Gait Analysis for Evaluating the Relationship Between Increased Signal Intensity on T2-Weighted Magnetic Resonance Imaging and Gait Function in Cervical Spondylotic Myelopathy
Abstract Kim CR, Yoo JY, Lee SH, Lee DH, Rhim SC. Gait analysis for evaluating the relationship between increased signal intensity on T2-weighted magnetic resonance imaging and gait function in cervical spondylotic myelopathy. Objective To determine relationships between increased signal intensity (...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2010-10, Vol.91 (10), p.1587-1592 |
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| creator | Kim, Chung Reen, MD Yoo, Jong Yoon, MD, PhD Lee, Sang Hoon, MD, PhD Lee, Dong Ho, MD, PhD Rhim, Seung Chul, MD, PhD |
| description | Abstract Kim CR, Yoo JY, Lee SH, Lee DH, Rhim SC. Gait analysis for evaluating the relationship between increased signal intensity on T2-weighted magnetic resonance imaging and gait function in cervical spondylotic myelopathy. Objective To determine relationships between increased signal intensity (ISI) on T2-weighted cervical spine magnetic resonance imaging (MRI) and parameters of gait analysis in patients with cervical spondylotic myelopathy (CSM). Design Retrospective comparative study. Setting Gait analysis laboratory. Participants Patients (N=36) who undertook cervical laminectomy or laminoplasty because of CSM. Interventions Not applicable. Main Outcome Measures Subjects were evaluated by using the modified Japanese Orthopaedic Association (JOA) scale, the Nurick scale, cervical spine MRI, and gait analysis. Two radiologists classified patients into 3 groups: intense, faint, and no ISI. Results Relative to patients without ISI, those with ISI showed significantly slower gait speed, longer step time, decreased single-limb support time, increased double-limb support time, and limited range of motion of knee and ankle ( P |
| doi_str_mv | 10.1016/j.apmr.2010.07.008 |
| format | Article |
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Gait analysis for evaluating the relationship between increased signal intensity on T2-weighted magnetic resonance imaging and gait function in cervical spondylotic myelopathy. Objective To determine relationships between increased signal intensity (ISI) on T2-weighted cervical spine magnetic resonance imaging (MRI) and parameters of gait analysis in patients with cervical spondylotic myelopathy (CSM). Design Retrospective comparative study. Setting Gait analysis laboratory. Participants Patients (N=36) who undertook cervical laminectomy or laminoplasty because of CSM. Interventions Not applicable. Main Outcome Measures Subjects were evaluated by using the modified Japanese Orthopaedic Association (JOA) scale, the Nurick scale, cervical spine MRI, and gait analysis. Two radiologists classified patients into 3 groups: intense, faint, and no ISI. Results Relative to patients without ISI, those with ISI showed significantly slower gait speed, longer step time, decreased single-limb support time, increased double-limb support time, and limited range of motion of knee and ankle ( P <.05). Increased intensity tended to correlate with poor gait function including slower gait speed, longer step time, decreased single-limb support time, and increased double-limb support time. The modified JOA and Nurick scale did not correlate with ISI. Conclusions In patients with CSM who received surgical treatment, more intense ISI on T2-weighted MRI correlated preoperatively with increased difficulties in gait function. Gait analysis may be a useful tool for evaluating gait functions in cervical myelopathy.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2010.07.008</identifier><identifier>PMID: 20875519</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Cervical Vertebrae ; Diseases of the osteoarticular system ; Female ; Gait ; Humans ; Laminectomy - rehabilitation ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Physical Medicine and Rehabilitation ; Physical Therapy Modalities ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Range of Motion, Articular ; Rehabilitation ; Retrospective Studies ; Spinal Cord Diseases - surgery ; Spondylosis - surgery</subject><ispartof>Archives of physical medicine and rehabilitation, 2010-10, Vol.91 (10), p.1587-1592</ispartof><rights>American Congress of Rehabilitation Medicine</rights><rights>2010 American Congress of Rehabilitation Medicine</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-50e2997c08cebcc14d7acd9e889b3de9ecea5d6e52c0007cd2bf7474c4f51e173</citedby><cites>FETCH-LOGICAL-c440t-50e2997c08cebcc14d7acd9e889b3de9ecea5d6e52c0007cd2bf7474c4f51e173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2010.07.