Postural Stability and Regulation before and after High Tibial Osteotomy and Rehabilitation

Brehme, Kay; Bartels, Thomas; Pyschik, M.; Jenz, Manuel; Delank, Karl‐Stefan; Laudner, Kevin G.; Schwesig, René

doi:10.3390/app10186517

Cited by 6 publications

(10 citation statements)

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“…It is possible that, in LOPD patients, additional effects on the muscle spindles [33] or spinal cord [34] [12,13]. In support of Brehme et al [13] and in contrast to Bartels et al [12], we showed hyperactivity of the somatosensory system in the presence of PN. This hyperactivity could also be observed in the cerebellar system (four patients had abnormal posturographic findings; Table 4).…”

Section: Discussionsupporting

confidence: 80%

“…However, no differences in sway between LOPD patients with or without PN were observed in F5-6 (averaged over all test positions), which has been shown to be affected in patients with diabetic polyneuropathy [23]. It is possible that, in LOPD patients, additional effects on the muscle spindles [33] or spinal cord [34] [12,13]. In support of Brehme et al [13] and in contrast to Bartels et al [12], we showed hyperactivity of the somatosensory system in the presence of PN.…”

Section: Discussionmentioning

confidence: 92%

“…A total of 44% of the patients required temporarily non-invasive ventilation and 50% of the patients used walking aids. All LOPD patients were individually matched with healthy controls based on the relevant selection criteria sex, age, and body height to guarantee a valid comparison with asymptomatic subjects and to avoid the recruitment of an asymptomatic control group [12,13]. The reference data were obtained from 1860 subjects for mobile gait analysis [14], from 141 subjects for treadmill analysis [15] and from 1724 subjects for the posturographic parameters [16].…”

Section: Subjectsmentioning

confidence: 99%

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Characterization of Gait and Postural Regulation in Late-Onset Pompe Disease

et al. 2020

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Pompe disease is a multisystemic disorder with the hallmark of progressive skeletal muscle weakness that often results in difficulties in walking and balance. However, detailed characterization of gait and postural regulation with this disease is lacking. The objective of this investigation was to determine if differences exist between the gait and postural regulation of LOPD patients and a matched control group. The gaits of 16 patients with LOPD were assessed using a gait analysis mobile system (RehaGait) and a dynamometric treadmill (FDM-T 1.8). The Interactive Balance System (IBS) was used to evaluate postural regulation and stability. All measures were compared to individual reference data. Demographic (age, gender), morphological (body height, body mass) and clinical data (muscle strength according to the Medical Research Council Scale (MRC Scale), as well as the 6-min walking test and a 10-m fast walk) were also recorded. Compared to individual reference data, LOPD patients presented with reduced gait velocity, cadence and time in single stand. A total of 87% of LOPD patients had abnormalities during posturographic analysis presenting with differences in postural subsystems. This study provides objective data demonstrating impaired gait and posture in LOPD patients. For follow-up analysis and as outcome measurements during medical or physiotherapeutic interventions, the findings of this investigation may be useful.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 92%

Section: Subjectsmentioning

confidence: 99%

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Characterization of Gait and Postural Regulation in Late-Onset Pompe Disease

et al. 2020

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“…All tasks were conducted with the subjects head in a neutral alignment (vestibular). Detailed information about the calculated parameters and used test positions can be found in previous research [14][15][16][17]. All measurements were conducted at the same time of day and in a quiet room without any distractions.…”

Section: Study Design and Methodologymentioning

confidence: 99%

Comparison of Postural Stability and Regulation among Female Athletes from Different Sports

et al. 2021

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The aim of this study was to evaluate the postural regulation of female athletes who participate in different sports under normal and high-demand conditions. Fifty-nine female athletes were classified into four specific groups based on their individual sport, which included basketball (n = 16), gymnastics (n = 10), ski jumping (n = 13), diving (n = 8), and one group of recreational athletes (n = 12). These groups were then compared using several posturographic tests under four bipedal conditions: eyes open or closed and on a stable surface or foam pad. While there were some differences between groups standing in the less demanding positions (stable surface), the higher demanding positions (unstable surface-foam pads) showed significant differences between the technical sports (ski jumping, diving, and gymnastics) and basketball and recreational athletes. Most (50%, 6/12) of significant differences were provided by sports. In contrast, the predictors age, weight, and height played only a minor role within the covariance analysis. The largest effect by sports was detected for the anterior-posterior weight distribution standing on foam pads with closed eyes (p = 0.015, ηp2 = 0.211). Ski jumping and recreational athletes showed the largest (p = 0.011) partial difference by sports for this parameter and test position. According to the parameters, the weight distribution index (WDI) was the variable with the most significant effects (50%, 6/12). These results provide coaches and athletes with a more sport specific view on postural regulation and potentially assist in identifying deficits to improve sports performance and reduce the risk of injury.

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“…So far, there are only a few studies that deal with the postoperative effects of HTO surgery on postural control [ 5 , 6 ]. Hunt et al [ 5 ] observed 1 year postoperatively that single-leg steadiness in patients with knee osteoarthritis is not significantly different from that prior to HTO surgery.…”

Section: Introductionmentioning

confidence: 99%

Standing Steadiness and Asymmetry after High Tibial Osteotomy Surgery: A 2 Year Follow-Up Study

Kurz

Brehme

Bartels

et al. 2022

JPM

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(1) Background: Knee osteoarthritis (OA) is a serious orthopedic problem. In this context, the high tibial osteotomy (HTO) is an established surgical procedure to reduce the load and degeneration of the affected compartment. The aim of this investigation was to judge standing steadiness and asymmetry, pain intensity and quality of life among patients who underwent HTO surgery. (2) Methods: Twenty-five male patients with medial tibiofemoral OA finished this 2 year follow-up study. Standing balance was captured using force plates with four uniaxial sensors before, 6 weeks after, 1 year after, and 2 years after HTO surgery. The percentage weight (PW) under the foot at one side, the stability (ST) index and the weight distribution (WD) index were the main outcomes. Comparisons were conducted using repeated measures analyses of variance. (3) Results: Over time, the PW under the foot at the HTO side increased on average (p < 0.001). In terms of standing steadiness, the average ST remained similar over the time points (p = 0.71). The WD index was affected by time (p = 0.003). (4) Conclusions: In order to judge short-term effects, the PW is recommended, whereas long-term effects can be identified either through the PW or the WD index.

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Postural Stability and Regulation before and after High Tibial Osteotomy and Rehabilitation

Cited by 6 publications

References 50 publications

Characterization of Gait and Postural Regulation in Late-Onset Pompe Disease

Characterization of Gait and Postural Regulation in Late-Onset Pompe Disease

Comparison of Postural Stability and Regulation among Female Athletes from Different Sports

Standing Steadiness and Asymmetry after High Tibial Osteotomy Surgery: A 2 Year Follow-Up Study

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