Skip to main content
Top
Published in: International Orthopaedics 3/2021

01-03-2021 | Spinal Stenosis | Original Paper

Gait analysis in the elderly patients with lumbar spinal stenosis

Authors: Yong-Gang Li, Li-Ping Li, Zhen-Jiang Li, Hui Li, Yuan Li, Qiang Li, Hai-Bo Yang, Jian-Hong Sun, Jin-Shan Sun

Published in: International Orthopaedics | Issue 3/2021

Login to get access

Abstract

Purpose

This study aims to analyze the gait characteristics of the elderly patients with lumbar spinal stenosis by an intelligent device for energy expenditure and activity (IDEEA) to assist clinical work.

Methods

A total of 98 subjects were included in this study from January 2017 to December 2018. A total of 49 elderly outpatients with symptomatic lumbar spinal stenosis in unilateral lower extremity were included as the experimental group, and another 49 healthy subjects matched with gender, age, and body mass index (BMI) were analyzed as the control group. The gait data of the subjects (including single support, double support, SLS/DLS, swing duration, step duration, cycle duration, pulling accel, swing power, ground impact, foot fall, foot off, push off, speed, cadence, step length, and stride length) were collected to compare between the experience group and control group, the affected leg and the healthy leg in experimental group.

Results

The results of this study presented that small intermittent claudication occurred in all patients. The time of single support was significantly increased (p < 0.05). Double support, step duration, and pulling accel were increased (p < 0.05), and the Push off, speed, step length, and Stride length were decreased (p < 0.05) in the experimental group compared with the control group.

