Monitoring of Gait Quality in Patients With Chronic Pain of Lower Limbs.

Détails

ID Serval
serval:BIB_F4D516856002
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Monitoring of Gait Quality in Patients With Chronic Pain of Lower Limbs.
Périodique
IEEE transactions on neural systems and rehabilitation engineering
Auteur⸱e⸱s
Terrier P., Le Carre J., Connaissa M.L., Leger B., Luthi F.
ISSN
1558-0210 (Electronic)
ISSN-L
1534-4320
Statut éditorial
Publié
Date de publication
10/2017
Peer-reviewed
Oui
Volume
25
Numéro
10
Pages
1843-1852
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Severe injuries of lower extremities often lead to chronic pain and reduced walking abilities. We postulated that measuring free-living gait can provide further information about walking ability in complement to clinical evaluations. We sought to validate a method that characterizes free gaits with a wearable sensor. Over one week, 81 healthy controls (HC) and 66 chronic lower limb pain patients (CLLPP) hospitalized for multidisciplinary rehabilitation wore a simple accelerometer (Actigraph). In the acceleration signals, steady 1-min walks detected numbered 7,835 (5,085 in CLLPP and 2,750 in HC). Five gait quality measures were assessed: movement intensity, cadence, stride regularity, and short-term and long-term local dynamic stability. Gait quality variables differed significantly between CLLPP and HC (4%-26%). Intraclass correlation coefficients revealed moderate to high repeatability (0.71-0.91), which suggests that seven days of measurement are sufficient to assess average gait patterns. Regression analyses showed significant association (R(2) = 0.44) between the gait quality variables and a clinical evaluation of walking ability, i.e., the 6-min walk test. Overall, the results show that the method is easy to implement, valid (high concurrent validity), and reliable to assess walking abilities ecologically.

Pubmed
Création de la notice
25/07/2017 17:23
Dernière modification de la notice
20/08/2019 17:21
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