Biomechanical Gait Analysis of an Adult with Severe Hemophilia: A Case Report

Hematology Reports

Reginaldo K. Fukuchi¹  Alberto Cliquet²  Alessandro R. Zorzi²  Claudiane A. Fukuchi²  Janaina B. S. Ricciardi³  Glenda Feldberg³ 

[1] Biomedical Engineering Program, Federal University of ABC, São Paulo 09606-070, Brazil;Department of Orthopedics and Traumatology, Faculty of Medical Sciences, University of Campinas-UNICAMP, São Paulo 13083-970, Brazil;Hemophilia Treatment Center (HTC) ‘Cláudio Luiz Pizzigatti Corrêa’, University of Campinas–UNICAMP, São Paulo 13083-878, Brazil;

关键词: hemophilia;    gait analysis;    kinematics;    kinetics;   

DOI  :  10.3390/hematolrep14020017

来源: DOAJ

【 摘 要 】

Hemophilia is characterized by recurrent bleeding into the joints leading to irreversible chronic arthropathy with reduced joint range of motion (ROM), which may lead to changes in gait patterns. To analyze the gait pattern in a 35-year-old male with severe hemophilia A, three-dimensional biomechanical analysis was performed during overground walking. The control group data from a public gait dataset of 10 healthy male individuals were used for comparison. The clinical examination was assessed with the Functional Independence Score in Hemophilia (FISH), Haemophilia Activities List (HAL), and Hemophilia Joint Health Score (HJHS). The biomechanical analysis demonstrated a pattern for both left knee and ankle joints with greater similarity to the control group compared to the right knee and ankle joints. ROM based on the HJHS questionnaire also showed greater impairment of the right-side knee joint compared to the left-side knee joint. This unique pattern could be the result of a compensation mechanism due to limited movement during the walking task and the surgical treatment.

【 授权许可】

Unknown