G. Pagano, G. D'Addio, Maurizio De Campi, L. Donisi, A. Biancardi, M. Cesarelli
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引用次数: 16
摘要
现代生物医学技术正在日益普及,以克服基于临床量表等定性方法的局限性,事实上,在临床实践中,用于步态分析的可穿戴惯性系统正在普及,以支持临床治疗决策和控制患者的随访。本研究的目的是利用站立与行走测试的时空参数,探讨被测患者的康复效果。研究了30例接受髋关节或膝关节置换术的术后患者的人群样本;记录性别、年龄、体重、药物治疗和物理治疗情况。数据采用可穿戴惯性系统进行步态分析:Opal系统采用APDM进行计算,并采用方差分析检验进行分析。综上所述,入院期与出院期的方差分析显示,在步态、转身和预期体位调整(APA)相关的6个时空参数上存在显著的统计学差异。研究结果表明,在ICS Maugeri Institute of Care and Scientific Research of Bari (Italy)的手术康复和功能恢复部门住院的患者在经过一个月的康复治疗后,活动能力有所改善。提示康复工作的重要性及康复机构在术后患者随访中的重要性。
Rehabilitation Outcome in Patients undergone Hip or Knee Replacement Surgery using Inertial Technology for Gait Analysis
Modern biomedical technologies are increasingly spreading to overcome the limitation based on the use of qualitative methods such as clinical scales, in fact in the clinical practice wearable inertial systems for gait analysis are spreading to support the clinical-therapeutic decision and to control the follow-up of patients. The purpose of this study is to investigate the rehabilitation outcome of patients under examination in terms of spatiotemporal parameters using the Stand and Walk test. A population-based sample of 30 post-surgical patients undergone hip or knee replacement surgery was studied; gender, age, weight, drug therapy and physiotherapy treatment were recorded. Data were calculated using a wearable inertial system for gait analysis: Opal System by APDM and analyzed using ANOVA test. Overall, ANOVA test between admission phase and discharge one, it emerges that there is a significant statistical difference on six spatiotemporal parameters related to gait, turning and anticipatory postural adjustments (APA). Study results suggest that there is an improvement in mobility of patients hospitalized at the Operating Rehabilitation and Functional Recovery Unit of ICS Maugeri Institute of Care and Scientific Research of Bari (Italy) after only a month of rehabilitation treatment. This result suggest the importance of rehabilitation and of the rehabilitation institutes in the follow-up of post-surgical patients.