Ankle joint function during walking in tophaceous gout: A biomechanical gait analysis study

被引:6
作者
Carroll, Matthew [1 ]
Boocock, Mark [2 ]
Dalbeth, Nicola [3 ,4 ]
Stewart, Sarah [5 ]
Frampton, Christopher [6 ]
Rome, Keith [5 ]
机构
[1] Auckland Univ Technol, Dept Podiatry, Sch Clin Sci, Auckland, New Zealand
[2] Auckland Univ Technol, Dept Physiotherapy, Hlth & Rehabil Res Inst, Auckland, New Zealand
[3] Univ Auckland, Dept Med, Auckland, New Zealand
[4] Univ Auckland, Dept Rheumatol, Auckland Dist Hlth Board, Auckland, New Zealand
[5] Auckland Univ Technol, Dept Podiatry, Hlth & Rehabil Res Inst, Auckland, New Zealand
[6] Univ Otago, Dept Psychol Med, Christchurch, New Zealand
关键词
Gout; Tophus; Walking; Ankle; DUAL-ENERGY CT; FOOT; ULTRASOUND; PEOPLE; CLASSIFICATION; ARTHRITIS; CRITERIA; TENDON; TOPHI;
D O I
10.1016/j.gaitpost.2018.04.020
中图分类号
Q189 [神经科学];
学科分类号
071006 [神经生物学];
摘要
Background: The foot and ankle are frequently affected in tophaceous gout, yet kinematic and kinetic changes in this region during gait are unknown. The aim of the study was to evaluate ankle biomechanical characteristics in people with tophaceous gout using three-dimensional gait analysis. Methods: Twenty-four participants with tophaceous gout were compared with 24 age-and sex-matched control participants. A 9-camera motion analysis system and two floor-mounted force plates were used to calculate kinematic and kinetic parameters. Results: Peak ankle joint angular velocity was significantly decreased in participants with gout (P < 0.01). No differences were found for ankle ROM in either the sagittal (P = 0.43) or frontal planes (P = 0.08). No differences were observed between groups for peak ankle joint power (P = 0.41), peak ankle joint force (P = 0.25), peak ankle joint moment (P = 0.16), timing for peak ankle joint force (P = 0.81), or timing for peak ankle joint moment (P = 0.16). Conclusions: Three dimensional gait analysis demonstrated that ankle joint function does not change in people with gout. People with gout demonstrated a reduced peak ankle joint angular velocity which may reflect gait-limiting factors and adaptations from the high levels of foot pain, impairment and disability experienced by this population.
引用
收藏
页码:150 / 153
页数:4
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