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The effect of static standing posture on dynamic walking kinematics : comparison of a thigh wand versus a patella marker

MCMULKIN ML; GORDON AB
GAIT POSTURE , 2009 , vol. 30, n° 3, p. 375-378
Doc n°: 143229
Localisation : Documentation IRR

D.O.I. : http://www.doi.org/10.1016/j.gaitpost.2009.06.010
Descripteurs : DF11 - POSTURE. STATION DEBOUT

A thigh wand affixed to the lateral and distal parts of the thigh has typically
been used as part of the 3-D computerized gait analysis marker set and model to
assess hip rotation in walking.
A marker placed on the patella has been proposed
as an alternative. The purpose of this study was two-fold. First, determine if
the static standing hip posture affected kinematic gait data of hip rotation.
Second, determine which marker within the configuration, (a thigh wand or patella
marker) performed more consistently with the variation in static hip position.
Ten adult subjects participated in this study. Three static trials were captured
for each subject (typical hip rotation, internal hip rotation, external hip
rotation) and processed twice; once using the thigh wand and a second time using
the patella marker. The subject then walked typically with one trial randomly
selected for analysis. When using a thigh wand, mean dynamic hip rotation
determined in stance phase was significantly different
(7 degrees internal to 17
degrees external) with the three static hip rotation variations. For the patella
marker, there was no significant difference in gait hip rotation
(7 degrees external) with the three static hip rotation postures. In conclusion, because
gait hip rotation was more consistently determined with changes in standing
static hip rotation postures, it is recommended that a marker on the patella be
used in the conventional gait marker set in lieu of a thigh wand.

Langue : ANGLAIS

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