1
|
Phuaklikhit C, Junsri T, Maikaew U. The correlation of centre of mass evaluation utilising accelerometry-based measurement and the clinical dynamic balance test in professional football athletes with chronic ankle instability. Heliyon 2023; 9:e17318. [PMID: 37360085 PMCID: PMC10285244 DOI: 10.1016/j.heliyon.2023.e17318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 06/13/2023] [Accepted: 06/13/2023] [Indexed: 06/28/2023] Open
Abstract
Background Similar to a modified star excursion balance test, the Y-balance test is recommended for use in clinical settings to evaluate dynamic balance, particularly in athletes with chronic ankle instability. However, due to the testing errors, there are certain restrictions. As a result, the modification of the centre of mass tracking system was developed in order to aid in the detection of the ability to control the dynamic balance. Therefore, the purpose of this study was to correlate the usage of an accelerometer for the shifting of the centre of mass during a dynamic balance test with a Y-balance test reach distance score. Methodology Forty professional football athletes with CAI participated in this study by performing the Y-balance test three times while wearing an accelerometer. The jerk, RMS sway amplitude, mean velocity from the time domain, and the normalised reach distance scores of the Y-balance test in the anterior, posteromedial, and posterolateral directions were all collected. Results There was a strong positive correlation of jerk and RMS sway amplitude with the normalised reach distance scores in the posteromedial direction (r = 0.706 and 0.777, respectively), a moderate positive correlation of jerk and RMS sway amplitude with the normalised reach distance scores in the posterolateral direction (r = 0.609 and 0.606, respectively), a moderate positive correlation of jerk and RMS sway amplitude with the composite reach distance scores (r = 0.531 and 0.573, respectively) and significant differences in the posteromedial, posterolateral and overall directions (p-value < 0.001). Conclusion These findings indicate that the area of the centre of mass shifting as represented by the accelerometer can disclose the body's ability to control the centre of mass over the base of support when the body is moving. Furthermore, in this study, the RMS sway variable in the posteromedial direction appears to be the most prominent.
Collapse
Affiliation(s)
- Chairat Phuaklikhit
- Balance and Movement Research Unit, Faculty of Physical Therapy and Sports Medicine, Rangsit University, Thailand
- Sports Excellent Unit, Faculty of Physical Therapy and Sports Medicine, Rangsit University, Thailand
| | - Thanwarat Junsri
- Sports Excellent Unit, Faculty of Physical Therapy and Sports Medicine, Rangsit University, Thailand
| | - Usa Maikaew
- Faculty of Physical Therapy and Sports Medicine, Rangsit University, Thailand
| |
Collapse
|
2
|
Mohan DM, Khandoker AH, Wasti SA, Ismail Ibrahim Ismail Alali S, Jelinek HF, Khalaf K. Assessment Methods of Post-stroke Gait: A Scoping Review of Technology-Driven Approaches to Gait Characterization and Analysis. Front Neurol 2021; 12:650024. [PMID: 34168608 PMCID: PMC8217618 DOI: 10.3389/fneur.2021.650024] [Citation(s) in RCA: 48] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Accepted: 05/07/2021] [Indexed: 12/26/2022] Open
Abstract
Background: Gait dysfunction or impairment is considered one of the most common and devastating physiological consequences of stroke, and achieving optimal gait is a key goal for stroke victims with gait disability along with their clinical teams. Many researchers have explored post stroke gait, including assessment tools and techniques, key gait parameters and significance on functional recovery, as well as data mining, modeling and analyses methods. Research Question: This study aimed to review and summarize research efforts applicable to quantification and analyses of post-stroke gait with focus on recent technology-driven gait characterization and analysis approaches, including the integration of smart low cost wearables and Artificial Intelligence (AI), as well as feasibility and potential value in clinical settings. Methods: A comprehensive literature search was conducted within Google Scholar, PubMed, and ScienceDirect using a set of keywords, including lower extremity, walking, post-stroke, and kinematics. Original articles that met the selection criteria were included. Results and Significance: This scoping review aimed to shed light on tools and technologies employed in post stroke gait assessment toward bridging the existing gap between the research and clinical communities. Conventional qualitative gait analysis, typically used in clinics is mainly based on observational gait and is hence subjective and largely impacted by the observer's experience. Quantitative gait analysis, however, provides measured parameters, with good accuracy and repeatability for the diagnosis and comparative assessment throughout rehabilitation. Rapidly emerging smart wearable technology and AI, including Machine Learning, Support Vector Machine, and Neural Network approaches, are increasingly commanding greater attention in gait research. Although their use in clinical settings are not yet well leveraged, these tools promise a paradigm shift in stroke gait quantification, as they provide means for acquiring, storing and analyzing multifactorial complex gait data, while capturing its non-linear dynamic variability and offering the invaluable benefits of predictive analytics.