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23303478$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20875519$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Chung Reen, MD</creatorcontrib><creatorcontrib>Yoo, Jong Yoon, MD, PhD</creatorcontrib><creatorcontrib>Lee, Sang Hoon, MD, PhD</creatorcontrib><creatorcontrib>Lee, Dong Ho, MD, PhD</creatorcontrib><creatorcontrib>Rhim, Seung Chul, MD, PhD</creatorcontrib><title>Gait Analysis for Evaluating the Relationship Between Increased Signal Intensity on T2-Weighted Magnetic Resonance Imaging and Gait Function in Cervical Spondylotic Myelopathy</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Kim CR, Yoo JY, Lee SH, Lee DH, Rhim SC. Gait analysis for evaluating the relationship between increased signal intensity on T2-weighted magnetic resonance imaging and gait function in cervical spondylotic myelopathy. Objective To determine relationships between increased signal intensity (ISI) on T2-weighted cervical spine magnetic resonance imaging (MRI) and parameters of gait analysis in patients with cervical spondylotic myelopathy (CSM). Design Retrospective comparative study. Setting Gait analysis laboratory. Participants Patients (N=36) who undertook cervical laminectomy or laminoplasty because of CSM. Interventions Not applicable. Main Outcome Measures Subjects were evaluated by using the modified Japanese Orthopaedic Association (JOA) scale, the Nurick scale, cervical spine MRI, and gait analysis. Two radiologists classified patients into 3 groups: intense, faint, and no ISI. Results Relative to patients without ISI, those with ISI showed significantly slower gait speed, longer step time, decreased single-limb support time, increased double-limb support time, and limited range of motion of knee and ankle ( P <.05). Increased intensity tended to correlate with poor gait function including slower gait speed, longer step time, decreased single-limb support time, and increased double-limb support time. The modified JOA and Nurick scale did not correlate with ISI. Conclusions In patients with CSM who received surgical treatment, more intense ISI on T2-weighted MRI correlated preoperatively with increased difficulties in gait function. Gait analysis may be a useful tool for evaluating gait functions in cervical myelopathy.</description><subject>Biological and medical sciences</subject><subject>Cervical Vertebrae</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Gait</subject><subject>Humans</subject><subject>Laminectomy - rehabilitation</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Physical Therapy Modalities</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Range of Motion, Articular</subject><subject>Rehabilitation</subject><subject>Retrospective Studies</subject><subject>Spinal Cord Diseases - surgery</subject><subject>Spondylosis - surgery</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Uk1vEzEUXCEQDYU_wAH5gjhtsPcjXksIqURtidQKiRTBzXLstxuHjb3Y3lT7q_oXsUkAiQMn-z3PzLNmXpa9JHhOMFm83c3FsHfzAscGpnOMm0fZjNRlkTcF-fY4m2GMy5wxVp5lz7zfxXJRl-RpdlbghtY1YbPs4VrogC6M6CevPWqtQ5cH0Y8iaNOhsAX0GfpYWOO3ekAfINwDGLQy0oHwoNBad5EcGwGM12FC1qC7Iv8KutuG-H4rOgNBy6jjrRFGAlrtRZfUhVHo1_ir0cg0AmmDluAOWkbF9WCNmnqbuLcT9HYQYTs9z560ovfw4nSeZ1-uLu-WH_ObT9er5cVNLqsKh7zGUDBGJW4kbKQklaJCKgZNwzalAgYSRK0WUBcyukKlKjYtrWglq7YmQGh5nr056g7O_hjBB77XXkLfCwN29Dzax2j0uo7I4oiUznrvoOWD03vhJk4wTznxHU858ZQTx5THnCLp1Ul-3OxB_aH8DiYCXp8Awkc3Whed0_4vrixxWdEk9O6Ig2jGQYPjXmqILivtQAaurP7_P97_Q5e9Nsn_7zCB39nRxXQ9J9wXHPN12qi0UCRdGtaUPwGUacno</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Kim, Chung Reen, MD</creator><creator>Yoo, Jong Yoon, MD, PhD</creator><creator>Lee, Sang Hoon, MD, PhD</creator><creator>Lee, Dong Ho, MD, PhD</creator><creator>Rhim, Seung Chul, MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><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>20101001</creationdate><title>Gait Analysis for Evaluating the Relationship Between Increased Signal Intensity on T2-Weighted Magnetic Resonance Imaging and Gait Function in Cervical