Journal of Korean Neurosurgical Society
- 제29권4호
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- Pages.528-535
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- 2000
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- 2005-3711(pISSN)
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- 1598-7876(eISSN)
경척수증 환자에 대한 보행분석의 적용
Application of Gait Analysis to the Patients with Cervical Myelopathy
- 윤상원 (울산대학교 의과대학 서울중앙병원 신경외과학교실) ;
- 임승철 (울산대학교 의과대학 서울중앙병원 신경외과학교실) ;
- 노성우 (울산대학교 의과대학 서울중앙병원 신경외과학교실) ;
- 유종윤 (울산대학교 의과대학 서울중앙병원 재활의학과학교실) ;
- 하상배 (울산대학교 의과대학 서울중앙병원 재활의학과학교실)
- Yoon, Sang Won (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
- Rhim, Seung Chul (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
- Roh, Sung Woo (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
- Yu, Jong Youn (Department of Physical Medicine & Rahabilitation, Asan Medical Center, College of Medicine, University of Ulsan) ;
- Ha, Sang Bae (Department of Physical Medicine & Rahabilitation, Asan Medical Center, College of Medicine, University of Ulsan)
- 투고 : 1999.11.05
- 심사 : 1999.11.30
- 발행 : 2000.04.28
초록
Objective : To investigate objectively the postoperative improvement of gait disturbance in patients with cervical myelopathy through a gait analysis. Patients and Methods : Ten patients who underwent cervical decompression and fusion for cervical myelopathy caused by spondylosis, OPLL, or concomitant hypertrophy of ligamentum flavum were studied. Preoperatively, gait disturbance was present in all patients. The patients were evaluated by gait analysis using three dimensional motion analyzer to collect data of linear and kinematic parameters before surgery, 1 week and 3 months after surgery. Statistical analysis of the related pre-and post-operative data were performed. Results : In the linear parameters, average value of cadence, walking speed, stride length, step time, width and double support were increased postoperatively compare to preoperative value. In the kinematic parameters, average value of knee flexion during initial swing phase, plantar flexion of ankle and range of motion of hip joint were increased as well. These differences were statistically significant(p<0.05). Conclusion : This study suggests that gait analysis can be used as a method of quantitative analysis of postoperative gait improvement in patients with cervical myelopathy.