Ambulatory assessment of walking balance after stroke using instrumented shoes.
Identifieur interne : 000040 ( PubMed/Checkpoint ); précédent : 000039; suivant : 000041Ambulatory assessment of walking balance after stroke using instrumented shoes.
Auteurs : Fokke B. Van Meulen [Pays-Bas] ; Dirk Weenk [Pays-Bas] ; Jaap H. Buurke [Pays-Bas] ; Bert-Jan F. Van Beijnum [Pays-Bas] ; Peter H. Veltink [Pays-Bas]Source :
- Journal of neuroengineering and rehabilitation [ 1743-0003 ] ; 2016.
Abstract
For optimal guidance of walking rehabilitation therapy of stroke patients in an in-home setting, a small and easy to use wearable system is needed. In this paper we present a new shoe-integrated system that quantifies walking balance during activities of daily living and is not restricted to a lab environment. Quantitative parameters were related to clinically assessed level of balance in order to assess the additional information they provide.
DOI: 10.1186/s12984-016-0146-5
PubMed: 27198134
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Van Meulen</name><affiliation wicri:level="4"><nlm:affiliation>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE, The Netherlands. f.b.vanmeulen@utwente.nl.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE</wicri:regionArea><orgName type="university">Université de Twente</orgName><placeName><settlement type="city">Enschede</settlement><region nuts="2">Overijssel</region></placeName></affiliation></author><author><name sortKey="Weenk, Dirk" sort="Weenk, Dirk" uniqKey="Weenk D" first="Dirk" last="Weenk">Dirk Weenk</name><affiliation wicri:level="4"><nlm:affiliation>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE</wicri:regionArea><orgName type="university">Université de Twente</orgName><placeName><settlement type="city">Enschede</settlement><region nuts="2">Overijssel</region></placeName></affiliation></author><author><name sortKey="Buurke, Jaap H" sort="Buurke, Jaap H" uniqKey="Buurke J" first="Jaap H" last="Buurke">Jaap H. Buurke</name><affiliation wicri:level="4"><nlm:affiliation>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE</wicri:regionArea><orgName type="university">Université de Twente</orgName><placeName><settlement type="city">Enschede</settlement><region nuts="2">Overijssel</region></placeName></affiliation></author><author><name sortKey="Van Beijnum, Bert Jan F" sort="Van Beijnum, Bert Jan F" uniqKey="Van Beijnum B" first="Bert-Jan F" last="Van Beijnum">Bert-Jan F. Van Beijnum</name><affiliation wicri:level="4"><nlm:affiliation>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE</wicri:regionArea><orgName type="university">Université de Twente</orgName><placeName><settlement type="city">Enschede</settlement><region nuts="2">Overijssel</region></placeName></affiliation></author><author><name sortKey="Veltink, Peter H" sort="Veltink, Peter H" uniqKey="Veltink P" first="Peter H" last="Veltink">Peter H. Veltink</name><affiliation wicri:level="4"><nlm:affiliation>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE</wicri:regionArea><orgName type="university">Université de Twente</orgName><placeName><settlement type="city">Enschede</settlement><region nuts="2">Overijssel</region></placeName></affiliation></author></analytic><series><title level="j">Journal of neuroengineering and rehabilitation</title><idno type="eISSN">1743-0003</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">For optimal guidance of walking rehabilitation therapy of stroke patients in an in-home setting, a small and easy to use wearable system is needed. In this paper we present a new shoe-integrated system that quantifies walking balance during activities of daily living and is not restricted to a lab environment. Quantitative parameters were related to clinically assessed level of balance in order to assess the additional information they provide.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="In-Data-Review"><PMID Version="1">27198134</PMID><DateCreated><Year>2016</Year><Month>05</Month><Day>20</Day></DateCreated><DateRevised><Year>2016</Year><Month>05</Month><Day>23</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1743-0003</ISSN><JournalIssue CitedMedium="Internet"><Volume>13</Volume><Issue>1</Issue><PubDate><Year>2016</Year></PubDate></JournalIssue><Title>Journal of neuroengineering and rehabilitation</Title><ISOAbbreviation>J Neuroeng Rehabil</ISOAbbreviation></Journal><ArticleTitle>Ambulatory assessment of walking balance after stroke using instrumented shoes.</ArticleTitle><Pagination><MedlinePgn>48</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12984-016-0146-5</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">For optimal guidance of walking rehabilitation therapy of stroke patients in an in-home setting, a small and easy to use wearable system is needed. In this paper we present a new shoe-integrated system that quantifies walking balance during activities of daily living and is not restricted to a lab environment. Quantitative parameters were related to clinically assessed level of balance in order to assess the additional information they provide.