AI Article Synopsis
- - The study investigated how changes in pelvic anteversion during walking affect the physical function and walking ability of elderly patients with adult spinal deformity (ASD).
- - It involved 54 patients aged 50 and older, comparing their 6-minute walking distance (6MWD) and hip extensor strength based on their pelvic anteversion categorization into small and large groups.
- - Results showed that patients with larger pelvic anteversion had significantly lower walking ability (measured by 6MWD) and hip extensor strength, emphasizing the need for evaluating movement in addition to radiographic assessments for ASD patients.
Article Abstract
Backgrounds: Evaluation of gait posture using a three-dimensional motion analysis system (3DMAS) revealed that elderly patients with adult spinal deformity (ASD) experience pelvic anteversion while walking. The purpose of this study was to investigate the influence of changes in pelvic anteversion during gait on walking ability and physical function in patients with ASD.
Methods: Fifty-four patients with ASD aged 50 years or older who were admitted to our hospital between March 2016 and December 2021 were included in the study. The 6-min walking distance (6MWD) was used to evaluate walking ability, and trunk and hip extensor strength were measured to evaluate physical function in the subjects. The 3DMAS was used to measure the subject's changes in pelvic anteversion during gait. After measuring the changes in pelvic anteversion, the median value of the study subjects was calculated, according to which the subjects were divided into two groups (small anteversion [S] group, large anteversion [L] group). Walking ability and physical function were compared between the two groups.
Results: The number of subjects in each group was 27. Comparisons of walking ability and physical function between the groups revealed significant differences in 6MWD (S group, 333.6 ± 111.2 m; L group, 238.0 ± 106.3 m) and hip extensor strength (S group, 15.8 ± 3.8 kgf; L group, 13.4 ± 4.4 kgf). No significant differences regarding trunk extensor strength were observed between the groups (S group, 15.2 ± 4.0 kgf; L group, 12.9 ± 4.8 kgf).
Conclusion: The results of the present study revealed that ASD patients with greater pelvic anteversion associated with walking have lower walking ability and physical function. These results suggest the importance of evaluating the posture of ASD patients not only by using radiographic findings but also by assessing movement, such as gait posture.
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| http://dx.doi.org/10.1016/j.jos.2023.12.005 | DOI Listing |
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