Investigating spatiotemporal gait parameters and gait stability in individuals with chronic idiopathic neck pain

Yıl 2019, Cilt: 6 Sayı: 3, 149 - 155, 10.01.2020

Müge Kırmızı , İbrahim Engin Şimşek Ata Elvan Ömer Akçalı Salih Angın

Öz

Purpose: The aim was to compare gait speed, step length, cadence and gait stability ratio (GSR) between individuals with chronic idiopathic neck pain (CINP) and no-pain controls and investigate the relationship of disability with spatiotemporal gait variables and GSR in individuals with CINP.

Methods: Twenty-five individuals with CINP (17 females, 8 males) and 25 no-pain controls (17 females, 8 males) recruited into this study. All participants performed the 10-meter walking test in three walking conditions: Preferred walking (PW), walking with head rotation (HRW), walking at maximum speed (MAXW). Video analysis method involving slow-motion camera (120fps) was used to measure spatiotemporal gait parameters. GSR was calculated by dividing step counts per second to gait speed (m/s).

Results: Individuals with CINP had slower gait speed and cadence in all walking conditions (p<0.05). In individuals with CINP, step length was found to be shorter and GSR was significantly higher in only HRW (p<0.05). GSR values in all walking conditions were found to be moderately correlated with NDI (r=0.507, r=0.533, r=0.516 for PW, HRW and MAXW, respectively, all p<0.01). Step lengths in all walking conditions and preferred gait speed were found to be weakly correlated with NDI (For step lengths r=-0.485, r=-0.440, r=-0.487 for PW, HRW and MAXW, respectively, all p<0.05; for preferred gait speed r=-0.473, p<0.05).

Conclusion: Our results suggested that individuals with CINP have altered spatiotemporal gait variables. Assessment of spatiotemporal gait parameters and GSR may provide additional information for management of such disability, so should be addressed in clinical assessment of CINP.

Anahtar Kelimeler

Neck Pain, Spine, Gait

Yürüyüşün zaman mesafe parametreleri ve yürüyüş stabilitesinin kronik idyopatik boyun ağrılı bireylerde incelenmesi

Öz

Amaç: Çalışmanın amacı kronik idyopatik boyun ağrılı bireyler ile ağrısı olmayan kontrolleri yürüyüş hızı, tempo, adım uzunluğu ve yürüyüş stabilite oranı (YSO) bakımından karşılaştırmak ve kronik idyopatik boyun ağrılı bireylerde özür düzeyinin yürüyüşün zaman mesafe parametreleri ve YSO ile ilişkisini incelemektir.

Yöntem: Çalışmaya 25 kronik idyopatik boyun ağrılı (17 kadın, 8 erkek) ve 25 ağrısı olmayan birey (17 kadın, 8 erkek) dahil edildi. Tüm katılımcılar 10 metre yürüme testini üç yürüme koşulunda gerçekleştirdi: Normal yürüme (NY), baş rotasyonlarıyla yürüme (BRY) ve maksimum hızda yürüme (MAKSY). Yürüyüşün zaman mesafe parametreleri 120 fps’de ağır çekim yapan kamera ile değerlendirildi. YSO, yürüyüş hızının (m/sn) saniyedeki adım sayısına bölünmesiyle hesaplandı.

Bulgular: Kronik idyopatik boyun ağrılı bireylerin yürüyüş hızı ve tempolarının tüm yürüme koşullarında daha düşük olduğu görüldü (p<0.05). Kronik idyopatik boyun ağrılı bireylerin adım uzunluğu sadece BRY koşulunda daha düşük bulundu (p<0.05) ve YSO sadece BRY koşulunda daha yüksekti (p<0.05). Tüm yürüme koşullarındaki YSO ile özür düzeyi arasında orta şiddette korelasyon bulundu (NY, BRY ve MAKSY için sırasıyla r=0.507, r=0.533, r=0.516, tümü p<0.01) Tüm yürüme koşullarındaki adım uzunluğu ve normal yürüme hızının ise özür düzeyi ile zayıf şiddette korelasyon gösterdiği bulundu (NY, BRY ve MAKSY koşullarındaki adım uzunluğu için sırasıyla r=-0.485, r=-0.440, r=-0.487, tümü p<0.05; normal yürüme hızı için r=-0.473, p<0.05).

Sonuç: Çalışmamızın sonuçları, kronik idyopatik boyun ağrılı bireylerin yürüyüş parametrelerinde olumsuz değişimler olduğunu gösterdi. Farklı yürüme koşullarındaki zaman mesafe parametreleri ve YSO’nun değerlendirilmesi özür düzeyine ilişkin bilgi verebileceği için kronik boyun ağrılı bireylerin klinik değerlendirmesinde yer almalıdır.

Anahtar Kelimeler

Boyun ağrısı, Omurga, Yürüyüş

Kaynakça

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