A comparative study of gait characteristics associated with and without degenerative lumbar spondylolisthesis in patients with lumbar spinal stenosis

Reported characteristics of DS include forward slippage of the superior lumbar relative to the inferior lumbar, lumbar instability, increased lumbar lordotic angle, and high body mass index (BMI). However, to our knowledge, only static measurements were conducted in previous studies, and no dynamic...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 2019-07, Vol.24 (4), p.590-595
Hauptverfasser: Yoshida, Takaki, Kawakami, Mamoru, Teraguchi, Masatoshi, Kagotani, Ryohei, Minetama, Masakazu, Nakagawa, Masafumi, Nakagawa, Yukihiro
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 595
container_issue 4
container_start_page 590
container_title Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
container_volume 24
creator Yoshida, Takaki
Kawakami, Mamoru
Teraguchi, Masatoshi
Kagotani, Ryohei
Minetama, Masakazu
Nakagawa, Masafumi
Nakagawa, Yukihiro
description Reported characteristics of DS include forward slippage of the superior lumbar relative to the inferior lumbar, lumbar instability, increased lumbar lordotic angle, and high body mass index (BMI). However, to our knowledge, only static measurements were conducted in previous studies, and no dynamic observations exist. In this crosssectional study, the gait of patients with and without DS in LSS was compared, and their characteristics were examined using a three-dimensional motion analysis system. In total, 42 patients with LSS were included. Lumbar lordosis angle, sacral tilt angle, lumbar slip rate determined from X-ray images, the Zurich Claudication Questionnaire (ZCQ), the visual analog scale (VAS), and BMI were evaluated. U-COM length was the distance between the upper center of mass (COM) and the body's COM, while L-COM length was the distance between the lower COM and the COM. Each DS and Non-DS group evaluation was compared using the Mann–Whitney U-test. Additionally, multivariate analysis was performed using factors with significant differences as explanatory variables and with or without DS as the target variable. Lumbar lordotic angle was significantly higher in the DS group and there was a significant difference between U-COM and L-COM lengths in the sagittal planes at heel contact (HC) and toe-off (TO). L-COM length at HC and TO was a significant variable when the lumbar lordotic angle was adjusted as a confounding factor in multivariate analysis. The U-COM and L-COM lengths in the DS group were both extended and the line connecting each COM was inclined backward on the sagittal plane at HC and TO during gait. Our study showed that L-COM length was associated with or without DS.
doi_str_mv 10.1016/j.jos.2018.11.016
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2159984433</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0949265818303427</els_id><sourcerecordid>2159984433</sourcerecordid><originalsourceid>FETCH-LOGICAL-c377t-5d68a364971df086cf14fc4e6006f822044902c0aa292c61c1359841a1ac66993</originalsourceid><addsrcrecordid>eNp9kU9v1DAQxS0EotvCB-CCfOSS4LETJxanquJPpUpc4Gy5zqTrVRIvHqdoPwjfF1dZeuQ01tPvvZHnMfYORA0C9MdDfYhUSwF9DVAX5QXbQaN0JYVUL9lOmMZUUrf9BbskOggBXWva1-xCibZTyrQ79uea-zgfXXI5PCKnvA4nHkf-4ELmfl90nzEFysETd0TRB5dx4L9D3nO3bI-4Zj7gAy54jpnW-d4lTse4DKcpTsW_RwrEw8KPBcEl0xbxTIbFTWU9LrFwb9ir0U2Eb8_ziv388vnHzbfq7vvX25vru8qrrstVO-jeKd2YDoZR9NqP0Iy-QS2EHnspRdMYIb1wThrpNXhQrekbcOC81saoK_Zhyz2m-GtFynYO5HGa3IJxJSuhNcXQKFVQ2FCfIlHC0R5TmF06WRD2qQ17sKUN-9SGBbBFKZ735_j1fsbh2fHv_AX4tAFYPvkYMFny5Tgeh5DQZzvE8J_4v8BUnkA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2159984433</pqid></control><display><type>article</type><title>A comparative study of gait characteristics associated with and without degenerative lumbar spondylolisthesis in patients with lumbar spinal stenosis</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Yoshida, Takaki ; Kawakami, Mamoru ; Teraguchi, Masatoshi ; Kagotani, Ryohei ; Minetama, Masakazu ; Nakagawa, Masafumi ; Nakagawa, Yukihiro</creator><creatorcontrib>Yoshida, Takaki ; Kawakami, Mamoru ; Teraguchi, Masatoshi ; Kagotani, Ryohei ; Minetama, Masakazu ; Nakagawa, Masafumi ; Nakagawa, Yukihiro</creatorcontrib><description>Reported characteristics of DS include forward slippage of the superior lumbar relative to the inferior lumbar, lumbar instability, increased lumbar lordotic angle, and high body mass index (BMI). However, to our knowledge, only static measurements were conducted in previous studies, and no dynamic observations exist. In this crosssectional study, the gait of patients with and without DS in LSS was compared, and their characteristics were examined using a three-dimensional motion analysis system. In total, 42 patients with LSS were included. Lumbar lordosis angle, sacral tilt angle, lumbar slip rate determined from X-ray images, the Zurich Claudication Questionnaire (ZCQ), the visual analog scale (VAS), and BMI were evaluated. U-COM length was the distance between the upper center of mass (COM) and the body's COM, while L-COM length was the distance between the lower COM and the COM. Each DS and Non-DS group evaluation was compared using the Mann–Whitney U-test. Additionally, multivariate analysis was performed using factors with significant differences as explanatory variables and with or without DS as the target variable. Lumbar lordotic angle was significantly higher in the DS group and there was a significant difference between U-COM and L-COM lengths in the sagittal planes at heel contact (HC) and toe-off (TO). L-COM length at HC and TO was a significant variable when the lumbar lordotic angle was adjusted as a confounding factor in multivariate analysis. The U-COM and L-COM lengths in the DS group were both extended and the line connecting each COM was inclined backward on the sagittal plane at HC and TO during gait. Our study showed that L-COM length was associated with or without DS.</description><identifier>ISSN: 0949-2658</identifier><identifier>EISSN: 1436-2023</identifier><identifier>DOI: 10.1016/j.jos.2018.11.016</identifier><identifier>PMID: 30573395</identifier><language>eng</language><publisher>Japan: Elsevier B.V</publisher><subject>Aged ; Aged, 80 and over ; Body Mass Index ; Case-Control Studies ; Cross-Sectional Studies ; Female ; Gait - physiology ; Humans ; Lumbar Vertebrae ; Male ; Spinal Stenosis - complications ; Spinal Stenosis - diagnostic imaging ; Spinal Stenosis - physiopathology ; Spondylolisthesis - complications ; Spondylolisthesis - diagnostic imaging ; Spondylolisthesis - physiopathology</subject><ispartof>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 2019-07, Vol.24 (4), p.590-595</ispartof><rights>2018 The Japanese Orthopaedic Association</rights><rights>Copyright © 2018 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c377t-5d68a364971df086cf14fc4e6006f822044902c0aa292c61c1359841a1ac66993</citedby><cites>FETCH-LOGICAL-c377t-5d68a364971df086cf14fc4e6006f822044902c0aa292c61c1359841a1ac66993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30573395$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoshida, Takaki</creatorcontrib><creatorcontrib>Kawakami, Mamoru</creatorcontrib><creatorcontrib>Teraguchi, Masatoshi</creatorcontrib><creatorcontrib>Kagotani, Ryohei</creatorcontrib><creatorcontrib>Minetama, Masakazu</creatorcontrib><creatorcontrib>Nakagawa, Masafumi</creatorcontrib><creatorcontrib>Nakagawa, Yukihiro</creatorcontrib><title>A comparative study of gait characteristics associated with and without degenerative lumbar spondylolisthesis in patients with lumbar spinal stenosis</title><title>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</title><addtitle>J Orthop Sci</addtitle><description>Reported characteristics of DS include forward slippage of the superior lumbar relative to the inferior lumbar, lumbar instability, increased lumbar lordotic angle, and high body mass index (BMI). However, to our knowledge, only static measurements were conducted in previous studies, and no dynamic observations exist. In this crosssectional study, the gait of patients with and without DS in LSS was compared, and their characteristics were examined using a three-dimensional