scholarly journals Inertial Sensor Reliability and Validity for Static and Dynamic Balance in Healthy Adults: A Systematic Review

Sensors ◽  
2021 ◽  
Vol 21 (15) ◽  
pp. 5167
Author(s):  
Nicky Baker ◽  
Claire Gough ◽  
Susan J. Gordon

Compared to laboratory equipment inertial sensors are inexpensive and portable, permitting the measurement of postural sway and balance to be conducted in any setting. This systematic review investigated the inter-sensor and test-retest reliability, and concurrent and discriminant validity to measure static and dynamic balance in healthy adults. Medline, PubMed, Embase, Scopus, CINAHL, and Web of Science were searched to January 2021. Nineteen studies met the inclusion criteria. Meta-analysis was possible for reliability studies only and it was found that inertial sensors are reliable to measure static standing eyes open. A synthesis of the included studies shows moderate to good reliability for dynamic balance. Concurrent validity is moderate for both static and dynamic balance. Sensors discriminate old from young adults by amplitude of mediolateral sway, gait velocity, step length, and turn speed. Fallers are discriminated from non-fallers by sensor measures during walking, stepping, and sit to stand. The accuracy of discrimination is unable to be determined conclusively. Using inertial sensors to measure postural sway in healthy adults provides real-time data collected in the natural environment and enables discrimination between fallers and non-fallers. The ability of inertial sensors to identify differences in postural sway components related to altered performance in clinical tests can inform targeted interventions for the prevention of falls and near falls.

Sensors ◽  
2019 ◽  
Vol 19 (13) ◽  
pp. 2972 ◽  
Author(s):  
Alexandre S. Pinho ◽  
Ana P. Salazar ◽  
Ewald M. Hennig ◽  
Barbara C. Spessato ◽  
Antoinette Domingo ◽  
...  

The consequences of falls, costs, and complexity of conventional evaluation protocols have motivated researchers to develop more effective balance assessments tools. Healthcare practitioners are incorporating the use of mobile phones and other gadgets (smartphones and tablets) to enhance accessibility in balance evaluations with reasonable sensitivity and good cost–benefit. The prospects are evident, as well as the need to identify weakness and highlight the strengths of the different approaches. In order to verify if mobile devices and other gadgets are able to assess balance, four electronic databases were searched from their inception to February 2019. Studies reporting the use of inertial sensors on mobile and other gadgets to assess balance in healthy adults, compared to other evaluation methods were included. The quality of the nine studies selected was assessed and the current protocols often used were summarized. Most studies did not provide enough information about their assessment protocols, limiting the reproducibility and the reliability of the results. Data gathered from the studies did not allow us to conclude if mobile devices and other gadgets have discriminatory power (accuracy) to assess postural balance. Although the approach is promising, the overall quality of the available studies is low to moderate.


Electronics ◽  
2020 ◽  
Vol 9 (3) ◽  
pp. 528 ◽  
Author(s):  
Vasco Ponciano ◽  
Ivan Miguel Pires ◽  
Fernando Reinaldo Ribeiro ◽  
Gonçalo Marques ◽  
Nuno M. Garcia ◽  
...  

The number of older adults is increasing worldwide, and it is expected that by 2050 over 2 billion individuals will be more than 60 years old. Older adults are exposed to numerous pathological problems such as Parkinson’s disease, amyotrophic lateral sclerosis, post-stroke, and orthopedic disturbances. Several physiotherapy methods that involve measurement of movements, such as the Timed-Up and Go test, can be done to support efficient and effective evaluation of pathological symptoms and promotion of health and well-being. In this systematic review, the authors aim to determine how the inertial sensors embedded in mobile devices are employed for the measurement of the different parameters involved in the Timed-Up and Go test. The main contribution of this paper consists of the identification of the different studies that utilize the sensors available in mobile devices for the measurement of the results of the Timed-Up and Go test. The results show that mobile devices embedded motion sensors can be used for these types of studies and the most commonly used sensors are the magnetometer, accelerometer, and gyroscope available in off-the-shelf smartphones. The features analyzed in this paper are categorized as quantitative, quantitative + statistic, dynamic balance, gait properties, state transitions, and raw statistics. These features utilize the accelerometer and gyroscope sensors and facilitate recognition of daily activities, accidents such as falling, some diseases, as well as the measurement of the subject’s performance during the test execution.


Electronics ◽  
2020 ◽  
Vol 9 (7) ◽  
pp. 1078
Author(s):  
Ivan Miguel Pires ◽  
Nuno M. Garcia ◽  
Eftim Zdravevski

The test of physical conditions is important to treat and presents several diseases related to the movement. These diseases are mainly related to the physiotherapy and orthopedy, but it can be applied in a wide range of medical specialties. The Functional Reach Test is one of the most common physical tests used to measure the limit of stability that is highly important for older adults because their stability is reduced with aging. Thus, older adults are part of the population more exposed to stroke. This test may help in the measurement of the conditions related to post-stroke and stroke treatment. The movements related to this test may be recorded and recognized with the inertial sensors available in off-the-shelf mobile devices. This systematic review aims to determine how to determine the conditions related to this test, which can be detected, and which of the sensors are used for this purpose. The main contribution of this paper is to present the research on the state-of-the-art use of sensors available on off-the-shelf mobile devices to measure Functional Reach Test results. This research shows that the sensors that are used in the literature studies are inertial sensors and force sensors. The features extracted from the different studies are categorized as dynamic balance, quantitative, and raw statistics. These features are mainly used to recognize the different parameters of the test, and several accidents, including falling. The execution of this test may allow the early detection of different diseases.


