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Kinematic Analysis of 360° Turning in Stroke Survivors Using Wearable Motion Sensors

Background: A stroke often bequeaths surviving patients with impaired neuromusculoskeletal systems subjecting them to increased risk of injury (e.g., due to falls) even during activities of daily living. The risk of injuries to such individuals can be related to alterations in their movement. Using...

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Autores principales: Abdollahi, Masoud, Kuber, Pranav Madhav, Shiraishi, Michael, Soangra, Rahul, Rashedi, Ehsan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8749703/
https://www.ncbi.nlm.nih.gov/pubmed/35009931
http://dx.doi.org/10.3390/s22010385
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author Abdollahi, Masoud
Kuber, Pranav Madhav
Shiraishi, Michael
Soangra, Rahul
Rashedi, Ehsan
author_facet Abdollahi, Masoud
Kuber, Pranav Madhav
Shiraishi, Michael
Soangra, Rahul
Rashedi, Ehsan
author_sort Abdollahi, Masoud
collection PubMed
description Background: A stroke often bequeaths surviving patients with impaired neuromusculoskeletal systems subjecting them to increased risk of injury (e.g., due to falls) even during activities of daily living. The risk of injuries to such individuals can be related to alterations in their movement. Using inertial sensors to record the digital biomarkers during turning could reveal the relevant turning alterations. Objectives: In this study, movement alterations in stroke survivors (SS) were studied and compared to healthy individuals (HI) in the entire turning task due to its requirement of synergistic application of multiple bodily systems. Methods: The motion of 28 participants (14 SS, 14 HI) during turning was captured using a set of four Inertial Measurement Units, placed on their sternum, sacrum, and both shanks. The motion signals were segmented using the temporal and spatial segmentation of the data from the leading and trailing shanks. Several kinematic parameters, including the range of motion and angular velocity of the four body segments, turning time, the number of cycles involved in the turning task, and portion of the stance phase while turning, were extracted for each participant. Results: The results of temporal processing of the data and comparison between the SS and HI showed that SS had more cycles involved in turning, turn duration, stance phase, range of motion in flexion–extension, and lateral bending for sternum and sacrum (p-value < 0.035). However, HI exhibited larger angular velocity in flexion–extension for all four segments. The results of the spatial processing, in agreement with the prior method, showed no difference between the range of motion in flexion–extension of both shanks (p-value > 0.08). However, it revealed that the angular velocity of the shanks of leading and trailing legs in the direction of turn was more extensive in the HI (p-value < 0.01). Conclusions: The changes in upper/lower body segments of SS could be adequately identified and quantified by IMU sensors. The identified kinematic changes in SS, such as the lower flexion–extension angular velocity of the four body segments and larger lateral bending range of motion in sternum and sacrum compared to HI in turning, could be due to the lack of proper core stability and effect of turning on vestibular system of the participants. This research could facilitate the development of a targeted and efficient rehabilitation program focusing on the affected aspects of turning movement for the stroke community.
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spelling pubmed-87497032022-01-12 Kinematic Analysis of 360° Turning in Stroke Survivors Using Wearable Motion Sensors Abdollahi, Masoud Kuber, Pranav Madhav Shiraishi, Michael Soangra, Rahul Rashedi, Ehsan Sensors (Basel) Article Background: A stroke often bequeaths surviving patients with impaired neuromusculoskeletal systems subjecting them to increased risk of injury (e.g., due to falls) even during activities of daily living. The risk of injuries to such individuals can be related to alterations in their movement. Using inertial sensors to record the digital biomarkers during turning could reveal the relevant turning alterations. Objectives: In this study, movement alterations in stroke survivors (SS) were studied and compared to healthy individuals (HI) in the entire turning task due to its requirement of synergistic application of multiple bodily systems. Methods: The motion of 28 participants (14 SS, 14 HI) during turning was captured using a set of four Inertial Measurement Units, placed on their sternum, sacrum, and both shanks. The motion signals were segmented using the temporal and spatial segmentation of the data from the leading and trailing shanks. Several kinematic parameters, including the range of motion and angular velocity of the four body segments, turning time, the number of cycles involved in the turning task, and portion of the stance phase while turning, were extracted for each participant. Results: The results of temporal processing of the data and comparison between the SS and HI showed that SS had more cycles involved in turning, turn duration, stance phase, range of motion in flexion–extension, and lateral bending for sternum and sacrum (p-value < 0.035). However, HI exhibited larger angular velocity in flexion–extension for all four segments. The results of the spatial processing, in agreement with the prior method, showed no difference between the range of motion in flexion–extension of both shanks (p-value > 0.08). However, it revealed that the angular velocity of the shanks of leading and trailing legs in the direction of turn was more extensive in the HI (p-value < 0.01). Conclusions: The changes in upper/lower body segments of SS could be adequately identified and quantified by IMU sensors. The identified kinematic changes in SS, such as the lower flexion–extension angular velocity of the four body segments and larger lateral bending range of motion in sternum and sacrum compared to HI in turning, could be due to the lack of proper core stability and effect of turning on vestibular system of the participants. This research could facilitate the development of a targeted and efficient rehabilitation program focusing on the affected aspects of turning movement for the stroke community. MDPI 2022-01-05 /pmc/articles/PMC8749703/ /pubmed/35009931 http://dx.doi.org/10.3390/s22010385 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Abdollahi, Masoud
Kuber, Pranav Madhav
Shiraishi, Michael
Soangra, Rahul
Rashedi, Ehsan
Kinematic Analysis of 360° Turning in Stroke Survivors Using Wearable Motion Sensors
title Kinematic Analysis of 360° Turning in Stroke Survivors Using Wearable Motion Sensors
title_full Kinematic Analysis of 360° Turning in Stroke Survivors Using Wearable Motion Sensors
title_fullStr Kinematic Analysis of 360° Turning in Stroke Survivors Using Wearable Motion Sensors
title_full_unstemmed Kinematic Analysis of 360° Turning in Stroke Survivors Using Wearable Motion Sensors
title_short Kinematic Analysis of 360° Turning in Stroke Survivors Using Wearable Motion Sensors
title_sort kinematic analysis of 360° turning in stroke survivors using wearable motion sensors
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8749703/
https://www.ncbi.nlm.nih.gov/pubmed/35009931
http://dx.doi.org/10.3390/s22010385
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