• français
    • English
    English
  • Ouvrir une session
Aide
Voir le document 
  •   Accueil de SAM
  • Institut de Biomécanique Humaine Georges Charpak (IBHGC)
  • Voir le document
  • Accueil de SAM
  • Institut de Biomécanique Humaine Georges Charpak (IBHGC)
  • Voir le document
JavaScript is disabled for your browser. Some features of this site may not work without it.

Kinematic adaptations from self-selected to fast speed walking in patients with adult spinal deformity

Article dans une revue avec comité de lecture
Auteur
ABI KARAM, Krystel
301405 Université Saint-Joseph de Beyrouth [USJ]
ccEL RACHKIDI, Rami
301405 Université Saint-Joseph de Beyrouth [USJ]
SEMAAN, Karl
301405 Université Saint-Joseph de Beyrouth [USJ]
SAAD, Eddy
301405 Université Saint-Joseph de Beyrouth [USJ]
ccFAKHOURY, Marc
301405 Université Saint-Joseph de Beyrouth [USJ]
ccSAADE, Maria
301405 Université Saint-Joseph de Beyrouth [USJ]
AYOUB, Elma
301405 Université Saint-Joseph de Beyrouth [USJ]
ccRTEIL, Ali
301405 Université Saint-Joseph de Beyrouth [USJ]
JABER, Elena
301405 Université Saint-Joseph de Beyrouth [USJ]
ccMEKHAEL, Elio
301405 Université Saint-Joseph de Beyrouth [USJ]
NASSIM, Nabil
301405 Université Saint-Joseph de Beyrouth [USJ]
ccMASSAAD, Abir
301405 Université Saint-Joseph de Beyrouth [USJ]
ccGHANEM, Ismat
301405 Université Saint-Joseph de Beyrouth [USJ]
ASSI, Ayman
301405 Université Saint-Joseph de Beyrouth [USJ]
1001017 Institut de Biomécanique Humaine Georges Charpak [IBHGC]

URI
http://hdl.handle.net/10985/26001
DOI
10.1007/s43390-023-00799-3
Date
2024-01
Journal
Spine Deformity

Résumé

Purpose To investigate kinematic adaptations from self-selected to fast speed walking in ASD patients. Methods 115 primary ASD and 66 controls underwent biplanar radiographic X-rays and 3D gait analysis to calculate trunk, segmental spine and lower limb kinematics during self-selected and fast speed walking. Kinematic adaptation was calculated as the difference (Δ) between fast and self-selected speed walking. ASD with 7 or more limited kinematic adaptation parameters were classified as ASD-limited-KA, while those with less than 7 limited kinematic adaptation parameters were classified as ASD-mild-KA. Results 25 patients were classified as ASD-limited-KA and 90 as ASD-mild-KA. ASD-limited-KA patients walked with a lesser increase of pelvic rotation (Δ = 1.7 vs 5.5°), sagittal hip movement (Δ = 3.1 vs 7.4°) and shoulder–pelvis axial rotation (Δ = 3.4 vs 6.4°) compared to controls (all p < 0.05). ASD-limited-KA had an increased SVA (60.6 vs − 5.7 mm), PT (23.7 vs 11.9°), PI–LL (9.7 vs − 11.7°), knee flexion (9.2 vs − 0.4°) and a decreased LL (44.0 vs 61.4°) compared to controls (all p < 0.05). Kinematic and radiographic alterations were less pronounced in ASD-mild-KA. The limited increase of walking speed was correlated to the deteriorated physical component summary score of SF-36 (r = 0.37). Discussion Kinematic limitations during adaptation from self-selected to fast speed walking highlight an alteration of a daily life activity in ASD patients. ASD with limited kinematic adaptations showed more severe sagittal malalignment with an increased SVA, PT, PI–LL, and knee flexion, a decreased LL and the most deteriorated quality of life. This highlights the importance of 3D movement analysis in the evaluation of ASD.

Fichier(s) constituant cette publication

Nom:
IBHGC_SD_2024_ASSI.pdf
Taille:
1.626Mo
Format:
PDF
Description:
Kinematic adaptations from ...
Voir/Ouvrir

Cette publication figure dans le(s) laboratoire(s) suivant(s)

  • Institut de Biomécanique Humaine Georges Charpak (IBHGC)

Documents liés

Visualiser des documents liés par titre, auteur, créateur et sujet.

