The Effect of Preoperative Gait Analysis on Orthopaedic Decision Making

Kay, Robert M.; Dennis, Sandra W.; Rethlefsen, Susan A.; Reynolds, Richard A. K.; Skaggs, David L.; Tolo, Vernon T.

doi:10.1097/00003086-200003000-00023

Cited by 123 publications

(62 citation statements)

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“…This is a higher proportion of changes than reported by DeLuca et al (1997), who found that 52% of the patients had their treatment plan changed after gait analysis. However, Kay et al (2000) found a considerably larger discrepancy (89% of patients).…”

Section: Discussionmentioning

confidence: 84%

“…All the patients in the study of DeLuca et al (1997) had diplegia, whereas the patients evaluated by Kay et al (2000) had a mixture of neuromuscular diseases (mostly cerebral palsy classified as diplegia). No distinction between hemiand diplegia was given by Cook et al (2002).…”

Section: Discussionmentioning

confidence: 99%

“…In this way, our treatment plan is probably better understood by the surgeon than if delivered as an ordinary report, and it is more likely that the recommendations will be followed. Electromyography (EMG) as part of the gait analysis was used by Kay et al (2000). They used EMG together with kinematics in evaluation of rectus femoris.…”

Section: Discussionmentioning

confidence: 99%

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Preoperative gait analysis has a substantial effect on orthopedic decision making in children with cerebral palsy: Comparison between clinical evaluation and gait analysis in 60 patients

et al. 2007

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Background There is still some debate regarding the role of 3-dimensional gait analysis in routine preoperative evaluation of children with cerebral palsy. The aim of this prospective study was to evaluate to what extent introduction of 3-D gait analysis changes preoperative surgical planning.Method Before gait analysis, 60 ambulatory children aged 10 (4-18) years with spastic cerebral palsy had a specific surgical plan outlined, based on clinical examination by orthopedic surgeons. After gait analysis, the proposed surgical procedures were reviewed to determine the frequency with which the treatment plans changed. A multidisciplinary team assessed the gait analysis.Results Treatment plans for 42 of the 60 patients were altered after gait analysis. Surgical treatment was recommended for 49 patients whereas 11 were recommended non-surgical treatment. Of the 253 specific surgical procedures proposed, 97 procedures were not recommended after gait analysis and 65 additional procedures were recommended after the analysis. Thus, the number of procedures proposed was reduced by 13%. A total of 318 specific surgical procedures were proposed either clinically, by gait analysis, or both. There was overall agreement between the referring orthopedic surgeons and gait analysis in 156 of these 318 procedures (49%). Gait analysis proposed more surgery for psoas tenotomy and rectus femoris transfer, whereas less surgery was proposed for other soft tissue and bony procedures. There was good accordance between gait analysis recommendations and the surgery performed subsequently (92%).

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

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Preoperative gait analysis has a substantial effect on orthopedic decision making in children with cerebral palsy: Comparison between clinical evaluation and gait analysis in 60 patients

et al. 2007

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“…5 It has been clearly documented that CGA alters surgical decision making and changes the treatment that patients receive. [6][7][8][9][10] However, the implications of these changes in terms of cost and the amount of surgery performed have not been documented. Therefore, the purpose of this large retrospective study was to determine the effects of CGA on the costs of care in ambulatory children with cerebral palsy (CP) and the amount of surgery that these children undergo.…”

mentioning

confidence: 99%

Effects of Preoperative Gait Analysis on Costs and Amount of Surgery

Wren¹,

Kalisvaart

Ghatan

et al. 2009

Journal of Pediatric Orthopaedics

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“…Motion analysis systems and supporting software enable the collection of accurate, repeatable and objective data on the complex dynamic movements patients perform. This type of analysis has shown a demonstrable positive effect on clinical decision-making in the context of gait analysis [5,6]. The ability to provide this data in other rehabilitation settings could enable clinicians to make more informed decisions.…”

Section: Potential Benefits Of Biomechanical Analysis For Rehabilitationmentioning

confidence: 99%

Investigating the Use of Visualisations of Biomechanics in Physical Rehabilitation

Loudon

Carse

Macdonald

2011

Communications in Computer and Information Science

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Abstract. Biomechanical analysis can be used to scientifically assess the causes of movement problems, measure progress and validate outcomes. However, the complexity of the data produced and the training required to use the available biomechanical analysis tools prevents the widespread understanding of this form of analysis beyond those with a background in biomechanics. This paper reports on multidisciplinary research, funded by the MRC's LLHW programme, into the generation of three-dimensional, dynamic visualisations of biomechanical data and investigation of their use during functional rehabilitation trials, e.g., post-stroke, knee-joint replacement, and older adult exercise. The research will test the hypothesis that increased understanding of biomechanical concepts and measurements through this method of visualisation by both patients and clinicians will result in better patient outcomes.

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The Effect of Preoperative Gait Analysis on Orthopaedic Decision Making

Cited by 123 publications

References 3 publications

Preoperative gait analysis has a substantial effect on orthopedic decision making in children with cerebral palsy: Comparison between clinical evaluation and gait analysis in 60 patients

Preoperative gait analysis has a substantial effect on orthopedic decision making in children with cerebral palsy: Comparison between clinical evaluation and gait analysis in 60 patients

Effects of Preoperative Gait Analysis on Costs and Amount of Surgery

Investigating the Use of Visualisations of Biomechanics in Physical Rehabilitation

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