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Computerized Functional Reach Test to Measure Balance Stability in Elderly Patients With Neurological Disorders

机译:计算机功能伸手可及的距离测试,以测量老年神经系统疾病患者的平衡稳定性

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Background: The ability to maintain static and dynamic balance is a prerequisite for safe walking and for obtaining functional mobility. For this reason, a reliable and valid means of screening for risk of falls is needed. The functional reach test (FRT) is used in many countries, yet it does not provide some kinematic parameters such as shoulder or pelvic girdles translation. The purpose was to analyze video records measuring of distance, velocity, time length, arm direction and girdles translation while doing FRT.Methods: A cross-sectional, descriptive study was conducted where the above variables were correlated to the mini-mental state examination (MMSE) for mental status and the Tinetti balance assessment test, which have been validated, in order to computerize the FRT (cFRT) for elderly patients with neurological disorders. Eighty patients were tested and 54 were eligible to serve as experimental group. The patients underwent the MMSE, the Tinetti test and the FRT. LAB view software was used to record the FRT performances and to process the videos. The control group consisted of 51 healthy subjects who had been previously tested.Results: The experimental group was not able to perform the tests as well as the healthy control subjects. The video camera provided valuable kinematic results such as bending down while performing the forward reach test.Conclusions: Instead of manual measurement, we proposed to use a cheap with fair resolution web camera to accurately estimate the FRT. The kinematic parameters were correlated with Tinetti and MMSE scores. The performance values established in this study indicate that the cFRT is a reliable and valid assessment, which provides more accurate data than “manual” test about functional reach.J Clin Med Res. 2016;8(10):715-720doi: http://dx.doi.org/10.14740/jocmr2652w
机译:背景:保持静态和动态平衡的能力是安全行走和获得功能灵活性的前提。因此,需要一种可靠且有效的筛查跌倒风险的方法。功能覆盖率测试(FRT)已在许多国家/地区使用,但并未提供某些运动学参数,例如肩膀或骨盆带平移。目的是分析在进行FRT时测量距离,速度,时间长度,手臂方向和腰带平移的视频记录。方法:进行横断面,描述性研究,其中上述变量与迷你心理状态检查相关( MMSE)的精神状态和Tinetti平衡评估测试已通过验证,以便将老年神经病患者的FRT(cFRT)计算机化。测试了80位患者,其中54位符合资格成为实验组。患者接受了MMSE,Tinetti测试和FRT。 LAB View软件用于记录FRT的性能并处理视频。对照组包括51名先前接受过测试的健康受试者。结果:实验组无法像健康对照组那样进行测试。该摄像机提供了有价值的运动学结果,例如在执行前伸距离测试时弯腰。结论:我们建议使用便宜的具有公平分辨率的网络摄像机代替手动测量来准确估算FRT。运动学参数与Tinetti和MMSE分数相关。在这项研究中建立的性能值表明,cFRT是一种可靠且有效的评估,它提供的功能性覆盖范围要比“手动”测试提供更准确的数据。JClin Med Res。 2016; 8(10):715-720doi:http://dx.doi.org/10.14740/jocmr2652w

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