BILATERAL GAIT PATTERNS IN SUBJECTS FITTED WITH A TOTAL HIP-PROSTHESIS

被引:78
作者
LOIZEAU, J
ALLARD, P
DUHAIME, M
LANDJERIT, B
机构
[1] HOP ST JUSTINE,CTR RECH PEDIAT,ETUD MOUVEMENT LAB,MONTREAL,PQ H3T 1C5,CANADA
[2] ECOLE NATL SUPER ARTS & METIERS,BIOMECAN LAB,PARIS,FRANCE
[3] UNIV MONTREAL,DEPT EDUC PHYS,MONTREAL,PQ H3C 3J7,CANADA
[4] SHRINERS HOSP CRIPPLED CHILDREN,MONTREAL,PQ,CANADA
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 1995年 / 76卷 / 06期
关键词
D O I
10.1016/S0003-9993(95)80510-9
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
The purpose of this report was to determine whether the muscle powers and the mechanical energies developed during the push-off period of the gait cycle of patients having a total hip prosthesis were different from able-bodied subjects as well as the effect on the nonoperated limb, Design: Case control study, Setting: All patients where independent and functional. Patients: Four patients participated in the study. The indication for surgery was degenerative arthritis of the hip, There was also an able-bodied group, Intervention: A Harris-Galante total hip prosthesis was used to restore hip stability and function. The patients were all operated on by the same orthopedic surgeon and had the same type of total hip replacement, Main outcome measure: Gait analyses showed that not only the hips of the surgical group were affected but also the knees, Results: Peak power did not show any significant difference except for a decrease in the frontal plane of the operated hip power absorption, The operated hip developed 35% and 48% less energy than that of the able-bodied group in the sagittal and frontal planes, respectively, The nonoperated hip was also affected and developed 35% more energy in the sagittal plane than the operated limb but 20% less than that of the able-bodied group, There was a reduction of 47% in the energies developed in the knees of the surgical patient group, Conclusion: These results confirmed the presence of some mechanical dysfunction in the nonoperated limb.
引用
收藏
页码:552 / 557
页数:6
相关论文
共 15 条
  • [1] A 3-DIMENSIONAL KINEMATIC AND DYNAMIC-MODEL OF THE LOWER-LIMB
    APKARIAN, J
    NAUMANN, S
    CAIRNS, B
    [J]. JOURNAL OF BIOMECHANICS, 1989, 22 (02) : 143 - 155
  • [2] ARSENAULT AB, 1986, AM J PHYS MED REHAB, V65, P1
  • [3] BATES BT, 1992, MED SCI SPORT EXER, V24, P1059
  • [4] BRANDSTATER ME, 1983, ARCH PHYS MED REHAB, V64, P583
  • [5] Engsberg JR, 1990, PEDIAT EXERC SCI, V2, P255
  • [6] GROUND REACTION FORCE SYMMETRY DURING WALKING AND RUNNING
    HAMILL, J
    BATES, BT
    KNUTZEN, KM
    [J]. RESEARCH QUARTERLY FOR EXERCISE AND SPORT, 1984, 55 (03) : 289 - 293
  • [7] HERZOG W, 1989, ARCH PHYS MED REHAB, V65, P155
  • [8] CASE-STUDIES OF ASYMMETRICAL ARM ACTION IN RUNNING
    HINRICHS, RN
    [J]. INTERNATIONAL JOURNAL OF SPORT BIOMECHANICS, 1992, 8 (02): : 111 - 128
  • [9] MARZAN GT, 1975, S CLOS RANG PHOT SYS, P558
  • [10] MURRAY MP, 1983, ARCH PHYS MED REHAB, V64, P339