Instrumented Gait Analysis for an Objective Pre-/Postassessment of Tap Test in Normal Pressure Hydrocephalus

Agostini, Valentina; Lanotte, Michele; Carlone, M.; Campagnoli, Marcello; Azzolin, Irene; Scarafia, R.; Massazza, Giuseppe; Knaflitz, Marco

doi:10.1016/j.apmr.2015.02.014

Cited by 50 publications

(35 citation statements)

References 27 publications

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“…Furthermore, in a non-racing contest or in laboratory tests more accurate kinematic measurements can be obtained using technologies that are already well-assessed in clinical environment e.g. electrogoniometers [27], [28], inertial sensors [29] or marker stereophotogrammetric analysis [30].…”

Section: Discussionmentioning

confidence: 99%

Analysis of the pushing phase in Paralympic cross-country sit-skiers – Class LW10

Gastaldi

Mauro

Pastorelli

2016

Journal of Advanced Research

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Section: Discussionmentioning

confidence: 99%

Analysis of the pushing phase in Paralympic cross-country sit-skiers – Class LW10

Gastaldi

Mauro

Pastorelli

2016

Journal of Advanced Research

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“…Studies using nonquantitative, examiner-based gait evaluation and quantitative measures have provided evidence of early improvement within the first 24 hours after LP. 2,33,44 Other studies have supported the view that gait improvement can be detected more than 24 hours after LP. 4,38 Clinical standards of care usually include a follow-up assessment immediately after or the same day as the LP, although there is no consensus about the real time course of walking improvement after LP.…”

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confidence: 89%

Walking assessment after lumbar puncture in normal-pressure hydrocephalus: a delayed improvement over 3 days

Schniepp

Trabold²,

Romagna³

et al. 2017

JNS

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OBJECTIVE The determination of gait improvement after lumbar puncture (LP) in idiopathic normal-pressure hydrocephalus (iNPH) is crucial, but the best time for such an assessment is unclear. The authors determined the time course of improvement in walking after LP for single-task and dual-task walking in iNPH. METHODS In patients with iNPH, sequential recordings of gait velocity were obtained prior to LP (time point [TP]0), 1-8 hours after LP (TP1), 24 hours after LP (TP2), 48 hours after LP (TP3), and 72 hours after LP (TP4). Gait analysis was performed using a pressure-sensitive carpet (GAITRite) under 4 conditions: walking at preferred velocity (STPS), walking at maximal velocity (STMS), walking while performing serial 7 subtractions (dual-task walking with serial 7 [DTS7]), and walking while performing verbal fluency tasks (dual-task walking with verbal fluency [DTVF]). RESULTS Twenty-four patients with a mean age of 76.1 ± 7.8 years were included in this study. Objective responder status moderately coincided with the self-estimation of the patients with subjective high false-positive results (83%). The extent of improvement was greater for single-task walking than for dual-task walking (p < 0.05). Significant increases in walking speed were found at TP2 for STPS (p = 0.042) and DTVF (p = 0.046) and at TP3 for STPS (p = 0.035), DTS7 (p = 0.042), and DTVF (p = 0.044). Enlargement of the ventricles (Evans Index) positively correlated with early improvement. Gait improvement at TP3 correlated with the shunt response in 18 patients. CONCLUSIONS Quantitative gait assessment in iNPH is important due to the poor self-evaluation of the patients. The maximal increase in gait velocity can be observed 24-48 hours after the LP. This time point is also best to predict the response to shunting. For dual-task paradigms, maximal improvement appears to occur later (48 to 72 hours). Assessment of gait should be performed at Day 2 or 3 after LP.

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“…Furthermore, gait event detection is usually limited to initial contact and toe-off, thus neglecting the sub-phases of stance (Agostini et al, 2014a), which proved to be important in the evaluation of pathological subjects (Agostini et al, , 2014a(Agostini et al, , 2014b(Agostini et al, , 2015Benedetti et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Multiple gait patterns within the same Winters class in children with hemiplegic cerebral palsy

Agostini

Nascimbeni²,

Gaffuri³

et al. 2015

Clinical Biomechanics

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Instrumented Gait Analysis for an Objective Pre-/Postassessment of Tap Test in Normal Pressure Hydrocephalus

Abstract: The new method is applicable to clinical practice and allows for selecting tap test responders in an objective way, quantifying the improvements. Our results suggest that gait velocity alone is not sufficient to reliably assess tap test effects.

Cited by 50 publications

References 27 publications

Analysis of the pushing phase in Paralympic cross-country sit-skiers – Class LW10

Analysis of the pushing phase in Paralympic cross-country sit-skiers – Class LW10

Walking assessment after lumbar puncture in normal-pressure hydrocephalus: a delayed improvement over 3 days

Multiple gait patterns within the same Winters class in children with hemiplegic cerebral palsy

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