Head of Department of Paediatric Orthopaedics and Medical Director of Movement Analysis at the University Hospital in Heidelberg.
He is now Editor in Chief of Gait and Posture and a Board Member of the European Society for Movement Analysis in Adults and Children with special responsibilities for course organisation. He has over 90 publications in peer-reviewed journals, most of them focussing on aspects of paediatric orthopaedics and clinical gait analysis.
Three-dimensional gait analysis has a long tradition as a diagnostic tool in pediatric orthopedics, especially in the treatment of cerebral palsy. Furthermore, it is established as an objective tool to report and monitor outcomes of interventions. However, despite three-dimensional gait analysis is effective in refining indications and dosage of interventions and in further understanding different gait pathologies to optimize treatment recommendations, many clinicians still ignore these findings and rely only on findings of clinical and radiographic evaluation.
In my lecture, I will focus on advances in patient treatment as a result of using gait analysis. Furthermore, I will discuss lessons we have learned from outcome evaluations using gait analysis and resulting changes in strategies of treatment. Another part of this talk will emphasize strategies to encourage clinicians to use gait analysis data to optimize their results and as a way to standardize indications and treatment principles.
In this context, the role of a journal like Gait and Posture to be responsible in sharing this experience within the interdisciplinary team is discussed and highlighted.
Engineer and Researcher – Center for Gait and Motion Analysis – Gillette Children’s Specialty Healthcare, St Paul, MN, USA
Andy will receive his PhD degree in Mechanical Engineering from the University of Minnesota in early 2017 and has focused his research work on investigating the efficacy of ankle foot orthoses for gait outcomes. In addition to his PhD research, he manages the gait lab’s clinical database which is comprised of over 20 years’ worth of clinical gait data.
Clinical gait analysis relies on the collection of high quality motion capture, physical exam, and survey data. This mix of data seems a natural fit for the emerging field of big data analytics. However, the power of big data cannot be realistically harnessed without leveraging data management techniques.
In this talk, I will discuss with you the design and functionality of an established clinical gait database that was built to support both clinical and research tasks. I will demonstrate how a well-designed database can be utilized for day-to-day clinical tasks such as improving data reliability, speeding up data collection and processing, and enhancing data reporting. I will also demonstrate how the clinical gait database can be utilized for research tasks such as generating study samples, collating large datasets for big data analytics, and monitoring overall data quality. Finally, I will discuss someinteresting scientific findings that challenging existing gait analysis paradigms, which could only have been discovered by leveraging nearly two decades worth of clinical gait data.
One small step gait lab, Guy's and St Thomas' NHS Foundation Trust.
Following an engineering degree at Durham university and a couple of years living abroad, Nicola returned to the UK to complete the Clinical Scientist Training Programme based at King’s College, London. During that time she undertook her MSc project at the One Small Step Gait Laboratory at Guy’s Hospital, London, developing an ultrasonic anatomical pointer for measuring the length of muscles. This work opened an opportunity to carry out further research at the One Small Step Gait Lab, leading on to her PhD in musculo-skeletal deformity in cerebral palsy. Nicola currently works part-time at the One Small Step Gait Lab in a mainly clinical role although she still gets involved in the some of the research projects.
Cerebral palsy is often considered to be a disorder of movement, and yet many of our interventions primarily aim to change the structure of the musculo-skeleton to improve alignment. Alignment of the skeleton is important in walking because it reduces muscle forces and therefore the energy cost of walking. Correct alignment may be even more important in standing since we need to stand for prolonged periods to carry out many of the activities of daily living. However, little is known of the 'dynamics' of standing in cerebral palsy or of the impact of surgical intervention on skeletal alignment in standing. In this talk I will look at the relationships between standing and walking in terms of joint angles and moments and the impact of surgical intervention on these.