Insight Centre for Data Analytics, University College Dublin, Dublin, Ireland.
School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
Sports Med. 2019 May;49(5):783-818. doi: 10.1007/s40279-019-01095-9.
Recent advances in mobile sensing and computing technology have provided a means to objectively and unobtrusively quantify postural control. This has resulted in the rapid development and evaluation of a series of wearable inertial sensor-based assessments. However, the validity, reliability and clinical utility of such systems is not fully understood.
This systematic review aims to synthesise and evaluate studies that have investigated the ability of wearable inertial sensor systems to validly and reliably quantify postural control performance in sports science and medicine applications.
A systematic search strategy utilising the PRISMA guidelines was employed to identify eligible articles through ScienceDirect, Embase and PubMed databases. In total, 47 articles met the inclusion criteria and were evaluated and qualitatively synthesised under two main headings: measurement validity and measurement reliability. Furthermore, studies that investigated the utility of these systems in clinical populations were summarised and discussed.
After duplicate removal, 4374 articles were identified with the search strategy, with 47 papers included in the final review. In total, 28 studies investigated validity in healthy populations, and 15 studies investigated validity in clinical populations; 13 investigated the measurement reliability of these sensor-based systems.
The application of wearable inertial sensors for sports science and medicine postural control applications is an evolving field. To date, research has primarily focused on evaluating the validity and reliability of a heterogeneous set of assessment protocols, in a laboratory environment. While researchers have begun to investigate their utility in clinical use cases such as concussion and musculoskeletal injury, most studies have leveraged small sample sizes, are of low quality and use a variety of descriptive variables, assessment protocols and sensor-mounting locations. Future research should evaluate the clinical utility of these systems in large high-quality prospective cohort studies to establish the role they may play in injury risk identification, diagnosis and management. This systematic review was registered with the International Prospective Register of Systematic Reviews on 10 August 2018 (PROSPERO registration: CRD42018106363): https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=106363 .
移动感应和计算技术的最新进展为客观、非侵入性地量化姿势控制提供了一种手段。这导致了一系列基于可穿戴惯性传感器的评估方法的快速发展和评估。然而，这些系统的有效性、可靠性和临床实用性尚未完全了解。
本系统评价旨在综合和评估研究，以调查可穿戴惯性传感器系统在运动科学和医学应用中有效和可靠地量化姿势控制性能的能力。
采用 PRISMA 指南的系统搜索策略，通过 ScienceDirect、Embase 和 PubMed 数据库确定合格文章。共有 47 篇文章符合纳入标准，并根据两个主要标题进行评估和定性综合：测量有效性和测量可靠性。此外，还总结和讨论了这些系统在临床人群中的应用。
在重复删除后，通过搜索策略确定了 4374 篇文章，最终有 47 篇文章纳入了最终的综述。共有 28 项研究在健康人群中调查了有效性，15 项研究在临床人群中调查了有效性；13 项研究调查了这些基于传感器的系统的测量可靠性。
可穿戴惯性传感器在运动科学和医学姿势控制应用中的应用是一个不断发展的领域。迄今为止，研究主要集中在评估一套异构评估协议的有效性和可靠性，在实验室环境中。虽然研究人员已经开始研究它们在脑震荡和肌肉骨骼损伤等临床用例中的实用性，但大多数研究利用了小样本量、低质量以及使用各种描述性变量、评估协议和传感器安装位置。未来的研究应在大型高质量前瞻性队列研究中评估这些系统的临床实用性，以确定它们在识别、诊断和管理损伤风险方面可能发挥的作用。本系统评价于 2018 年 8 月 10 日在国际前瞻性系统评价登记处（PROSPERO 登记号：CRD42018106363）进行了注册：https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=106363。
