Assessing lower limb angles from sagittal plane images captured with a smartphone for post-stroke gait.

BACKGROUND: Clinical gait analysis of sagittal plane lower-limb kinematics using video images is a quantitative tool for clinicians. However, the reliability and validity of limb kinematics after stroke using video images has not been fully investigated. OBJECTIVE: This study aimed to examine the wi...

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Publicado en:Physiotherapy Practice & Research Vol. 44; no. 2; pp. 69 - 78
Autores principales: Kitaji, Yu, Sato, Haruhiko, Ishida, Shinnosuke, Harashima, Hiroaki, Miyano, Satoshi
Formato: pictorial research tables/charts Journal Article
Publicado: Sage Publications Inc. 2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2023
      vid: 44
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/PPR-230739
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        atl: Assessing lower limb angles from sagittal plane images captured with a smartphone for post-stroke gait.
      aug:
        au:
          Kitaji, Yu
          Sato, Haruhiko
          Ishida, Shinnosuke
          Harashima, Hiroaki
          Miyano, Satoshi
        affil: Department of Rehabilitation, Tokyo General Hospital, Tokyo, Japan
      sug:
        subj:
          Lower Extremity
          Gait Analysis
          Videorecording
          Smartphone Utilization
          Stroke Patients Evaluation
          Kinematics Evaluation
          Human
          Cross Sectional Studies
          Nonexperimental Studies
          Validation Studies
          Interrater Reliability
          Criterion-Related Validity
          Intraclass Correlation Coefficient
          Pearson's Correlation Coefficient
          Confidence Intervals
          Pilot Studies
      ab: BACKGROUND: Clinical gait analysis of sagittal plane lower-limb kinematics using video images is a quantitative tool for clinicians. However, the reliability and validity of limb kinematics after stroke using video images has not been fully investigated. OBJECTIVE: This study aimed to examine the within-session inter-rater reliability and criterion-related validity of lower limb angles measured in sagittal plane images captured using a smartphone for assessing post-stroke gait and to determine which asymmetric parameters are associated with faster gait velocity. METHODS: Thirty-two patients with stroke were included; video images were recorded as they walked at their preferred pace for 1–3 cycles. Lower limb angles (contact, push-off, and excursion angles) and degree of asymmetry were determined based on video images using markers of acromion, greater trochanter, and fifth metatarsal head. Measurement reliability was calculated using the two-way random effects model of intraclass correlation coefficients and minimal detectable change. The criterion validity investigated Pearson's correlation between lower limb angles and their asymmetry and gait velocity. RESULTS: The lower value of the 95% confidence interval of intraclass correlation coefficients (2.3) of the lower limb was 0.891, and the maximum minimal detectable change was 9.6 degrees. Push-off angle showed a moderate-to-strong correlation with gait velocity, whereas the asymmetry of the push-off angle showed a weak correlation with gait velocity. CONCLUSIONS: Assessing post-stroke gait utilizing video images using a smartphone is feasible. The push-off angle, in particular, may provide insight into the clinical assessment of post-stroke gait.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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