Reorganization of Gait After Limb-Saving Surgery of the Lower Limb

Visser, Enrico de; Veth, R.P.H.; Schreuder, H.W.B.; Duysens, Jacques; Mulder, Theo

doi:10.1097/01.phm.0000091981.41025.fc

Cited by 17 publications

(15 citation statements)

References 16 publications

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“…standing) as a measure of the attention demands (cognitive compensation) of the primary task. There is indeed a growing use observable of dual-task procedures in studies focusing on recovery after damage to the motor system [ 25 ] or in neurological assessment [ 26 ]. However, there are not many studies that include reports on the reliability of the used protocols.…”

Section: Introductionmentioning

confidence: 99%

The reliability of postural balance measures in single and dual tasking in elderly fallers and non-fallers

Swanenburg

Bruin

Favero

et al. 2008

BMC Musculoskelet Disord

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101

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Section: Introductionmentioning

confidence: 99%

The reliability of postural balance measures in single and dual tasking in elderly fallers and non-fallers

Swanenburg

Bruin

Favero

et al. 2008

BMC Musculoskelet Disord

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101

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“…Walking status was observed in 48 participants, with 42% able to ambulate without a walking aid (n = 20), 23% used 1 crutch or 1 stick (n = 11), 25% used 2 crutches or canes (n = 12), 2% used of a walker (n = 1), and 8% were nonambulant (required a wheelchair [n = 1]; “bedridden” [n = 3]). Gait speed was reported in 4 studies (n = 16) ranging between 0.61 and 1.6 m/s at an average of 8.2 years following surgery 31–35. One case series reported maximum walking distance in 7 participants at a mean follow-up time of 4.4 years (1.5-10) following surgery 36.…”

Section: Resultsmentioning

confidence: 99%

Gait, Function, and Strength Following Lower Limb Salvage Surgery for a Primary Malignant Bone Tumor: A Systematic Review

Nashed¹,

Sundaresh²,

Laurie³

et al. 2022

Rehabilitation Oncology

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Background: Primary malignant bone tumors are a rare form of cancer, treated with limb salvage surgery (LSS), which includes sacrifices of muscle and bone. Purpose: To systematically appraise outcomes of gait, physical function (including dynamic balance, transfers, sit-to-stand, and stair climbing) and muscle performance related to the trunk and lower limb in current literature for individuals who have undergone LSS due to a primary bone tumor. Data Sources: Medline, Cochrane, and PEDro databases were searched from inception to June 2020. Study Selection: Following PRISMA guidelines, articles were screened by 2 reviewers independently (J.N. and C.H.) to determine eligibility based on population of interest (adults who have had LSS) and outcomes (gait, trunk, and lower limb physical function or muscle performance). Discrepancies were resolved with a third reviewer until a mutual consensus was reached (S.H.). Data Extraction: Data on gait, function, and muscle strength were extracted and grouped based on the surgical location (ankle, proximal tibia, distal femur, proximal femur/hip, or pelvic region). Data Synthesis: Data were extracted into tables and grouped first based on participants' surgical site and then based on a domain of outcomes (individual or mean group results for gait measures, strength, balance, use of walking aids, or ability to complete a task such as balance or stairs). Results: One thousand four hundred and forty-five abstracts were screened with 32 studies (354 participants) included in the review. Gait speed was reported in 16 studies and use of walking aids reported in 14 studies; these were the most reported outcomes in the review. Knee extensor strength was reported in 6 studies. Following internal hemipelvectomy surgery, 42% of participants ambulated without a walking aid and gait speed was reported as 0.61 to 1.6 m/s. For those who underwent surgery at the hip, 71% ambulated independently with an average gait speed of 0.94 to 1.20 m/s. Of participants who underwent surgery at the knee, 89% ambulated independently with an average gait speed of 0.36 to 1.32 m/s. Following knee LSS, knee extensor strength of the operated limb varied from 2% to 84% compared with the nonoperated side. Physical function outcome measures that were reported in the studies included the Timed Up and Go (TUG),

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“…Moreover, when there is loss of proprioceptive input from the lower extremities due to damage of the musculoskeletal system, the attentional and visual demands of sensorimotor control are higher compared to healthy subjects. De Visser et al [33] and Okuda et al [34] reported that the attentional and visual demands of gait and postural control were raised in patients after limb-saving surgery and after ACL injury.…”

Section: Discussionmentioning

confidence: 99%

Attentional and visual demands for sprint performance in non-fatigued and fatigued conditions: reliability of a repeated sprint test

Reininga

Lemmink

Diercks

et al. 2010

BMC Musculoskelet Disord

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BackgroundPhysical performance measures are widely used to assess physical function, providing information about physiological and biomechanical aspects of motor performance. However they do not provide insight into the attentional and visual demands for motor performance. A figure-of-eight sprint test was therefore developed to measure the attentional and visual demands for repeated-sprint performance. The aims of the study were: 1) to assess test-retest reliability of the figure-of-eight sprint test, and 2) to study the attentional and visual demands for sprint performance in a non-fatigued and fatigued condition.MethodsTwenty-seven healthy athletes were included in the study. To determine test-retest reliability, a subgroup of 19 athletes performed the figure-of-eight sprint test twice. The figure-of-eight sprint test consisted of nine 30-second sprints. The sprint test consisted of three test parts: sprinting without any restriction, with an attention-demanding task, and with restricted vision. Increases in sprint times with the attention-demanding task or restricted vision are reflective of the attentional and visual demands for sprinting. Intraclass correlation coefficients (ICCs) and mean difference between test and retest with 95% confidence limits (CL) were used to assess test-retest reliability. Repeated-measures ANOVA were used for comparisons between the sprint times and fatigue measurements of the test parts in both a non-fatigued and fatigued condition.ResultsThe figure-of-eight sprint test showed good test-retest reliability, with ICCs ranging from 0.75 to 0.94 (95% CL: 0.40-0.98). Zero lay within the 95% CL of the mean differences, indicating that no bias existed between sprint performance at test and retest. Sprint times during the test parts with attention-demanding task (P = 0.01) and restricted vision (P < 0.001) increased significantly compared to the base measurement. Furthermore the sprint times and fatigue measurements increased significantly in fatigued condition. There was a significant interaction effect between test part and level of fatigue (P = 0.03).ConclusionsHigh ICCs and the absence of systematic variation indicate good test-retest reliability of the figure-of-eight sprint test. The attentional and visual demands for sprint performance, in both a non-fatigued and fatigued condition, can be measured in healthy team-sport athletes with the figure-of-eight sprint test.

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Reorganization of Gait After Limb-Saving Surgery of the Lower Limb

Cited by 17 publications

References 16 publications

The reliability of postural balance measures in single and dual tasking in elderly fallers and non-fallers

The reliability of postural balance measures in single and dual tasking in elderly fallers and non-fallers

Gait, Function, and Strength Following Lower Limb Salvage Surgery for a Primary Malignant Bone Tumor: A Systematic Review

Attentional and visual demands for sprint performance in non-fatigued and fatigued conditions: reliability of a repeated sprint test

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