ABSTRACT
The objective of this study is to compare the gait variability of patients with lumbar spinal stenosis (experimental group) with healthy individuals (control group). The hypothesis is that the preoperative gait variability of the experimental group is higher than the control group. The experimental group consisted of 35 adults (18 males, 17 females). The subjects of the experimental group suffered exclusively from spinal stenosis. The patients were determined by MRI scans. A tri-axial accelerometer sensor was used for the gait measurement, and differential entropy algorithm was used to quantify the gait acceleration signal. The Oswestry Low Back Pain Questionnaire was used to determine the condition on the day of the measurement. Receiver operating characteristic (ROC) was utilized to assess the diagnostic value of the method and determine a cut-off value. There is a statistically significant difference between gait variability in the control group and the experimental group. ROC analysis determines a cut-off differential entropy value. The cut-off value has a 97.6% probability of separating patients with spinal stenosis from healthy subjects. The Oswestry Low Back Questionnaire is well correlated with the spectral differential entropy values.
Subject(s)
Gait Disorders, Neurologic/diagnosis , Gait Disorders, Neurologic/physiopathology , Gait/physiology , Lumbar Vertebrae , Spinal Stenosis/diagnosis , Spinal Stenosis/physiopathology , Adult , Entropy , Female , Gait Disorders, Neurologic/complications , Humans , Male , Middle Aged , Myography/methods , Myography/standards , Spinal Stenosis/complicationsABSTRACT
The objective of this study was to assess the gait variability of lumbar spinal stenosis (LSS) patients and to evaluate its postoperative progression. The hypothesis was that LSS patients' preoperative gait variability in the frequency domain was higher than the corresponding postoperative. A tri-axial accelerometer sensor was used for the gait measurement and a spectral differential entropy algorithm was used to measure the gait variability. Twelve subjects with LSS were measured before and after surgery. Preoperative measurements were performed 2 days before surgery. Postoperative measurements were performed 6 and 12 months after surgery. Preoperative gait variability was higher than the corresponding postoperative. Also, in most cases, gait variability appeared to decrease throughout the year.
Subject(s)
Gait Disorders, Neurologic/physiopathology , Gait/physiology , Lumbar Vertebrae , Preoperative Period , Spinal Stenosis/physiopathology , Adult , Aged , Female , Gait Disorders, Neurologic/complications , Gait Disorders, Neurologic/diagnosis , Humans , Male , Middle Aged , Myography/methods , Myography/standards , Postoperative Period , Recovery of Function/physiology , Spinal Stenosis/complications , Spinal Stenosis/diagnosisABSTRACT
OBJECTIVE: To estimate serum leptin levels in post-menopausal women, to relate these to the duration of the post-menopausal period, and to body mass index (BMI), and to assess the influence of tibolone on them. METHODS: Fifteen women (age 49-64 years) were included. Three groups were studied; I, those with normal BMI taking tibolone; II, those with a raised BMI taking tibolone, and III, a group with raised BMI not taking tibolone. Blood samples were drawn before and 1, 2, 6, 9 and 12 months after the initiation of tibolone or, in group III, after the start of the study. RESULTS: Serum leptin concentrations were high in all women with abnormal BMI. Long-term tibolone administration did not have any significant effect on serum leptin concentrations. There was no correlation between serum leptin levels and the age and the duration of post-menopausal period. There was a high positive correlation between serum leptin levels and BMI values. CONCLUSIONS: BMI values affect serum leptin concentrations but long-term tibolone administration does not seem to have any effect on serum leptin levels.
