Musculoskeletal modeling and gait analysis can improve diabetic foot preventive management
Introduction: Complications of diabetes that affect the lower extremities are common, among them foot ulceration is the most frequently recognized one, and unfortunately also ulcers recurrence is common [1]. Preventive programs aiming at reducing both plantar ulcers occurrence and recurrence is one of the most important topics in the current approach to diabetic foot disease [1]. By considering the wide number of amputations per year due to diabetic foot pathology, early detection of subjects at risk through a good understanding of the factors that predict ulcers and its recurrence is becoming mandatory [1]. (Source: Gait and Posture)
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: A. Guiotto, F. Spolaor, F. Bell è, G. Guarneri, A. Avogaro, Z. Sawacha Source Type: research
Long-lasting actigraphic monitoring of the upper and lower limbs movements in acute stroke patients: A COMMAS spin-off study
Introduction: In acute stroke patients detecting modifications of motor deficits could be crucial both for a prompt medical assistance and for a better definition of patient's prognosis. The stroke unit represents the gold standard in the management of the acute stroke with a multiparametric monitoring of vital functions, while no instruments are actually implemented in stroke unit for a continuous monitoring of patients motor performance. In a pilot study [1] we found that a 24hours actigraphic recording is informative of the overall neurological clinical picture as measured by NIH Stroke Scale (NIHSS). (Source: Gait and Posture)
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: C. Iacovelli, M. Rabuffetti, G. Reale, M. Ferrarin, C. Simbolotti, L. Padua, P.M. Rossini, P. Caliandro Source Type: research
Efficacy of Robotic-Assisted Gait Training in sub-acute stroke patients: An Italian bi-centre study
Introduction: Over the last years, the introduction of robotic technologies in gait rehabilitation of stroke patients has had a greatest interest. Some studies have been conducted to assess the effects of robot-assisted training compared to gait conventional rehabilitation in sub-acute stroke patients. The main results were obtained in studies that used robotic exoskeletons or treadmill training with partial body weight support and only few papers used end-effector device [1]. To date, there are very few studies that have used gait analysis to show improvements in gait parameters after gait rehabilitation in sub-acute stro...
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: C. Iacovelli, M. Franceschini, A. Cruciani, C. Simbolotti, M. Goffredo, C. Pecchioli, L. Padua, D. Galafate, S. Pournajaf, I. Aprile Source Type: research
On the estimation of knee angle joint with a biomechanical model during indoor rowing: Implications for FES applications
Introduction: Functional electrical stimulation (FES) rowing has been shown to lead to several health benefits in paraplegic subjects. Although the quantification of knee joint angle is crucial for the determination of stimulation in FES Rowing, previous studies computed knee angle (KA) from either inertial sensors or motion capture systems [1,2] limiting the application of FES Rowing because those systems are bulky and expensive. Here we develop and test a biomechanical, subject-specific model to estimate KA during indoor rowing, from anthropometric data and the rowing machine seat position. (Source: Gait and Posture)
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: M. Lalli, C. Stocchi, G.L. Cerone, M. Gazzoni, T. Vieira Source Type: research
The use of kinematic robotic indices to predict motor outcome in upper limb treatment of stroke patients
Introduction: Upper limb rehabilitation in stroke patients is currently open to debate. Robotic therapy proved to be effective in ensuring intensive and highly repetitive treatment, but also in providing quantitative assessments that are useful from a clinical point of view. The advantage of robotic measurements consists in recording objectively the characteristics of the movement and using them as indices of progress in motor recovery [1]. Our study aims to verify the predictability of motor outcome using robotic kinesiological indices of upper limb in patients with chronic phase stroke, in order to customize rehabilitati...
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: G. Lamola, M. Barsotti, E. Sotgiu, C. Procopio, A. Frisoli, C. Chisari Source Type: research
Dynamic Balance during level walking in patients affected by Multiple Sclerosis, Stroke and Parkinson's disease
Introduction: Balance disorders are a common feature in patients affected by Multiple Sclerosis (MS), Stroke (ST) and Parkinson's disease (PD) generally conditioning their walking ability. These persons adopt a gait strategy that help them preventing falls. Maintaining of this stable gait require balance control, where sensory feedback is integrated to sense the position and the velocity of Center of Mass (CoM) [1]. On the basis of this information a dynamic balance is reached and maintained with appropriated foot placement to stabilize and redirect the CoM. (Source: Gait and Posture)
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: T. Lencioni, D. Anastasi, I. Carpinella, A. Castagna, A. Crippa, E. Gervasoni, A. Marzegan, M. Rabuffetti, D. Cattaneo, M. Ferrarin Source Type: research
A full-body 3D reconstruction of yoga poses through inertial sensing
Introduction: Yoga has recently gained popularity as a way of promoting physical and mental well-being, mainly associated with physical poses, breathing techniques, and meditation [1]. The correct execution of yoga exercises is crucial for both their effectiveness and safety [1]. In this respect, the development of tools, such as exergames, that can guide practitioners in learning correct yoga postures, and possibly provide real-time feedback about performance in daily life environments, would be of great benefit for all practitioners and, particularly, for beginners [2]. (Source: Gait and Posture)
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: G. Ligorio, E. Bergamini, M. Guaitolini, A. Mannini, P. Garofalo, A.M. Sabatini, G. Vannozzi Source Type: research
Correlation study among 3D-Gait Analysis, Magnetic Resonance Imaging and cognitive parameters in unrestricted people with relapsing-remitting Multiple Sclerosis
Introduction: The subclinical gait disorders may affect people with Relapsing-Remitting Multiple Sclerosis (pwRR- MS). The Expanded Disability Status Scale (EDSS) is the most used scale to evaluate gait impairment in pwRR-MS, however it may be insensitive to subclinical disability at the lower end of the scale [1]. The three Dimensional-Gait Analysis (3D-GA), might detect the slight gait abnormalities in pwRR-MS. The aims of study were: 1) To detect, by 3D-GA, changes of gait pattern during usual walking (single task, SinT), motor and cognitive dual tasks (MotDT, CogDT) in pwRR-MS as compared to healthy controls (HCs); 2) ...
