Tomkins-Lane Christy C, Haig Andrew J
Department of Physical Education and Recreation, Mount Royal University, Calgary, AB, Canada.
J Back Musculoskelet Rehabil. 2012;25(3):177-85. doi: 10.3233/BMR-2012-0325.
The purpose of this review article is to introduce the concept of activity monitoring, and to discuss the application of accelerometry in rehabilitation research and clinical practice using lumbar spinal stenosis as a model. Function is a complex concept, and changes in function have historically been challenging to measure. The International Classification of Functioning (ICF) defines two distinct components of function: capacity and performance. Capacity, the ability to perform a given task in a controlled environment can be measured through any number of existing functional measures. Performance, defined as activities performed on a day to day basis in the context of real life is challenging to measure, yet important in identifying the impact of pathology on real life. Recent advances in technology have allowed us to begin to measure performance, using activity monitors (accelerometers). Activity monitoring has the potential to change our concepts of outcomes, and as a result, expand our ideas about appropriateness of interventions in rehabilitation. Researchers and clinicians might benefit from using the new technology of activity monitors to measure the impact of intervention and to assess function. Therefore, this review will discuss the concept of activity monitoring and highlight potential uses for activity monitors in spine research and clinical care.
这篇综述文章的目的是介绍活动监测的概念，并以腰椎管狭窄症为模型，讨论加速度计在康复研究和临床实践中的应用。功能是一个复杂的概念，历史上功能的变化一直难以测量。国际功能分类（ICF）定义了功能的两个不同组成部分：能力和表现。能力是指在受控环境中执行给定任务的能力，可以通过任何现有的功能测量方法来测量。表现被定义为在现实生活背景下日常进行的活动，难以测量，但对于确定病理学对现实生活的影响很重要。技术的最新进展使我们能够开始使用活动监测器（加速度计）来测量表现。活动监测有可能改变我们对结果的概念，从而扩展我们对康复干预适宜性的认识。研究人员和临床医生可能会从使用活动监测器这项新技术来测量干预效果和评估功能中受益。因此，本综述将讨论活动监测的概念，并突出活动监测器在脊柱研究和临床护理中的潜在用途。
