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The association of dynamic spinal alignment on gait endurance of patients with adult spinal deformity: a cross-sectional study

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Abstract

Purpose

The purpose of this study was to evaluate the gait posture of patients with adult spinal deformity (ASD) using a 3-dimensional motion analysis system (3DMAS) and to investigate whether it affects gait endurance.

Methods

Fifty-one patients with ASD aged 50 years or older who were admitted to our hospital between March 2016 and March 2018 were included in the study. The subjects completed the 6-min walking test, which is an indicator of gait endurance. Static standing posture was assessed by whole-spine x-ray examination (coronal cobb angle, CCA; sagittal vertical axis, SVA; pelvic tilt, PT; and pelvic incidence minus lumbar lordosis, PI–LL). In addition, the gait posture was evaluated by a 3DMAS (dynamic trunk tilt angle, DTA; and dynamic pelvic tilt angle, DPA). The relationship between standing and gait postures and gait endurance was investigated by multivariable analysis.

Results

In univariable analysis, SVA, PI–LL, and DTA were associated with gait endurance. Furthermore, in the multivariable analysis, DTA showed the strongest association among the static and dynamic parameters (R2 = 0.61, β = − 0.35, P < 0.05).

Conclusions

An association was found between gait posture and gait endurance in patients with ASD. These findings can be useful to health care providers treating patients with ASD. It is advisable to assess the gait posture of patients with ASD because they present postural abnormalities during gait.

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Data availability

The datasets generated and/or analyzed in the current study are available from the corresponding author on reasonable request.

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Acknowledgements

The authors wish to acknowledge those who participated in this study and those who assisted in writing and proofreading this paper.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Departments of Rehabilitation/Orthopaedic and Spinal Surgery, Aizu Medical Center, Fukushima Medical University, 21-2, Tanisawa-aza-maeda, Kawahigashi, Aizuwakamatsu, Fukushima, 969-3492, Japan

    Keita Sato, Ryoji Tominaga, Tatsuya Endo, Takuya Miura, Masumi Iwabuchi & Osamu Shirado

  2. Hokkaido Chitose College of Rehabilitation, Chitose, Hokkaido, Japan

    Toshikazu Ito

Authors
  1. Keita Sato
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  2. Ryoji Tominaga
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  3. Tatsuya Endo
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  4. Takuya Miura
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  5. Masumi Iwabuchi
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  6. Toshikazu Ito
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  7. Osamu Shirado
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Contributions

KS, RT, TE, TM, MI, TI and OS: Made substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data; or the creation of new software used in the work. Drafted the work or revised it critically for important intellectual content. Approved the version to be published. Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Corresponding author

Correspondence to Keita Sato.

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Conflict of interest

The authors have no relevant financial or non-financial interest to disclose.

IRB approval

The current study was approved by our institutional review board (IRB No. 29359).

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Sato, K., Tominaga, R., Endo, T. et al. The association of dynamic spinal alignment on gait endurance of patients with adult spinal deformity: a cross-sectional study. Spine Deform 11, 463–469 (2023). https://doi.org/10.1007/s43390-022-00605-6

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  • DOI: https://doi.org/10.1007/s43390-022-00605-6

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