Fawden Terry, Roberts Iwan Vaughan, Goldin Sarah, Sharma Yash, Dunne Henry, Stone Thomas, Bance Manohar
Department of Clinical Neurosciences, University of Cambridge, Cambridge CB2 0QQ, UK.
Department of Engineering, University of Cambridge, Cambridge CB2 1PZ, UK.
Sensors (Basel). 2025 Jun 9;25(12):3629. doi: 10.3390/s25123629.
Complex walking tasks such as turning or walking with head movements are frequently used to assess dysfunction in an individual's vestibular, nervous and musculoskeletal systems. Compared to other methods, wearable inertial measurement units (IMUs) allow quantitative analysis of these tasks in less restricted settings, allowing for a more scalable clinical measurement tool with better ecological validity. This study investigates the use of ear-worn IMUs to identify gait events during complex walking tasks, having collected data on 68 participants with a diverse range of ages and movement-related conditions. The performance of an existing gait event detection algorithm was compared with a new one designed to be more robust to lateral head movements. Our analysis suggests that while both algorithms achieve high initial contact sensitivity across all walking tasks, our new algorithm attains higher terminal contact sensitivity for turning and walking with horizontal head turns, resulting in more accurate estimates of stance and swing times. This provides scope to enable more detailed assessment of complex walking tasks during clinical testing and in daily life settings.
诸如转身或头部运动时行走等复杂的步行任务经常被用于评估个体前庭、神经和肌肉骨骼系统的功能障碍。与其他方法相比,可穿戴惯性测量单元(IMU)能够在限制较少的环境中对这些任务进行定量分析,从而提供一种具有更好生态效度且更具扩展性的临床测量工具。本研究调查了使用耳部佩戴的IMU来识别复杂步行任务期间的步态事件,收集了68名年龄和运动相关状况各异的参与者的数据。将现有步态事件检测算法的性能与一种设计得对侧向头部运动更具鲁棒性的新算法进行了比较。我们的分析表明,虽然两种算法在所有步行任务中都实现了较高的初始接触灵敏度,但我们的新算法在转身和水平转头行走时获得了更高的终末接触灵敏度,从而能更准确地估计站立和摆动时间。这为在临床测试和日常生活环境中对复杂步行任务进行更详细的评估提供了空间。
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