用惯性测量装置评估中风后偏瘫患者 Equino 曲足手术的疗效:一项可行性研究。

IF 5.2 2区 医学 Q1 ENGINEERING, BIOMEDICAL
Nicolas de l'Escalopier, Cyril Voisard, Sylvain Jung, Mona Michaud, Albane Moreau, Nicolas Vayatis, Philippe Denormandie, Alix Verrando, Claire Verdaguer, Alain Moussu, Aliénor Jequier, Christophe Duret, Laurence Mailhan, Laure Gatin, Laurent Oudre, Damien Ricard
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引用次数: 0

摘要

简介本研究对脑卒中后偏瘫患者痉挛性马蹄内翻足(SEVF)手术治疗前后的步态分析进行评估,并将其与单中心前瞻性队列中获得的功能结果进行比较:方法:纳入2019年11月至2021年12月期间在一家医院接受手术的卒中后SEVF患者。随访时间为 6 个月,包括使用目标达成量表(GAS)进行功能分析,以及使用 IMU 的创新多维步态评估方法:半图进行步态分析。90%(18/20)的患者功能有所改善(GAS T 评分≥ 50),50%(10/20)的患者通过停止使用助行器(WA)证明行走技术有所改善。在功能改善并改用助行器的患者中,半影面积的变化为 +9.5%,sd = 27.5%,而半影面积的变化为 +15.4%,sd = 28%。在功能改善但未改变 WA 的组别中。在结果不理想的 3 次经历(两名患者)中,曲线下面积的变化分别为 + 2.3%、-10.2% 和 -9.5%。按平均速度加权的半曲线面积的测量结果显示出很好的重现性(ICC(1, 3) = 0.80):讨论:IMU 似乎是对接受 SEVF 手术的卒中后偏瘫患者进行评估的一种很有前途的解决方案。它们可以为常规临床应用提供量化、客观、可靠的个体纵向随访自动步态分析解决方案。结合 GAS 等功能量表,它们可以对手术效果进行全面分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Inertial measurement units to evaluate the efficacity of Equino Varus Foot surgery in post stroke hemiparetic patients: a feasibility study.

Introduction: This study evaluates the gait analysis obtained by Inetial Measurement Units (IMU) before and after surgical management of Spastic Equino Varus Foot (SEVF) in hemiplegic post-stroke patients and to compare it with the functional results obtained in a monocentric prospective cohort.

Methods: Patients with post-stroke SEVF, who underwent surgery in a single hospital between November 2019 and December 2021 were included. The follow-up duration was 6 months and included a functional analysis using Goal Attainment Scaling (GAS) and a Gait analysis using an innovative Multidimensional Gait Evaluation using IMU: the semiogram.

Results: 20 patients had a gait analysis preoperatively and at 6 months postoperatively. 90% (18/20) patients had a functional improvement (GAS T score ≥ 50) and 50% (10/20) had an improvement in walking technique as evidenced by the cessation of the use of a walking aid (WA). In patients with functional improvement and modification of WA the change in the semiogram area was + 9.5%, sd = 27.5%, and it was + 15.4%, sd = 28%. In the group with functional improvement without change of WA. For the 3 experiences (two patients) with unfavorable results, the area under the curve changed by + 2.3%, -10.2% and - 9.5%. The measurement of the semiogram area weighted by average speed demonstrated very good reproducibility (ICC(1, 3) = 0.80).

Discussion: IMUs appear to be a promising solution for the assessment of post-stroke hemiplegic patients who have undergone SEVF surgery. They can provide a quantified, objective, reliable in individual longitudinal follow up automated gait analysis solution for routine clinical use. Combined with a functional scale such as the GAS, they can provide a global analysis of the effect of surgery.

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来源期刊
Journal of NeuroEngineering and Rehabilitation
Journal of NeuroEngineering and Rehabilitation 工程技术-工程:生物医学
CiteScore
9.60
自引率
3.90%
发文量
122
审稿时长
24 months
期刊介绍: Journal of NeuroEngineering and Rehabilitation considers manuscripts on all aspects of research that result from cross-fertilization of the fields of neuroscience, biomedical engineering, and physical medicine & rehabilitation.
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