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新型骨科患者膝关节监测设备的验证。

Validation of a Novel Device for the Knee Monitoring of Orthopaedic Patients.

机构信息

Department of Orthopaedics and Traumatology, Brandenburg Medical School Theodor Fontane, 14770 Brandenburg, Germany.

Istanbul University-Cerrahpasa Cerrahpasa, Faculty of Medicine, 34098 Istanbul, Turkey.

出版信息

Sensors (Basel). 2019 Nov 27;19(23):5193. doi: 10.3390/s19235193.

Abstract

Fast-track surgery is becoming increasingly popular, whereas the monitoring of postoperative rehabilitation remains a matter of considerable debate. The aim of this study was to validate a newly developed wearable system intended to monitor knee function and mobility. A sensor system with a nine-degree-of-freedom (DOF) inertial measurement unit (IMU) was developed. Thirteen healthy volunteers performed five 10-meter walking trials with simultaneous sensor and motion capture data collection. The obtained kinematic waveforms were analysed using root mean square error (RMSE) and correlation coefficient (CC) calculations. The Bland-Altman method was used for the agreement of discrete parameters consisting of peak knee angles between systems. To test the reliability, 10 other subjects with sensors walked a track of 10 metres on two consecutive days. The Pearson CC was excellent for the walking data set between both systems (r = 0.96) and very good (r = 0.95) within the sensor system. The RMSE during walking was 5.17° between systems and 6.82° within sensor measurements. No significant differences were detected between the mean values observed, except for the extension angle during the stance phase (E1). Similar results were obtained for the repeatability test. Intra-class correlation coefficients (ICCs) between systems were excellent for the flexion angle during the swing phase (F1); good for the flexion angle during the stance phase (F2) and the re-extension angle, which was calculated by subtracting the extension angle at swing phase (E2) from F2; and moderate for the extension angle during the stance phase (E1), E2 and the range of motion (ROM). ICCs within the sensor measurements were good for the ROM, F2 and re-extension, and moderate for F1, E1 and E2. The study shows that the novel sensor system can record sagittal knee kinematics during walking in healthy subjects comparable to those of a motion capture system.

摘要

快速康复外科越来越受欢迎,而术后康复的监测仍然是一个备受争议的问题。本研究的目的是验证一种新开发的可穿戴系统,旨在监测膝关节功能和活动度。开发了一种具有九自由度(DOF)惯性测量单元(IMU)的传感器系统。13 名健康志愿者进行了 5 次 10 米步行试验,同时进行传感器和运动捕捉数据采集。使用均方根误差(RMSE)和相关系数(CC)计算来分析获得的运动学波形。Bland-Altman 方法用于分析由两个系统之间的峰值膝关节角度组成的离散参数的一致性。为了测试可靠性,另外 10 名带有传感器的受试者在两天内连续走 10 米的轨道。两个系统之间的步行数据的 Pearson CC 非常好(r = 0.96),传感器系统内的 CC 非常好(r = 0.95)。两个系统之间的步行 RMSE 为 5.17°,传感器测量值内的 RMSE 为 6.82°。除了站立阶段的伸展角度(E1)外,观察到的平均值之间没有检测到显著差异。重复性测试也得到了类似的结果。系统之间的组内相关系数(ICC)在摆动阶段的屈曲角度(F1)中非常好;在站立阶段的屈曲角度(F2)和通过从 F2 减去摆动阶段的伸展角度(E2)计算的再伸展角度中良好;在站立阶段的伸展角度(E1)、E2 和运动范围(ROM)中适中。传感器测量值内的 ICC 对于 ROM、F2 和再伸展良好,对于 F1、E1 和 E2 适中。该研究表明,新型传感器系统可以在健康受试者中记录行走时的矢状膝关节运动学,与运动捕捉系统相当。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70f3/6928629/e5b9ca69a120/sensors-19-05193-g001.jpg

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