The characterisation of gait patterns of people with multiple sclerosis

Kelleher, Kevin; Spence, William; Solomonidis, S.E.; Apatsidis, Dimitrios P.

doi:10.3109/09638280903464497

Cited by 117 publications

(137 citation statements)

References 18 publications

Supporting

Mentioning

129

Contrasting

Unclassified

Order By: Relevance

“…Increased hip flexor moment at 'pull-off' is also likely to assist forward momentum to compensate for reduced ankle power at push-off which has been reported in people with MS compared with heathy controls [39,49]. The observed increases in positive work may also contribute to the 13 reported increase in effort and fatigue in people with MS, compared to healthy controls.…”

Section: Kineticsmentioning

confidence: 68%

“…This may indicate increased motor fatigue in the tibialis anterior muscle, which is susceptible to activity-induced fatigue in people with MS [11,14,38]. A delayed activation of the tibialis anterior muscle after initial contact in people with MS has also been previously measured [39], with reduced dorsiflexion angles observed in more mildly disabled groups of people with MS [40,41]. The less dorsiflexed position following the m6MWT may indicate a further delay of tibialis anterior activity upon loading [39].…”

Section: Kinematicsmentioning

confidence: 98%

“…A delayed activation of the tibialis anterior muscle after initial contact in people with MS has also been previously measured [39], with reduced dorsiflexion angles observed in more mildly disabled groups of people with MS [40,41]. The less dorsiflexed position following the m6MWT may indicate a further delay of tibialis anterior activity upon loading [39]. Assisting dorsiflexion is therefore a target for orthotic intervention with functional electrical stimulation shown to increase dorsiflexion angle [42,43], with a twelve-week training program shown to reduce perceived exertion over a two-minute walk test [43].…”

Section: Kinematicsmentioning

confidence: 99%

See 2 more Smart Citations

Fatigue induced changes to kinematic and kinetic gait parameters following six minutes of walking in people with multiple sclerosis

McLoughlin

Barr

Patritti

et al. 2015

Disability and Rehabilitation

View full text Add to dashboard Cite

Section: Kineticsmentioning

confidence: 68%

Section: Kinematicsmentioning

confidence: 98%

Section: Kinematicsmentioning

confidence: 99%

See 1 more Smart Citation

Fatigue induced changes to kinematic and kinetic gait parameters following six minutes of walking in people with multiple sclerosis

McLoughlin

Barr

Patritti

et al. 2015

Disability and Rehabilitation

View full text Add to dashboard Cite

“…1,6,8 Also reported are abnormalities in the joint angles of the hip, knee, and ankle 1,8,12 and kinetic abnormalities demonstrated by altered patterns of electromyography (EMG) activity during regular gait. 1,8,13 Of the multitude of abnormal gait parameters reported in MS, those that are most reliable and sensitive to subtle, clinically meaningful change may be of greatest value. Parameters related to gait variability may show promise in meeting these criteria.…”

mentioning

confidence: 99%

Step-Length Variability in Minimally Disabled Women with Multiple Sclerosis or Clinically Isolated Syndrome

Flegel¹,

Knox²,

Nickel³

2012

International Journal of MS Care

View full text Add to dashboard Cite

Gait is one of the most frequently impaired bodily functions in multiple sclerosis (MS). Determining abnormal parameters of gait in early MS could influence MS treatment and rehabilitation. The purpose of this study was to determine whether increased step-length variability could be detected in minimally disabled patients with MS or clinically isolated syndrome (CIS) using a sensored walkway gait analysis system. Nine participants with MS/CIS and nine age-and gender-matched controls were recruited for this study. MS/CIS participants underwent a neurologic examination, and all participants completed a screening interview. Each participant completed three walks at a self-selected pace and three walks at a brisk pace across the GAITRite walkway (MAP/CIR Inc, Havertown, PA). Mean values for step-length variability, step length, and velocity were calculated for each participant's selfselected and brisk trials. Independent t tests were used to compare MS/CIS participants with controls, and effect sizes were calculated.Step-length variability in the left leg at the self-selected pace was found to be greater in participants with MS/CIS than in controls, although no significant differences were found in velocity or step length.Step-length variability measurement shows promise in detecting subtle gait dysfunction. Larger, prospective studies exploring step-length variability may determine its clinical viability for detecting subtle gait dysfunction and could lead to improved prognostication of disability progression in MS. Int J MS Care. 2012;14:26-30.

show abstract

“…The tibialis anterior and vastus laterlias muscles exhibited delayed and increased activations during the initial contact period of the stance phase. The increased EMG activity that was apparent in the ankle and knee flexor muscles in the MS patient is thought to be a mechanism to counteract balance deficits and may have implications of both fatigue and spasticity [53]. The EMG curves of quadriceps and harmstring group muscles (Rectus T. Sarkodie-Gyan et al Femoris and Biceps Femoris respectively) showed some levels of weakness during the swing phase.…”

Section: Case Study: the Patient With Multiple Sclerosismentioning

confidence: 99%

Application of Multiple Sensor Data Fusion for the Analysis of Human Dynamic Behavior in Space: Assessment and Evaluation of Mobility-Related Functional Impairments

Sarkodie-Gyan¹,

Yu²,

Bogale³

et al. 2017

JBiSE

View full text Add to dashboard Cite

The authors have applied a systems analysis approach to describe the musculoskeletal system as consisting of a stack of superimposed kinematic hierarchical segments in which each lower segment tends to transfer its motion to the other superimposed segments. This segmental chain enables the derivation of both conscious perception and sensory control of action in space. This applied systems analysis approach involves the measurements of the complex motor behavior in order to elucidate the fusion of multiple sensor data for the reliable and efficient acquisition of the kinetic, kinematics and electromyographic data of the human spatial behavior. The acquired kinematic and related kinetic signals represent attributive features of the internal reconstruction of the physical links between the superimposed body segments. Indeed, this reconstruction of the physical links was established as a result of the fusion of the multiple sensor data. Furthermore, this acquired kinematics, kinetics and electromyographic data provided detailed means to record, annotate, process, transmit, and display pertinent information derived from the musculoskeletal system to quantify and differentiate between subjects with mobility-related disabilities and able-bodied subjects, and enabled an inference into the active neural processes underlying balance reactions. To gain insight into the basis for this long-term dependence, the authors have applied the fusion of multiple sensor data to investigate the effects of Cerebral Palsy, Multiple Sclerosis and Diabetic Neuropathy conditions, on biomechanical/neurophysiological changes that may alter the ability of the human locomotor system to generate ambulaHow to cite this paper:

show abstract

The characterisation of gait patterns of people with multiple sclerosis

Cited by 117 publications

References 18 publications

Fatigue induced changes to kinematic and kinetic gait parameters following six minutes of walking in people with multiple sclerosis

Fatigue induced changes to kinematic and kinetic gait parameters following six minutes of walking in people with multiple sclerosis

Step-Length Variability in Minimally Disabled Women with Multiple Sclerosis or Clinically Isolated Syndrome

Application of Multiple Sensor Data Fusion for the Analysis of Human Dynamic Behavior in Space: Assessment and Evaluation of Mobility-Related Functional Impairments

Contact Info

Product

Resources

About