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基于 - 的医学系统对上半身和下半身运动学的评估:与光电系统的对比研究。

Evaluation of Upper Body and Lower Limbs Kinematics through an -Based Medical System: A Comparative Study with the Optoelectronic System.

机构信息

Department of Electronics, Information and Bioengineering, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133 Milano, Italy.

Orthopaedic Rehabilitation Unit and Research Laboratory in Biomechanics, Rehabilitation and Ergonomics, San Giuseppe Hospital, IRCCS Istituto Auxologico Italiano, Strada Luigi Cadorna 90, 28824 Piancavallo, Italy.

出版信息

Sensors (Basel). 2023 Jul 5;23(13):6156. doi: 10.3390/s23136156.

Abstract

In recent years, the use of inertial-based systems has been applied to remote rehabilitation, opening new perspectives for outpatient assessment. In this study, we assessed the accuracy and the concurrent validity of the angular measurements provided by an inertial-based device for rehabilitation with respect to the state-of-the-art system for motion tracking. Data were simultaneously collected with the two systems across a set of exercises for trunk and lower limbs, performed by 21 healthy participants. Additionally, the sensitivity of the inertial measurement unit ()-based system to its malpositioning was assessed. Root mean square error () was used to explore the differences in the outputs of the two systems in terms of range of motion (), and their agreement was assessed via Pearson's correlation coefficient (PCC) and Lin's concordance correlation coefficient (CCC). The results showed that the -based system was able to assess upper-body and lower-limb kinematics with a mean error in general lower than 5° and that its measurements were moderately biased by its mispositioning. Although the system does not seem to be suitable for analysis requiring a high level of detail, the findings of this study support the application of the device in rehabilitation programs in unsupervised settings, providing reliable data to remotely monitor the progress of the rehabilitation pathway and change in patient's motor function.

摘要

近年来,基于惯性的系统已被应用于远程康复,为门诊评估开辟了新的视角。在这项研究中,我们评估了基于惯性的康复设备的角度测量的准确性和同时效度,与运动跟踪的最先进系统相比。在 21 名健康参与者进行的一系列躯干和下肢运动中,同时使用这两个系统收集数据。此外,还评估了惯性测量单元()-based 系统对其错位的敏感性。均方根误差()用于探讨两个系统在运动范围()方面的输出差异,并通过 Pearson 相关系数(PCC)和 Lin 的一致性相关系数(CCC)评估它们的一致性。结果表明,基于惯性的系统能够评估上半身和下半身的运动学,通常平均误差低于 5°,并且其测量值因错位而存在中度偏差。尽管该系统似乎不适合需要高度详细分析的情况,但本研究的结果支持该设备在非监督环境下的康复计划中的应用,为远程监测康复途径的进展和患者运动功能的变化提供可靠的数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef3/10346135/83b726910695/sensors-23-06156-g001.jpg

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