Joint moment strategies during stair descent in patients with peripheral arterial disease and intermittent claudication

King, Stephanie; Vanicek, Natalie; O’Brien, Thomas D.

doi:10.1016/j.gaitpost.2018.03.035

Cited by 4 publications

(4 citation statements)

References 43 publications

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“…Raw marker coordinate data was interpolated and filtered using a zero-lag fourth order low-pass Butterworth filter with a cut-off frequency of 6 Hz [24]. Kinetic data was subject to a low pass filter with a cut-off frequency of 15 Hz [27]. Kinematic and kinetic data were computed, cropped and normalised to 100% gait cycle with 0% indicating initial foot contact [7].…”

Section: Discussionmentioning

confidence: 99%

Three-curve rocker-soled shoes and gait adaptations to intermittent claudication pain: A randomised crossover trial

et al. 2019

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Section: Discussionmentioning

confidence: 99%

Three-curve rocker-soled shoes and gait adaptations to intermittent claudication pain: A randomised crossover trial

et al. 2019

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“…Recent studies of stair ascent and descent in patients with PAD 42,43 reported a statistically significant reduction in the vertical and propulsion forces during stair climbing in patients with PAD compared to controls. The severity of PAD was also correlated with increased peak medial forces and reduced peak propulsion forces during stair ascent.…”

Section: Ground Reaction Forcesmentioning

confidence: 99%

A biomechanical perspective on walking in patients with peripheral artery disease

et al. 2023

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The most common symptom of peripheral artery disease (PAD) is intermittent claudication, which consists of debilitating leg pain during walking. In clinical settings, the presence of PAD is often noninvasively evaluated using the ankle–brachial index and imaging of the arterial supply. Furthermore, various questionnaires and functional tests are commonly used to measure the severity and negative effect of PAD on quality of life. However, these evaluations only provide information on vascular insufficiency and severity of the disease, but not regarding the complex mechanisms underlying walking impairments in patients with PAD. Biomechanical analyses using motion capture and ground reaction force measurements can provide insight into the underlying mechanisms to walking impairments in PAD. This review analyzes the application of biomechanics tools to identify gait impairments and their clinical implications on rehabilitation of patients with PAD. A total of 18 published journal articles focused on gait biomechanics in patients with PAD were studied. This narriative review shows that the gait of patients with PAD is impaired from the first steps that a patient takes and deteriorates further after the onset of claudication leg pain. These results point toward impaired muscle function across the ankle, knee, and hip joints during walking. Gait analysis helps understand the mechanisms operating in PAD and could also facilitate earlier diagnosis, better treatment, and slower progression of PAD.

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“…Consequently, a tailor-made and well-assigned handrail systems along the circulation route within the public domain with respect to the elderly is necessary in an age-friendly community [5]. Handrails are necessary in an age-friendly community, as they solve problems associated with the elderly, such as common diseases, including osteoporosis, and disabilities [1]. Sometimes, handrails can act as a gadget for the elderly when intense physical effort is required.…”

Section: Of 32mentioning

confidence: 99%

“…Nevertheless, a fast-changing environment results in a gradually departure from the original picture of a city of elderly. To understand and get used to the environment, regulations, guides, or codes should be amended and improved according to physical characteristics and needs of the older generation around the world; otherwise, geniality would be lost along the way [1].…”

Section: Introductionmentioning

confidence: 99%

Development of a Universal Design-Based Guide for Handrails: An Empirical Study for Hong Kong Elderly

et al. 2018

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An important and basic strategy for facilitating the inclusion and daily life of elderly in accordance with those living in public rental housing buildings is to allow their circulation to be barrier-free and self-supported. Therefore, the provision of a handrail guide could improve their living standard. This paper develops a universal design guide for handrails focusing on the needs of elderly. Fifteen routes with mostly elderly were selected and targeted for evaluating the existing problems with handrail provision. Surveys and informal interviews with elderly, adults, and children were also conducted to further investigate their needs, their ease of existing facilities, and possible future implementation to improve their ease. From the survey results, it was found that most of the existing problems with handrail layouts exist within the community. In addition to standardizing, modifying, and suggesting the ideas on handrail design and layout, the promotion of the ideas from universal design was the emphasis on this investigation in order to make a barrier-free city into a barrier-free but universal community for a better international city. The guide focuses on the standardization of synthetization of the scope in terms of design and layout. Simultaneously, an advanced part of design also regards the improvement of technological, environmental, and self-support features to improve Hong Kong’s international friendliness with tailor-made ideas such as Elderlysteady.

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Joint moment strategies during stair descent in patients with peripheral arterial disease and intermittent claudication

Cited by 4 publications

References 43 publications

Three-curve rocker-soled shoes and gait adaptations to intermittent claudication pain: A randomised crossover trial

Three-curve rocker-soled shoes and gait adaptations to intermittent claudication pain: A randomised crossover trial

A biomechanical perspective on walking in patients with peripheral artery disease

Development of a Universal Design-Based Guide for Handrails: An Empirical Study for Hong Kong Elderly

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