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Kinematic adaptations to ischemic pain in claudicants during continuous walking

Mockford, Katherine A.; Vanicek, Natalie; Jordan, Alastair; Chetter, Ian C.; Coughlin, Patrick A.

Authors

Katherine A. Mockford

Alastair Jordan

Patrick A. Coughlin



Abstract

Intermittent claudication has been associated with impaired gait and balance. The study aim was to compare gait adaptations over time between claudicants classified with good versus poor balance. Kinematic data were collected from 24 claudicants during continuous walking. Balance was assessed using; Timed Up and Go test (TUG), and Sensory Organisation (SOT) and Motor Control (MCT) Tests using NeuroCom Equitest (R). 'Good balance' (GB) was operationally defined as those claudicants achieving normal scores on at least 2 of 3 tests whereas 'poor balance' (PB) claudicants achieved normal scores on 0 or 1 test. Temporal-spatial and sagittal plane joint kinematics were analysed at three time intervals; 'no pain' (prior to onset), 'initial pain' and 'maximal pain' (unable to continue walking). A two-way mixed design ANOVA was performed. Claudicants demonstrated a significant decrease in walking speed, step frequency and increased time in double support (p < 0.05). Inter-group analysis showed no differences between GB and PB on any temporal-spatial or kinematic parameters (p > 0.05). There was no significant time and group interaction for any temporal-spatial or kinematic variable except hip flexion. GB claudicants demonstrated increased hip flexion as pain progressed but this adaptive strategy was not seen in PB claudicants. Claudicants make adaptations to walking by slowing (down) when in pain. Differences between GB and PB were not seen in temporal-spatial or ankle, knee and pelvic kinematic gait parameters. However adaptation to pain in GB claudicants involved a hip strategy, not seen in PB claudicants. (C) 2010 Elsevier B.V. All rights reserved.

Citation

Mockford, K. A., Vanicek, N., Jordan, A., Chetter, I. C., & Coughlin, P. A. (2010). Kinematic adaptations to ischemic pain in claudicants during continuous walking. Gait and Posture, 32(3), 395-399. https://doi.org/10.1016/j.gaitpost.2010.06.021

Journal Article Type Article
Acceptance Date Jun 26, 2010
Online Publication Date Aug 3, 2010
Publication Date 2010-07
Deposit Date Nov 13, 2014
Journal Gait & Posture
Print ISSN 0966-6362
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 32
Issue 3
Pages 395-399
DOI https://doi.org/10.1016/j.gaitpost.2010.06.021
Keywords Claudication; Gait; Balance; Ischaemic pain; Kinematics
Public URL https://hull-repository.worktribe.com/output/462673
Publisher URL https://www.sciencedirect.com/science/article/pii/S0966636210001797?via%3Dihub
Contract Date Nov 13, 2014