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智能手机评估坐立足跟抬起试验。

Smartphone Assessment of the Sitting Heel-Rise Test.

机构信息

Centro de Estudos do Comportamento Motor, Departamento de Educação Física, Setor de Ciências Biológicas, Universidade Federal do Paraná, Rua Coronel Heráclito dos Santos, 100, Centro Politécnico, Jardim das Américas, Curitiba 19011, Paraná, Brazil.

Faculty of Engineering & Informatics, University of Bradford, Bradford BD7 1DP, UK.

出版信息

Sensors (Basel). 2024 Sep 18;24(18):6036. doi: 10.3390/s24186036.

DOI:10.3390/s24186036
PMID:39338781
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11436003/
Abstract

The study presents a new approach for assessing plantarflexor muscles' function using a smartphone. The test involves performing repeated heel raises for 60 s while seated. The seated heel-rise test offers a simple method for assessing plantarflexor muscles' function in those with severe balance impairment who are unable to complete tests performed while standing. The study aimed to showcase how gyroscopic data from a smartphone placed on the lower limb can be used to assess the test. Eight participants performed the seated heel-rise test with each limb. Gyroscope and 2D video analysis data (60 Hz) of limb motion were used to determine the number of cycles, the average rise (T-rise), lowering (T-lower), and cycle (T-total) times. The number of cycles detected matched exactly when the gyroscope and kinematic data were compared. There was good time domain agreement between gyroscopic and video data (T-rise = 0.0005 s, T-lower = 0.0013 s, and T-total = 0.0017 s). The 95% CI limits of agreement were small (T-total -0.1118, 0.1127 s, T-lower -0.1152, 0.1179 s, and T-total -0.0763, 0.0797 s). Results indicate that a smartphone placed on the thigh can successfully assess the seated heel-rise test. The seated heel-rise test offers an attractive alternative to test plantarflexor muscles' functionality in those unable to perform tests in standing positions.

摘要

本研究提出了一种使用智能手机评估足底屈肌功能的新方法。测试包括在坐姿下进行 60 秒的重复脚跟抬高。坐姿脚跟抬高测试为严重平衡障碍且无法完成站立测试的患者提供了一种评估足底屈肌功能的简单方法。本研究旨在展示如何使用放置在下肢上的智能手机的陀螺仪数据来评估测试。8 名参与者用每条腿进行坐姿脚跟抬高测试。使用陀螺仪和肢体运动的 2D 视频分析数据(60 Hz)来确定循环次数、平均上升(T-rise)、下降(T-lower)和周期(T-total)时间。当比较陀螺仪和运动学数据时,检测到的循环次数完全匹配。陀螺仪和视频数据在时域上具有良好的一致性(T-rise = 0.0005 s,T-lower = 0.0013 s,T-total = 0.0017 s)。95%CI 一致性界限较小(T-total -0.1118,0.1127 s,T-lower -0.1152,0.1179 s,和 T-total -0.0763,0.0797 s)。结果表明,放置在大腿上的智能手机可以成功评估坐姿脚跟抬高测试。坐姿脚跟抬高测试为无法进行站立测试的患者提供了一种有吸引力的替代方法来评估足底屈肌的功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0618/11436003/7b86d1bf4e25/sensors-24-06036-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0618/11436003/f4fe2af7e5f3/sensors-24-06036-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0618/11436003/790ef718c0bb/sensors-24-06036-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0618/11436003/7b86d1bf4e25/sensors-24-06036-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0618/11436003/f4fe2af7e5f3/sensors-24-06036-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0618/11436003/790ef718c0bb/sensors-24-06036-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0618/11436003/7b86d1bf4e25/sensors-24-06036-g003.jpg

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本文引用的文献

1
Using a Standing Heel-Rise Test as a Predictor of Ankle Muscle Strength in the Elderly.使用站立提踵测试作为老年人踝关节肌肉力量的预测指标。
Sports (Basel). 2023 Aug 2;11(8):146. doi: 10.3390/sports11080146.
2
Devices to measure calf raise test outcomes: A narrative review.测量小腿抬高试验结果的设备:一项叙述性综述。
Physiother Res Int. 2023 Oct;28(4):e2039. doi: 10.1002/pri.2039. Epub 2023 Jul 13.
3
Use of 'wearables' to assess the up-on-the-toes test.使用“可穿戴设备”评估脚尖站立测试。
J Biomech. 2022 Oct;143:111272. doi: 10.1016/j.jbiomech.2022.111272. Epub 2022 Aug 28.
4
The heel-raise test for ankle plantarflexor strength: a scoping review and meta-analysis of studies providing norms.踝关节跖屈肌力量的提踵试验:提供正常值的研究的范围综述和荟萃分析。
J Phys Ther Sci. 2022 Jul;34(7):528-531. doi: 10.1589/jpts.34.528. Epub 2022 Jul 1.
5
The single-leg heel raise does not predict maximal plantar flexion strength in healthy males and females.单腿提踵测试不能预测健康男性和女性的最大足底屈肌力量。
PLoS One. 2021 Aug 20;16(8):e0253276. doi: 10.1371/journal.pone.0253276. eCollection 2021.
6
Association Between Asymmetry in Knee Extension Strength and Balance in a Community-Dwelling Elderly Population: A Cross-Sectional Analysis.社区居住老年人群膝关节伸展力量不对称与平衡之间的关联:一项横断面分析
Ann Rehabil Med. 2018 Feb;42(1):113-119. doi: 10.5535/arm.2018.42.1.113. Epub 2018 Feb 28.
7
Reference values for the bilateral heel-rise test.跟腱反射测试的参考值。
Braz J Phys Ther. 2017 Sep-Oct;21(5):344-349. doi: 10.1016/j.bjpt.2017.06.002. Epub 2017 Jul 3.
8
Gait Velocity and Chair Sit-Stand-Sit Performance Improves Current Frailty-Status Identification.步态速度和座椅坐站坐性能提高了当前虚弱状态的识别能力。
IEEE Trans Neural Syst Rehabil Eng. 2017 Nov;25(11):2018-2025. doi: 10.1109/TNSRE.2017.2699124. Epub 2017 Apr 27.
9
Calf-raise senior: a new test for assessment of plantar flexor muscle strength in older adults: protocol, validity, and reliability.踮脚尖老年测试:一种评估老年人跖屈肌力量的新测试:方案、效度和信度
Clin Interv Aging. 2016 Nov 15;11:1661-1674. doi: 10.2147/CIA.S115304. eCollection 2016.
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The association between unilateral heel-rise performance with static and dynamic balance in community dwelling older adults.社区居住的老年人单侧提踵表现与静态和动态平衡之间的关联。
Geriatr Nurs. 2015 Jan-Feb;36(1):30-4. doi: 10.1016/j.gerinurse.2014.09.003. Epub 2014 Nov 1.