Spondylotic Myelopathy</title><author>Kim, Chung Reen, MD ; Yoo, Jong Yoon, MD, PhD ; Lee, Sang Hoon, MD, PhD ; Lee, Dong Ho, MD, PhD ; Rhim, Seung Chul, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-50e2997c08cebcc14d7acd9e889b3de9ecea5d6e52c0007cd2bf7474c4f51e173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Biological and medical sciences</topic><topic>Cervical Vertebrae</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Gait</topic><topic>Humans</topic><topic>Laminectomy - rehabilitation</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Physical Therapy Modalities</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Range of Motion, Articular</topic><topic>Rehabilitation</topic><topic>Retrospective Studies</topic><topic>Spinal Cord Diseases - surgery</topic><topic>Spondylosis - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Chung Reen, MD</creatorcontrib><creatorcontrib>Yoo, Jong Yoon, MD, PhD</creatorcontrib><creatorcontrib>Lee, Sang Hoon, MD, PhD</creatorcontrib><creatorcontrib>Lee, Dong Ho, MD, PhD</creatorcontrib><creatorcontrib>Rhim, Seung Chul, MD, PhD</creatorcontrib><collection>Pascal-Francis</collection><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>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Chung Reen, MD</au><au>Yoo, Jong Yoon, MD, PhD</au><au>Lee, Sang Hoon, MD, PhD</au><au>Lee, Dong Ho, MD, PhD</au><au>Rhim, Seung Chul, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gait Analysis for Evaluating the Relationship Between Increased Signal Intensity on T2-Weighted Magnetic Resonance Imaging and Gait Function in Cervical Spondylotic Myelopathy</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>91</volume><issue>10</issue><spage>1587</spage><epage>1592</epage><pages>1587-1592</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Abstract Kim CR, Yoo JY, Lee SH, Lee DH, Rhim SC. Gait analysis for evaluating the relationship between increased signal intensity on T2-weighted magnetic resonance imaging and gait function in cervical spondylotic myelopathy. Objective To determine relationships between increased signal intensity (ISI) on T2-weighted cervical spine magnetic resonance imaging (MRI) and parameters of gait analysis in patients with cervical spondylotic myelopathy (CSM). Design Retrospective comparative study. Setting Gait analysis laboratory. Participants Patients (N=36) who undertook cervical laminectomy or laminoplasty because of CSM. Interventions Not applicable. Main Outcome Measures Subjects were evaluated by using the modified Japanese Orthopaedic Association (JOA) scale, the Nurick scale, cervical spine MRI, and gait analysis. Two radiologists classified patients into 3 groups: intense, faint, and no ISI. Results Relative to patients without ISI, those with ISI showed significantly slower gait speed, longer step time, decreased single-limb support time, increased double-limb support time, and limited range of motion of knee and ankle ( P <.05). Increased intensity tended to correlate with poor gait function including slower gait speed, longer step time, decreased single-limb support time, and increased double-limb support time. The modified JOA and Nurick scale did not correlate with ISI. Conclusions In patients with CSM who received surgical treatment, more intense ISI on T2-weighted MRI correlated preoperatively with increased difficulties in gait function. Gait analysis may be a useful tool for evaluating gait functions in cervical myelopathy.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>20875519</pmid><doi>10.1016/j.apmr.2010.07.008</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present); EZB-FREE-00999 freely available EZB journals |
| subjects | Biological and medical sciences Cervical Vertebrae Diseases of the osteoarticular system Female Gait Humans Laminectomy - rehabilitation Magnetic Resonance Imaging Male Medical sciences Middle Aged Miscellaneous Physical Medicine and Rehabilitation Physical Therapy Modalities Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Range of Motion, Articular Rehabilitation Retrospective Studies Spinal Cord Diseases - surgery Spondylosis - surgery |
| title | Gait Analysis for Evaluating the Relationship Between Increased Signal Intensity on T2-Weighted Magnetic Resonance Imaging and Gait Function in Cervical Spondylotic Myelopathy |
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