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Dual Mode Gait Sonification for Rehabilitation After Unilateral Hip Arthroplasty

机译:双模式步态超声检查用于单侧髋关节置换术后的康复

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摘要

The pattern of gait after hip arthroplasty strongly affects regeneration and quality of life. Acoustic feedback could be a supportive method for patients to improve their walking ability and to regain a symmetric and steady gait. In this study, a new gait sonification method with two different modes—real-time feedback (RTF) and instructive model sequences (IMS)—is presented. The impact of the method on gait symmetry and steadiness of 20 hip arthroplasty patients was investigated. Patients were either assigned to a sonification group (SG) (n = 10) or a control group (CG) (n = 10). All of them performed 10 gait training sessions (TS) lasting 20 min, in which kinematic data were measured using an inertial sensor system. Results demonstrate converging step lengths of the affected and unaffected leg over time in SG compared with a nearly parallel development of both legs in CG. Within the SG, a higher variability of stride length and stride time was found during the RTF training mode in comparison to the IMS mode. Therefore, the presented dual mode method provides the potential to support gait rehabilitation as well as home-based gait training of orthopedic patients with various restrictions.
机译:髋关节置换术后的步态模式强烈影响再生和生活质量。声音反馈可能是患者改善步行能力并恢复对称和稳定步态的支持方法。在这项研究中,提出了一种具有两种不同模式的新型步态超音波方法-实时反馈(RTF)和指导性模型序列(IMS)。研究了该方法对20例髋关节置换患者步态对称性和稳定性的影响。将患者分为超声组(SG)(n = 10)或对照组(CG)(n = 10)。他们全部进行了10次步态训练,持续20分钟,其中使用惯性传感器系统测量了运动学数据。结果表明,与CG中两条腿几乎平行发展相比,SG中受影响和未受影响的腿随着时间逐渐收敛。与IMS模式相比,在SG内部,在RTF训练模式下发现步幅长度和步幅时间具有更高的可变性。因此,提出的双模式方法为支持具有各种限制条件的骨科患者的步态康复以及基于家庭的步态训练提供了潜力。

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