Electromyographic assessment of Gait function following limb salvage procedures for bone sarcoma

Carty, Christopher P.; Bennett, Michael B.; Dickinson, Ian C.; Steadman, Peter

doi:10.1016/j.jelekin.2009.06.001

Cited by 17 publications

(7 citation statements)

References 26 publications

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“…In both groups CG is displaced anteriorly and lateralized to the contralateral to the operated lower limb, suggesting an inadequate weight discharge of the lower limbs, that may interfere with the gait and balance pattern. This finding agrees with the results found by Carty et al , 15 who concluded, through an electromyographic study that this population presents gait alterations due to inadequate muscle activations especially the rectus femoris and hamstrings, and they, therefore, suggest that rehabilitation should focus on reprogramming the gait pattern. In his other study, 16 the author concluded that the gait of patients with knee endoprosthesis shows a pattern that reduces the "momento" of the knee and hip in the affected lower limb, suggesting compensation for pain, stability and\or muscle weakness.…”

Section: Discussionsupporting

confidence: 92%

Postural assessment of patients with non-conventional knee endoprosthesis

et al. 2014

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Objective: To investigate the correlation between the sagittal and frontal alignment and possible postural asymmetries found in patients submitted to total knee stent placement for osteosarcoma. Methods: Twenty two individuals were divided into two groups according to tumor location: femur group (13 patients) and tibia group (nine patients), who were evaluated through postural analysis software (SAPO). Results: No statistically significant difference was found between groups, supporting previous result showing that both groups present the same postural asymmetries. Conclusion: We conclude that both groups have the same postural imbalances, especially the knee of the affected limb that presents hyperextension and center of gravity shifted anteriorly and laterally to the non-affected limb, indicating changes in weight bearing and influencing the gait pattern and balance. Level of Evidence II, Prospective Comparative Study.

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Section: Discussionsupporting

confidence: 92%

Postural assessment of patients with non-conventional knee endoprosthesis

et al. 2014

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“…Increased negative joint power around the ipsilateral ankle implies a greater load on ankle dorsiflexors during loading response and ankle plantarflexors during midstance. Activation of the gastrocnemius occurs for a greater time in patients who have undergone endoprosthetic knee replacement than in healthy people (Carty et al, 2010); this also suggests that patients put a greater load on ipsilateral ankle muscles. Decreased ipsilateral knee flexion during early stance, regardless of gait pattern, may alter ankle energetics because greater angular acceleration and deceleration are required if the knee flexes little after initial contact.…”

Section: Compensation By Ipsilateral Limbmentioning

confidence: 99%

Compensation by nonoperated joints in the lower limbs during walking after endoprosthetic knee replacement following bone tumor resection

Okita

Tatematsu²,

Nagai

et al. 2013

Clinical Biomechanics

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Patients tended to compensate for dysfunction of the reconstructed knee by muscles around the ipsilateral ankle and contralateral hip, with increased load on the contralateral limb during walking. These differences could lead to secondary impairments. Further analysis, including musculoskeletal simulation and assessment of long-term functional outcome with regard to secondary musculoskeletal impairment, is needed to verify the significance of the change in gait and to determine the need for special care for secondary musculoskeletal dysfunction in these patients.

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“…25,26 Limb salvage is, however, not without drawbacks in terms of lower extremity use even if patients report having a similar QOL when compared to patients who undergo amputation. Quadriceps activation has been shown to be altered, 27 bending their knees, with associated decreased range of motion. 28 Finally, patients may also prefer limb-sparing surgery for cosmetic reasons, which should be taken into consideration when planning a surgery.…”

Section: Lower Extremity Sarcomasmentioning

confidence: 99%

<p>Rehabilitation to Improve the Function and Quality of Life of Soft Tissue and Bony Sarcoma Patients</p>

Andrews¹,

Siegel²,

Smith³

2020

PROM

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Sarcomas are bone and soft tissue tumors that can have significant effects on patient function and quality of life. Like most malignancies, treatment includes a combination of chemotherapy, radiation, and surgical resection, all of which also carry risks and long-term effects. A multidisciplinary rehabilitation plan can help minimize symptoms and sequelae which negatively affect the patient function and quality of life, including pain, chemotherapy-induced peripheral neuropathy, radiation fibrosis, activity restrictions following surgical excision, amputation, bowel and bladder dysfunction, and lymphedema. Patients should be evaluated by a rehabilitation specialist at any point during their diagnosis, treatment, and survivorship phase to determine appropriate interventions to minimize the impact of sarcomas and their treatment on patient function and quality of life.

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Electromyographic assessment of Gait function following limb salvage procedures for bone sarcoma

Cited by 17 publications

References 26 publications

Postural assessment of patients with non-conventional knee endoprosthesis

Postural assessment of patients with non-conventional knee endoprosthesis

Compensation by nonoperated joints in the lower limbs during walking after endoprosthetic knee replacement following bone tumor resection

<p>Rehabilitation to Improve the Function and Quality of Life of Soft Tissue and Bony Sarcoma Patients</p>

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