Fatigue induced changes to kinematic and kinetic gait parameters following six minutes of walking in people with multiple sclerosis

McLoughlin, James A.; Barr, Christopher; Patritti, Benjamin L.; Crotty, Maria; Lord, Stephen R.; Sturnieks, Daina L.

doi:10.3109/09638288.2015.1047969

Cited by 32 publications

(34 citation statements)

References 55 publications

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“…The slightly flatter foot posture in early stance accompanying fatigue resulted in a decreased dorsiflexor moment in early stance on the more affected side. These changes confirm trends in our previous work investigating fatigue induced changes in gait after 6 minutes of walking [18], and may be indicative of reduced eccentric control of the dorsiflexor muscles resulting in 'foot slap' , or a slow progression of the shank over the foot, due to hyperextension of the knee during stance.…”

Section: Fatigue Effect Of 6mwtsupporting

confidence: 77%

“…The slight increase of knee hyperextension in stance coupled with the increased knee flexor moment and power absorbed at the knee of the more affected limb indicate fatigue-induced weakness which are likely to contribute to gait inefficiencies [18,38]. The increased hip extensor moment and hip power generation of the more affected side in early stance may represent some positive work needed to maintain support of the trunk and forward progression.…”

Section: Fatigue Effect Of 6mwtmentioning

confidence: 99%

“…Despite the increased interest in the effects of FES on gait in MS [29,30,32], no studies to date have investigated the initial orthotic effect of FES on fatigue induced changes in gait that occur in people with MS [18]. Additionally it remains unclear whether prolonged use of FES delivers continuing orthotic effects and therapeutic effects (i.e.…”

Section: Introductionmentioning

confidence: 99%

“…Fatigue in people with MS typically exacerbates pre-existing deficits in gait, with fatigued individuals demonstrating slower walking speeds with associated shorter step lengths and prolonged periods of double support compared to non-fatigued individuals [17]. Moreover, signs of impaired neuromuscular control of gait mechanics have been associated with the severity of fatigue experienced by people with MS [18,19].…”

Section: Introductionmentioning

confidence: 99%

“…Weakness of the ankle dorsiflexors can result in foot drop, a common problem of gait in MS [24], which is characterised by a lack of control of ankle dorsiflexion resulting in an inability to effectively clear the foot during the swing phase of gait. This can result in poor pre-positioning of the foot in late swing and decreased ankle dorsiflexion at initial foot contact during stance [2,3], which can worsen with fatigue [18].…”

Section: Introductionmentioning

confidence: 99%

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Orthotic and therapeutic effect of functional electrical stimulation on fatigue induced gait patterns in people with multiple sclerosis

Barr

Patritti

Bowes

et al. 2016

Disability and Rehabilitation: Assistive Technology

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Purpose: To assess the orthotic and therapeutic effects of prolonged use of functional electrical stimulation (FES) on fatigue induced gait patterns in people with Multiple Sclerosis (MS). Method: Thirteen people with MS completed 3D gait analysis with FES off and on, before and after a fatiguing 6-minute walk, at baseline and after 8 weeks of use of FES. Results: Eleven participants completed all testing. An orthotic effect on gait was not evident on first use of FES. However, therapeutic effects on gait after 8 weeks use were generally positive, including increases in walking speed due to improved neuromuscular control and power generated at the hip and ankle of the more affected limb. The action of FES alone was not sufficient to overcome all fatigue related deficits in gait but there was evidence 8 weeks use of FES can ameliorate some fatigue effects on lower limb kinetics, including benefits to ankle mechanics involved in generating power around push-off during stance. Conclusions: Eightweeks of FES can benefit the gait pattern of people with MS under nonfatigued and fatigued conditions.

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Section: Fatigue Effect Of 6mwtsupporting

confidence: 77%

Section: Fatigue Effect Of 6mwtmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Orthotic and therapeutic effect of functional electrical stimulation on fatigue induced gait patterns in people with multiple sclerosis

Barr

Patritti

Bowes

et al. 2016

Disability and Rehabilitation: Assistive Technology

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Center‐Based Group and Home‐Based Individual Exercise Programs Have Similar Impacts on Gait and Balance in People With Multiple Sclerosis: A Randomized Trial

Williams

Choy

Brauer

2020

PM&R

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Background Group and home‐based exercises to improve function in people with multiple sclerosis (MS) are common but have little underpinning evidence. Objective To determine the comparative effectiveness of a center‐based group versus home‐based individual 8‐week exercise program to improve gait and balance in people with MS. Design Prospective, randomized controlled trial. Setting Community center‐based and home‐based exercise program. Participants Fifty people with MS were randomized and completed allocated intervention (n = 26 center, n = 24 home), 47 completed post‐assessment and 44 follow‐up assessment. Methods The center‐ and home‐based groups completed an 8‐week progressive functional and balance training exercise program. The center‐based groups of four to six were supervised by a physiotherapist. The home‐based group was provided with telephone support. Main Outcome Measurements The primary outcome was gait speed (10‐meter walk test). Secondary outcomes were gait endurance (6‐minute walk test) and balance (Berg Balance Scale). Outcome assessments were conducted at baseline, immediately postintervention and at 8‐week follow‐up. Results There was no statistically significant difference between groups in gait speed post training, with a mean difference of 0.01 m/s, 95% CI −0.36 to 0.37. There were no group effects, time effects, or interactions for gait speed, endurance, or balance. In both groups, gait speed improved to a level that met minimal clinically important differences. Conclusions Gait speed, endurance, and balance did not statistically improve in either group; however, gait speed changes met minimally important differences.

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Gait pattern changes after six‐minute walk test in persons with multiple sclerosis

Escudero-Uribe

Hochsprung

Izquierdo-Ayuso

2018

Physiotherapy Res Intl

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Fatigue induced changes to kinematic and kinetic gait parameters following six minutes of walking in people with multiple sclerosis

Cited by 32 publications

References 55 publications

Orthotic and therapeutic effect of functional electrical stimulation on fatigue induced gait patterns in people with multiple sclerosis

Orthotic and therapeutic effect of functional electrical stimulation on fatigue induced gait patterns in people with multiple sclerosis

Center‐Based Group and Home‐Based Individual Exercise Programs Have Similar Impacts on Gait and Balance in People With Multiple Sclerosis: A Randomized Trial

Gait pattern changes after six‐minute walk test in persons with multiple sclerosis

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