Clinical implications of gait analysis in the rehabilitation of adult patients with 'Prader-Willi' Syndrome: a cross-sectional comparative study ('Prader-Willi' Syndrome vs matched obese patients and healthy subjects)
| Autor: | Graziano Grugni, Marianna Romei, Angelo Montesano, Manuela Galli, Marcello Crivellini, Luca Vismara, G. Baccalaro |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty congenital hereditary and neonatal diseases and abnormalities Adolescent medicine.medical_treatment Health Informatics Walking Overweight lcsh:RC321-571 Child Development medicine Humans Force platform Obesity Child lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Gait Gait Disorders Neurologic Rehabilitation Research nutritional and metabolic diseases medicine.disease Motor Skills Disorders medicine.anatomical_structure Cross-Sectional Studies Gait analysis Physical therapy Female Ankle medicine.symptom Range of motion Psychology Prader-Willi Syndrome |
| Zdroj: | Journal of NeuroEngineering and Rehabilitation Politecnico di Milano-IRIS Journal of NeuroEngineering and Rehabilitation, Vol 4, Iss 1, p 14 (2007) |
| ISSN: | 1743-0003 |
| Popis: | Background Being severely overweight is a distinctive clinical feature of Prader-Willi Syndrome (PWS). PWS is a complex multisystem disorder, representing the most common form of genetic obesity. The aim of this study was the analysis of the gait pattern of adult subjects with PWS by using three-Dimensional Gait Analysis. The results were compared with those obtained in a group of obese patients and in a group of healthy subjects. Methods Cross-sectional, comparative study: 19 patients with PWS (11 males and 8 females, age: 18–40 years, BMI: 29.3–50.3 kg/m2); 14 obese matched patients (5 males and 9 females, age: 18–40 years, BMI: 34.3–45.2 kg/m2); 20 healthy subjects (10 males and 10 females, age: 21–41 years, BMI: 19.3–25.4 kg/m2). Kinematic and kinetic parameters during walking were assessed by an optoelectronic system and two force platforms. Results PWS adult patients walked slower, had a shorter stride length, a lower cadence and a longer stance phase compared with both matched obese, and healthy subjects. Obese matched patients showed spatio-temporal parameters significantly different from healthy subjects. Furthermore, Range Of Motion (ROM) at knee and ankle, and plantaflexor activity of PWS patients were significantly different between obese and healthy subjects. Obese subjects revealed kinematic and kinetic data similar to healthy subjects. Conclusion PWS subjects had a gait pattern significantly different from obese patients. Despite that, both groups had a similar BMI. We suggest that PWS gait abnormalities may be related to abnormalities in the development of motor skills in childhood, due to precocious obesity. A tailored rehabilitation program in early childhood of PWS patients could prevent gait pattern changes. |
| Databáze: | OpenAIRE |
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