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: M. Liparoti, M. Della Corte, R. Rucco, M. Sparaco, R. Minino, R. Capuano, P. Sorrentino, G. Sorrentino, S. Bonavita Source Type: research
Wearable-enabled digital application for the self-management of shoulder muscular skeletal disorders
We present SHOULPHY, a digital application which includes a rehabilitation protocol for the treatment of Shoulder Impingement Syndrome (SIS). SHOULPHY is conceived to lead and assess the patient, wearing a minimal set of wearable sensors, through personalized physical rehabilitation programs, under the remote supervision of the physician/therapist. (Source: Gait and Posture)
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: I. Lucchesi, F. Lorussi, N. Carbonaro, A. Tognetti Source Type: research
Thermography as a tool for evaluation and prevention of injuries in athlete
Introduction: Skeletal muscles constitute approximately 40% of the human body weight. About 75% of the metabolic energy is not employed as mechanical work but it is lost in heat, released as infrared radiation. In the biomedical field, the idea of using infrared thermography (IT) for evaluating muscles health condition and preventing potential injuries has developed more and more [1,2]. The aim of this work is to evaluate muscle conditions (pre and post training) of volleyball players ’ legs by means of IT for identifying subjects who could be at risk of injury. (Source: Gait and Posture)
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: S. Matteoli, S. Fulceri, G. Pasquini, A. Corvi Source Type: research
Wearable robotic exoskeleton for overground gait rehabilitation in complete spinal cord injured patients
Introduction: In the last two decades there has been a growing interest in research and clinical applications of robot-assisted rehabilitation [1]. Robot-based rehabilitation treatments are usually based on the motor learning concept, resulting from intensive, repetitive and task-oriented motor activities [2 –4]. Currently the use of overground robotic exoskeleton in gait rehabilitation is growing [5] with the objective of improving mobility of patients with severe lower limbs disability. The aim of this study is to investigate the effects of an overground robotic exoskeleton gait training in complete spinal cord injured...
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: S. Mazzoleni, E. Battini, A. Rustici, G. Stampacchia Source Type: research
Is there a role for functional surgery in the management of quadriceps spasticity in adults with upper motor neuron lesion?
Introduction: Quadriceps femoris (QF) spasticity is frequent in patients with upper motor neuron lesion (UMNL) and stiff knee gait (SKG). When SKG is due to QF spasticity, this is frequently treated by means of focal inhibition of QF muscles by botulinum toxin [1,2], followed by physiotherapy, and repeated many times over years. Despite of its cost, the efficacy of this approach on SKG reduction is far from being satisfactory, with an average increase in knee flexion lower than 10 degrees [2]. Later, typically at years from the UMNL, functional surgery is considered, as a last-chance treatment, to correct the individual's ...
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: D. Mazzoli, A. Merlo, P. Zerbinati, M. Galletti, E. Giannotti, F. Mascioli, L. Del Casale, P. Prati Tags: 103 Source Type: research
Impact of gait analysis (GA) on treatment appropriateness in stroke patients with stiff knee gait
Introduction: Stiff Knee Gait (SKG) is the second most frequent lower limb deformity in stroke survivors. It is typically treated by means of inhibition of quadriceps femoris (QF) muscles by botulinum toxin, because of the presence of QF spasticity at the clinical evaluation [1]. Gait analysis (GA)-based studies showed that the inadequate ankle push-off (APO) can result in SKG, too [2]. We recently presented an algorithm, based on GA data, that differentiates the individual's main cause of SKG between SKG consequent to QF spasticity (SKGQF) and SKG consequent to the lack of APO (SKGAPO) [3]. (Source: Gait and Posture)
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: A. Merlo, S. Scaltriti, R. Iotti, B. Damiano, I. Campanini Source Type: research
A subject-specific musculoskeletal model to estimate joint loading at different walking speeds
This study aimed at investigating the effect of WS on the lower limb joint contact forces (JCFs) estimated using a patient-specific musculoskeletal model in a group of women with osteoporosis. (Source: Gait and Posture)
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: E. Montefiori, B.M. Kalkman, A. Clarke, M. Paggiosi, E.V. McCloskey, C. Mazz à Source Type: research
Gait events estimation using inertial wearable sensors while walking in water
Introduction: Recently, the water environment has gained an important role in the rehabilitation world [1]. More specifically, walking in water represents an exercise useful for people with specific gait deviation and can be practiced by individuals without swimming skill [1,2]. In order to characterize gait alteration, gait timing is considered of primary importance and required the correct identification of gait events (GEs) [3]. With the widespread use of inertial measurement units (IMUs), a large number of algorithms was proposed and applied for the purpose during walking out of the water [4]. (Source: Gait and Posture)
Source: Gait and Posture - October 1, 2018 Category: Orthopaedics Authors: G. Pacini Panebianco, M.C. Bisi, A.L. Mangia, R. Stagni, S. Fantozzi Source Type: research
