Phillips Teresa, Brierty Alexis, Goodchild Denni, Patritti Benjamin L, Murphy Anna, Boocock Mark, Dwan Leanne, Passmore Elyse, McGrath Michelle, Edwards Julie
Queensland Children's Motion Analysis Service, Department of Orthopaedics, Children's Health Queensland Hospital and Health Service, South Brisbane, 4101, Australia.
Queensland Children's Motion Analysis Service, Department of Orthopaedics, Children's Health Queensland Hospital and Health Service, South Brisbane, 4101, Australia.
Gait Posture. 2023 Sep;106:1-10. doi: 10.1016/j.gaitpost.2023.07.001. Epub 2023 Aug 10.
Clinical motion analysis involves quantitative measurement of gait patterns to identify gait anomalies that currently or have the potential to impact function, activities of daily living and participation. Clinical motion analysis services are equipped with motion capture technology and comprise specialised staff who deliver 3-dimensional motion analysis services to children and adults who present with varying levels of gait impairment. Data is then used to inform intervention recommendations to clinicians with a view to maintaining independent, functional and pain free walking (or appropriate mobility). The ANZ-CMAG (established in 2013) identified a need to establish recommendations to assist in standardising practice guidelines for both current and new clinical motion analysis services within the region. The group serves to promote collaboration between services in quality assurance processes, clinical practices, data sets and research activities. The clinical practice recommendations described in this paper cover: i) requirements for a motion analysis service (including staffing, facilities and equipment), ii) patient assessments (requirements, clinical information and data gathered, reporting and interpretation of patient data), iii) quality assurance processes (including motion capture system / biomechanical models & limitations, marker placement, data storage / record keeping, creation of normative dataset); iv) helpful resources. Better outcomes for children and adults with gait deviations is dependent upon accurate measurement and evaluation of walking and requires input from multidisciplinary clinical teams with specialist knowledge and skills. The ANZ-CMAG hopes these clinical practice recommendations are beneficial to motion analysis services with an aim to improve clinical practices, patient outcomes, and support research collaboration.
临床运动分析涉及对步态模式进行定量测量，以识别当前或有可能影响功能、日常生活活动及参与度的步态异常。临床运动分析服务配备了运动捕捉技术，并由专业人员组成，他们为患有不同程度步态障碍的儿童和成人提供三维运动分析服务。然后，这些数据被用于为临床医生提供干预建议，以维持独立、功能性且无痛的行走（或适当的移动能力）。澳新临床运动分析小组（成立于2013年）确定有必要制定建议，以协助该地区当前和新的临床运动分析服务规范实践指南。该小组致力于促进各服务机构在质量保证流程、临床实践、数据集和研究活动方面的合作。本文所述的临床实践建议涵盖：i）运动分析服务的要求（包括人员配备、设施和设备），ii）患者评估（要求、收集的临床信息和数据、患者数据的报告和解读），iii）质量保证流程（包括运动捕捉系统/生物力学模型及局限性、标记放置、数据存储/记录保存、创建规范数据集）；iv）有用的资源。患有步态偏差的儿童和成人要取得更好的治疗效果，取决于对行走的准确测量和评估，这需要多学科临床团队凭借专业知识和技能提供投入。澳新临床运动分析小组希望这些临床实践建议对运动分析服务有益，旨在改善临床实践、患者治疗效果，并支持研究合作。
