基于惯性测量单元的朗伯格测试用于评估前庭功能减退的成年人

IF 3.7 3区医学 Q2 ENGINEERING, BIOMEDICAL

IEEE Journal of Translational Engineering in Health and Medicine-Jtehm Pub Date : 2023-11-17 DOI:10.1109/JTEHM.2023.3334238

Kuan-Chung Ting;Yu-Chieh Lin;Chia-Tai Chan;Tzong-Yang Tu;Chun-Che Shih;Kai-Chun Liu;Yu Tsao

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引用次数: 0

摘要

这项研究旨在探索可穿戴惯性测量单元（IMU）在朗伯格测试中量化运动的实用性，并调查患有前庭功能减退（VH）的成年人的运动程度。一项横断面研究于 2021 年 3 月至 2022 年 4 月在一家学术性三级医疗中心进行。被诊断为单侧前庭功能减退（UVH）或双侧前庭功能减退（BVH）的成人被纳入 VH 组。健康对照组（HC）从社区或门诊诊所招募。两组均采用基于 IMU 的仪器朗伯格测试和地面串联朗伯格测试。主要结果是沿内侧轴（ML）、颅尾轴（CC）和前后轴（AP）的身体运动学指标（最大加速度[ACC]、平均加速度[ACC]、加速度[ACC]均方根[RMS]和平均摇摆速度[MV]）。共招募了 31 名 VH 参与者（平均年龄 33.48 [SD 7.68] 岁；19 [61%] 名女性）和 31 名 HC 参与者（平均年龄 30.65 [SD 5.89] 岁；18 [58%] 名女性）。在朗伯格测试的闭眼部分，VH 参与者在头部运动中表现出明显更高的最大 ACC 值和更高的 ACC RMS 值，在骨盆沿 ML 轴运动中也表现出更高的最大 ACC 值。在相同的测试条件下，BVH 患者在头部和骨盆运动中沿 ML 轴的最大 ACC 和 ACC 均方根都明显高于 HC 患者。此外，在串联朗伯格测试的睁眼部分，BVH 参与者在头部运动中表现出沿 ML 轴的最大 ACC 明显增加。相反，UVH 参与者和 HC 在评估参数上没有发现明显差异。用仪器进行的朗伯格测试和串联朗伯格测试显示了超视力障碍成人和健康成人在头部、骨盆和踝关节运动方面的运动学差异。研究结果表明，这些身体运动学指标可用于筛查前庭功能障碍，并为前庭康复提供目标。

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Inertial Measurement Unit-Based Romberg Test for Assessing Adults With Vestibular Hypofunction

This work aims to explore the utility of wearable inertial measurement units (IMUs) for quantifying movement in Romberg tests and investigate the extent of movement in adults with vestibular hypofunction (VH). A cross-sectional study was conducted at an academic tertiary medical center between March 2021 and April 2022. Adults diagnosed with unilateral vestibular hypofunction (UVH) or bilateral vestibular hypofunction (BVH) were enrolled in the VH group. Healthy controls (HCs) were recruited from community or outpatient clinics. The IMU-based instrumented Romberg and tandem Romberg tests on the floor were applied to both groups. The primary outcomes were kinematic body metrics (maximum acceleration [ACC], mean ACC, root mean square [RMS] of ACC, and mean sway velocity [MV]) along the medio-lateral (ML), cranio-caudal (CC), and antero-posterior (AP) axes. A total of 31 VH participants (mean age, 33.48 [SD 7.68] years; 19 [61%] female) and 31 HCs (mean age, 30.65 [SD 5.89] years; 18 [58%] female) were recruited. During the eyes-closed portion of the Romberg test, VH participants demonstrated significantly higher maximum ACC and increased RMS of ACC in head movement, as well as higher maximum ACC in pelvic movement along the ML axis. In the same test condition, individuals with BVH exhibited notably higher maximum ACC and RMS of ACC along the ML axis in head and pelvic movements compared with HCs. Additionally, BVH participants exhibited markedly increased maximum ACC along the ML axis in head movement during the eyes-open portion of the tandem Romberg test. Conversely, no significant differences were found between UVH participants and HCs in the assessed parameters. The instrumented Romberg and tandem Romberg tests characterized the kinematic differences in head, pelvis, and ankle movement between VH and healthy adults. The findings suggest that these kinematic body metrics can be useful for screening BVH and can provide goals for vestibular rehabilitation.

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来源期刊

IEEE Journal of Translational Engineering in Health and Medicine-Jtehm Engineering-Biomedical Engineering

CiteScore

7.40

自引率

2.90%

发文量

审稿时长

27 weeks

期刊介绍： The IEEE Journal of Translational Engineering in Health and Medicine is an open access product that bridges the engineering and clinical worlds, focusing on detailed descriptions of advanced technical solutions to a clinical need along with clinical results and healthcare relevance. The journal provides a platform for state-of-the-art technology directions in the interdisciplinary field of biomedical engineering, embracing engineering, life sciences and medicine. A unique aspect of the journal is its ability to foster a collaboration between physicians and engineers for presenting broad and compelling real world technological and engineering solutions that can be implemented in the interest of improving quality of patient care and treatment outcomes, thereby reducing costs and improving efficiency. The journal provides an active forum for clinical research and relevant state-of the-art technology for members of all the IEEE societies that have an interest in biomedical engineering as well as reaching out directly to physicians and the medical community through the American Medical Association (AMA) and other clinical societies. The scope of the journal includes, but is not limited, to topics on: Medical devices, healthcare delivery systems, global healthcare initiatives, and ICT based services; Technological relevance to healthcare cost reduction; Technology affecting healthcare management, decision-making, and policy; Advanced technical work that is applied to solving specific clinical needs.