motion analysis system. In total, 42 patients with LSS were included. Lumbar lordosis angle, sacral tilt angle, lumbar slip rate determined from X-ray images, the Zurich Claudication Questionnaire (ZCQ), the visual analog scale (VAS), and BMI were evaluated. U-COM length was the distance between the upper center of mass (COM) and the body's COM, while L-COM length was the distance between the lower COM and the COM. Each DS and Non-DS group evaluation was compared using the Mann–Whitney U-test. Additionally, multivariate analysis was performed using factors with significant differences as explanatory variables and with or without DS as the target variable. Lumbar lordotic angle was significantly higher in the DS group and there was a significant difference between U-COM and L-COM lengths in the sagittal planes at heel contact (HC) and toe-off (TO). L-COM length at HC and TO was a significant variable when the lumbar lordotic angle was adjusted as a confounding factor in multivariate analysis. The U-COM and L-COM lengths in the DS group were both extended and the line connecting each COM was inclined backward on the sagittal plane at HC and TO during gait. Our study showed that L-COM length was associated with or without DS.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Body Mass Index</subject><subject>Case-Control Studies</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Gait - physiology</subject><subject>Humans</subject><subject>Lumbar Vertebrae</subject><subject>Male</subject><subject>Spinal Stenosis - complications</subject><subject>Spinal Stenosis - diagnostic imaging</subject><subject>Spinal Stenosis - physiopathology</subject><subject>Spondylolisthesis - complications</subject><subject>Spondylolisthesis - diagnostic imaging</subject><subject>Spondylolisthesis - physiopathology</subject><issn>0949-2658</issn><issn>1436-2023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9v1DAQxS0EotvCB-CCfOSS4LETJxanquJPpUpc4Gy5zqTrVRIvHqdoPwjfF1dZeuQ01tPvvZHnMfYORA0C9MdDfYhUSwF9DVAX5QXbQaN0JYVUL9lOmMZUUrf9BbskOggBXWva1-xCibZTyrQ79uea-zgfXXI5PCKnvA4nHkf-4ELmfl90nzEFysETd0TRB5dx4L9D3nO3bI-4Zj7gAy54jpnW-d4lTse4DKcpTsW_RwrEw8KPBcEl0xbxTIbFTWU9LrFwb9ir0U2Eb8_ziv388vnHzbfq7vvX25vru8qrrstVO-jeKd2YDoZR9NqP0Iy-QS2EHnspRdMYIb1wThrpNXhQrekbcOC81saoK_Zhyz2m-GtFynYO5HGa3IJxJSuhNcXQKFVQ2FCfIlHC0R5TmF06WRD2qQ17sKUN-9SGBbBFKZ735_j1fsbh2fHv_AX4tAFYPvkYMFny5Tgeh5DQZzvE8J_4v8BUnkA</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Yoshida, Takaki</creator><creator>Kawakami, Mamoru</creator><creator>Teraguchi, Masatoshi</creator><creator>Kagotani, Ryohei</creator><creator>Minetama, Masakazu</creator><creator>Nakagawa, Masafumi</creator><creator>Nakagawa, Yukihiro</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201907</creationdate><title>A comparative study of gait characteristics associated with and without degenerative lumbar spondylolisthesis in patients with lumbar spinal stenosis</title><author>Yoshida, Takaki ; Kawakami, Mamoru ; Teraguchi, Masatoshi ; Kagotani, Ryohei ; Minetama, Masakazu ; Nakagawa, Masafumi ; Nakagawa, Yukihiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-5d68a364971df086cf14fc4e6006f822044902c0aa292c61c1359841a1ac66993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Body Mass Index</topic><topic>Case-Control Studies</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Gait - physiology</topic><topic>Humans</topic><topic>Lumbar Vertebrae</topic><topic>Male</topic><topic>Spinal Stenosis - complications</topic><topic>Spinal Stenosis - diagnostic imaging</topic><topic>Spinal Stenosis - physiopathology</topic><topic>Spondylolisthesis - complications</topic><topic>Spondylolisthesis - diagnostic imaging</topic><topic>Spondylolisthesis - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoshida, Takaki</creatorcontrib><creatorcontrib>Kawakami, Mamoru</creatorcontrib><creatorcontrib>Teraguchi, Masatoshi</creatorcontrib><creatorcontrib>Kagotani, Ryohei</creatorcontrib><creatorcontrib>Minetama, Masakazu</creatorcontrib><creatorcontrib>Nakagawa, Masafumi</creatorcontrib><creatorcontrib>Nakagawa, Yukihiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoshida, Takaki</au><au>Kawakami, Mamoru</au><au>Teraguchi, Masatoshi</au><au>Kagotani, Ryohei</au><au>Minetama, Masakazu</au><au>Nakagawa, Masafumi</au><au>Nakagawa, Yukihiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparative