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The effect of upper limb casting on gait pattern.

Daniel Dreyfuss1, Avi Elbaz, Amit Mor

  • 1aDepartment of Orthopedics bHand Surgery Unit, Rambam Health Care Campus, Haifa cAposTherapy Research Group, Herzliya, Israel.

International Journal of Rehabilitation Research. Internationale Zeitschrift Fur Rehabilitationsforschung. Revue Internationale De Recherches De Readaptation
|February 9, 2016
PubMed
Summary

Arm casting significantly alters walking by reducing step length and single limb support time. These gait changes are most pronounced with above-elbow casts and slings, especially on the dominant arm.

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Area of Science:

  • Biomechanics
  • Orthopedics
  • Gait Analysis

Background:

  • Arm casting can disrupt normal walking due to added weight and restricted arm swing.
  • Understanding the impact of upper limb casts on gait parameters is crucial for patient rehabilitation.

Purpose of the Study:

  • To investigate the effects of different arm cast applications on temporospatial gait parameters.
  • To quantify changes in gait velocity, cadence, step length, and single limb support.

Main Methods:

  • Twenty-three healthy participants walked under four conditions: normal, cast above elbow with sling, cast below elbow with sling, and cast below elbow without sling.
  • A computerized gait system measured temporospatial parameters.
  • Casting involved dominant and non-dominant arms.

Main Results:

  • Participants exhibited significantly shorter step lengths on the casted side and reduced single limb support time.
  • Gait velocity and cadence remained unchanged across all walking conditions.
  • The most significant gait alterations occurred with an above-elbow cast and sling, particularly when the dominant arm was casted.

Conclusions:

  • Upper limb casting demonstrably affects gait, impacting step length and support time.
  • The extent of gait modification depends on cast location (above/below elbow) and sling use.
  • Consideration of these gait changes is important for individuals with pre-existing gait abnormalities undergoing upper limb casting.