Immediate Effects of Contralateral and Ipsilateral Cane Use On Normal Adult Gait

Objective To determine the effects of ipsilateral and contralateral cane use on gait kinematics and peak vertical force in young healthy adults. Design Prospective observational study. Setting Veterans Affairs Healthcare Center. Participants Fifteen healthy adults of aged 26 to 52 years (mean age 31...

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Bibliographic Details
Published in:PM & R 2009-03, Vol.1 (3), p.208-213
Main Authors: Aragaki, Dixie R., MD, Nasmyth, Mary C., MD, Schultz, Scott C., MD, Nguyen, Gretchen M., MD, Yentes, Jennifer M., MS, Kao, Kaly, BS, Perell, Karen, PhD, Fang, Meika A., MD
Format: Article
Language:English
Subjects:
Adult
Biomechanical Phenomena
Canes
Female
Foot - physiology
Gait
Humans
Male
Middle Aged
Physical Medicine and Rehabilitation
Weight-Bearing
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Summary:Objective To determine the effects of ipsilateral and contralateral cane use on gait kinematics and peak vertical force in young healthy adults. Design Prospective observational study. Setting Veterans Affairs Healthcare Center. Participants Fifteen healthy adults of aged 26 to 52 years (mean age 31 years) with no gait impairment and minimal experience using single-point canes. Methods The Pedar-X Mobile System plantar pressure measurement system was used to collect kinematic data from subjects walking in 3 different conditions (relative to a randomly “assigned” limb): contralateral cane (C), ipsilateral cane (I), and no cane (N). Main Outcome Measures Peak vertical force, cadence, percentage swing phase and double limb support, and regional plantar pressure ratios. Results Peak vertical force (normalized for body weight) was reduced during both cane use conditions on the randomly assigned limb when compared to walking unaided ( P
ISSN:1934-1482
1934-1563
DOI:10.1016/j.pmrj.2008.10.002