Timo Bragge1, Tarja Lyytinen2, Marko Hakkarainen3, Paavo Vartiainen3, Tuomas Liikavainio4, Pasi A Karjalainen3, Jari P Arokoski5. 1. Department of Applied Physics, University of Eastern Finland, Finland. Electronic address: timo.bragge@uef.fi. 2. Department of Physical and Rehabilitation Medicine, Kuopio University Hospital, Finland; Palokka Health Center, Jyväskylä, Finland. 3. Department of Applied Physics, University of Eastern Finland, Finland. 4. Muonio Health Center, Muonio, Finland. 5. Department of Physical and Rehabilitation Medicine, Kuopio University Hospital, Finland; Institute of Clinical Medicine, University of Eastern Finland, Finland.
Abstract
BACKGROUND: There are currently very few of studies which have evaluated the role of bariatric surgery in joint loadings and changes in gait. We wanted to examine how impulsive loading would change level and stair walking in severely or morbidly obese subjects after they had undergone bariatric surgery and weight loss. METHODS: Thirteen female and three male adults aged between 30 and 63 years, cleared for Roux-en-Y gastric bypass, were recruited into this study. All subjects were severely or morbidly obese i.e., body mass index was >35 kg/m(2). The measurement methods consisted of triaxial skin mounted accelerometers and ground reaction force (GRF); conducted at two different predetermined gait speeds. RESULTS: The average weight loss was 27.4 (SD8.7) kg after 8.8 (SD3.9) months of follow-up period. Most of the absolute GRF parameters decreased in proportion to weight loss. However, medio-lateral GRF parameters decreased more than expected. The general trend in the knee accelerations demonstrated lower impulsive loadings in both axial and horizontal directions after weight loss. We did not observe any significant changes in stair walking. CONCLUSIONS: Weight loss after bariatric surgery not only induces a simple mass-related adaptation in gait but also achieves mechanical plasticity in gait strategy.
BACKGROUND: There are currently very few of studies which have evaluated the role of bariatric surgery in joint loadings and changes in gait. We wanted to examine how impulsive loading would change level and stair walking in severely or morbidly obese subjects after they had undergone bariatric surgery and weight loss. METHODS: Thirteen female and three male adults aged between 30 and 63 years, cleared for Roux-en-Y gastric bypass, were recruited into this study. All subjects were severely or morbidly obese i.e., body mass index was >35 kg/m(2). The measurement methods consisted of triaxial skin mounted accelerometers and ground reaction force (GRF); conducted at two different predetermined gait speeds. RESULTS: The average weight loss was 27.4 (SD8.7) kg after 8.8 (SD3.9) months of follow-up period. Most of the absolute GRF parameters decreased in proportion to weight loss. However, medio-lateral GRF parameters decreased more than expected. The general trend in the knee accelerations demonstrated lower impulsive loadings in both axial and horizontal directions after weight loss. We did not observe any significant changes in stair walking. CONCLUSIONS:Weight loss after bariatric surgery not only induces a simple mass-related adaptation in gait but also achieves mechanical plasticity in gait strategy.
Authors: Simone V Gill; Michael K Walsh; Jacob A Pratt; Nima Toosizadeh; Bijan Najafi; Thomas G Travison Journal: Surg Obes Relat Dis Date: 2016-03-30 Impact factor: 4.734
Authors: T Lyytinen; T Bragge; M Hakkarainen; T Liikavainio; P A Karjalainen; J P Arokoski Journal: J Musculoskelet Neuronal Interact Date: 2016-03 Impact factor: 2.041
Authors: Bruce M Wolfe; Dale A Schoeller; Shelly K McCrady-Spitzer; Diana M Thomas; Chad E Sorenson; James A Levine Journal: Obesity (Silver Spring) Date: 2018-03-31 Impact factor: 5.002