Miwa Toru, Yasuda Tomohisa, Kouga Teppei, Sunami Kishiko
Department of Otolaryngology-Head and Neck Surgery, Osaka Metropolitan University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan.
Department of Otolaryngology-Head and Neck Surgery, Graduate of School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.
Heliyon. 2023 Mar 30;9(4):e15018. doi: 10.1016/j.heliyon.2023.e15018. eCollection 2023 Apr.
Currently, vestibular rehabilitation approaches used to monitor body position and movement during rehabilitation training require specialized equipment or rely on clinician observation. Thus, a simpler position-sensing approach that can be used to monitor movement during vestibular rehabilitation is required. This study used wearable motion sensors with built-in accelerometers and gyrometers to assess movement in adults. We explored stepping patterns in adults using this motion-sensing system. Six healthy adults (men, age 27.3 ± 5.8 years) underwent a modified Fukuda stepping test (Foulage test [FT]) while wearing a six-axis motion sensor (accelerometer: X-axis, Y-axis, Z-axis; gyrometer: X-axis, Y-axis, Z-axis) positioned at the head, thorax, and lumbar spine. For motion sensor parameters, we calculated the root mean square (RMS), autocorrelation coefficient (AC), power spectrum (PS) of the AC, and Euler angles from the six-axis motion sensor. For the FT parameters, the FT value, step variance, and θ values were calculated. Data were analyzed, and multivariable regression analysis was performed using the FT value, step variance, and θ value as the dependent variables to investigate their influence on dynamic equilibrium. The explanatory variables included the motion sensor parameters, RMS, AC, and PS. Our results suggested that almost no head and lumbar spine movement occurred while stepping with eyes open. Contrastingly, the head and lumbar spine swayed with eyes closed. This accelerometric and gyroscopic device is easy to use, does not require specialized equipment, and can be used to analyze performance in the modified Fukuda stepping test in clinical practice. Inertial sensors have many advantages over other sensing technologies.
目前,用于监测康复训练期间身体位置和运动的前庭康复方法需要专门设备或依赖临床医生观察。因此,需要一种更简单的位置传感方法来监测前庭康复期间的运动。本研究使用内置加速度计和陀螺仪的可穿戴运动传感器来评估成年人的运动。我们使用这种运动传感系统探索了成年人的步行动态。六名健康成年人(男性,年龄27.3±5.8岁)在头部、胸部和腰椎佩戴六轴运动传感器(加速度计:X轴、Y轴、Z轴;陀螺仪:X轴、Y轴、Z轴)时进行改良福岛踏步试验(Foulage试验[FT])。对于运动传感器参数,我们计算了来自六轴运动传感器的均方根(RMS)、自相关系数(AC)、AC的功率谱(PS)和欧拉角。对于FT参数,计算了FT值、步长方差和θ值。对数据进行分析,并以FT值、步长方差和θ值作为因变量进行多变量回归分析,以研究它们对动态平衡的影响。解释变量包括运动传感器参数、RMS、AC和PS。我们的结果表明,睁眼踏步时头部和腰椎几乎没有运动。相反,闭眼时头部和腰椎会摆动。这种加速度计和陀螺仪设备易于使用,不需要专门设备,可用于临床实践中分析改良福岛踏步试验中的表现。惯性传感器相对于其他传感技术有许多优势。