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Improvement of walking speed and gait symmetry in older patients after hip arthroplasty: a prospective cohort study

Overview of attention for article published in BMC Musculoskeletal Disorders, October 2015
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Title
Improvement of walking speed and gait symmetry in older patients after hip arthroplasty: a prospective cohort study
Published in
BMC Musculoskeletal Disorders, October 2015
DOI 10.1186/s12891-015-0755-3
Pubmed ID
Authors

Walter Rapp, Torsten Brauner, Linda Weber, Stefan Grau, Annegret Mündermann, Thomas Horstmann

Abstract

Retraining walking in patients after hip or knee arthroplasty is an important component of rehabilitation especially in older persons whose social interactions are influenced by their level of mobility. The objective of this study was to test the effect of an intensive inpatient rehabilitation program on walking speed and gait symmetry in patients after hip arthroplasty (THA) using inertial sensor technology. Twenty-nine patients undergoing a 4-week inpatient rehabilitation program following THA and 30 age-matched healthy subjects participated in this study. Walking speed and gait symmetry parameters were measured using inertial sensor device for standardized walking trials (2*20.3 m in a gym) at their self-selected normal and fast walking speeds on postoperative days 15, 21, and 27 in patients and in a single session in control subjects. Walking speed was measured using timing lights. Gait symmetry was determined using autocorrelation calculation of the cranio-caudal (CC) acceleration signals from an inertial sensor placed at the lower spine. Walking speed and gait symmetry improved from postoperative days 15-27 (speed, female: 3.2 and 4.5 m/s; male: 4.2 and 5.2 m/s; autocorrelation, female: 0.77 and 0.81; male: 0.70 and 0.79; P <0.001 for all). After the 4-week rehabilitation program, walking speed and gait symmetry were still lower than those in control subjects (speed, female 4.5 m/s vs. 5.7 m/s; male: 5.2 m/s vs. 5.3 m/s; autocorrelation, female: 0.81 vs. 0.88; male: 0.79 vs. 0.90; P <0.001 for all). While patients with THA improved their walking capacity during a 4-week inpatient rehabilitation program, subsequent intensive gait training is warranted for achieving normal gait symmetry. Inertial sensor technology may be a useful tool for evaluating the rehabilitation process during the post-inpatient period.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 136 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Spain 1 <1%
Luxembourg 1 <1%
Austria 1 <1%
Unknown 132 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 24 18%
Student > Ph. D. Student 18 13%
Student > Bachelor 15 11%
Researcher 11 8%
Student > Doctoral Student 10 7%
Other 27 20%
Unknown 31 23%
Readers by discipline Count As %
Medicine and Dentistry 29 21%
Nursing and Health Professions 22 16%
Engineering 14 10%
Sports and Recreations 13 10%
Computer Science 4 3%
Other 14 10%
Unknown 40 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 October 2015.
All research outputs
#15,867,545
of 23,577,761 outputs
Outputs from BMC Musculoskeletal Disorders
#2,543
of 4,162 outputs
Outputs of similar age
#165,441
of 280,593 outputs
Outputs of similar age from BMC Musculoskeletal Disorders
#53
of 79 outputs
Altmetric has tracked 23,577,761 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,162 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.2. This one is in the 27th percentile – i.e., 27% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 280,593 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 32nd percentile – i.e., 32% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 79 others from the same source and published within six weeks on either side of this one. This one is in the 15th percentile – i.e., 15% of its contemporaries scored the same or lower than it.