Gait abnormalities in minimally impaired multiple sclerosis patients.

作者: M G Benedetti , R Piperno , L Simoncini , P Bonato , A Tonini

DOI: 10.1177/135245859900500510

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摘要: Subclinical evidence of gait abnormalities were identified in a group seven patients with multiple sclerosis, EDSS scored 0 - 2, without functional limitations. A movement analysis technique was used to identify parameters indicative impaired motor function during walking. Abnormalities related primarily time-distance (reduced speed progression, shorter strides, prolonged double support phase) and muscular (premature recruitment gastrocnemius late relaxation tibialis anterior stance regardless the severity clinical score. The procedure able provide clinician prior disturbance observable by trained physician. These minimal dysfunctions may have resulted from reflex mechanisms delayed transmission through long loop pathways or else as result nonspecific protective strategy improve balance control. described this study be useful earlier starting points for follow-up physiotherapy.

参考文章(18)
Michael Seidle, Gale Gehlsen, Donald Winant, Nikki Assmann, Arnold Carter, Karen Beekman, Gait characteristics in multiple sclerosis: Progressive changes and effects of exercise on parameters Archives of Physical Medicine and Rehabilitation. ,vol. 67, pp. 536- 539 ,(1986) , 10.5555/URI:PII:0003999386905496
C. Crone, J. Nielsen, N. Petersen, M. Ballegaard, H. Hultborn, Disynaptic reciprocal inhibition of ankle extensors in spastic patients. Brain. ,vol. 117, pp. 1161- 1168 ,(1994) , 10.1093/BRAIN/117.5.1161
J. F. Kurtzke, On the evaluation of disability in multiple sclerosis Neurology. ,vol. 11, pp. 686- 686 ,(1961) , 10.1212/WNL.11.8.686
E. Toft, T. Sinkjær, S. Andreassen, H.J. Hansen, Stretch responses to ankle rotation in multiple sclerosis patients with spasticity Electroencephalography and Clinical Neurophysiology. ,vol. 89, pp. 311- 318 ,(1993) , 10.1016/0168-5597(93)90070-6
R. Michels, K. Wessel, S. Klöhn, D. Kömpf, Long-latency reflexes, somatosensory evoked potentials and transcranial magnetic stimulation: relation of the three methods in multiple sclerosis Electroencephalography and Clinical Neurophysiology. ,vol. 89, pp. 235- 241 ,(1993) , 10.1016/0168-5597(93)90101-T
Richard Shiavi, Paul Griffin, Changes in Electromyographic Gait Patterns of Calf Muscles with Walking Speed IEEE Transactions on Biomedical Engineering. ,vol. 30, pp. 73- 76 ,(1983) , 10.1109/TBME.1983.325171
MG Benedetti, F Catani, A Leardini, E Pignotti, S Giannini, Data management in gait analysis for clinical applications Clinical Biomechanics. ,vol. 13, pp. 204- 215 ,(1998) , 10.1016/S0268-0033(97)00041-7
RICHARD SHIAVI, Electromyographic patterns in adult locomotion: a comprehensive review. Journal of Rehabilitation Research and Development. ,vol. 22, pp. 85- 98 ,(1985) , 10.1682/JRRD.1985.07.0085
A Cappozzo, F Catani, U Della Croce, A Leardini, Position and orientation in space of bones during movement: anatomical frame definition and determination. Clinical Biomechanics. ,vol. 10, pp. 171- 178 ,(1995) , 10.1016/0268-0033(95)91394-T
H.C. Diener, J. Dichgans, P.-J. Hülser, U.-W. Buettner, M. Bacher, B. Guschbauer, The significance of delayed long-loop responses to ankle displacement for the diagnosis of multiple sclerosis. Electroencephalography and Clinical Neurophysiology. ,vol. 57, pp. 336- 342 ,(1984) , 10.1016/0013-4694(84)90156-1