Department of Physical Therapy & Athletic Training, University of Utah, Salt Lake City, Utah, USA.
Army-Baylor University Doctoral Program in Physical Therapy, Fort Sam Houston, San Antonio, Texas, USA.
Phys Ther. 2024 Feb 1;104(2). doi: 10.1093/ptj/pzad134.
OBJECTIVE: The aim of this study was to establish the test-retest reliability of metrics obtained from wearable inertial sensors that reflect turning performance during tasks designed to imitate various turns in daily activity. METHODS: Seventy-one adults who were healthy completed 3 turning tasks: a 1-minute walk along a 6-m walkway, a modified Illinois Agility Test (mIAT), and a complex turning course (CTC). Peak axial turning and rotational velocity (yaw angular velocity) were extracted from wearable inertial sensors on the head, trunk, and lumbar spine. Intraclass correlation coefficients (ICCs) were established to assess the test-retest reliability of average peak turning speed for each task. Lap time was collected for reliability analysis as well. RESULTS: Turning speed across all tasks demonstrated good to excellent reliability, with the highest reliability noted for the CTC (45-degree turns: ICC = 0.73-0.81; 90-degree turns: ICC = 0.71-0.83; and 135-degree turns: ICC = 0.72-0.80). The reliability of turning speed during 180-degree turns from the 1-minute walk was consistent across all body segments (ICC = 0.74-0.76). mIAT reliability ranged from fair to excellent (end turns: ICC = 0.52-0.72; mid turns: ICC = 0.50-0.56; and slalom turns: ICC = 0.66-0.84). The CTC average lap time demonstrated good test-retest reliability (ICC = 0.69), and the mIAT average lap time test-retest reliability was excellent (ICC = 0.91). CONCLUSION: Turning speed measured by inertial sensors is a reliable outcome across a variety of ecologically valid turning tasks that can be easily tested in a clinical environment. IMPACT: Turning performance is a reliable and important measure that should be included in clinical assessments and clinical trials.
目的:本研究旨在确定可穿戴惯性传感器测量值的重测信度,这些测量值反映了日常活动中各种转弯任务的转弯表现。
方法:71 名健康成年人完成了 3 项转弯任务:在 6 米长的走道上行走 1 分钟,改良伊利诺伊州敏捷测试(mIAT)和复杂转弯课程(CTC)。头部、躯干和腰椎上的可穿戴惯性传感器提取轴向最大转弯速度和旋转速度(偏航角速度)。建立组内相关系数(ICC)以评估每个任务的平均峰值转弯速度的重测信度。还收集了 lap 时间用于可靠性分析。
结果:所有任务的转弯速度均表现出良好到极好的可靠性,其中 CTC 的可靠性最高(45 度转弯:ICC=0.73-0.81;90 度转弯:ICC=0.71-0.83;135 度转弯:ICC=0.72-0.80)。1 分钟步行时 180 度转弯的转弯速度可靠性在所有身体部位均一致(ICC=0.74-0.76)。mIAT 的可靠性范围为一般到极好(终点转弯:ICC=0.52-0.72;中间转弯:ICC=0.50-0.56;和障碍转弯:ICC=0.66-0.84)。CTC 的平均 lap 时间显示出良好的重测信度(ICC=0.69),mIAT 的平均 lap 时间重测信度极好(ICC=0.91)。
结论:惯性传感器测量的转弯速度在各种生态有效的转弯任务中具有可靠性,可在临床环境中轻松进行测试。
影响:转弯表现是可靠且重要的指标,应包含在临床评估和临床试验中。
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