Document Detail


Reliability and validity of bilateral thigh and foot accelerometry measures of walking in healthy and hemiparetic subjects.
MedLine Citation:
PMID:  16679506     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Measures of walking ability in large clinical trials are usually limited to a timed short-distance walk and the distance walked in a fixed time. A new integrated system of 5 accelerometers was tested for reliability and compared to a footswitch system to determine if the accelerometers offered a practical option for the acquisition of spatiotemporal gait parameters. METHODS: Leg accelerations and decelerations were defined in relation to simultaneous kinematic and electromyographic data acquired from a healthy subject. Eight healthy adults and 6 independent ambulators with hemiparetic stroke walked 15 m at 2 different speeds wearing both the accelerometers and footswitches. Twelve healthy subjects walked at 5 different speeds repeated 3 times on each of 2 days wearing the accelerometers. Walking speed, cadence, stride length, and single- and double-limb support, swing, and stance times were calculated. RESULTS: No differences (t test, P > 0.2) were found between footswitch and accelerometer variables when comparing all left or right legs in healthy subjects and all paretic or unaffected legs in stroke subjects. A 2-way nested ANOVA model (speed, left and right legs, trial, and session) with the accelerometers at walking speeds from 0.5 to 1.8 m/s revealed high reproducibility of all measures. CONCLUSIONS: The accelerometry system provided reliable and valid spatiotemporal measures of gait for the upper range of speeds likely to be targeted for rehabilitation interventions in ambulatory subjects.
Authors:
Kaveh Saremi; Jon Marehbian; Xiaohong Yan; Jean-Philippe Regnaux; Robert Elashoff; Bernard Bussel; Bruce H Dobkin
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurorehabilitation and neural repair     Volume:  20     ISSN:  1545-9683     ISO Abbreviation:  Neurorehabil Neural Repair     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-05-08     Completed Date:  2006-08-01     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  100892086     Medline TA:  Neurorehabil Neural Repair     Country:  United States    
Other Details:
Languages:  eng     Pagination:  297-305     Citation Subset:  IM    
Affiliation:
Neurologic Rehabilitation and Research Program, Department of Neurology, Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA.
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MeSH Terms
Descriptor/Qualifier:
Acceleration*
Adolescent
Adult
Aged
Biomechanics / instrumentation*
Electromyography
Energy Metabolism / physiology
Female
Foot / physiopathology*
Humans
Male
Middle Aged
Paresis / physiopathology*
Pilot Projects
Reproducibility of Results
Thigh / physiopathology*
Walking / physiology*
Grant Support
ID/Acronym/Agency:
HD39629/HD/NICHD NIH HHS; HD96740/HD/NICHD NIH HHS; T32-NS07479/NS/NINDS NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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