clinical-oriented-three-dimensional-gait-analysis-method-for

Clinical-oriented Three-dimensional Gait Analysis Method for Evaluating Gait Disorder

Three-dimensional gait analysis (3DGA) is shown to be a useful clinical tool for the evaluation of gait abnormality due to movement disorders. However, ...

Fujita Health University

[Botulinum toxin treatment and rehabilitation; motion analysis for reconstruction of movement].

The efficacy of botulinum toxin A (BoNTA) injection on spasticity is usually measured using Modified Ashworth Scale (MAS), but this only evaluates muscle tone at rest and has poor reliability. There are no reports that quantitatively evaluate pes varus during walking after botulinum treatment. The purpose of this study was to evaluate the efficacy of BoNTA injection on pes varus during gait using 3-dimensional motion analysis.

Efficacy of Botulinum Toxin A Treatment for Pes Varus during Gait.

Gait assessment is important to determine the most effective strategy to regain gait function during stroke rehabilitation. To understand the mechanisms that cause abnormal gait patterns, it is useful to objectively identify and quantify the abnormal gait patterns. Objective assessment also helps evaluate the efficacy of treatments and can be used to provide suggestions for treatment.

Quantitative assessment of retropulsion of the hip, excessive hip external rotation, and excessive lateral shift of the trunk over the unaffected side in hemiplegia using three-dimensional treadmill gait analysis.

The toe clearance of a paretic limb in the swing phase of gait is related to tripping, which is considered a major cause of falls. The biomechanical factors for obtaining toe clearance are more complicated in hemiparetic gait than that in normal gait because of the compensatory movements during swing phase. Understanding the biomechanical factors should help in targeting the point for rehabilitative interventions.

Biomechanical factors behind toe clearance during the swing phase in hemiparetic patients.

In a patient with severe hemiplegia, the risk of the knee giving way is high during the early stage of gait exercise with an ankle-foot orthosis. However, use of a knee-ankle-foot orthosis has many problems such as large amount of assistance and compensatory motions. To resolve these problems, we have engaged in the development of the Gait Exercise Assist Robot (GEAR).

Article	Year
[Botulinum toxin treatment and rehabilitation; motion analysis for reconstruction of movement]. Rinsho shinkeigaku = Clinical neurology\| PubMed ID: 23196588	2012
Efficacy of Botulinum Toxin A Treatment for Pes Varus during Gait. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association\| PubMed ID: 26232889	2015
Quantitative assessment of retropulsion of the hip, excessive hip external rotation, and excessive lateral shift of the trunk over the unaffected side in hemiplegia using three-dimensional t... Topics in stroke rehabilitation\| PubMed ID: 27077992	2016
Biomechanical factors behind toe clearance during the swing phase in hemiparetic patients. Topics in stroke rehabilitation\| PubMed ID: 27671158	2017
The features of Gait Exercise Assist Robot: Precise assist control and enriched feedback. NeuroRehabilitation\| PubMed ID: 28505990	2017

Hiroki Tanikawa

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