Ludwig Boltzmann Institute for Rehabilitation Research, Vienna, Austria.
Austrian Workers' Compensation Board (AUVA), Innsbruck, Austria.
ScientificWorldJournal. 2022 Apr 25;2022:8205879. doi: 10.1155/2022/8205879. eCollection 2022.
Gait analysis systems serve as important tools for assessing disturbed gait patterns. Amongst other factors, functional limitations of the shoulder joint may relate to such disturbances. Patient-reported outcome measures, assessment of pain, and active range of motion are commonly used to describe shoulder impairment.
The aim of this cohort study was to evaluate the impact of unilateral limitations of shoulder mobility and pain on gait patterns and to detect correlations between pain, shoulder mobility, and particular phases of human gait using a Zebris gait analysis system.
20 subjects with unilaterally restricted mobility and pain of the affected shoulder and a control group of 10 healthy subjects underwent a gait analysis. Various gait parameters, the DASH score, pain at rest and movement of the affected shoulder, and the active range of motion (aROM) for shoulder flexion and abduction were recorded.
We determined significant differences of the duration of the loading response ( = 0.021), midstance ( = 0.033), and the terminal stance phase ( = 0.019) between the shoulder group and the control group, with a shorter loading response phase and a longer terminal stance phase of the affected side in the shoulder group. In the shoulder group, we found significant correlations between the DASH and the duration of the midstance phase ( = 0.023) and the terminal stance phase ( = 0.038). In addition, there was a significant correlation between shoulder flexion and the duration of the midstance phase ( = 0.047).
步态分析系统是评估异常步态模式的重要工具。除其他因素外，肩关节功能受限可能与这些异常有关。患者报告的结果测量、疼痛评估以及主动运动范围常用于描述肩部损伤。
本队列研究旨在评估单侧肩关节活动受限和疼痛对步态模式的影响，并使用 Zebris 步态分析系统检测疼痛、肩关节活动度与人类步态特定阶段之间的相关性。
20 名单侧肩部活动受限和疼痛的受试者和 10 名健康对照组进行了步态分析。记录了各种步态参数、DASH 评分、患肩静息和运动时的疼痛以及肩关节前屈和外展的主动运动范围（aROM）。
我们确定了肩部组和对照组之间的负荷反应期（ = 0.021）、中间步期（ = 0.033）和终末步期（ = 0.019）的显著差异，肩部组的负荷反应期更短，终末步期更长。在肩部组中，我们发现 DASH 与中间步期（ = 0.023）和终末步期（ = 0.038）的持续时间之间存在显著相关性。此外，肩关节前屈与中间步期持续时间（ = 0.047）之间存在显著相关性。
