Quantity versus quality of gait and quality of life in patients with osteoarthritis

Brandes, Mirko; Schomaker, Ralph; Möllenhoff, G.; Rosenbaum, Dieter

doi:10.1016/j.gaitpost.2007.10.004

Cited by 77 publications

(64 citation statements)

References 31 publications

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“…Small increases (13%) in low-and medium-intensity steps were associated with wearing the torsion adapter. These findings support the biomechanical results that indicate the torsion adapter facilitates turning [29], because these step rate categories have been suggested to indicate movement within a room and from room to room [2], two activities comprised of 35% to 50% turning steps [15]. However, based on the relatively small combined average step increase of just over 750 steps per day for the low-and medium-intensity categories and relatively small effect sizes [5], the clinical importance of these differences is likely relatively small.…”

Section: Discussionsupporting

confidence: 89%

“…Data from the device were downloaded through a docking station and the total number of steps per day was recorded. Three additional step rate categories of low, medium, and high intensity were also examined [2]. Low intensity was defined as \ 15 strides per minute, similar to short bouts of movement within a room.…”

Section: Functional Assessmentsmentioning

confidence: 99%

“…High intensity, [ 40 strides per minute, suggests longer bouts of continuous activity. Amputee activity typically consists of short walking bouts of \ 3 minutes [20] with the majority of these short bout steps being at the low-and mediumintensity rates [2]. Prior research has also indicated that these shorter walking bouts are comprised of 20% to 50% turning steps [15].…”

Section: Functional Assessmentsmentioning

confidence: 99%

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Does a Torsion Adapter Improve Functional Mobility, Pain, and Fatigue in Patients with Transtibial Amputation?

Segal

Kracht

Klute

2014

Clinical Orthopaedics &Amp; Related Research

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Background Turning gait is an integral part of daily ambulation and likely poses a greater challenge for patients with transtibial amputation compared with walking a straight pathway. A torsion adapter is a prosthetic component that can increase transverse plane compliance of the prosthesis and decrease the torque applied to the residual limb, but whether this will improve patients' mobility, pain, and fatigue remains unknown.Questions/purposes Does prescription of a torsion adapter translate to improvements in (1) functional mobility and (2) self-perceived pain and fatigue in moderately active patients with lower limb amputation? Methods Ten unilateral transtibial amputees wore a torsion or rigid adapter in random order. Functional mobility was assessed through a field measurement using an activity monitor and through a laboratory measurement using a 6-minute walk test that included turns. The residual limb pain grade assessed self-perceived pain and the Multidimensional Fatigue Inventory assessed fatigue. Results We found relatively small functional differences for amputees wearing a torsion adapter versus a rigid adapter. Amputees wearing a torsion adapter tended to take more low-and medium-intensity steps per day (331 ± 365 and 437 ± 511 difference in steps; effect size = 0.44 and 0.17; confidence interval [CI], 70-592 and 71-802; p = 0.019 and 0.024, respectively). They also experienced less pain interference with activities (1.9 ± 1.7 change in score; effect size = 0.83; CI, 0.3-3.4; p = 0.026) when wearing a torsion adapter. However, these patients took a similar number of total steps per day, walked a comparable distance in 6 minutes, and reported similar residual limb pain and fatigue. Conclusions For a moderately active group of amputees, the torsion adapter did not translate to substantial improvements in functional mobility and self-perceived pain and fatigue. The small increases in low-and mediumintensity activities with less pain interference when wearing a torsion adapter provides evidence to support prescribing this device for amputees with difficulty navigating the household and community environments. Level of Evidence Level II, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.

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Section: Discussionsupporting

confidence: 89%

Section: Functional Assessmentsmentioning

confidence: 99%

Section: Functional Assessmentsmentioning

confidence: 99%

See 1 more Smart Citation

Does a Torsion Adapter Improve Functional Mobility, Pain, and Fatigue in Patients with Transtibial Amputation?

Segal

Kracht

Klute

2014

Clinical Orthopaedics &Amp; Related Research

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“…[21] Moderate to strong associations have been reported between selfreported physical functioning (the SF-36 Health Survey) and ambulatory walking activity (r = -0.39 to 0.49, p< 0.01) in men with diabetes [13] and in patients with osteoarthritis r=0.5/0.6, p<0.01). [24] In one report, the physical activity values from the accelerometer correlated moderately with the Minnesota Leisure Time Physical Activity Questionnaire (r = 0.33; P < 0.01). [25] No significant associations were reported between the 6-minute walking test and an ambulatory activity monitor in older adults residing in continuing care retirement communities [26] or in patients with peripheral arterial disease (p >.05) [27] No significant associations were observed between the Physical Activity Scale for the Elderly (PASE) and an ambulatory activity monitor in older adults residing in continuing care retirement communities.…”

Section: Introductionmentioning

confidence: 91%

The relationship between ambulatory step activity, self-reported physical functioning and standardised timed walking in patients with haematological malignancies

