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REVIEW  MOTION ANALYSIS IN ORTHOPEDICS 

Minerva Orthopedics 2021 October;72(5):456-64

DOI: 10.23736/S2784-8469.21.04127-4

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

The role of gait analysis for functional surgery in brain damaged adults

Mario MANCA 1 , Giovanni FERRARESI 2, Francesco MANCA 3, Michela COSMA 2

1 Unit of Rehabilitation, Poliambulanza Fundation, Brescia, Italy; 2 Department of Neuroscience and Rehabilitation, Laboratory of Motion Analysis, University Hospital of Ferrara, Ferrara, Italy; 3 Health Economics and Health Technology Assessment (HEHTA), Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK



INTRODUCTION: The aim of this review was to summarize the use of gait analysis for lower extremity functional surgery in adult patients with upper motor neuron lesions.
EVIDENCE ACQUISITION: The research for articles was conducted on Medline database from 1980 to June 2020 and involved studies of adult patients with gait disorders who had undergone functional surgery on the lower limb evaluated with gait analysis.
EVIDENCE SYNTHESIS: Selected articles were firstly classified by design and then divided into two groups according to their research question and content: decision-making for surgical treatment and assessment of outcome. Thirty-five studies out of 1637 articles identified in our search met the eligibility criteria and were included in the review. Twenty-five articles were considered for “decision making” group, and 14 articles for “assessment of outcomes.” The literature analyzed indicates evidence for the influence of gait analysis on functional orthopedic surgery planning, whereas it is not possible to assert that the use of gait analysis can improve the outcome.
CONCLUSIONS: Gait analysis is also largely utilized to compare pre-/postoperative gait and has turned out to be a helpful instrument for a quantitative and reliable assessment of activities in adult patients submitted to functional surgery.


KEY WORDS: Gait analysis; General surgery; Decision making; Adult

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