Simple Video-Based Spatiotemporal Gait Analysis Is Not Better than Subjective Visual Assessment of Lameness in Dogs

VCOT Open Pub Date : 2021-01-01 DOI:10.1055/s-0041-1731437
Julie H. Møller, A. Vitger, H. Poulsen, J. Miles
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引用次数: 2

Abstract

Abstract Introduction Visual gait analysis is prone to subjectivity, but objective analysis systems are not widely available to clinicians. Simple video analysis using high-definition recordings might enable identification of temporal or spatial variations that could permit objective and repeatable assessments of lameness in general practice. Methods Cohorts of normal and mildly to moderately lame dogs were filmed using a standardized protocol. Using freely available software, measurements of stance, swing and stride time were obtained, along with measurements of pelvic, shoulder, and head height for each limb. Symmetry ratios were calculated, and distributions of normal and lame dogs compared using Mann–Whitney U test and Kruskal–Wallis test. Results Recordings from 35 normal dogs were assessed along with 30 dogs with grade 1 to 3/5 lameness. While no consistent significant differences in temporal characteristics could be found, head height asymmetry was significantly different between lame and normal dogs (p = 0.003), with pairwise comparison showing this difference was restricted to forelimb-lame dogs (p = 0.03). Conclusion While potentially useful for patient records, use of video recordings at walking speeds for simple spatiotemporal gait analysis does not appear to offer clinically significant advantages over visual gait analysis in a typical clinical population of lame dogs.
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简单的基于视频的时空步态分析并不比主观视觉评价更好
视觉步态分析容易产生主观性,但客观分析系统尚未广泛应用于临床医生。使用高清录像进行简单的视频分析,可能有助于确定时间或空间变化,从而在一般实践中对跛行进行客观和可重复的评估。方法采用标准化方法对正常和轻度至中度跛狗进行拍摄。使用免费软件,测量姿态、摆动和跨步时间,以及测量骨盆、肩膀和每个肢体的头部高度。计算对称比,用Mann-Whitney U检验和Kruskal-Wallis检验比较正常犬和瘸腿犬的分布。结果对35只正常犬和30只1 ~ 3/5级跛行犬的记录进行评估。虽然在时间特征上没有发现一致的显著差异,但跛足犬和正常犬的头部高度不对称存在显著差异(p = 0.003),两两比较显示这种差异仅限于前肢跛足犬(p = 0.03)。结论:虽然对患者记录可能有用,但在典型的跛狗临床人群中,使用步行速度的视频记录进行简单的时空步态分析似乎没有比视觉步态分析提供临床显着优势。
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