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Inertial measurement unit-based real-time feedback gait immediately changes gait parameters in older inpatients: a pilot study.
Miyazaki, Takasuke; Kiyama, Ryoji; Takeshita, Yasufumi; Shimose, Daichi; Araki, Sota; Matsuura, Hisanori; Uto, Yuki; Nakashima, Shobu; Nakai, Yuki; Kawada, Masayuki.
Afiliación
  • Miyazaki T; Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
  • Kiyama R; Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan.
  • Takeshita Y; Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan.
  • Shimose D; Sports Science Area, Department of Mechanical Systems Engineering, Daiichi Institute of Technology, Kagoshima, Japan.
  • Araki S; Course of Health Sciences, Graduate School of Health Sciences, Kagoshima University, Kagoshima, Japan.
  • Matsuura H; Department of Rehabilitation, Tarumizu Municipal Medical Center, Tarumizu Central Hospital, Kagoshima, Japan.
  • Uto Y; Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan.
  • Nakashima S; Course of Health Sciences, Graduate School of Health Sciences, Kagoshima University, Kagoshima, Japan.
  • Nakai Y; Course of Health Sciences, Graduate School of Health Sciences, Kagoshima University, Kagoshima, Japan.
  • Kawada M; Course of Health Sciences, Graduate School of Health Sciences, Kagoshima University, Kagoshima, Japan.
Front Physiol ; 15: 1384313, 2024.
Article en En | MEDLINE | ID: mdl-39165280
ABSTRACT
The effect of gait feedback training for older people remains unclear, and such training methods have not been adapted in clinical settings. This study aimed to examine whether inertial measurement unit (IMU)-based real-time feedback gait for older inpatients immediately changes gait parameters. Seven older inpatients (mean age 76.0 years) performed three types of 60-s gait trials with real-time feedback in each of the following categories walking spontaneously (no feedback trial); focused on increasing the ankle plantarflexion angle during late stance (ankle trial); and focused on increasing the leg extension angle, which is defined by the location of the ankle joint relative to the hip joint in the sagittal plane, during late stance (leg trial). Tilt angles and accelerations of the pelvis and lower limb segments were measured using seven IMUs in pre- and post-feedback trials. To examine the immediate effects of IMU-based real-time feedback gait, multiple comparisons of the change in gait parameters were conducted. Real-time feedback increased gait speed, but it did not significantly differ in the control (p = 0.176), ankle (p = 0.237), and leg trials (p = 0.398). Step length was significantly increased after the ankle trial (p = 0.043, r = 0.77 large effect size). Regarding changes in gait kinematics, the leg trial increased leg extension angle compared to the no feedback trial (p = 0.048, r = 0.77 large effect size). IMU-based real-time feedback gait changed gait kinematics immediately, and this suggests the feasibility of a clinical application for overground gait training in older people.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Physiol Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Physiol Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Suiza