ISSN: 2544-4395
Physiotherapy Quarterly formerly Fizjoterapia
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4/2018
vol. 26
 
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abstract:
Original paper

Influence of surgical treatment of selected malignant tumours on gait kinematics – a pilot study

Anna Latajka, Marek Woźniewski, Iwona Malicka

Online publish date: 2018/11/30
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Introduction
Assessment of the influence of surgical treatment of selected malignant tumours on gait kinematics.

Methods
The study involved 115 patients of the Lower Silesian Oncology Centre in Wroclaw, Poland (95 women and 20 men), mean age 58.39 ± 11.14 years, treated surgically for diagnosed cancer (group A: breast cancer; group B: reproductive cancer; group C: gastrointestinal cancer). Gait measurements were performed with the BTS G-Walk accelerometer before and after the surgery (5th–6th postoperative day). The t-test for dependent samples and analysis of variance – least significant difference test – were applied.

Results
A significant decrease in cadence and walking speed was observed, by 7.9% (p < 0.001) and 17.5% (p < 0.001) in group B, and by 4.0% (p < 0.001) and 11.7% (p < 0.001) in group C, respectively. Additionally, there was an upward trend for symmetry of pelvic tilt in the sagittal plane (67.9% vs. 76.7%, p = 0.09) in group A, and a significant difference in pelvic deflections in the frontal plane (94.8% vs. 88.1%, p = 0.02) in group C. Statistically significant differences were found in walking cadence between groups A and B (p = 0.002), and in walking speed between group A and groups B and C (group A vs. B: p < 0.001; group A vs. C: p = 0.03).

Conclusions
In patients treated surgically for reproductive system and gastrointestinal cancers, a decrease in time and space parameters of gait was demonstrated. Additionally, in patients treated for gastrointestinal cancers, the effect of surgical treatment on gait kinematics was found.

keywords:

cancer, surgical treatment, gait kinematics, gait cadence, gait disorders

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