Wearable-based assessment of anticipatory postural adjustments during step initiation in patients with knee osteoarthritis

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art_OLIVEIRA_Wearablebased_assessment_of_anticipatory_postural_adjustments_during_step_2023.PDF (1.29 MB)
Citações na Scopus
1
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
PUBLIC LIBRARY SCIENCE
Autores
OLIVEIRA, Luana Karine Resende
IGARASHI, Yuzo
ANDRADE, Karen Flaviane Assis
SOUZA, Givago Silva
CALLEGARI, Bianca
Citação
PLOS ONE, v.18, n.8, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Older adults with moderate to severe knee osteoarthritis (KOA) exhibit adaptive strategy for initiating walking, known as anticipatory postural adjustments (APAs). While video motion kinematics has been the traditional way of measuring APAs, it can be difficult to transport and install, making it impractical for medical settings. Inertial sensors have become a more popular method for evaluating APAs, but no prior research has used accelerometers to measure gait initiation in individuals with KOA. The study aimed to assess the validity and reliability of a wearable accelerometer device for measuring APAs older adults with and without KOA. 25 individuals with KOA and 10 healthy individuals underwent evaluation using a wearable commercially available accelerometer (MetamotionC) and a video motion capture system. Reflective markers were placed on the lumbar vertebra and calcaneus. Participants were asked to initiate a step, and the researchers measured the APA(latency) and APA(amplitude) of each subject. APA(latency) showed an very large to almost perfect correlation in both groups (CG:r = 0.82; p = 0.003 and KOA r = 0.98; p < 0.00001) between the instruments, while APA(amplitude) had a moderate to very large correlation (CG: r = 0.65; p = 0.04and KOA: r = 0.80; p < 0.00001). Overall, the measurements showed fair to high reliability for intraclass correlation for video and accelerometer variables. Significant group effect was found for both variables: APA(latency) (F-1,F- 66 = 7.3; p = 0.008) and APA(amplitude) (F-1,F-66 = 9.5; p = 0.00). The wearable tri-axial accelerometer is a valid and reliable for assessing APAs during gait initiation in individuals with KOA, and this population exhibits lower APAs when initiating a step.
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URI
https://observatorio.fm.usp.br/handle/OPI/57391
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MFT
Artigos e Materiais de Revistas Científicas - LIM/54