Walking ability during daily life in patients with osteoarthritis of the knee or the hip and lumbar spinal stenosis: a cross sectional study
Autor: | Tim Schubert, Mirko Brandes, Tobias L. Schulte, Axel Hillmann, Dieter Rosenbaum, Michael Ringling, Carsten Müller, Corinna Winter |
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Rok vydání: | 2010 |
Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Sports medicine Spinal stenosis medicine.medical_treatment Comorbidity Osteoarthritis Osteoarthritis Hip Disability Evaluation Spinal Stenosis Physical medicine and rehabilitation Rheumatology Internal medicine Humans Medicine Orthopedics and Sports Medicine Mobility Limitation Gait Disorders Neurologic Aged Rehabilitation business.industry Lumbar spinal stenosis Middle Aged Osteoarthritis Knee medicine.disease Cross-Sectional Studies Orthopedic surgery Physical therapy Female lcsh:RC925-935 business human activities Research Article |
Zdroj: | BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 11, Iss 1, p 233 (2010) |
ISSN: | 1471-2474 |
Popis: | Background Degenerative musculoskeletal disorders are among the most frequent diseases occurring in adulthood, often impairing patients' functional mobility and physical activity. The aim of the present study was to investigate and compare the impact of three frequent degenerative musculoskeletal disorders -- knee osteoarthritis (knee OA), hip osteoarthritis (hip OA) and lumbar spinal stenosis (LSS) -- on patients' walking ability. Methods The study included 120 participants, with 30 in each patient group and 30 healthy control individuals. A uniaxial accelerometer, the StepWatch™ Activity Monitor (Orthocare Innovations, Seattle, Washington, USA), was used to determine the volume (number of gait cycles per day) and intensity (gait cycles per minute) of walking ability. Non-parametric testing was used for all statistical analyses. Results Both the volume and the intensity of walking ability were significantly lower among the patients in comparison with the healthy control individuals (p < 0.001). Patients with LSS spent 0.4 (IQR 2.8) min/day doing moderately intense walking (>50 gait cycles/min), which was significantly lower in comparison with patients with knee and hip OA at 2.5 (IQR 4.4) and 3.4 (IQR 16.1) min/day, respectively (p < 0.001). No correlations between demographic or anthropometric data and walking ability were found. No technical problems or measuring errors occurred with any of the measurements. Conclusions Patients with degenerative musculoskeletal disorders suffer limitations in their walking ability. Objective assessment of walking ability appeared to be an easy and feasible tool for measuring such limitations as it provides baseline data and objective information that are more precise than the patients' own subjective estimates. In everyday practice, objective activity assessment can provide feedback for clinicians regarding patients' performance during everyday life and the extent to which this confirms the results of clinical investigations. The method can also be used as a way of encouraging patients to develop a more active lifestyle. |
Databáze: | OpenAIRE |
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