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Набор скоро начнётся NCT07309926

Gait and Paraspinal sEMG in Degenerative Spinal Diseases

— Наблюдательное Adult Spinal Deformity Degenerative Scoliosis Sagittal Deformity Sagittal Imbalance

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Gait analysis and surface electromyography analysis.
Кому может быть актуально
Состояния в реестре: Adult Spinal Deformity, Degenerative Scoliosis, Sagittal Deformity, Sagittal Imbalance. Базовые параметры: от 60 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Китай
Следующий шаг
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Официальное название

Comparative Analysis of Spatiotemporal Gait Parameters and Paraspinal Surface Electromyography Parameters in Degenerative Spinal Diseases: A Cross-Sectional Study Using Motion Capture and Electromyographic Ensemble Averaging

Обзор

This cross-sectional observational study aims to quantitatively compare three-dimensional gait parameters, surface electromyography (EMG) patterns, and radiological parameters among patients with different degenerative spinal conditions-including lumbar disc herniation (LDH), lumbar spinal stenosis (LSS), lumbar sagittal imbalance (LSI), degenerative lumbar scoliosis (DLS), and cervical spondylotic myelopathy (CSM)-alongside a healthy control group. The analysis focuses on spatiotemporal gait characteristics (step length, stride length, cadence), lower limb kinematics and kinetics (hip/knee/ankle joint angles, moments, and powers during stance and swing phases), and surface EMG amplitudes (thoracic erector spinae, multifidus, gluteus maximus, and rectus abdominis muscles) during standardized walking tasks. Additionally, radiological parameters (e.g., pelvic incidence-lumbar lordosis mismatch, C2-C7 sagittal vertical axis, coronal Cobb angle) will be correlated with gait and muscle activation deviations. The study employs motion capture systems, force plates, and high-density EMG to objectively differentiate disease-specific movement impairments. Findings from this study may establish biomechanical and neuromuscular signatures for each degenerative condition, providing a framework for personalized rehabilitation strategies, gait retraining, and surgical outcome assessment in spinal disorders. Comparative analysis with healthy controls will further elucidate pathological alterations in gait and muscle recruitment patterns caused by degenerative spinal diseases.

Вмешательства

  • Другое Gait analysis and surface electromyography analysis
    A comprehensive motion analysis system was employed to assess biomechanical parameters during functional tasks. Ground reaction forces (GRFs) were measured using an instrumented force plate, while muscle activation patterns were recorded via surface electromyography (sEMG). Three-dimensional kinematic data were concurrently captured using motion-capture cameras. The standardized testing protocol consisted of: (1) quiet standing (30-second trial) and (2) three consecutive back-and-forth walking c

Первичные конечные точки

  • Velocity [Срок оценки: one week before surgery]
  • Cadence [Срок оценки: one week before surgery]
  • Stride time [Срок оценки: one week before surgery]
  • Stance time [Срок оценки: one week before surgery]
  • Swing time [Срок оценки: one week before surgery]
  • Stance phase [Срок оценки: one week before surgery]
  • Swing phase [Срок оценки: one week before surgery]
  • Single support phase [Срок оценки: one week before surgery]
  • Double support phase [Срок оценки: one week before surgery]
  • Stride length [Срок оценки: one week before surgery]
Вторичные конечные точки (2)
  • Visual Analogue Scale [Срок оценки: one week before surgery]
  • Oswestry disability index [Срок оценки: one week before surgery]

Критерии участия

Критерии включения

  • Patients with the following single disease: degenerative scoliosis, coronal imbalance, lumbar spinal stenosis, lumbar disc herniation, spinal cord-type cervical spondylosis;
  • Age ≥ 60 years, regardless of gender;
  • Planned to undergo elective open spinal fusion surgery;
  • Voluntarily participate in the study, understand and agree to the study content, and sign the informed consent form.

Критерии исключения

  • History of previous spinal surgery;
  • Combined with other neuromuscular diseases (such as Parkinson's disease), inflammatory diseases (such as ankylosing spondylitis), infectious diseases (such as spinal tuberculosis), sepsis, tumors, or lower limb joint diseases that may cause low back and lower limb pain, affecting physical activity;
  • Suffering from severe cardiovascular, cerebral, liver, or kidney disease;
  • Suffering from mental illness, dementia, or unable to cooperate to complete clinical research.
  • Skin rupture in the waist;

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Модель наблюдения
Случай-контроль

Центры проведения

Китай · 1 центр
  • Xuanwu Hospital Capital Medical University — Пекин

Идентификаторы

NCT: NCT07309926 · xuanwu_DSD

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