Study of the temporal characteristics of gaiting in patients with coxarthrosis

Authors:

Kirpichev Ivan Vladimirovich, Grand PhD of Medical Sciences, Associate Professor, Head of the Department of Traumatology and Orthopedics, Federal State Budgetary Educational Institution of Higher Education “Ivanovo State Medical Academy” of the Ministry of Healthcare of the Russian Federation, 9 Demidova Str., Ivanovo, 153002, Russian Federation; tel.: +79051079340; e-mail: doc.kirpichev@yandex.ru; http://orcid.org/0000-0003-2918-941X.

Koroleva Svetlana Valerievna, Grand PhD of Medical Sciences, Associate Professor, Professor of the Department of Traumatology and Orthopedics, Federal State Budgetary Educational Institution of Higher Education “Ivanovo State Medical Academy” of the Ministry of Healthcare of the Russian Federation, 9 Demidova Str., Ivanovo, 153002, Russian Federation; tel.: +79158440797; e-mail: drqueen@mail.ru; http://orcid.org/0000-0002-7677-1077.

Usmane Makhamat Ali Suleimane, 6th year student of the Medical Faculty, Federal State Budgetary Educational Institution of Higher Education “Ivanovo State Medical Academy” of the Ministry of Healthcare of the Russian Federation, 8 Sheremetevsky Ave, Ivanovo, 153000, Russian Federation; tel.: +79965167514; e-mail: djaffal287@gmail.com.

Annotation:

Introduction. Coxarthrosis is one of the most common forms of osteoarthritis of large joints. The main issue in rehabilitation, including after arthroplasty, is the restoration of limb function. New approaches to rehabilitation have updated medical technologies that make it possible to objectify the impaired function, to “digitize” the results of a multidisciplinary approach.
One of the integral functional characteristics of movement is walking. An objective analysis of walking can solve the problem of an individualized treatment and rehabilitation strategy.

Aim. To identify changes in the temporal, spatial and phase characteristics of walking in patients with an established diagnosis of osteoarthritis of the hip joints (coxarthrosis).

Materials and methods. 34 patients with unilateral idiopathic coxarthrosis were examined. The examination was carried out on the eve of endoprosthetics. As a control group, 26 patients without pathology were examined. Registration of walking parameters was carried out using a walking simulator with biofeedback system “Stadis” LLC “Neurosoft” in the configuration “Assessment”. The standard temporal, spatial and phase characteristics of walking were recorded. The results were processed by standard methods of biomedical statistics using the application package on the Statistical platform.

Results. The main methodological approach was the postulate of a single kinematic chain of the lower extremities in coxarthrosis. There were no significant differences with the control group in terms of temporal indicators. According to the phase indicators of walking, it was found that in patients with coxarthrosis, the duration of double support increases by 12.05% of the step cycle compared to the control group, and the period of single support from the side of the diseased limb decreases by 4.8% of the step cycle, and the transfer period increases by 4.9% stride cycle compared to the contralateral limb.

Discussion. These disorders were, in our opinion, compensatory in nature, aimed at reducing the load on the affected leg; and the increase in double support is consistent with the increase in the base of the stride due to the increase in circumduction on the unaffected side.

Conclusion. The revealed changes in walking in patients with coxarthrosis allow us to come close to the development of a single, universal, multidisciplinary protocol for walking-based support: the features of temporal, spatial and phase parameters of walking are compensatory in nature and can be used as markers of the effectiveness of orthopedic correction and therapy.Kirpichev IV, Koroleva SV, Usmane MA

List of cited literature:

1. Shubnyakov II, Tikhilov RM, Nikolaev NS, Grigoricheva LG et al. Epidemiologiya pervichnogo endoprotezirovaniya tazobedrennogo sustava na osnovanii dannykh registra artroplastiki RNIITO im. RR Vredena [Epidemiology of Primary Hip Arthroplasty: Report from Register of Vreden Russian Research Institute of Traumatology and Orthopedics]. Travmatologiya i ortopediya Rossii [Traumatology and orthopedics of Russia]. 2017;23(2):81-101. DOI: 10.21823/2311-2905-2017-23-2-81-101. (In Russian).

2. Kirpichev IV, Vereshchagin NA Koroleva SV. Differentsirovannyy podkhod k diagnostike bolevogo sindroma v posleoperatsionnom periode u bol’nykh posle pervichnogo endoprotezirovaniya tazobedrennogo sustava [Differentiated approach to the diagnosis of pain syndrome in the postoperative period in patients after primary hip arthroplasty] // Vestnik Ivanovskoy meditsinskoy akademii [Bulletin of the Ivanovo Medical Academy]. 2014; 19 (2):75-81. (In Russian).

3. Koroleva SV. Tehnologiya obektivnoi ocenki dvigatelnih narushenii v dinamike reabilitacii u bolnih travmatologoortopedicheskogo profilya [The Technology of Objective Assessment of Motor Disorders in the Dynamics of Rehabilitation in Patients with Traumatic and Orthopedic Profile]. Fizicheskaya i reabilitacionnaya medicina [Physkal and Rehabilitation Medicine]. 2022;4(1):47-52. DOI: 10.26211/2658-4522-2022-4-1-4752. (In Russian).

4. Skvortsov DV. Diagnostika dvigatel’noy patologii instrumental’nymi metodami: analiz pokhodki, stabilometriya [Diagnosis of motor pathology by instrumental methods: gait analysis, stabilometry]. Moscow: T.M. Andreyeva, 2007. (In Russian).

5. System for assessing gait function and gait trainer with biofeedback “Steadys”. Available at: https:// neurosoft.com/ru/catalog/sectionview/id/2974. (accessed 21.01.2023). (In Russian).