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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(1):58-62.
Gait Analysis in Cervical Spondylotic Myelopathy at Pre- and Post-Surgery.
Song, Woo Hyun , Kim, Hyeong Joon , Yoo, Jong Yoon , Sung, In Young , Rhim, Seung Chul , Yoon, Se Jin
1Department of Physical Medicine p< Rehabilitation, Asan Medical Center, University of Ulsan, Seoul, Korea.
2Neurological Surgery, Asan Medical Center, University of Ulsan, Seoul, Korea.
3Wooridul Hospital, Seoul, Korea.
경수 척수병증 환자의 수술 전후 삼차원 보행분석
송우현, 김형준, 유종윤, 성인영, 임승철1, 윤세진2
울산대학교 의과대학 서울아산병원 재활의학과, 1신경외과, 2우리들병원 재활의학과
Abstract
Objective
To investigate objectively the postoperative change of the gait pattern in patients with cervical myelopathy through gait analysis.


Methods
Thirty nine patients who underwent cervical decompression and fusion for cervical myelopathy were studied. Preoperatively, gait disturbance was present in all patients. The patients were evaluated with Nurick classification, Functional Independence measure (FIM) score and gait analysis using three dimensional motion analyzer before surgery, 1 week and 3 months after surgery.


Results
In the Nurick classification there was statistically significant change but no significant change in FIM score after surgery. In the gait analysis there were statistically significant improvements in all the linear parameters, kinetic (ankle plantarflexion moment) and kinematic (knee range of motion in swing phase) parameters (p<0.05).


Conclusion
This study suggests that gait analysis can be used as a quantitative tools of postoperative gait improvement in patient with cervical myelopathy. (J Korean Acad Rehab Med 2003; 27: 58-62)

Key Words: Cervical myelopathy, Cervical decompression, Three dimensional motion analysis


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