Mancini Martina, King Laurie, Salarian Arash, Holmstrom Lars, McNames James, Horak Fay B
Department of Neurology, School of Medicine, Oregon Health & Science University, 505 NW 185th Avenue, Beaverton, OR 97006, USA.
APDM Inc, Portland, OR 97201 USA.
J Bioeng Biomed Sci. 2011 Dec 12;Suppl 1:007. doi: 10.4172/2155-9538.S1-007.
This paper is a commentary to introduce how rehabilitation professionals can use a new, body-worn sensor system to obtain objective measures of balance and gait. Current assessments of balance and gait in clinical rehabilitation are largely limited to subjective scales, simple stop-watch measures, or complex, expensive machines not practical or largely available. Although accelerometers and gyroscopes have been shown to accurately quantify many aspects of gait and balance kinematics, only recently a comprehensive, portable system has become available for clinicians. By measuring body motion during tests that clinicians are already performing, such as the Timed Up and Go test (TUG) and the Clinical Test of Sensory Integration for Balance (CITSIB), the additional time for assessment is minimal. By providing instant analysis of balance and gait and comparing a patient's performance to age-matched control values, therapists receive an objective, sensitive screening profile of balance and gait strategies. This motion screening profile can be used to identify mild abnormalities not obvious with traditional clinical testing, measure small changes due to rehabilitation, and design customized rehabilitation programs for each individual's specific balance and gait deficits.
本文是一篇评论文章,旨在介绍康复专业人员如何使用一种新型的可穿戴式传感器系统来获取平衡和步态的客观测量数据。目前临床康复中对平衡和步态的评估很大程度上局限于主观量表、简单的计时测量,或者是复杂、昂贵且不实用或难以广泛获取的机器。尽管加速度计和陀螺仪已被证明能够准确量化步态和平衡运动学的许多方面,但直到最近,一种全面的便携式系统才可供临床医生使用。通过在临床医生已经在进行的测试(如计时起立行走测试(TUG)和平衡感觉统合临床测试(CITSIB))过程中测量身体运动,额外的评估时间极少。通过提供平衡和步态的即时分析,并将患者的表现与年龄匹配的对照值进行比较,治疗师可以获得平衡和步态策略的客观、敏感的筛查概况。这种运动筛查概况可用于识别传统临床测试中不明显的轻度异常,测量康复引起的微小变化,并为每个个体的特定平衡和步态缺陷设计定制的康复计划。