Heitzmann Daniel Walter Werner, Block Julia, Trinler Ursula, Wolf Sebastian I, Alimusaj Merkur
Abteilungen Technische Orthopädie und Bewegungsanalytik, Klinik für Orthopädie, Universitätsklinikum Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland.
Andreas Wentzensen Forschungsinstitut, BG Klinik Ludwigshafen, Ludwigshafen, Deutschland.
Orthopadie (Heidelb). 2023 Aug;52(8):631-642. doi: 10.1007/s00132-023-04408-z. Epub 2023 Jul 17.
Gait analysis is of high relevance in prosthetics as it is an essential part of the fitting process. The documentation of movement by means of videos and instrumented methods is becoming increasingly important in prosthetics as benefits of a complex prosthesis can best be shown by structured observation.
A movement analysis should always be preceded by an anamnesis and clinical examination in order to detect functional limitations of the examined person and thus to establish correlations to gait deviations. Additionally, the orthopaedic aid should be evaluated as well. In addition to walking on level ground, walking on everyday obstacles such as stairs and ramps is also of interest when observing people using prosthetic limbs. Functional tests can be used to determine the functional status more comprehensively. An instrumental-3D gait analysis is indicated for specific questions, especially regarding kinetic parameters.
步态分析在假肢领域具有高度相关性，因为它是适配过程的重要组成部分。在假肢领域，通过视频和仪器化方法记录运动变得越来越重要，因为复杂假肢的优势可以通过结构化观察得到最佳展示。
运动分析之前应始终进行病史采集和临床检查，以检测被检查者的功能限制，从而建立与步态偏差的关联。此外，还应对矫形辅助器具进行评估。在观察使用假肢的人时，除了在平地上行走外，在楼梯和坡道等日常障碍物上行走也很有意义。功能测试可用于更全面地确定功能状态。对于特定问题，尤其是关于动力学参数的问题，建议进行仪器化三维步态分析。