Collapse
Affiliation(s)
- Dhanya Menoth Mohan
- Department of Biomedical Engineering, Health Engineering Innovation Center (HEIC), Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Ahsan Habib Khandoker
- Department of Biomedical Engineering, Health Engineering Innovation Center (HEIC), Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Sabahat Asim Wasti
- Neurological Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - Sarah Ismail Ibrahim Ismail Alali
- Department of Biomedical Engineering, Health Engineering Innovation Center (HEIC), Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Herbert F Jelinek
- Department of Biomedical Engineering, Health Engineering Innovation Center (HEIC), Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| | - Kinda Khalaf
- Department of Biomedical Engineering, Health Engineering Innovation Center (HEIC), Khalifa University of Science and Technology, Abu Dhabi, United Arab Emirates
| |
Collapse
|
3
|
Nunes GS, Feldkircher JM, Tessarin BM, Bender PU, da Luz CM, de Noronha M. Kinesio taping does not improve ankle functional or performance in people with or without ankle injuries: Systematic review and meta-analysis. Clin Rehabil 2020; 35:182-199. [PMID: 33081510 DOI: 10.1177/0269215520963846] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
OBJECTIVE To investigate whether Kinesio taping technique, applied to ankles of healthy people as a preventive intervention and people with ankle injuries, is superior to sham or alternative interventions on ankle function. DATA SOURCES Medline, Embase, Amed, CINAHL, SPORTDiscus, Cochrane Library and Web of Science, from inception to August 2020. REVIEW METHODS The terms "ankle" and "kinesio taping" were used in the search strategy. Included studies were randomized controlled trials (including crossover design) investigating Kinesio taping effects on ankle functional performance compared to any alternative or control/sham technique. RESULTS From 5,572 studies, 84 met the eligibility criteria which evaluated 2,684 people. Fifty-eight meta-analyses from 44 studies were performed (participants in meta-analyses ranging from 27 to 179). Fifty-one meta-analyses reported ineffectiveness of Kinesio taping: moderate evidence for star excursion balance test (anterior direction), jump distance, dorsiflexion range of motion, and plantar flexion torque for healthy people (effect size = 0.08-0.13); low to very-low evidence for balance, jump performance, range of motion, proprioception, muscle capacity and EMG for healthy people; balance for older people; and balance and jump performance for people with chronic instability. Seven meta-analyses reported results favoring Kinesio taping (effect size[95% CI]): low to very-low evidence for balance (stabilometry, ranging from 0.42[0.07-0.77] to 0.65[0.29-1.02]) and ankle inversion (0.84[0.28-1.40]) for healthy people; balance for older people (COP velocity, 0.90[0.01-1.78]); and balance for people with chronic instability (errors, 0.55[0.06-1.04]). CONCLUSIONS Current evidence does not support or encourage the use of Kinesio taping applied to the ankle for improvements in functional performance, regardless the population.
Collapse
Affiliation(s)
- Guilherme S Nunes
- Department of Physiotherapy, Federal University of Santa Maria, Santa Maria - RS, Brazil.,Sport and Exercise Medicine Research Centre, School of Allied Health, La Trobe University, Melbourne, Australia
| | - Jonatan M Feldkircher
- Department of Physiotherapy, Santa Catarina State University, Florianópolis - SC, Brazil
| | | | - Paula Urio Bender
- Department of Physiotherapy, Santa Catarina State University, Florianópolis - SC, Brazil
| | | | - Marcos de Noronha
- Rural Department of Allied Health, La Trobe University, Bendigo, Victoria, Australia
| |
Collapse
|
4
|
Liao LY, He XH, Li XZ, Ge YL, Gao Q. Effects of kinesiology taping on trunk function, balance, and mobility in stroke patients: a pilot feasibility study. J Phys Ther Sci 2020; 32:359-364. [PMID: 32581426 PMCID: PMC7276777 DOI: 10.1589/jpts.32.359] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2019] [Accepted: 03/01/2020] [Indexed: 02/05/2023] Open
Abstract
[Purpose] This study aimed to explore whether trunk kinesiology taping (KT) can improve
trunk function, mobility, and balance in post-stroke patients with hemiparesis.