Knols

Bruin

Uebelhart

et al. 2010

Disability and Rehabilitation

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N K (2010). The relationship between ambulatory step activity, self-reported physical functioning and standardised timed walking in patients with haematological malignancies. Disability and Rehabilitation, 32(22):1819-1826. Postprint available at: http://www.zora.uzh.ch Similarly, ambulatory activity monitoring did not correlate significantly with self-reported functional status in patients with chronic obstructive pulmonary disease. [20] To the best of our knowledge, only one previous report has investigated the relationship between ambulatory step activity monitoring, self-reported physical functioning and the 6-minute standardized walking test in cancer patients.[28] There was moderate agreement between the 7-Day Physical Activity Recall and the accelerometer with longitudinal serial correlation coefficients of 0.54 (baseline), 0.24 (year 1), and 0.53 (year 2), all p-values <0.01.To summarize, the association observed between self-reported physical functioning, standardized timed walking and the outputs of ambulatory step activity varies from none to almost perfect in studies of various chronic disease populations. Only one study has investigated this issue in cancer patients, and none among HSCT patients. The aim of the current study was to determine the degree of association between self-reported physical functioning, standardized timed walking and the outputs of ambulatory step activity monitoring among outpatients with haematological malignancies recovering from HSCT. Methods ParticipantsThis study presents a cross-sectional analysis of baseline data collected from a subset of 117 ambulatory hematological patients after completion of HSCT at the University HospitalZurich and the Cantonal Hospital of St. Gallen, Switzerland. These baseline data were 4 collected before the patients were randomized between an ambulatory physical exercise intervention and a usual care (i.e., non-exercising) control group. Adult patients were considered eligible for the study if they had completed their HSCT treatment. Patients were excluded from the study in case of graft versus host disease (GVHD) except for grade I not requiring treatment, painful joints, instable osteolyses, chronic pain, lesions of the central or peripheral nervous system, uncontrolled cardiovascular disease, thyroid disease or diabetes.The study was approved by the local ethical committee. All patients provided written informed consent. MeasurementsAmbulatory step activity levels were assessed with the Step Activity Monitor 3 (SAM3, Cymatech Corporation, Seattle, WA, USA). The patients were instructed to wear the SAM3 for 7 consecutive days. Activity monitoring over a 7-day period has previously been found to result in reliable and representative measures of an individual's movements on a day-to-day basis.[17] All participants were instructed to leave the SAM3 on the ankle if they had to rest or lay down during the day and to perform their daily activities as usual. The parameters assessed by the SAM3 for this study were: (1) `average steps/day`, (2) ...

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“…Endometriosis is usually associated with severe dysmenorrhea, deep dyspareunia, chronic pelvic pain, ovulation pain, cyclical or perimenstrual symptoms with or without abnormal bleeding, infertility and chronic fatigue [1]. Especially pain can severely impact patients' quality of life [2].…”

Section: Introductionmentioning

confidence: 99%

Long-Term Effects of Traditional Chinese Medicine and Hypnotherapy in Patients with Severe Endometriosis – a Retrospective Evaluation

Meißner¹,

Böhling²,

Schweizer-Arau³

2010

Forsch Komplementmed

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Background: 15% of patients with severe endometriosis suffer from pain symptoms in spite of pharmacological and surgical treatments. In this retrospective study we aimed to assess the effectiveness of a combined therapy of Traditional Chinese medicine and hypnotherapy (systemic autoregulation therapy, SART) as a novel treatment for endometriosis-associated symptoms. Patients and Methods: 47 patients with severe endometriosis, which were treated with SART, were followed-up by standardized telephone interviews. Follow-up data were compared to baseline assessments. Results: Median follow-up time was 5 years. The median intensity of endometriosis-associated pain had decreased from 8 to 3 points on a 0–10 point visual analogue scale (p < 0.001). 18 patients (38%) were free of pain, and the number of patients using pain medication had decreased from 38 to 19 (from 81% to 40%). 17 out of the 31 women trying for a pregnancy (55%) showed a total of 21 births at follow-up. Exploratory analyses revealed that larger decreases in pain scores correlated significantly with longer treatment durations, suggesting a dose-response relationship. Conclusion: Treatment of endometriosis with a holistic approach of Chinese medicine and hypnotherapy may result in a substantial reduction of pain as well as increased birth rates in patients with therapy-refractory endometriosis. Randomized controlled studies to further investigate the effectiveness of SART are highly warranted.

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Quantity versus quality of gait and quality of life in patients with osteoarthritis

Cited by 77 publications

References 31 publications

Does a Torsion Adapter Improve Functional Mobility, Pain, and Fatigue in Patients with Transtibial Amputation?

Does a Torsion Adapter Improve Functional Mobility, Pain, and Fatigue in Patients with Transtibial Amputation?

The relationship between ambulatory step activity, self-reported physical functioning and standardised timed walking in patients with haematological malignancies

Long-Term Effects of Traditional Chinese Medicine and Hypnotherapy in Patients with Severe Endometriosis – a Retrospective Evaluation

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Quantity versus quality of gait and quality of life in patients with osteoarthritis

Cited by 77 publications

References 31 publications

Does a Torsion Adapter Improve Functional Mobility, Pain, and Fatigue in Patients with Transtibial Amputation?

Does a Torsion Adapter Improve Functional Mobility, Pain, and Fatigue in Patients with Transtibial Amputation?

The relationship between ambulatory step activity, self-reported physical functioning and standardised timed walking in patients with haematological malignancies

Long-Term Effects of Traditional Chinese Medicine and Hypnotherapy in Patients with Severe Endometriosis &ndash; a Retrospective Evaluation

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Long-Term Effects of Traditional Chinese Medicine and Hypnotherapy in Patients with Severe Endometriosis – a Retrospective Evaluation