关键词: Accelerometry Accessibility Balance Fall risk

Mesh : Humans Aged Algorithms Postural Balance Accelerometry / methods Physical Examination Health Status

来  源:   DOI:10.1007/s40520-023-02503-x   PDF(Pubmed)

Abstract:
Accelerometers provide an opportunity to expand standing balance assessments outside of the laboratory. The purpose of this narrative review is to show that accelerometers are accurate, objective, and accessible tools for balance assessment. Accelerometry has been validated against current gold standard technology, such as optical motion capture systems and force plates. Many studies have been conducted to show how accelerometers can be useful for clinical examinations. Recent studies have begun to apply classification algorithms to accelerometry balance measures to discriminate populations at risk for falls. In addition to healthy older adults, accelerometry can monitor balance in patient populations such as Parkinson\'s disease, multiple sclerosis, and traumatic brain injury. The lack of software packages or easy-to-use applications have hindered the shift into the clinical space. Lack of consensus on outcome metrics has also slowed the clinical adoption of accelerometer-based balance assessments. Future studies should focus on metrics that are most helpful to evaluate balance in specific populations and protocols that are clinically efficacious.
摘要:
加速计提供了在实验室之外扩展常备平衡评估的机会。这篇叙述性综述的目的是证明加速度计是准确的,目标,和可访问的平衡评估工具。加速度测量已根据当前的黄金标准技术进行了验证,如光学运动捕捉系统和测力板。已经进行了许多研究以显示加速度计如何可用于临床检查。最近的研究已经开始将分类算法应用于加速度平衡测量,以区分有跌倒风险的人群。除了健康的老年人,加速度计可以监测患者群体的平衡,如帕金森病,多发性硬化症,和创伤性脑损伤。缺乏软件包或易于使用的应用程序阻碍了向临床领域的转移。对结果指标缺乏共识也减缓了基于加速度计的平衡评估的临床采用。未来的研究应该集中在最有助于评估特定人群平衡的指标和临床有效的方案上。
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