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The influence of muscle strength on the gait profile score (GPS) across different patients

Schweizer, Katrin and Romkes, Jacqueline and Coslovsky, Michael and Brunner, Reinald. (2014) The influence of muscle strength on the gait profile score (GPS) across different patients. Gait & Posture, 39 (1). pp. 80-85.

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Official URL: http://edoc.unibas.ch/52863/

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Abstract

Muscle strength greatly influences gait kinematics. The question was whether this association is similar in different diseases.; Data from instrumented gait analysis of 716 patients were retrospectively assessed. The effect of muscle strength on gait deviations, namely the gait profile score (GPS) was evaluated by means of generalised least square models. This was executed for seven different patient groups. The groups were formed according to the type of disease: orthopaedic/neurologic, uni-/bilateral affection, and flaccid/spastic muscles.; Muscle strength had a negative effect on GPS values, which did not significantly differ amongst the different patient groups. However, an offset of the GPS regression line was found, which was mostly dependent on the basic disease. Surprisingly, spastic patients, who have reduced strength and additionally spasticity in clinical examination, and flaccid neurologic patients showed the same offset. Patients with additional lack of trunk control (Tetraplegia) showed the largest offset.; Gait kinematics grossly depend on muscle strength. This was seen in patients with very different pathologies. Nevertheless, optimal correction of biomechanics and muscle strength may still not lead to a normal gait, especially in that of neurologic patients. The basic disease itself has an additional effect on gait deviations expressed as a GPS-offset of the linear regression line.
Faculties and Departments:03 Faculty of Medicine > Bereich Kinder- und Jugendheilkunde (Klinik) > Kinder- und Jugendheilkunde (UKBB) > Kinderorthopädie (Hasler)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Kinder- und Jugendheilkunde (Klinik) > Kinder- und Jugendheilkunde (UKBB) > Kinderorthopädie (Hasler)
UniBasel Contributors:Romkes, Jacqueline
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Elsevier
ISSN:0966-6362
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:06 Oct 2017 08:46
Deposited On:06 Oct 2017 08:46

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