Conclusion

Small intermittent claudication was the basic gait composition of the elderly patients with lumbar spinal stenosis that can reflect the abnormal gait characteristics by IDEEA.
Appendix
Available only for authorised users
Literature
1.
go back to reference Andresen AK, Ernst C, Andersen MØ (2016) Lumbar spinal stenosis. Ugeskr Laeger 178(41):V04160245PubMed Andresen AK, Ernst C, Andersen MØ (2016) Lumbar spinal stenosis. Ugeskr Laeger 178(41):V04160245PubMed
2.
go back to reference Lønne G, Fritzell P, Hägg O, Nordvall D, Gerdhem P, Lagerbäck T, Andersen M, Eiskjaer S, Gehrchen M, Jacobs W, van Hooff ML, Solberg TK (2019) Lumbar spinal stenosis: comparison of surgical practice variation and clinical outcome in three national spine registries. Spine J 19(1):41–49CrossRef Lønne G, Fritzell P, Hägg O, Nordvall D, Gerdhem P, Lagerbäck T, Andersen M, Eiskjaer S, Gehrchen M, Jacobs W, van Hooff ML, Solberg TK (2019) Lumbar spinal stenosis: comparison of surgical practice variation and clinical outcome in three national spine registries. Spine J 19(1):41–49CrossRef
3.
go back to reference Benditz A, Grifka J (2019) Lumbar spinal stenosis: from the diagnosis to the correct treatment. Orthopade 48(2):179–192CrossRef Benditz A, Grifka J (2019) Lumbar spinal stenosis: from the diagnosis to the correct treatment. Orthopade 48(2):179–192CrossRef
4.
go back to reference Loske S, Nüesch C, Byrnes KS, Fiebig O, Schären S, Mündermann A, Netzer C (2018) Decompression surgery improves gait quality in patients with symptomatic lumbar spinal stenosis. Spine J 18(12):2195–2204CrossRef Loske S, Nüesch C, Byrnes KS, Fiebig O, Schären S, Mündermann A, Netzer C (2018) Decompression surgery improves gait quality in patients with symptomatic lumbar spinal stenosis. Spine J 18(12):2195–2204CrossRef
5.
go back to reference Byrnes SK, Nüesch C, Loske S, Leuenberger A, Schären S, Netzer C, Mündermann A (2018) Inertial sensor-based gait and attractor analysis as clinical measurement tool: functionality and sensitivity in healthy subjects and patients with symptomatic lumbar spinal stenosis. Front Physiol 9:1095. https://doi.org/10.3389/fphys.2018.01095 Byrnes SK, Nüesch C, Loske S, Leuenberger A, Schären S, Netzer C, Mündermann A (2018) Inertial sensor-based gait and attractor analysis as clinical measurement tool: functionality and sensitivity in healthy subjects and patients with symptomatic lumbar spinal stenosis. Front Physiol 9:1095. https://​doi.​org/​10.​3389/​fphys.​2018.​01095
6.
go back to reference Fujiwara A, Kobayashi N, Saiki K, Kitagawa T, Tamai K, Saotome K (2003) Association of the Japanese Orthopaedic Association score with the Oswestry Disability Index. Roland-Morris Disability Questionnaire, and short-form 36. Spine (Phila Pa 1976) 28(14):1601–1607 Fujiwara A, Kobayashi N, Saiki K, Kitagawa T, Tamai K, Saotome K (2003) Association of the Japanese Orthopaedic Association score with the Oswestry Disability Index. Roland-Morris Disability Questionnaire, and short-form 36. Spine (Phila Pa 1976) 28(14):1601–1607
7.
go back to reference Conrad BP, Shokat MS, Abbasi AZ, Vincent HK, Seay A, Kennedy DJ (2013) Associations of self-report measures with gait, range of motion and proprioception in patients with lumbar spinal stenosis. Gait Posture 38(4):987–992CrossRef Conrad BP, Shokat MS, Abbasi AZ, Vincent HK, Seay A, Kennedy DJ (2013) Associations of self-report measures with gait, range of motion and proprioception in patients with lumbar spinal stenosis. Gait Posture 38(4):987–992CrossRef
8.
go back to reference Huang YP, Bruijn SM, Lin JH, Meijer OG, Wu WH, Abbasi-Bafghi H, Lin XC, van Dieën JH (2011) Gait adaptations in low back pain patients with lumbar disc herniation: trunk coordination and arm swing. Eur Spine J 20(3):491–499CrossRef Huang YP, Bruijn SM, Lin JH, Meijer OG, Wu WH, Abbasi-Bafghi H, Lin XC, van Dieën JH (2011) Gait adaptations in low back pain patients with lumbar disc herniation: trunk coordination and arm swing. Eur Spine J 20(3):491–499CrossRef
9.
go back to reference Malone A, Meldrum D, Bolger C (2015) Three-dimensional gait analysis outcomes at l year following decompressive surgery for cervical spondylotic myelopathy. Eur Spine J 24(1):48–56CrossRef Malone A, Meldrum D, Bolger C (2015) Three-dimensional gait analysis outcomes at l year following decompressive surgery for cervical spondylotic myelopathy. Eur Spine J 24(1):48–56CrossRef
10.
go back to reference Suna J, Liu Y, Yan S et al (2017) Clinical gait evaluation of patients with knee osteoarthritis. Gait Posture 58:319–324CrossRef Suna J, Liu Y, Yan S et al (2017) Clinical gait evaluation of patients with knee osteoarthritis. Gait Posture 58:319–324CrossRef
11.
go back to reference Adachi K, Futami T, Ebihara A, Yamaya T, Kasai N, Nakazawa T, Imura T (2003) Spinal canal enlargement procedure by restorative laminoplasty for the treatment of lumbar canal stenosis. Spine J 3(6):471–478CrossRef Adachi K, Futami T, Ebihara A, Yamaya T, Kasai N, Nakazawa T, Imura T (2003) Spinal canal enlargement procedure by restorative laminoplasty for the treatment of lumbar canal stenosis. Spine J 3(6):471–478CrossRef