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Data of 13 participants who suffered a stroke were recorded while walking 10 meter trials and wearing special instrumented shoes. The data from 3D force and torque sensors, 3D inertial sensors and ultrasound transducers were fused to estimate 3D (relative) position, velocity, orientation and ground reaction force of each foot. From these estimates, center of mass and base of support were derived together with a dynamic stability margin, which is the (velocity) extrapolated center of mass with respect to the front-line of the base of support in walking direction. Additionally, for each participant step lengths and stance times for both sides as well as asymmetries of these parameters were derived.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Using the proposed shoe-integrated system, a complete reconstruction of the kinematics and kinetics of both feet during walking can be made. Dynamic stability margin and step length symmetry were not significantly correlated with Berg Balance Scale (BBS) score, but participants with a BBS score below 45 showed a small-positive dynamic stability margin and more asymmetrical step lengths. More affected participants, having a lower BBS score, have a lower walking speed, make smaller steps, longer stance times and have more asymmetrical stance times.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The proposed shoe-integrated system and data analysis methods can be used to quantify daily-life walking performance and walking balance, in an ambulatory setting without the use of a lab restricted system. The presented system provides additional insight about the balance mechanism, via parameters describing walking patterns of an individual subject. This information can be used for patient specific and objective evaluation of walking balance and a better guidance of therapies during the rehabilitation.</AbstractText><AbstractText Label="TRIAL REGISTRATION" NlmCategory="BACKGROUND">The study protocol is a subset of a larger protocol and registered in the Netherlands Trial Registry, number NTR3636 .</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>van Meulen</LastName><ForeName>Fokke B</ForeName><Initials>FB</Initials><AffiliationInfo><Affiliation>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE, The Netherlands. f.b.vanmeulen@utwente.nl.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weenk</LastName><ForeName>Dirk</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE, The Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Telematics and Information Technology, University of Twente, PO Box 217, Enschede, 7500, AE, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Buurke</LastName><ForeName>Jaap H</ForeName><Initials>JH</Initials><AffiliationInfo><Affiliation>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE, The Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Roessingh Research and Development, Roessingh Rehabilitation Hospital, Roessinghsbleekweg 33b, Enschede, 7522, AH, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van Beijnum</LastName><ForeName>Bert-Jan F</ForeName><Initials>BJ</Initials><AffiliationInfo><Affiliation>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE, The Netherlands.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Centre for Telematics and Information Technology, University of Twente, PO Box 217, Enschede, 7500, AE, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Veltink</LastName><ForeName>Peter H</ForeName><Initials>PH</Initials><AffiliationInfo><Affiliation>Biomedical Signals and Systems, MIRA - Institute for Biomedical Technology and Technical Medicine, University of Twente, PO Box 217, Enschede, 7500, AE, The Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>05</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J 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Van Meulen</name></region><name sortKey="Buurke, Jaap H" sort="Buurke, Jaap H" uniqKey="Buurke J" first="Jaap H" last="Buurke">Jaap H. Buurke</name><name sortKey="Van Beijnum, Bert Jan F" sort="Van Beijnum, Bert Jan F" uniqKey="Van Beijnum B" first="Bert-Jan F" last="Van Beijnum">Bert-Jan F. Van Beijnum</name><name sortKey="Veltink, Peter H" sort="Veltink, Peter H" uniqKey="Veltink P" first="Peter H" last="Veltink">Peter H. Veltink</name><name sortKey="Weenk, Dirk" sort="Weenk, Dirk" uniqKey="Weenk D" first="Dirk" last="Weenk">Dirk Weenk</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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