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Journal of NeuroEngineering and Rehabilitation

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Open Access 01-12-2014 | Research

Assessment of asymmetric leg loading before and after total hip arthroplasty using instrumented shoes

Authors: Alicia Martínez-Ramírez, Dirk Weenk, Pablo Lecumberri, Nico Verdonschot, Dean Pakvis, Peter H Veltink

Published in: Journal of NeuroEngineering and Rehabilitation | Issue 1/2014

Abstract

Background

Total hip arthroplasty is a successful surgical treatment in patients with osteoarthritis of the hip. Different questionnaires are used by the clinicians to assess functional capacity and the patient's pain, despite these questionnaires are known to be subjective. Furthermore, many studies agree that kinematic and kinetic parameters are crucial to evaluate and to provide useful information about the patient’s evolution for clinicians and rehabilitation specialists. However, these quantities can currently only be obtained in a fully equipped gait laboratory. Instrumented shoes can quantify gait velocity, kinetic, kinematic and symmetry parameters. The aim of this study was to investigate whether the instrumented shoes is a sufficiently sensitive instrument to show differences in mobility performance before and after total hip arthroplasty.

Methods

In this study, patients undergoing total hip arthroplasty were measured before and 6–8 months after total hip arthroplasty. Both measurement sessions include 2 functional mobility tasks while the subject was wearing instrumented shoes. Before each measurement the Harris Hip Score and the Traditional Western Ontario and McMaster Universities osteoarthritis index were administered as well.

Results

The stance time and the average vertical ground reaction force measured with the instrumented shoes during walking, and their symmetry index, showed significant differences before and after total hip arthroplasty. However, the data obtained with the sit to stand test did not reveal this improvement after surgery.

Conclusions

Our results show that inter-limb asymmetry during a walking activity can be evaluated with the instrumented shoes before and after total hip arthroplasty in an outpatient clinical setting.

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Title: Assessment of asymmetric leg loading before and after total hip arthroplasty using instrumented shoes
Authors: Alicia Martínez-Ramírez
Dirk Weenk
Pablo Lecumberri
Nico Verdonschot
Dean Pakvis
Peter H Veltink
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: Journal of NeuroEngineering and Rehabilitation / Issue 1/2014
Electronic ISSN: 1743-0003
DOI: https://doi.org/10.1186/1743-0003-11-20

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Assessment of asymmetric leg loading before and after total hip arthroplasty using instrumented shoes

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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