| Titre : | Influence of Multiple Sclerosis on Spatiotemporal Gait Parameters: A Systematic Review and Meta-Regression (2021) |
| Auteurs : | Justin N. Chee ; Bing Ye ; Sarah Gregor ; David Berbrayer ; Alex Mihailidis ; Kara K. Patterson |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 9, 2021) |
| Article en page(s) : | p. 1801-1815 |
| Note générale : | https://doi.org/10.1016/j.apmr.2020.12.013 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Analyse spatio-temporelle ; Chutes accidentelles ; Démarche ; Réadaptation ; Sclérose en plaques |
| Résumé : |
Objective
To quantify the effect of multiple sclerosis (MS) on spatiotemporal gait characteristics accounting for disability severity and fall classification. Data Sources MEDLINE (1946-August 2018), Allied and Complementary Medicine Database (1985-2018 August), and PsycINFO (1806-August 2018) were searched for terms on MS and gait. Study Selection Dual independent screening was conducted to identify observational, cross-sectional studies that compared adults with MS grouped according to Expanded Disability Status Scale (EDSS) level or fall history, reported on spatiotemporal gait characteristics, and were published in English. The search retrieved 5891 results, of which 12 studies satisfied the inclusion criteria. Data Extraction Two authors worked independently to extract and verify data on publication details, study methodology, participant characteristics, gait outcomes, conclusions, and limitations. Risk of bias was assessed using the QualSyst critical appraisal tool. A random-effects meta-regression and meta-analysis were conducted on pooled data. Data Synthesis All studies received quality ratings of very good to excellent and collectively examined 1513 individuals with MS. With every 1-point increase in EDSS, significant changes (P<.05 were observed in gait speed m confidence interval step length ci time seconds variability stride cadence steps per minute stance phase duration cycle and double support recent fallers exhibited an reduction compared with nonfallers> Conclusions This review provides the most accurate reference values to-date that can be used to assess the effectiveness of MS gait training programs and therapeutic techniques for individuals who differ on disability severity and fall classification. Some gait adaptations could be part of adopting a more cautious gait strategy and should be factored into the design of future interventions. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321000083#! |
Bibliothèques HE Vinci