Author(s):  
Nuri Kim ◽  
Kangmi Kim ◽  
Jeongeun Lee ◽  
Hakyeong Lee ◽  
Yuri Cha

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Ive Weygers ◽  
Manon Kok ◽  
Thomas Seel ◽  
Darshan Shah ◽  
Orçun Taylan ◽  
...  

AbstractSkin-attached inertial sensors are increasingly used for kinematic analysis. However, their ability to measure outside-lab can only be exploited after correctly aligning the sensor axes with the underlying anatomical axes. Emerging model-based inertial-sensor-to-bone alignment methods relate inertial measurements with a model of the joint to overcome calibration movements and sensor placement assumptions. It is unclear how good such alignment methods can identify the anatomical axes. Any misalignment results in kinematic cross-talk errors, which makes model validation and the interpretation of the resulting kinematics measurements challenging. This study provides an anatomically correct ground-truth reference dataset from dynamic motions on a cadaver. In contrast with existing references, this enables a true model evaluation that overcomes influences from soft-tissue artifacts, orientation and manual palpation errors. This dataset comprises extensive dynamic movements that are recorded with multimodal measurements including trajectories of optical and virtual (via computed tomography) anatomical markers, reference kinematics, inertial measurements, transformation matrices and visualization tools. The dataset can be used either as a ground-truth reference or to advance research in inertial-sensor-to-bone-alignment.


Sensors ◽  
2021 ◽  
Vol 21 (12) ◽  
pp. 4033
Author(s):  
Peng Ren ◽  
Fatemeh Elyasi ◽  
Roberto Manduchi

Pedestrian tracking systems implemented in regular smartphones may provide a convenient mechanism for wayfinding and backtracking for people who are blind. However, virtually all existing studies only considered sighted participants, whose gait pattern may be different from that of blind walkers using a long cane or a dog guide. In this contribution, we present a comparative assessment of several algorithms using inertial sensors for pedestrian tracking, as applied to data from WeAllWalk, the only published inertial sensor dataset collected indoors from blind walkers. We consider two situations of interest. In the first situation, a map of the building is not available, in which case we assume that users walk in a network of corridors intersecting at 45° or 90°. We propose a new two-stage turn detector that, combined with an LSTM-based step counter, can robustly reconstruct the path traversed. We compare this with RoNIN, a state-of-the-art algorithm based on deep learning. In the second situation, a map is available, which provides a strong prior on the possible trajectories. For these situations, we experiment with particle filtering, with an additional clustering stage based on mean shift. Our results highlight the importance of training and testing inertial odometry systems for assisted navigation with data from blind walkers.


Hand ◽  
2021 ◽  
pp. 155894472110146
Author(s):  
Francisco R. Avila ◽  
Rickey E. Carter ◽  
Christopher J. McLeod ◽  
Charles J. Bruce ◽  
Davide Giardi ◽  
...  

Background Wearable devices and sensor technology provide objective, unbiased range of motion measurements that help health care professionals overcome the hindrances of protractor-based goniometry. This review aims to analyze the accuracy of existing wearable sensor technologies for hand range of motion measurement and identify the most accurate one. Methods We performed a systematic review by searching PubMed, CINAHL, and Embase for studies evaluating wearable sensor technology in hand range of motion assessment. Keywords used for the inquiry were related to wearable devices and hand goniometry. Results Of the 71 studies, 11 met the inclusion criteria. Ten studies evaluated gloves and 1 evaluated a wristband. The most common types of sensors used were bend sensors, followed by inertial sensors, Hall effect sensors, and magnetometers. Most studies compared wearable devices with manual goniometry, achieving optimal accuracy. Although most of the devices reached adequate levels of measurement error, accuracy evaluation in the reviewed studies might be subject to bias owing to the use of poorly reliable measurement techniques for comparison of the devices. Conclusion Gloves using inertial sensors were the most accurate. Future studies should use different comparison techniques, such as infrared camera–based goniometry or virtual motion tracking, to evaluate the performance of wearable devices.


2021 ◽  
pp. 036354652199870
Author(s):  
Mark Matthews ◽  
William Johnston ◽  
Chris M. Bleakley ◽  
Richard J. Davies ◽  
Alan T. Rankin ◽  
...  

Background: Sports-related concussion is a worldwide problem. There is a concern that an initial concussion can cause prolonged subclinical disturbances to sensorimotor function that increase the risk of subsequent injury. The primary aim of this study was to examine whether a history of sports-related concussion has effects on static and dynamic balance performance in adolescent rugby players. Hypothesis: Dynamic balance would be worse in players with a history of concussion compared with those with no history of concussion. Study Design: Cross-sectional study; Level of evidence, 3. Methods: Male adolescent rugby players aged 14 to 18 years from 5 schools were recruited before the start of the 2018-2019 playing season. Participants completed questionnaires and physical tests, including dynamic Y balance and single-leg static balance (eyes closed) tests, while performing single and dual tasks. Dynamic balance was assessed using inertial sensor instrumentation. Dependent variables were normalized reach distance and the sample entropy (SEn) of the 3 axes ( x, y, and z). Results: Of the 195 participants, 100 reported a history of concussion. Those with a history of concussion demonstrated higher SEn in all directions, with highest values during anterior (standardized mean difference [SMD], 0.4; 95% CI, 0.0-0.7; P = .027) and posteromedial (SMD, 0.5; 95% CI, 0.2-0.9; P = .004) reach directions compared with those with no history. There was no difference between groups (concussion history vs control) in traditional Y balance reach distances in the anterior or posteromedial directions or single-leg static balance during both single- ( P = .47) and dual-task ( P = .67) conditions. Conclusion: Adolescent rugby union athletes with a history of concussion had poorer dynamic balance during performance tasks compared with healthy controls. Static single-leg balance tests, either single or dual task, may not be sensitive enough to detect sensorimotor deficits in those with a history of concussion.


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