Sander K, Rosenbaum D, Böhm H, Layher F, Lindner T, Wegener R, Wolf S I, Seehaus F
Abt. Biomechanik, Lehrstuhl für Orthopädie des Universitätsklinikums Jena, Waldkrankenhaus Rudolf Elle GmbH, Klosterlausnitzer Str. 81, 07607, Eisenberg, Deutschland.
Orthopade. 2012 Oct;41(10):802-19. doi: 10.1007/s00132-012-1947-2.
Instrumented 3-dimensional gait analysis is increasingly being used for the evaluation of movement disorders in orthopedic and neurological musculoskeletal diseases. Due to the high reliability of the measurements the procedures are appropriate for diagnostic purposes as well as for outcome assessment after conservative or surgical interventions. Contrary to conventional clinical assessments gait analysis parameters are able to demonstrate a normal physiological gait pattern that can be achieved with improved kinematic and kinetic parameters. For a suitable application in clinically relevant problems the limitations of the procedures should be taken into account. Due to the high instrumental involvement combined with time and cost expenditure instrumented gait analysis will probably not develop to a clinical routine procedure. Nevertheless, an excellent set of information for answering clinical questions is provided. The present contribution presents selected measurement procedures and technologies and illustrates the wide variety of possibilities with the use of selected clinical examples.
仪器化三维步态分析越来越多地用于评估骨科和神经肌肉骨骼疾病中的运动障碍。由于测量的高可靠性,这些程序适用于诊断目的以及保守或手术干预后的结果评估。与传统临床评估相反,步态分析参数能够展示出一种正常的生理步态模式,这种模式可通过改善运动学和动力学参数来实现。为了在临床相关问题中得到合适应用,应考虑这些程序的局限性。由于仪器参与度高,再加上时间和成本支出,仪器化步态分析可能不会发展成为临床常规程序。尽管如此,它提供了一套用于解答临床问题的出色信息。本文介绍了选定的测量程序和技术,并通过选定的临床实例说明了各种可能性。