  • Kinematic limitations during stair ascent and descent in patients with adult spinal deformity 
    Article dans une revue avec comité de lecture
    ccFAKHOURY, Marc; RACHKIDI, Rami; SEMAAN, Karl; ABI KARAM, Krystel; SAADÉ, Maria; AYOUB, Elma; ccCHAAYA, Celine; ccRTEIL, Ali; JABER, Elena; ccMEKHAEL, Elio; NASSIM, Nabil; KARAM, Mohamad; ABINAHED, Julien; ccGHANEM, Ismat; MASSAAD, Abir; ASSI, Ayman (Elsevier BV, 2024-12)
    Background: Adults with spinal deformity (ASD) are known to have spinal malalignment, which can impact their quality of life and their autonomy in daily life activities. Among these tasks, ascending and descending stairs ...
  • Global Sagittal Angle and T9-tilt seem to be the most clinically and functionally relevant global alignment parameters in patients with Adult Spinal Deformity 
    Article dans une revue avec comité de lecture
    NASSIM, Nabil; ccMEKHAEL, Elio; RACHKIDI, Rami El; SAADE, Maria; AYOUB, Elma; ccRTEIL, Ali; JABER, Elena; ccCHAAYA, Celine; REHAYEM, Rami; ABI NAHED, Julien; KARAM, Mohamad; ccGHANEM, Ismat; ccMASSAAD, Abir; ASSI, Ayman (Elsevier BV, 2024-04)
    Introduction Radiographic analysis is necessary for the assessment and the surgical planning in adults with spinal deformity (ASD). Restoration of global alignment is key to improving patient's quality of life. However, ...
  • Weak trunk extensors in adult spinal deformity patients are related to sagittal malalignment and kinematic limitations 
    Article dans une revue avec comité de lecture
    SAADÉ, Maria; RACHKIDI, Rami; ccRTEIL, Ali; AYOUB, Elma; JABER, Elena; ccCHAAYA, Celine; NASSIM, Nabil; ccMEKHAEL, Elio; REHAYEM, Rami; NAHED, Julien Abi; RAMADAN, Bilal; KARAM, Mohamad; ccGHANEM, Ismat; MASSAAD, Abir; ASSI, Ayman (Elsevier BV, 2025-01)
    Background: Adult spinal deformity (ASD) is associated with muscles' degeneration that affects postural control and outcomes of an eventual corrective surgery. Evaluation of ASD is usually based on static radiographs and ...
  • Head and pelvis are the key segments recruited by adult spinal deformity patients during daily life activities 
    Article dans une revue avec comité de lecture
    AYOUB, Elma; ccRTEIL, Ali; ccCHAAYA, Celine; RACHKIDI, Rami; ccSAADE, Maria; JABER, Elena; ccMEKHAEL, Elio; NASSIM, Nabil; REHAYEM, Rami; KARAM, Mohammad; ccBIZDIKIAN, Aren Joe; ccGHANEM, Ismat; ccSKALLI, Wafa; ccMASSAAD, Abir; ASSI, Ayman (Springer Science and Business Media LLC, 2024-09)
    Functional assessment is a key element in evaluating adult spinal deformity (ASD) patients. The multitude of 3D kinematic parameters provided by movement analysis can be confusing for spine surgeons. The aim was to investigate ...
  • Alterations of gait kinematics depend on the deformity type in the setting of adult spinal deformity 
    Article dans une revue avec comité de lecture
    SEMAAN, Karl; RACHKIDI, Rami; ccSAAD, Eddy; ccMASSAAD, Abir; KAWKABANI, Georges; ccSALIBY, Renée Maria; ccMEKHAEL, Mario; ABI KARAM, Krystel; FAKHOURY, Marc; JABER, Elena; ccGHANEM, Ismat; ccSKALLI, Wafa; ccLAFAGE, Virginie; ASSI, Ayman (Springer Science and Business Media LLC, 2022-08)
    Purpose : To evaluate 3D kinematic alterations during gait in Adult Spinal Deformity (ASD) subjects with different deformity presentations. Methods : One hundred nineteen primary ASD (51 ± 19y, 90F), age and ...

Parcourir

Tout SAMLaboratoiresAuteursDates de publicationCampus/InstitutsCe LaboratoireAuteursDates de publicationCampus/Instituts

Lettre Diffuser la Science

Dernière lettreVoir plus

Statistiques de consultation

Publications les plus consultéesStatistiques par paysAuteurs les plus consultés

ÉCOLE NATIONALE SUPERIEURE D'ARTS ET METIERS

  • Contact
  • Mentions légales

ÉCOLE NATIONALE SUPERIEURE D'ARTS ET METIERS

  • Contact
  • Mentions légales