Effects of ankle arthrodesis on functioning of the knee and hip joints during walking at natural velocity
Journal Title: Rehabilitacja Medyczna - Year 2007, Vol 11, Issue 3
Abstract
Background: Ankle arthrodesis is probably still the safest method of treating painful, lesioned ankle in patients with rheumatoid arthritis or osteoarthritis with significant symptoms that do not respond to conservative treatment. The aim of this study was to present the effects of the ankle arthrodesis on correct functioning of the knee and hip joints during walking at natural velocity.Materials and methods: The study was conducted in the Biokinetics Laboratory of the Academy of Physical Education in Kraków. Fourteen patients with ankle arthrodesis, aged from 34 to 66 years (mean: 54 years), were enrolled into the study and participated in the testing sessions. Angular changes of the knees and hips in three planes of movement during particular gait phases were evaluated by a three–dimensional motion analysis system: Vicon®. The results of locomotion analysis were compared to a control group that consisted of thirty healthy persons aged 40–60 years.Results: Significant differences in the movement of the knees and hips in the three planes of motion were observed between the two groups. In the frontal plane, knees moved symmetrically, but during all the gait phases, knees were in a significant valgus deformity. In the transversal plane, knees were in a significant external rotation during all gait phases. In the saggital plane, hips moved with limited extension. There was also a significant external rotation, outside the biomechanical normal range, of both hips in the transversal plane.Conclusions: The most significant deviations from the biomechanical normal range were found in the frontal and transversal planes for knees and in the saggital and transversal planes for hips.
Authors and Affiliations
Katarzyna Ogrodzka, Tadeusz Niedźwiedzki
Rehabilitacja po chirurgicznym leczeniu lędźwiowej przepukliny krążka międzykręgowego – przegląd badań oraz propozycje postępowania
Wstęp: W literaturze fachowej znaleźć można wiele przykładów postępowania usprawniającego po chirurgicznym leczeniu dyskopatii. Mało jednak wiadomo na temat efektywności i skuteczności tych metod w oparciu o zasady Evide...
Czynnościowe wyniki odległe oraz uwarunkowania fizjoterapeutyczne leczenia operacyjnego złamań stawowych kości piętowej
Wstęp: Autorzy pracy prezentują obserwacje własne z zakresu operacyjnego leczenia złamań stawowych kości piętowej z zastosowaniem przezskórnych zespoleń małoinwazyjnych w skojarzeniu ze zunifikowanym autorskim programem...
Physical activity in women treated for breast cancer. A pilot study
Introduction: Physical activity isa significant preventive factor for many disorders. The amount of evidence confirminga correlation between physical activity anda reduced risk of breast cancer is growing. Objective: The...
Pamięci Olgierda Smoleńskiego
Comparison of STarT Back Screening Tool and Simmonds Physical Performance Based Test Battery in Prediction of Disability Risks Among Patients with Chronic Low-Back Pain
Objectives<br/><br/>This study identified disability sub-groups of patients with chronic low back pain (LBP) using the Subgroup for Targeted Treatment (or STarT) Back Screening Tool (SBST) and Simmonds Physical Performan...