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Biomechanical comparison of two paraplegic gait patterns.

W J Crosbie¹, A C Nicol

¹Cumberland College of Health Sciences, Lidcombe, New South Wales, Australia.

Clinical Biomechanics (Bristol, Avon)

|August 7, 2013

Summary

This study compared two common paraplegic gait patterns. Swing-through gait showed lower biomechanical demands on upper limbs compared to swing-to gait, suggesting careful pattern selection for individuals with spinal cord injuries.

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Area of Science:

Biomechanics
Rehabilitation Science
Orthopedics

Background:

Paraplegia often necessitates assistive devices for ambulation.
Common gait patterns include swing-to and swing-through using walking aids.
Understanding the biomechanical differences is crucial for effective rehabilitation.

Purpose of the Study:

To compare the kinetic and kinematic characteristics of swing-to versus swing-through gait in paraplegic individuals.
To identify significant biomechanical differences influencing gait performance and upper limb joint loading.
To inform clinical decisions regarding the selection and training of appropriate gait patterns.

Main Methods:

Kinetic and kinematic data were collected from 14 individuals with spinal cord injuries.

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Subjects ambulated using two common gait patterns with walking aids.

Analysis focused on gait velocity, axial load transmission, and joint impulse values.

Main Results:

Significant differences were observed in gait velocity and axial load transmission between the two gaits.
Load and moment impulse values were consistently higher for swing-to gait compared to swing-through gait.
No clear differences in cumulative upper limb joint load transmission were found between the gait patterns.

Conclusions:

Swing-through gait may impose lower biomechanical demands than swing-to gait for paraplegic individuals.
Consideration of biomechanical factors is essential when selecting and training paraplegic gait patterns.
Further research into gait optimization can improve functional mobility and reduce injury risk.