Tzagarakis G N, Tsivgoulis S D, Papagelopoulos P J, Mastrokalos D S, Papadakis N C, Kampanis N A, Kontakis G M, Nikolaou P K, Katonis P G
Orthopaedic Department, University Hospital of Heraklion, University of Crete, Voutes, Crete, Greece.
J Int Med Res. 2010 Mar-Apr;38(2):511-25. doi: 10.1177/147323001003800214.
The objective of this study was to compare the gait variability of patients with isolated anterior cruciate ligament (ACL) deficiency (experimental group) with that of healthy individuals (control group). The hypothesis was that the gait variability of the experimental group would be higher than the control group. The experimental group consisted of 20 men with an ACL tear and the control group consisted of 20 healthy men without any neurological and/or musculoskeletal pathology or injury. The gait acceleration signal was analysed using the Gait Evaluation Differential Entropy Method (GEDEM). The GEDEM index of the experimental group in the medio-lateral axis was significantly higher than that of the control subjects. A receiver operating characteristic (ROC) analysis was used to assess the diagnostic value of the method and to determine a cut-off entropy value. The GEDEM cut-off value had a 95.6% probability of separating isolated ACL patients from healthy subjects.
本研究的目的是比较单纯前交叉韧带(ACL)损伤患者(实验组)与健康个体(对照组)的步态变异性。假设是实验组的步态变异性会高于对照组。实验组由20名ACL撕裂的男性组成,对照组由20名没有任何神经和/或肌肉骨骼疾病或损伤的健康男性组成。使用步态评估微分熵方法(GEDEM)分析步态加速度信号。实验组在内外侧轴上的GEDEM指数显著高于对照组。采用受试者工作特征(ROC)分析来评估该方法的诊断价值并确定截断熵值。GEDEM截断值有95.6%的概率将单纯ACL患者与健康受试者区分开来。