| Gait analysis for evaluating the relationship between increased signal intensity on t2-weighted magnetic resonance imaging and gait function in cervical spondylotic myelopathy. | |
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MedLine Citation:
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PMID: 20875519 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To determine relationships between increased signal intensity (ISI) on T2-weighted cervical spine magnetic resonance imaging (MRI) and parameters of gait analysis in patients with cervical spondylotic myelopathy (CSM). DESIGN: Retrospective comparative study. SETTING: Gait analysis laboratory. PARTICIPANTS: Patients (N=36) who undertook cervical laminectomy or laminoplasty because of CSM. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Subjects were evaluated by using the modified Japanese Orthopaedic Association (JOA) scale, the Nurick scale, cervical spine MRI, and gait analysis. Two radiologists classified patients into 3 groups: intense, faint, and no ISI. RESULTS: Relative to patients without ISI, those with ISI showed significantly slower gait speed, longer step time, decreased single-limb support time, increased double-limb support time, and limited range of motion of knee and ankle (P<.05). Increased intensity tended to correlate with poor gait function including slower gait speed, longer step time, decreased single-limb support time, and increased double-limb support time. The modified JOA and Nurick scale did not correlate with ISI. CONCLUSIONS: In patients with CSM who received surgical treatment, more intense ISI on T2-weighted MRI correlated preoperatively with increased difficulties in gait function. Gait analysis may be a useful tool for evaluating gait functions in cervical myelopathy. |
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Authors:
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Chung Reen Kim; Jong Yoon Yoo; Sang Hoon Lee; Dong Ho Lee; Seung Chul Rhim |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of physical medicine and rehabilitation Volume: 91 ISSN: 1532-821X ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-29 Completed Date: 2010-10-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 1587-92 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Physical Medicine, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cervical Vertebrae* Female Gait* Humans Laminectomy / rehabilitation* Magnetic Resonance Imaging Male Middle Aged Physical Therapy Modalities Range of Motion, Articular Retrospective Studies Spinal Cord Diseases / surgery Spondylosis / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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