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一种用于学龄儿童平衡加速计评估工具的效度和信度

Validity and Reliability of a Tool for Accelerometric Assessment of Balance in Scholar Children.

作者信息

García-Liñeira Jesús, Leirós-Rodríguez Raquel, Romo-Pérez Vicente, García-Soidán Jose L

机构信息

Faculty of Education and Sport Sciences, Universidade de Vigo, Campus a Xunqueira, s/n, 36005 Pontevedra, Spain.

Nursing and Physical Therapy Department, Faculty of Health Sciences, Universidad de León, Ave. Astorga, 15, 24401 Ponferrada, Spain.

出版信息

J Clin Med. 2021 Jan 3;10(1):137. doi: 10.3390/jcm10010137.

DOI:10.3390/jcm10010137
PMID:33401541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7795715/
Abstract

In Pediatrics, balance is assessed through low-sensitivity clinical tests which identify developmental alterations at already advanced stages that cannot be detected at earlier stages. Therefore, the aim of this study was to develop an easily applicable quantitative tool that can be used to evaluate postural control. Consequently, a cross-sectional study was carried out with 91 healthy children. All of them performed a series of six accelerometric functional tests and four clinical tests of balance (Modified Flamingo Test, Bar Test, Babinski-Weil Test, and Fukuda Stepping Test). The Bar Test obtained mild inverse correlations with accelerations produced in the mediolateral axis and the root mean square of all the tests in monopodal support. The Flamingo Test obtained direct correlations with the root mean square of the tests in monopodal support and with the mediolateral axis of the monopodal tests and gait. The pediatric balance assessment scale consists of three factors and eleven items extracted from five accelerometric functional tests: the monopodal balance test with six items, normal gait test with three items, and bipodal balance test with two items. This tool is easy to apply and allows analysis in the evaluation of the balance state based on the accelerations of the center of mass.

摘要

在儿科学中,平衡是通过低灵敏度的临床测试来评估的,这些测试能识别出已经处于晚期阶段的发育改变,而这些改变在早期阶段是无法检测到的。因此,本研究的目的是开发一种易于应用的定量工具,可用于评估姿势控制。为此,对91名健康儿童进行了一项横断面研究。他们所有人都进行了一系列六项加速度计功能测试和四项平衡临床测试(改良火烈鸟测试、横杆测试、巴宾斯基 - 韦尔测试和福田踏步测试)。横杆测试与单足支撑时在内外侧轴上产生的加速度以及所有测试的均方根呈轻度负相关。火烈鸟测试与单足支撑时测试的均方根以及单足测试和步态的内外侧轴呈正相关。儿科平衡评估量表由三个因素和十一个项目组成,这些项目从五项加速度计功能测试中提取:六项的单足平衡测试、三项的正常步态测试和两项的双足平衡测试。该工具易于应用,并允许基于质心加速度对平衡状态进行评估分析。

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本文引用的文献

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Accelerometric Assessment of Postural Balance in Children: A Systematic Review.儿童姿势平衡的加速度计评估:一项系统综述
Diagnostics (Basel). 2020 Dec 22;11(1):8. doi: 10.3390/diagnostics11010008.
2
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BMC Pediatr. 2020 Apr 14;20(1):161. doi: 10.1186/s12887-020-02073-1.
3
Percentiles and Reference Values for the Accelerometric Assessment of Static Balance in Women Aged 50-80 Years.50-80 岁女性静态平衡的加速计评估的百分位数和参考值。
Sensors (Basel). 2020 Feb 10;20(3):940. doi: 10.3390/s20030940.
4
Postural stability of 5-year-old girls and boys with different body heights.不同身高的 5 岁女童和男童的姿势稳定性。
PLoS One. 2019 Dec 30;14(12):e0227119. doi: 10.1371/journal.pone.0227119. eCollection 2019.
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Analyzing the Use of Accelerometers as a Method of Early Diagnosis of Alterations in Balance in Elderly People: A Systematic Review.分析加速度计在老年人平衡改变早期诊断中的应用:系统评价。
Sensors (Basel). 2019 Sep 9;19(18):3883. doi: 10.3390/s19183883.
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Angle of gaze and optic flow direction modulate body sway.注视角度和视觉流方向调节身体摆动。
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