Differentiated diagnostic approaches for gait disorders associated with back pain (scientific review)


Yastrebtseva Irina Petrovna — Grand PhD in Medical Sciences (Dr. Med. Sci.), Associate Professor, professor at the Department of Neurology and Neurosurgery Ivanovo State Medical Academy, 8 Sheremetyevo Avenue, 153012 Ivanovo, Russian Federation; professor at the department of medical rehabilitation, faculty of additional professional education, institute of continuing education and professional development of The Russian National Research Medical University named after N.I. Pirogov, 1 Ostrovityanova Street, 117997 Moscow, Russian Federation; e-mail: ip.2007@mail.ru.

Shmonin Alexey Andreevich — Grand PhD in Medical Sciences (Dr. Med. Sci.), Associate Professor at the Department of Pathophysiology with a course in clinical Pathophysiology, I.P. Pavlov First St. Petersburg State Medical University. 6-8 Lva Tolstogo Street, 197022, St. Petersburg, Russian Federation; professor at the Department of Hospital Therapy, Ivanovo State Medical Academy, 8 Sheremetyevo Avenue, 153012 Ivanovo, Russian Federation; e-mail: langendorff@mail.ru.

Aleksinsky Dmitry Sergeevich — student, Ivanovo State Medical Academy, 8 Sheremetyevo Avenue, 153012 Ivanovo, Russian Federation; e-mail: jester.97.97@mail.ru.

Saraeva Valeria Sergeevna — student of Ivanovo State Medical Academy, 8 Sheremetyevo Avenue, 153012 Ivanovo, Russian Federation; e-mail: v.saraeva@mail.ru.

In the heading: Rewiews

Year: 2024 Volume: 6 Journal number: 2 

Pages: 116-121

Article type: scientific and practical

UDC: 617.546+616-009.7/.2-071

DOI: 10.26211/2658-4522-2024-6-2-116-121


Introduction. Back pain is accompanied by functional disorders and limitations in everyday activity of sick people and it requires a differentiated and comprehensive approach to diagnostic.

Aim. The object of this article was to analyze the scientific literature to determine diagnostic criteria for gait disorders associated with back pain in patients with vertebral degenerative-dystrophic diseases.

Materials and methods. The search for relevant publications was carried out using the databases “Cochrane Library”, “eLIBRARY.RU”, “PubMed”, “Google academy”, “MedLine”, ”EBSCO”, ”Scopus”, ”Web of Science”, ”PEDro”, ”CINAHL”, ”Eric”, “Springer/nature”, “Elsevier”. The review included 22 works (systematic reviews, meta-analyses, randomized controlled trials) regarding the diagnosis of back pain in patients with vertebral pathology.

Results. Based on advanced data analytics from 13 scientific databases were identified variants of changes in gait caused by sensory and motor clinical manifestations associated with back pain. Various specific disease forms with lesions the spine can lead to characteristic changes in the gait pattern. Muscle involvement due to radicular damage is reflected in gait characteristics. Emphasis is placed on lumbar motor control to promote stability of the lumbar spine and coordination between the rib cage and pelvis. The importance of simple visual assessment in the diagnosis of walking disorders is shown.

Summary. Back pain in patients with vertebral degenerative-dystrophic diseases might be accompanied by gait disorders with the development of a gentle gait, foot drop gait, uncoordinated gait, and neurogenic lameness. Scoliosis, osteoporosis with compression fractures, and spondylolisthesis can affect people’s gait.

Keywords: , , , ,

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