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Newly Identified Gait Patterns in Patients With Multiple Sclerosis May Be Related to Push-off Quality

Jiska C.E. Kempen, Caroline A.M. Doorenbosch, Dirk L. Knol, Vincent de Groot, Heleen Beckerman
DOI: 10.2522/ptj.20150508 Published 1 November 2016
Jiska C.E. Kempen
J.C.E. Kempen, PhD, Department of Rehabilitation Medicine, VU University Medical Center, PO Box 7057, 1007 MB Amsterdam, the Netherlands; EMGO Institute for Health and Care Research, VU University and VU University Medical Center; and MS Center, Amsterdam, the Netherlands.
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Caroline A.M. Doorenbosch
C.A.M. Doorenbosch, PhD, Department of Rehabilitation Medicine, VU University Medical Center; Research Institute MOVE, VU University and VU University Medical Center; and Academy of Human Kinetic Technology, The Hague University of Applied Sciences, The Hague, the Netherlands.
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Dirk L. Knol
D.L. Knol, PhD, Department of Epidemiology and Biostatistics, VU University Medical Center.
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Vincent de Groot
V. de Groot, MD, PhD, Department of Rehabilitation Medicine, VU University Medical Center; EMGO Institute for Health and Care Research, VU University and VU University Medical Center; and MS Center.
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Heleen Beckerman
H. Beckerman, PhD, Department of Rehabilitation Medicine, VU University Medical Center; EMGO Institute for Health and Care Research, VU University and VU University Medical Center; and MS Center.
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Figures

Figure 2.
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Figure 2.

Typical examples of the 3 gait classes. The video stills show for each class (rows) a patient from the position of the left leg. Each column corresponds to a variable of the core set (ie, heel-rise in terminal stance, clearance in initial swing, and ankle angle in mid-swing). IC=initial contact.

Figure 1.
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Figure 1.

Histogram of Expanded Disability Status Scale (EDSS) scores of the 81 participants.

Tables

Table 4.
Table 4.

Participant Characteristics for Each Gait Classa

  • ↵a FS=functional system.

Table 2.
Table 2.

Model Fit Indexes for Latent Class Analysesa

  • ↵a AIC=Akaike information criterion, BIC=Bayesian information criterion.

Table 1.
Table 1.

Kinematic, EMG, and Forceplate Variables Included in the Latent Class Analysesa

  • ↵a EMG=electromyographic, LR=loading response, ISw=initial swing, MSw=mid-swing.

  • b All foot contacts without clear heel or toe contact.

  • c Combination of absent heel-rise in terminal stance, no clearance in initial swing, and a lack of properly timed gastrocnemius muscle activity in pre-swing.

Table 3.
Table 3.

Probability of the 9 Gait Variables Defining Gait Patterns in Patients With Multiple Sclerosis

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Vol 96 Issue 11 Table of Contents
Physical Therapy: 96 (11)

Issue highlights

  • Physical Therapist Student Loan Debt
  • Exercise for Osteoarthritis of the Hip
  • Hospital-Based Outpatient Direct Access to Physical Therapist Services: Current Status in Wisconsin
  • Understanding the Relationship Between Physical Therapist Participation in Interdisciplinary Rounds and Hospital Readmission Rates: Preliminary Study
  • The 2015 Nepal Earthquake(s): Lessons Learned From the Disability and Rehabilitation Sector's Preparation for, and Response to, Natural Disasters
  • Icelandic Physical Therapists' Attitudes Toward Adoption of New Knowledge and Evidence-Based Practice: Cross-Sectional Web-Based Survey
  • Objective Gait and Balance Impairments Relate to Balance Confidence and Perceived Mobility in People With Parkinson Disease
  • Newly Identified Gait Patterns in Patients With Multiple Sclerosis May Be Related to Push-off Quality
  • Physical Rehabilitation Interventions for Post-mTBI Symptoms Lasting Greater Than 2 Weeks: Systematic Review
  • Fitkids Treadmill Test: Age- and Sex-Related Normative Values in Dutch Children and Adolescents
  • Joint-Specific Play Controller for Upper Extremity Therapy: Feasibility Study in Children With Wrist Impairment
  • Three Faces of Fragile X
  • Synergic Effects of Rehabilitation and Intravenous Infusion of Mesenchymal Stem Cells After Stroke in Rats
  • Structural Validity of the Mini-Balance Evaluation Systems Test (Mini-BESTest) in People With Mild to Moderate Parkinson Disease
  • Validity, Reliability, and Ability to Identify Fall Status of the Berg Balance Scale, BESTest, Mini-BESTest, and Brief-BESTest in Patients With COPD
  • Measurement Properties of the Quebec Back Pain Disability Scale in Patients With Nonspecific Low Back Pain: Systematic Review
  • Outcome Measure Recommendations From the Spinal Cord Injury EDGE Task Force
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Newly Identified Gait Patterns in Patients With Multiple Sclerosis May Be Related to Push-off Quality
Jiska C.E. Kempen, Caroline A.M. Doorenbosch, Dirk L. Knol, Vincent de Groot, Heleen Beckerman
Physical Therapy Nov 2016, 96 (11) 1744-1752; DOI: 10.2522/ptj.20150508

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Newly Identified Gait Patterns in Patients With Multiple Sclerosis May Be Related to Push-off Quality
Jiska C.E. Kempen, Caroline A.M. Doorenbosch, Dirk L. Knol, Vincent de Groot, Heleen Beckerman
Physical Therapy Nov 2016, 96 (11) 1744-1752; DOI: 10.2522/ptj.20150508
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More in this TOC Section

  • Reliability and Validity of Force Platform Measures of Balance Impairment in Individuals With Parkinson Disease
  • Predictors of Reduced Frequency of Physical Activity 3 Months After Injury: Findings From the Prospective Outcomes of Injury Study
  • Effects of Locomotor Exercise Intensity on Gait Performance in Individuals With Incomplete Spinal Cord Injury
Show more Neurology

Subjects

  • Neurology/Neuromuscular System
    • Multiple Sclerosis
  • Musculoskeletal System/Orthopedic
    • Kinesiology/Biomechanics
    • Gait Disorders

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