Gardner Michael J, Barker Joseph U, Briggs Stephen M, Backus Sherry I, Helfet David L, Lane Joseph M, Lorich Dean G
Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY 10021, USA.
Arch Orthop Trauma Surg. 2007 Apr;127(3):223-7. doi: 10.1007/s00402-006-0279-2. Epub 2006 Dec 30.
Restoration of gait is a particularly important patient-based functional outcome following lower extremity trauma. A new portable device which measures gait parameters, the IDEEA, may be particularly useful in evaluating post-traumatic gait parameters in the office setting, but the accuracy and repeatability of this device relative to standard gait laboratory footswitches are unknown.
Twelve healthy subjects were tested simultaneously using the IDEEA device and standard gait laboratory footswitches, at slow, medium, and fast speeds. Parameters evaluated were single-limb support time (SLS), double-limb support time (DLS), swing phase duration (SPD), cycle duration, and cadence.
The repeatability between right and left measurements tended to be better for the IDEEA, and was at least as good as the foot switches. The absolute differences of the timed gait parameters between the two devices were all in the range of 0.03 s, which is within the data sampling resolution of the gait laboratory foot switches (0.04 s). Furthermore, assuming a 1-s gait cycle, these differences account for only 3% of the gait cycle, which is also well within the clinical parameters for evaluating and differentiating between treatments.
This device is accurate and repeatable, and may facilitate the evaluation of gait function in post-traumatic patients in settings outside of the traditional gait laboratory.
恢复步态是下肢创伤后基于患者的一项尤为重要的功能指标。一种用于测量步态参数的新型便携式设备——IDEEA,可能在门诊环境中评估创伤后步态参数时特别有用,但该设备相对于标准步态实验室脚踏开关的准确性和可重复性尚不清楚。
12名健康受试者同时使用IDEEA设备和标准步态实验室脚踏开关,以慢、中、快三种速度进行测试。评估的参数包括单腿支撑时间(SLS)、双腿支撑时间(DLS)、摆动相持续时间(SPD)、周期持续时间和步频。
IDEEA左右测量之间的可重复性往往更好,且至少与脚踏开关一样好。两种设备之间计时步态参数的绝对差异均在0.03秒范围内,这在步态实验室脚踏开关的数据采样分辨率(0.04秒)之内。此外,假设步态周期为1秒,这些差异仅占步态周期的3%,这也完全在评估和区分治疗的临床参数范围内。
该设备准确且可重复,可能有助于在传统步态实验室之外的环境中评估创伤后患者的步态功能。