produce particular changes in NW kinematics. However, increasing the length of the pole can be a smart variation in NW to increase exercise metabolic demand without significantly affecting the kinematics and the RPE.

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“…Within the realm of instrument-based evaluation, various solutions exist, including video analysis and 3D motion capture systems. However, these methods are more suited to analyzing posture and complex movements in specific contexts [16][17][18]. As a result, the most utilized and practical approach involves the use of inertial sensors [3,[19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Elastic Taping Application on the Neck: Immediate and Short-Term Impacts on Pain and Mobility of Cervical Spine

Russo,

Panessa,

Bartolucci

et al. 2023

JFMK

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The aim of this study was to measure the effects on three-planar active cervical range of motion (ACROM) and self-perceived pain of elastic taping (ET) application in the cervical area. Thirty participants (n: 22-M and 8-F, age 35.4 ± 4.4 years; body height 173.1 ± 8.4 cm; body mass 73.5 ± 12.8 kg) in the study group (SG) and twenty participants (n: 11-M and 9-F, age 32.6 ± 3.9 years; body height 174.9 ± 10.9 cm; body mass 71.2 ± 12.9 kg) in the control group (CG) were recruited. All subjects had neck and cervical pain in baseline condition. Each group performed an ACROM test and measured the perceived pain in the neck based on the Numerical Rating Scale (NRS 0--10, a.u.) at the baseline (T0), after 20′ from the ET application (T1), and after three days of wearing the ET application (T2). Between T0 and T1, an ET was applied to the cervical area of the SG participants. Statistical analysis did not show any significant change in CG in any measurement session for ACROM and neck pain parameters. Conversely, the SG showed significant improvements for ACROM rotation to the left (T0 64.8 ± 7.7°–T2 76.0 ± 11.1° p < 0.000) and right (T0 66.0 ± 11.9°–T2 74.2 ± 9.6° p < 0.000), lateral inclination to the left (T0 37.5 ± 6.9°–T2 40.6 ± 10.8° p < 0.000) and right (T0 36.5 ± 7.9°–T2 40.9 ± 5.2° p < 0.000), extension (T0 47.0 ± 12.9°–T2 55.1 ± 12.3° p < 0.001), and flexion (T0 55.0 ± 3.6°–T2 62.9 ± 12.0° p < 0.006). A significant decrease was also measured in SG for pain NRS between T0 and T2 (T0 7.5 ± 1.0°–T1 5.5 ± 1.4–T2 1.4 ± 1.5° p < 0.000). In conclusion, a bilateral and symmetrical ET cervical application is useful to enhance multiplanar ACROM and reduce subjective self-perceived cervical pain when it is needed. Based on the evidence, the use of ET on the neck is recommended for managing neck motion restrictions and pain in adult individuals.

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Angle-Angle Diagrams in the Assessment of Locomotion in Persons with Multiple Sclerosis: A Preliminary Study

Cited by 5 publications

References 18 publications

Analysis of inter-joint coordination during the sit-to-stand and stand-to-sit tasks in stroke patients with hemiplegia

Analysis of inter-joint coordination during the sit-to-stand and stand-to-sit tasks in stroke patients with hemiplegia

The Impact of Nordic Walking Pole Length on Gait Kinematic Parameters

Elastic Taping Application on the Neck: Immediate and Short-Term Impacts on Pain and Mobility of Cervical Spine

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