J Korean Acad Rehabil Med.
2003 Feb;27(1):58-62.
Gait Analysis in Cervical Spondylotic Myelopathy at Pre- and Post-Surgery
- Affiliations
-
- 1Department of Physical Medicine p< Rehabilitation, Asan Medical Center, University of Ulsan, Seoul, Korea.
- 2Neurological Surgery, Asan Medical Center, University of Ulsan, Seoul, Korea.
- 3Wooridul Hospital, Seoul, Korea.
Abstract
OBJECTIVE
To investigate objectively the postoperative change of the gait pattern in patients with cervical myelopathy through gait analysis. METHODS: Thirty nine patients who underwent cervical decompression and fusion for cervical myelopathy were studied. Preoperatively, gait disturbance was present in all patients. The patients were evaluated with Nurick classification, Functional Independence measure (FIM) score and gait analysis using three dimensional motion analyzer before surgery, 1 week and 3 months after surgery. RESULTS: In the Nurick classification there was statistically significant change but no significant change in FIM score
after surgery. In the gait analysis there were statistically significant improvements in all the linear parameters, kinetic
(ankle plantarflexion moment) and kinematic (knee range of motion in swing phase) parameters (p<0.05). CONCLUSION: This study suggests that gait analysis can be used as a quantitative tools of postoperative gait improvement
in patient with cervical myelopathy.