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Agreement between a body-mounted inertial sensors system and subjective observational analysis when evaluating lameness degree and diagnostic analgesia response in horses with forelimb lameness

机译:车身惯性传感器系统与评估前肢la足马的la足程度和诊断镇痛反应时的主观观察分析之间的一致性

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In 24 horses a lameness was assessed on the straight line before and after diagnostic anaesthesia by a body-mounted inertial sensor systems (BMISS) and by two experience veterinarians. For further studies video clips test unit (n =101) of all the trials were used. The lameness evaluators were blinded from the results of the BMISS. The inter-observers agreement and agreement of lameness evaluation between BMISS and observers were classified into 3 categories; 1) right forelimb lameness or right forelimb lameness greater than left forelimb lameness, 2) left forelimb lameness or left forelimb lameness greater than right forelimb lameness, and 3) sound or equal right and left forelimb lameness. Kappa statistic (kappa), percentage of inter-observers agreement and between BMISS and subjective system (examiners opinion) are reported. The response of anaesthesia agreement was determined by 6 categories between body-mounted inertial sensors system and high experienced observers. This data were analyzed by calculation of the Kendall'tau (b) test. Inter-observer agreement was almost perfect in the clinicians group who assessed the horses in live clinical situation; moderate in the high and in the moderate experienced group and fair in the interns group in video without sound assessment for 85% (kappa =0.89), 73% (kappa = 0.53), 69% (kappa = 0.44) and 61% (kappa = 29) respectively. The detection agreement between objective (BMISS) and subjective assessment was highest for experienced observers in live clinical situation 79% (kappa=0.58). In video assessment this agreement was moderate for experienced, 74% (kappa = 0.52), and moderate experienced veterinarians 70% (kappa=0.48) but fair for the group of interns 67% (kappa=0.40). The average agreement of lameness improvement after anaesthesia between a BMISS and high experienced observers was moderate [T(b)Value = 0.291]. In conclusion, this study supported that the visual lameness detection depends on the experience of the observer. Results of lameness evaluation of horses with a BMISS and subjective lameness evaluation had moderate agreement of lameness detection and had moderate agreement of lameness improvement after anaesthesia even in experienced observers. This system is a practical and useful tool for the objective lameness detection and can help to prove the effects of regional or joint anaesthesia in horses in clinical situation.
机译:在24匹马中,通过安装在身体上的惯性传感器系统(BMISS)和两名经验丰富的兽医,在诊断麻醉前后对after行进行了评估。为了进行进一步的研究,使用了所有试验的视频剪辑测试单元(n = 101)。 la行评估者对BMISS的结果视而不见。观察者之间的协议和BMISS与观察者之间的la行评估协议分为三类。 1)右前肢la行或右前肢la行大于左前肢la行; 2)左前肢la行或左前肢la行大于右前肢la行; 3)左右前肢la行或相等。报告了Kappa统计量(kappa),观察员之间达成共识的百分比以及BMISS与主观系统之间的比率(审查员的意见)。全身麻醉惯性传感器系统和经验丰富的观察者之间的6个类别决定了麻醉协议的响应。通过计算Kendall'tau(b)检验来分析该数据。在评估现场临床情况下的马匹的临床医生小组中,观察员之间的协议几乎是完美的。在没有声音评估的视频中,高中级和中级经验丰富的小组中的中等水平,实习生小组中的中等水平,分别为85%(kappa = 0.89),73%(kappa = 0.53),69%(kappa = 0.44)和61%(kappa = 29)。客观(BMISS)与主观评估之间的检测一致性最高,对于经验丰富的现场临床观察者为79%(k = 0.58)。在视频评估中,该协议对有经验的,中等的74%(kappa = 0.52)和中等有经验的兽医为70%(kappa = 0.48)是适中的,但对于实习生的这一比例是67%(kappa = 0.40)。 BMISS和经验丰富的观察者麻醉后after行改善的平均一致性为中度[T(b)值= 0.291]。总之,这项研究支持视觉la行检测取决于观察者的经验。进行BMISS评估的la行评估结果和主观la行评估结果表明,即使是经验丰富的观察员,麻醉后moderate行检测的程度也中等,麻醉后improvement行改善的程度也达到中等。该系统是用于客观la行检测的实用工具,可以帮助证明在临床情况下区域麻醉或联合麻醉对马的效果。

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