Diagnostic usefulness of 10-step tandem gait test for the patient with degenerative cervical myelopathy

Abstract Tandem gait is considered one of the most useful screening tools for gait impairment. The aim of this study is to evaluate diagnostic usefulness of 10-step tandem gait test for the patients with degenerative cervical myelopathy (DCM). Sixty-two DCM patients were compared to 55 persons witho...

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Autores principales:	Dallah Yoo, Kyung-Chung Kang, Jung-Hee Lee, Ki Young Lee, In-Uk Hwang
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/2e8acdb0b3464ee7a6dc534cbd8b642f
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spelling	oai:doaj.org-article:2e8acdb0b3464ee7a6dc534cbd8b642f2021-12-02T16:35:11ZDiagnostic usefulness of 10-step tandem gait test for the patient with degenerative cervical myelopathy10.1038/s41598-021-96725-62045-2322https://doaj.org/article/2e8acdb0b3464ee7a6dc534cbd8b642f2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96725-6https://doaj.org/toc/2045-2322Abstract Tandem gait is considered one of the most useful screening tools for gait impairment. The aim of this study is to evaluate diagnostic usefulness of 10-step tandem gait test for the patients with degenerative cervical myelopathy (DCM). Sixty-two DCM patients were compared to 55 persons without gait abnormalities as control. We counted the number of consecutive steps and graded into five according the number of steps and stability. Five grades of tandem gait were investigated for association with clinical parameters including qualitative Japanese orthopedic association (JOA) sub-score for lower extremities and Nurick scale and quantitative balance and gait assessments. The number of tandem steps were reduced and the grades of tandem gait were differently distributed in the DCM patients compared to controls (steps, 7.1 ± 3.6 versus 9.9 ± 0.4, p < 0.001; grades of 0/1/2/3/4/5, 1/13/14/15/19 versus 0/0/2/15/38, p < 0.001 in patients with DCM and control respectively). Patients with DCM showed more unstable balance and abnormal gait features including slower velocity, shorter strides, wider bases with increased stance phase of a gait cycle compared to the control group. The grades of tandem gait were correlated with JOA sub-score (r = 0.553, p < 0.001) and the Nurick scale (r = − 0.652, p < 0.001) as well as both balance and gait parameters. In DCM patients, tandem gait was impaired and correlated with severity of gait abnormality. The authors believe that 10-step tandem gait test is an objective and useful screening test for evaluating gait disturbance in patients with DCM.Dallah YooKyung-Chung KangJung-Hee LeeKi Young LeeIn-Uk HwangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Dallah Yoo Kyung-Chung Kang Jung-Hee Lee Ki Young Lee In-Uk Hwang Diagnostic usefulness of 10-step tandem gait test for the patient with degenerative cervical myelopathy
description	Abstract Tandem gait is considered one of the most useful screening tools for gait impairment. The aim of this study is to evaluate diagnostic usefulness of 10-step tandem gait test for the patients with degenerative cervical myelopathy (DCM). Sixty-two DCM patients were compared to 55 persons without gait abnormalities as control. We counted the number of consecutive steps and graded into five according the number of steps and stability. Five grades of tandem gait were investigated for association with clinical parameters including qualitative Japanese orthopedic association (JOA) sub-score for lower extremities and Nurick scale and quantitative balance and gait assessments. The number of tandem steps were reduced and the grades of tandem gait were differently distributed in the DCM patients compared to controls (steps, 7.1 ± 3.6 versus 9.9 ± 0.4, p < 0.001; grades of 0/1/2/3/4/5, 1/13/14/15/19 versus 0/0/2/15/38, p < 0.001 in patients with DCM and control respectively). Patients with DCM showed more unstable balance and abnormal gait features including slower velocity, shorter strides, wider bases with increased stance phase of a gait cycle compared to the control group. The grades of tandem gait were correlated with JOA sub-score (r = 0.553, p < 0.001) and the Nurick scale (r = − 0.652, p < 0.001) as well as both balance and gait parameters. In DCM patients, tandem gait was impaired and correlated with severity of gait abnormality. The authors believe that 10-step tandem gait test is an objective and useful screening test for evaluating gait disturbance in patients with DCM.
format	article
author	Dallah Yoo Kyung-Chung Kang Jung-Hee Lee Ki Young Lee In-Uk Hwang
author_facet	Dallah Yoo Kyung-Chung Kang Jung-Hee Lee Ki Young Lee In-Uk Hwang
author_sort	Dallah Yoo
title	Diagnostic usefulness of 10-step tandem gait test for the patient with degenerative cervical myelopathy
title_short	Diagnostic usefulness of 10-step tandem gait test for the patient with degenerative cervical myelopathy
title_full	Diagnostic usefulness of 10-step tandem gait test for the patient with degenerative cervical myelopathy
title_fullStr	Diagnostic usefulness of 10-step tandem gait test for the patient with degenerative cervical myelopathy
title_full_unstemmed	Diagnostic usefulness of 10-step tandem gait test for the patient with degenerative cervical myelopathy
title_sort	diagnostic usefulness of 10-step tandem gait test for the patient with degenerative cervical myelopathy
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/2e8acdb0b3464ee7a6dc534cbd8b642f
work_keys_str_mv	AT dallahyoo diagnosticusefulnessof10steptandemgaittestforthepatientwithdegenerativecervicalmyelopathy AT kyungchungkang diagnosticusefulnessof10steptandemgaittestforthepatientwithdegenerativecervicalmyelopathy AT jungheelee diagnosticusefulnessof10steptandemgaittestforthepatientwithdegenerativecervicalmyelopathy AT kiyounglee diagnosticusefulnessof10steptandemgaittestforthepatientwithdegenerativecervicalmyelopathy AT inukhwang diagnosticusefulnessof10steptandemgaittestforthepatientwithdegenerativecervicalmyelopathy
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Diagnostic usefulness of 10-step tandem gait test for the patient with degenerative cervical myelopathy

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