[Participants and Methods] We conducted a single-group pre-post design pilot feasibility
study. Thirteen individuals with post-stroke hemiplegia were recruited for this study. All
patients received therapeutic trunk KT on the skin, representing the direction of fibres
of the trunk muscles underneath. We used the Trunk Impairment Scale (TIS) and Trunk
Control Test (TCT) to measure trunk function, Fugl-Meyer assessment (FMA) for balance,
limits of stability (LOS) to evaluate balance, and the modified Rivermead mobility index
(MRMI) to assess mobility in post-stroke patients. All measures were assessed before and
immediately after the intervention. [Results] No adverse effects were found and all
patients completed the trial. Compared to the baseline, TIS scores were significantly
increased after KT, whereas no changes in TCT score were detected. The directional control
of LOS was significantly improved, while no significant changes were seen in the other
parameters of LOS, FMA-balance, and MRMI scores. [Conclusion] The results of this
investigation show that trunk KT has immediate effects that improve certain trunk
functional and balance parameters in stroke patients.
Collapse
Affiliation(s)
- Ling-Yi Liao
- Department of Rehabilitation Medicine, West China Hospital, Sichuan University, 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China.,Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, China
| | | | - Xi-Ze Li
- Department of Rehabilitation Medicine, West China Hospital, Sichuan University, 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China.,Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, China
| | - Yan-Lei Ge
- Department of Rehabilitation Medicine, West China Hospital, Sichuan University, 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China.,Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, China
| | - Qiang Gao
- Department of Rehabilitation Medicine, West China Hospital, Sichuan University, 37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province 610041, China.,Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, China.,Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, China
| |
Collapse
|
5
|
Yin L, Wang L. Acute Effect of Kinesiology Taping on Postural Stability in Individuals With Unilateral Chronic Ankle Instability. Front Physiol 2020; 11:192. [PMID: 32265726 PMCID: PMC7105687 DOI: 10.3389/fphys.2020.00192] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Accepted: 02/19/2020] [Indexed: 12/21/2022] Open
Abstract
Background Chronic ankle instability (CAI), which is characterized by deficient postural control, could be improved through kinesiology taping (KT). However, the effect of KT on postural control in CAI individuals is controversial. Therefore, this study aimed to investigate the acute effect of KT on postural control through computerized dynamic posturography (CDP) and self-perceived sensation in CAI individuals. Methods Participants with CAI received four different ankle treatments randomly, including KT, athletic taping (AT), sham taping (ST), and no taping (NT). A series of postural stability measurements was performed using CDP subsequently. The measurements included sensory organization test (SOT), unilateral stance (US), limit of stability (LOS), motor control test (MCT), and adaption test (ADT). In addition, self-perceived sensation was measured through visual analog scaling. Repeated measures analysis of variance was conducted to determine whether the difference among KT, AT, ST, and NT was significant; Bonferroni test was used for post hoc analysis. Results No significant difference was observed for parameters in SOT, US, and LOS in four different taping treatments. In MCT, the amplitude scaling scores of KT were 35.87% significantly lower than that of NT [p < 0.001, 95% confidence interval (CI) = 0.548–1.795] in forward-small slip and 21.58% significantly lower than that of ST (p = 0.035, 95% CI = 0.089–3.683) in backward-large slip. In ADT, sway energy scores were 7.59% significantly greater in ST than in AT (p = 0.028, 95% CI = −8.343 to −0.320). For perceived stability, KT was significantly greater than ST (p < 0.001, 95% CI = 0.552–1.899) and NT (p < 0.001, 95% CI = 0.797–2.534), and AT was significantly greater than ST (p = 0.001, 95% CI = 0.423–2.246) and NT (p < 0.001, 95% CI = 0.696–2.852). For perceived comfort, KT was significantly greater than AT (p = 0.001, 95% CI = 0.666–3.196) and NT (p = 0.031, 95% CI = 0.074–2.332), and ST was significantly greater than AT (p = 0.007, 95% CI = 0.349–2.931). Conclusion KT and AT have limited effect to facilitate postural control for CAI individuals during SOT, US, and LOS. However, KT and AT could provide effective support to cope with sudden perturbation in MCT and ADT. Moreover, KT provided excellent perceived stability and comfort, whereas AT provided excellent perceived stability but least comfort.
Collapse
Affiliation(s)
- Lulu Yin
- School of Kinesiology, Shanghai University of Sport, Shanghai, China
| | - Lin Wang
- School of Kinesiology, Shanghai University of Sport, Shanghai, China
| |
Collapse
|