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计时起立行走测试表现与平衡的定量生物力学测量之间的关系。

Relationship between Timed Up and Go performance and quantitative biomechanical measures of balance.

作者信息

Tendolkar Prasad, Ibironke Oluwaseun, Marchesi Giorgia, De Luca Alice, Squeri Valentina, Nolan Karen J, Pilkar Rakesh, Karunakaran Kiran K

机构信息

Center for Mobility and Rehabilitation Engineering Research, Kessler Foundation, West Orange, NJ, United States.

Movendo Technology S.r.l., Genoa, Italy.

出版信息

Front Rehabil Sci. 2024 Mar 19;5:1220427. doi: 10.3389/fresc.2024.1220427. eCollection 2024.

DOI:10.3389/fresc.2024.1220427
PMID:38566622
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10985617/
Abstract

Traumatic brain injury (TBI) impairs sensory-motor functions, with debilitating consequences on postural control and balance, which persist during the chronic stages of recovery. The Timed Up and Go (TUG) test is a reliable, safe, time-efficient, and one of the most widely used clinical measures to assess gait, balance, and fall risk in TBI patients and is extensively used in inpatient and outpatient settings. Although the TUG test has been used extensively due to its ease of performance and excellent reliability, limited research has been published that investigates the relationship between TUG performance and quantitative biomechanical measures of balance. The objective of this paper was to quantify the relationship between biomechanical variables of balance and the TUG scores in individuals with chronic TBI. Regression models were constructed using six biomechanical variables to predict TUG scores. The model that conservatively removed gait speed (i.e., TUG-1/GS) gave the best results, achieving a root-mean-square error of ∼±2 s and explaining over 69% of the variability.

摘要

创伤性脑损伤（TBI）会损害感觉运动功能，对姿势控制和平衡产生不利影响，这些影响在慢性恢复阶段依然存在。定时起立行走（TUG）测试是一种可靠、安全、省时且应用最广泛的临床测量方法之一，用于评估TBI患者的步态、平衡和跌倒风险，在住院和门诊环境中广泛使用。尽管TUG测试因其操作简便和可靠性高而被广泛应用，但关于TUG测试表现与平衡定量生物力学测量之间关系的研究报道有限。本文的目的是量化慢性TBI患者平衡生物力学变量与TUG分数之间的关系。使用六个生物力学变量构建回归模型来预测TUG分数。保守地去除步态速度的模型（即TUG-1/GS）给出了最佳结果，均方根误差约为±2秒，解释了超过69%的变异性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/10985617/da101ba811a7/fresc-05-1220427-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/10985617/f2ba86de00b6/fresc-05-1220427-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/10985617/b80d19de2e75/fresc-05-1220427-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/10985617/0a4f33b828f8/fresc-05-1220427-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/10985617/26d542839ad8/fresc-05-1220427-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/10985617/c2ae882eca63/fresc-05-1220427-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/10985617/da101ba811a7/fresc-05-1220427-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/10985617/f2ba86de00b6/fresc-05-1220427-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/10985617/b80d19de2e75/fresc-05-1220427-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/10985617/0a4f33b828f8/fresc-05-1220427-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/10985617/26d542839ad8/fresc-05-1220427-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/10985617/c2ae882eca63/fresc-05-1220427-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/10985617/da101ba811a7/fresc-05-1220427-g006.jpg

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本文引用的文献

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一种针对静态和动态条件下平衡的生命周期方法：年龄对平衡能力的影响。
Front Neurol. 2022 Feb 21;13:801142. doi: 10.3389/fneur.2022.801142. eCollection 2022.
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Objective evaluation of the risk of falls in individuals with traumatic brain injury: feasibility and preliminary validation.客观评估创伤性脑损伤患者的跌倒风险：可行性和初步验证。
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Dynamic Stability and Trunk Control Improvements Following Robotic Balance and Core Stability Training in Chronic Stroke Survivors: A Pilot Study.慢性卒中幸存者接受机器人辅助平衡和核心稳定性训练后的动态稳定性和躯干控制改善：一项初步研究。
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