12.
go back to reference Suda Y, Saitou M, Shibasaki K, Yamazaki N, Chiba K, Toyama Y (2002) Gait analysis of patients with neurogenic intermittent claudication. Spine (Phila Pa 1976) 27(22):2509–2513CrossRef Suda Y, Saitou M, Shibasaki K, Yamazaki N, Chiba K, Toyama Y (2002) Gait analysis of patients with neurogenic intermittent claudication. Spine (Phila Pa 1976) 27(22):2509–2513CrossRef
13.
go back to reference Fujita N, Sakurai A, Miyamoto A, Michikawa T, Otaka Y, Suzuki S, Tsuji O, Nagoshi N, Okada E, Yagi M, Tsuji T, Kono H, Ishii K, Nakamura M, Matsumoto M, Watanabe K (2019) Stride length of elderly patients with lumbar spinal stenosis: multi-center study using the two-step test. J Orthop Sci S0949-2658(19):30015–30016 Fujita N, Sakurai A, Miyamoto A, Michikawa T, Otaka Y, Suzuki S, Tsuji O, Nagoshi N, Okada E, Yagi M, Tsuji T, Kono H, Ishii K, Nakamura M, Matsumoto M, Watanabe K (2019) Stride length of elderly patients with lumbar spinal stenosis: multi-center study using the two-step test. J Orthop Sci S0949-2658(19):30015–30016
14.
go back to reference Watanabe T, Yoneyama T, Hayashi H, Toribatake Y (2014) Identification of the causative disease of intermittent claudication through walking motion analysis: feature analysis and differentiation. Sci World J 2014:861529 Watanabe T, Yoneyama T, Hayashi H, Toribatake Y (2014) Identification of the causative disease of intermittent claudication through walking motion analysis: feature analysis and differentiation. Sci World J 2014:861529
15.
go back to reference Tsubosaka M, Kaneyama S, Yano T, Kasahara K, Kanemura A, Takabatake M, Hirata H, Sumi M (2018) The factors of deterioration in long-term clinical course of lumbar spinal canal stenosis after successful conservative treatment. J Orthop Surg Res 13(1):239 Tsubosaka M, Kaneyama S, Yano T, Kasahara K, Kanemura A, Takabatake M, Hirata H, Sumi M (2018) The factors of deterioration in long-term clinical course of lumbar spinal canal stenosis after successful conservative treatment. J Orthop Surg Res 13(1):239
16.
go back to reference Schmidt CT, Ward RE, Suri P, Kiely DK, Ni P, Anderson DE, Bean JF (2017) Association of neuromuscular attributes with performance-based mobility among community-dwelling older adults with symptomatic lumbar spinal stenosis. Arch Phys Med Rehabil 98(7):1400–1406 Schmidt CT, Ward RE, Suri P, Kiely DK, Ni P, Anderson DE, Bean JF (2017) Association of neuromuscular attributes with performance-based mobility among community-dwelling older adults with symptomatic lumbar spinal stenosis. Arch Phys Med Rehabil 98(7):1400–1406
17.
go back to reference Bumann H, Nüesch C, Loske S, Byrnes SK, Kovacs B, Janssen R, Schären S, Mündermann A, Netzer C (2019) Severity of degenerative lumbar spinal stenosis affects pelvic rigidity during walking. Spine J 31:S1529-9430(19)30962-3 Bumann H, Nüesch C, Loske S, Byrnes SK, Kovacs B, Janssen R, Schären S, Mündermann A, Netzer C (2019) Severity of degenerative lumbar spinal stenosis affects pelvic rigidity during walking. Spine J 31:S1529-9430(19)30962-3
18.
go back to reference Hartman J, Granville M, Jacobson RE (2019) Radiologic evaluation of lumbar spinal stenosis: the integration of sagittal and axial views in decision making for minimally invasive surgical procedures. Cureus 11(3):e4268 Hartman J, Granville M, Jacobson RE (2019) Radiologic evaluation of lumbar spinal stenosis: the integration of sagittal and axial views in decision making for minimally invasive surgical procedures. Cureus 11(3):e4268
19.
go back to reference Grelat M, Gouteron A, Casillas JM, Orliac B, Beaurain J, Fournel I, Laroche D (2019) Walking speed as an alternative measure of functional status in patients with lumbar spinal stenosis. World Neurosurg 122:e591–e597 Grelat M, Gouteron A, Casillas JM, Orliac B, Beaurain J, Fournel I, Laroche D (2019) Walking speed as an alternative measure of functional status in patients with lumbar spinal stenosis. World Neurosurg 122:e591–e597
20.
go back to reference Kim K, Shin KM, Hunt CL, Wang Z, Bauer BA, Kwon O, Lee JH, Seo BN, Jung SY, Youn Y, Lee SH, Choi JC, Jung JE, Kim J, Qu W, Kim TH, Eldrige JS (2019) Nonsurgical integrative inpatient treatments for symptomatic lumbar spinal stenosis: a multi-arm randomized controlled pilot trial. J Pain Res 12:1103–1113 Kim K, Shin KM, Hunt CL, Wang Z, Bauer BA, Kwon O, Lee JH, Seo BN, Jung SY, Youn Y, Lee SH, Choi JC, Jung JE, Kim J, Qu W, Kim TH, Eldrige JS (2019) Nonsurgical integrative inpatient treatments for symptomatic lumbar spinal stenosis: a multi-arm randomized controlled pilot trial. J Pain Res 12:1103–1113
Metadata
Title
Gait analysis in the elderly patients with lumbar spinal stenosis
Authors
Yong-Gang Li
Li-Ping Li
Zhen-Jiang Li
Hui Li
Yuan Li
Qiang Li
Hai-Bo Yang
Jian-Hong Sun
Jin-Shan Sun
Publication date
01-03-2021
Publisher
Springer Berlin Heidelberg
Keyword
Spinal Stenosis
Published in
International Orthopaedics / Issue 3/2021
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-020-04935-w

Other articles of this Issue 3/2021

International Orthopaedics 3/2021 Go to the issue