Inertial measurement unit compared to an optical motion capturing system in post-stroke individuals with foot-drop syndrome / François Feuvrier in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 195-201 Titre : Inertial measurement unit compared to an optical motion capturing system in post-stroke individuals with foot-drop syndrome Type de document : texte imprimé Auteurs : François Feuvrier ; Benoît Sijobert ; Christine Azevedo ; Karolina Griffiths ; Sandrine Alonso ; Arnaud Dupeyron ; Isabelle Laffont ; Jérôme Froger Année de publication : 2020 Article en page(s) : p. 195-201 Note générale : doi.org/10.1016/j.rehab.2019.03.007 Langues : Anglais (eng) Mots-clés : Inertial measurement unit  Kinematic parameters  Foot-drop  Stroke  Functional electrostimulation Résumé : Background Functional electrical stimulation (FES) can be used for compensation of foot-drop for post-stroke individuals by pre-programmed fixed stimulation; however, this stimulation seems no more effective than mechanical ankle foot orthoses. Objective We evaluated the metrological quality of inertial sensors for movement reconstruction as compared with the gold-standard motion capturing system, to couple FES with inertial sensors to improve dorsiflexion on the paretic side, by using an adaptive stimulation taking into account individuals’ performance post-stroke. Methods Adults with ischemic or hemorrhagic stroke presenting foot-drop and able to walk 10 m, were included from May 2016 to June 2017. Those with passive ankle dorsiflexion < 0° with the knee stretched were excluded. Synchronous gait was analyzed with the VICON© system as the gold standard and inertial measurement units (IMUs) worn by participants. The main outcome was the dorsiflexion angle at the heel strike and mid-swing phase obtained from IMUs and the VICON system. Secondary outcomes were: stride length, walking speed, maximal ankle dorsiflexion velocity and fatigue detection. Results We included 26 participants [18 males; mean age 58 (range 45–84) years]. During heel strike, the dorsiflexion angle measurements demonstrated a root mean square error (RMSE) of 5.5°; a mean average error (MAE) of 3.9°; Bland-Altman bias of − 0.1° with limits of agreement − 10.9° to + 10.7° and good intra-class correlation coefficient (ICC) at 0.87 between the 2 techniques. During the mid-swing phase, the RMSE was 5.6; MAE 3.7°; Bland-Altman bias − 0.9° with limits of agreement − 11.7° to + 9.8° and ICC 0.88. Good agreement was demonstrated for secondary outcomes and fatigue detection. Conclusions IMU-based reconstruction algorithms were effective in measuring ankle dorsiflexion with small biases and good ICCs in adults with ischemic or hemorrhagic stroke presenting foot-drop. The precision obtained is sufficient to observe the fatigue influence on the dorsiflexion and therefore to use IMUs to adapt FES. Permalink : ./index.php?lvl=notice_display&id=90795 [article] Inertial measurement unit compared to an optical motion capturing system in post-stroke individuals with foot-drop syndrome [texte imprimé] / François Feuvrier ; Benoît Sijobert ; Christine Azevedo ; Karolina Griffiths ; Sandrine Alonso ; Arnaud Dupeyron ; Isabelle Laffont ; Jérôme Froger . - 2020 . - p. 195-201. doi.org/10.1016/j.rehab.2019.03.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 195-201 Mots-clés : Inertial measurement unit  Kinematic parameters  Foot-drop  Stroke  Functional electrostimulation Résumé : Background Functional electrical stimulation (FES) can be used for compensation of foot-drop for post-stroke individuals by pre-programmed fixed stimulation; however, this stimulation seems no more effective than mechanical ankle foot orthoses. Objective We evaluated the metrological quality of inertial sensors for movement reconstruction as compared with the gold-standard motion capturing system, to couple FES with inertial sensors to improve dorsiflexion on the paretic side, by using an adaptive stimulation taking into account individuals’ performance post-stroke. Methods Adults with ischemic or hemorrhagic stroke presenting foot-drop and able to walk 10 m, were included from May 2016 to June 2017. Those with passive ankle dorsiflexion < 0° with the knee stretched were excluded. Synchronous gait was analyzed with the VICON© system as the gold standard and inertial measurement units (IMUs) worn by participants. The main outcome was the dorsiflexion angle at the heel strike and mid-swing phase obtained from IMUs and the VICON system. Secondary outcomes were: stride length, walking speed, maximal ankle dorsiflexion velocity and fatigue detection. Results We included 26 participants [18 males; mean age 58 (range 45–84) years]. During heel strike, the dorsiflexion angle measurements demonstrated a root mean square error (RMSE) of 5.5°; a mean average error (MAE) of 3.9°; Bland-Altman bias of − 0.1° with limits of agreement − 10.9° to + 10.7° and good intra-class correlation coefficient (ICC) at 0.87 between the 2 techniques. During the mid-swing phase, the RMSE was 5.6; MAE 3.7°; Bland-Altman bias − 0.9° with limits of agreement − 11.7° to + 9.8° and ICC 0.88. Good agreement was demonstrated for secondary outcomes and fatigue detection. Conclusions IMU-based reconstruction algorithms were effective in measuring ankle dorsiflexion with small biases and good ICCs in adults with ischemic or hemorrhagic stroke presenting foot-drop. The precision obtained is sufficient to observe the fatigue influence on the dorsiflexion and therefore to use IMUs to adapt FES. Permalink : ./index.php?lvl=notice_display&id=90795

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

---

1 (1 - 1 / 1)