Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy

Abstract This study aimed to evaluate the subclinical gait abnormalities and the postoperative gait improvements in patients with degenerative cervical myelopathy using three-dimensional gait analysis. We reviewed the gait analysis of 62 patients who underwent surgical treatment for degenerative cer...

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Autores principales:	Dong-Ho Lee, Jong Yoon Yoo, Jae Hwan Cho, Chang Ju Hwang, Choon Sung Lee, Chunghwan Kim, Jung-Ki Ha, Kun-Bo Park
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5f61c8f5801c4a07a9b4373c8d11d05f
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spelling	oai:doaj.org-article:5f61c8f5801c4a07a9b4373c8d11d05f2021-12-02T15:49:35ZSubclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy10.1038/s41598-021-90884-22045-2322https://doaj.org/article/5f61c8f5801c4a07a9b4373c8d11d05f2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90884-2https://doaj.org/toc/2045-2322Abstract This study aimed to evaluate the subclinical gait abnormalities and the postoperative gait improvements in patients with degenerative cervical myelopathy using three-dimensional gait analysis. We reviewed the gait analysis of 62 patients who underwent surgical treatment for degenerative cervical myelopathy. The asymptomatic gait group included 30 patients and the gait disturbance group included 32 patients who can walk on their own slowly or need assistive device on stairs. The step width (17.2 cm vs. 15.9 cm, P = 0.003), stride length (105.2 cm vs. 109.1 cm, P = 0.015), and double-limb support duration (13.4% vs. 11.7%, P = 0.027) improved only in the asymptomatic gait group. Preoperatively, the asymptomatic gait group exhibited better maximum knee flexion angle (60.5° vs. 54.8°, P = 0.001) and ankle plantarflexion angle at push-off (− 12.2° vs. − 6.5°, P = 0.001) compared to the gait disturbance group. Postoperatively, maximum knee flexion angle (62.3° vs. 58.2°, P = 0.004) and ankle plantarflexion angle at push-off (− 12.8° vs. − 8.3°, P = 0.002) were still better in the asymptomatic gait group, although both parameters improved in the gait disturbance group (P = 0.005, 0.039, respectively). Kinematic parameters could improve in patients with gait disturbance. However, temporospatial parameters improvement may be expected when the operative treatment is performed before apparent gait disturbance.Dong-Ho LeeJong Yoon YooJae Hwan ChoChang Ju HwangChoon Sung LeeChunghwan KimJung-Ki HaKun-Bo ParkNature 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 Dong-Ho Lee Jong Yoon Yoo Jae Hwan Cho Chang Ju Hwang Choon Sung Lee Chunghwan Kim Jung-Ki Ha Kun-Bo Park Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy
description	Abstract This study aimed to evaluate the subclinical gait abnormalities and the postoperative gait improvements in patients with degenerative cervical myelopathy using three-dimensional gait analysis. We reviewed the gait analysis of 62 patients who underwent surgical treatment for degenerative cervical myelopathy. The asymptomatic gait group included 30 patients and the gait disturbance group included 32 patients who can walk on their own slowly or need assistive device on stairs. The step width (17.2 cm vs. 15.9 cm, P = 0.003), stride length (105.2 cm vs. 109.1 cm, P = 0.015), and double-limb support duration (13.4% vs. 11.7%, P = 0.027) improved only in the asymptomatic gait group. Preoperatively, the asymptomatic gait group exhibited better maximum knee flexion angle (60.5° vs. 54.8°, P = 0.001) and ankle plantarflexion angle at push-off (− 12.2° vs. − 6.5°, P = 0.001) compared to the gait disturbance group. Postoperatively, maximum knee flexion angle (62.3° vs. 58.2°, P = 0.004) and ankle plantarflexion angle at push-off (− 12.8° vs. − 8.3°, P = 0.002) were still better in the asymptomatic gait group, although both parameters improved in the gait disturbance group (P = 0.005, 0.039, respectively). Kinematic parameters could improve in patients with gait disturbance. However, temporospatial parameters improvement may be expected when the operative treatment is performed before apparent gait disturbance.
format	article
author	Dong-Ho Lee Jong Yoon Yoo Jae Hwan Cho Chang Ju Hwang Choon Sung Lee Chunghwan Kim Jung-Ki Ha Kun-Bo Park
author_facet	Dong-Ho Lee Jong Yoon Yoo Jae Hwan Cho Chang Ju Hwang Choon Sung Lee Chunghwan Kim Jung-Ki Ha Kun-Bo Park
author_sort	Dong-Ho Lee
title	Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy
title_short	Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy
title_full	Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy
title_fullStr	Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy
title_full_unstemmed	Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy
title_sort	subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/5f61c8f5801c4a07a9b4373c8d11d05f
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Subclinical gait disturbance and postoperative gait improvement in patients with degenerative cervical myelopathy

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