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Multiple Sclerosis l: Introduction01:19

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Multiple sclerosis is a chronic autoimmune disease of the central nervous system (CNS) that affects the brain, spinal cord, and optic nerves. It is an inflammatory demyelinating disorder and a leading cause of neurological disability in young adults.EpidemiologyMS commonly begins between 20 and 40 years of age and is twice as common in women. Its exact cause remains unclear, but genetic susceptibility contributes, with higher risk in first-degree relatives and identical twins. A greater...

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Gait Pattern in People with Multiple Sclerosis: A Systematic Review.

María Coca-Tapia1, Alicia Cuesta-Gómez2, Francisco Molina-Rueda2

  • 1Masters School, Rey Juan Carlos University, 28933 Madrid, Spain.

Diagnostics (Basel, Switzerland)
|April 3, 2021
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People with multiple sclerosis (MS) exhibit altered gait, including reduced speed and stride length. They also show increased double-stance time and specific joint movement changes during walking.

Keywords:
biomechanicsgaitmultiple sclerosisthree-dimensional motion capture systems

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Area of Science:

  • Neurology
  • Biomechanics
  • Rehabilitation Science

Background:

  • Multiple sclerosis (MS) is a chronic neurological disease affecting gait.
  • Understanding gait alterations is crucial for managing MS progression and patient mobility.

Purpose of the Study:

  • To systematically review and synthesize findings on gait patterns in individuals with MS.
  • To consolidate data from studies utilizing 3D human movement capture systems.

Main Methods:

  • Systematic literature search across PubMed, Web of Science, PEDro, and CINAHL.
  • Inclusion of studies employing 3D gait analysis (spatiotemporal, kinematic, kinetic, electromyographic parameters).
  • Quality assessment using the Critical Review Form-Quantitative Studies scale.

Main Results:

  • 12 articles involving 523 individuals (342 women, 181 men) with MS were analyzed.
  • Key findings indicate decreased gait speed and stride length.
  • Increased double-stance duration, reduced hip extension, diminished knee flexion, and altered ankle movements (dorsiflexion and plantar flexion) were observed.

Conclusions:

  • Individuals with MS demonstrate characteristic gait deviations.
  • These deviations include reduced propulsive forces (hip extensor moment, ankle power) during walking.
  • Findings highlight the impact of MS on gait biomechanics and functional mobility.