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GAMMA协会关于临床运动分析实验室标准化的建议。

Recommendations of the GAMMA association for the standardization of clinical movement analysis laboratories.

作者信息

Kranzl Andreas, Stief Felix, Böhm Harald, Alexander Nathalie, Bracht-Schweizer Katrin, Hartmann Matthias, Hösl Matthias, Trinler Ursula, Widhalm Klaus, Horsak Brian

机构信息

Orthopaedic Hospital Speising, Laboratory of Gait and Motion Analysis, Speisinger Str. 109, Vienna 1130, Austria.

Berufsgenossenschaftliche Unfallklinik Frankfurt/Main, Funktion and Motion Lab, Friedberger Landstraße 430, Frankfurt/Main 60389, Germany.

出版信息

Gait Posture. 2025 Mar;117:7-15. doi: 10.1016/j.gaitpost.2024.11.018. Epub 2024 Nov 29.

Abstract

Clinical gait analysis involves objective, valid, and reliable techniques for assessing gait function and is crucial for assessing walking patterns and identifying gait abnormalities in various patient populations. By analyzing joint angles, muscle activity, and other biomechanical factors during walking, clinicians can diagnose gait disorders, plan interventions, and improve patient outcomes. The GAMMA association aims to provide recommendations to support the standardization and quality assurance for clinical-instrumented 3D motion analysis services within the German-speaking region in central Europe. The practice recommendations described in this paper cover among others (i) technical requirements for recording data on level ground and on treadmills, (ii) staff management, (iii) recommendations for measurement equipment and quality assurance procedures, (iv) patient referral management, (v) practical recommendations for data acquisition, management, and reporting, and (vi) information to consider when setting up a new gait analysis facility. The GAMMA association aspires for these clinical practice guidelines to enhance motion analysis services, leading to better and more standardized clinical practices, which further contribute to improved patient care, and better conditions for research in central Europe.

摘要

临床步态分析涉及评估步态功能的客观、有效且可靠的技术,对于评估不同患者群体的行走模式和识别步态异常至关重要。通过分析行走过程中的关节角度、肌肉活动及其他生物力学因素,临床医生能够诊断步态障碍、制定干预措施并改善患者预后。伽马协会旨在提供建议,以支持中欧德语区临床仪器化三维运动分析服务的标准化和质量保证。本文所述的实践建议包括(i)在平地和跑步机上记录数据的技术要求,(ii)人员管理,(iii)测量设备和质量保证程序的建议,(iv)患者转诊管理,(v)数据采集、管理和报告的实践建议,以及(vi)建立新的步态分析设施时需考虑的信息。伽马协会期望这些临床实践指南能提升运动分析服务,促成更好、更标准化的临床实践,进而有助于改善患者护理,并为中欧的研究创造更好的条件。

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