study of gait characteristics associated with and without degenerative lumbar spondylolisthesis in patients with lumbar spinal stenosis</atitle><jtitle>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</jtitle><addtitle>J Orthop Sci</addtitle><date>2019-07</date><risdate>2019</risdate><volume>24</volume><issue>4</issue><spage>590</spage><epage>595</epage><pages>590-595</pages><issn>0949-2658</issn><eissn>1436-2023</eissn><abstract>Reported characteristics of DS include forward slippage of the superior lumbar relative to the inferior lumbar, lumbar instability, increased lumbar lordotic angle, and high body mass index (BMI). However, to our knowledge, only static measurements were conducted in previous studies, and no dynamic observations exist. In this crosssectional study, the gait of patients with and without DS in LSS was compared, and their characteristics were examined using a three-dimensional motion analysis system. In total, 42 patients with LSS were included. Lumbar lordosis angle, sacral tilt angle, lumbar slip rate determined from X-ray images, the Zurich Claudication Questionnaire (ZCQ), the visual analog scale (VAS), and BMI were evaluated. U-COM length was the distance between the upper center of mass (COM) and the body's COM, while L-COM length was the distance between the lower COM and the COM. Each DS and Non-DS group evaluation was compared using the Mann–Whitney U-test. Additionally, multivariate analysis was performed using factors with significant differences as explanatory variables and with or without DS as the target variable. Lumbar lordotic angle was significantly higher in the DS group and there was a significant difference between U-COM and L-COM lengths in the sagittal planes at heel contact (HC) and toe-off (TO). L-COM length at HC and TO was a significant variable when the lumbar lordotic angle was adjusted as a confounding factor in multivariate analysis. The U-COM and L-COM lengths in the DS group were both extended and the line connecting each COM was inclined backward on the sagittal plane at HC and TO during gait. Our study showed that L-COM length was associated with or without DS.</abstract><cop>Japan</cop><pub>Elsevier B.V</pub><pmid>30573395</pmid><doi>10.1016/j.jos.2018.11.016</doi><tpages>6</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0949-2658
ispartof Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 2019-07, Vol.24 (4), p.590-595
issn 0949-2658
1436-2023
language eng
recordid cdi_proquest_miscellaneous_2159984433
source MEDLINE; Alma/SFX Local Collection
subjects Aged
Aged, 80 and over
Body Mass Index
Case-Control Studies
Cross-Sectional Studies
Female
Gait - physiology
Humans
Lumbar Vertebrae
Male
Spinal Stenosis - complications
Spinal Stenosis - diagnostic imaging
Spinal Stenosis - physiopathology
Spondylolisthesis - complications
Spondylolisthesis - diagnostic imaging
Spondylolisthesis - physiopathology
title A comparative study of gait characteristics associated with and without degenerative lumbar spondylolisthesis in patients with lumbar spinal stenosis
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T07%3A19%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20comparative%20study%20of%20gait%20characteristics%20associated%20with%20and%20without%20degenerative%20lumbar%20spondylolisthesis%20in%20patients%20with%20lumbar%20spinal%20stenosis&rft.jtitle=Journal%20of%20orthopaedic%20science%20:%20official%20journal%20of%20the%20Japanese%20Orthopaedic%20Association&rft.au=Yoshida,%20Takaki&rft.date=2019-07&rft.volume=24&rft.issue=4&rft.spage=590&rft.epage=595&rft.pages=590-595&rft.issn=0949-2658&rft.eissn=1436-2023&rft_id=info:doi/10.1016/j.jos.2018.11.016&rft_dat=%3Cproquest_cross%3E2159984433%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2159984433&rft_id=info:pmid/30573395&rft_els_id=S0949265818303427&rfr_iscdi=true