Validity and reliability of inertial measurement units on gait, static balance and functional mobility performance among community-dwelling older adults: a systematic review and meta-analysis.

IF 4 2区 医学 Q1 ORTHOPEDICS Efort Open Reviews Pub Date : 2025-04-01 DOI:10.1530/EOR-2024-0088
Lulu Yin, Xin Xu, Ruiyan Wang, Feifei Li, Yushan Wang, Lin Wang
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Abstract

Purpose: This systematic review and meta-analysis investigated validity and test-retest reliability of inertial measurement units (IMUs) in gait metrics, static balance and functional mobility performance in community-dwelling older adults.

Methods: Spatiotemporal/biomechanical outcomes were meta-analyzed using intraclass correlation coefficients (ICCs) or Pearson correlation coefficients (r) for validity and reliability, respectively.

Results: In our systematic review of 56 articles and meta-analysis of 38 articles, the included studies varied in quality from low-to-moderate. During validity analysis, IMU-derived metrics, including walking speed, cadence, step/stride time, step time variability, step/stride length and duration of sit-to-stand (STS) test/timed up, and go test (TUGT) exhibited excellent (ICCs) or good-to-excellent (r values) agreement with gold standards. In terms of reliability, excellent test-retest consistency was found for walking speed, cadence, step/stride time, stance/swing time, step/stride length during gait, individual STS duration, TUGT duration and walking speed during the 6-min walk test.

Conclusions: Due to consistently high levels of validity and reliability, the present study supported the use of IMUs for measuring gait spatiotemporal outcomes. However, caution was advised when applying spatiotemporal variability and symmetry metrics. In addition, characterized by moderate-to-good validity and reliability, current review provides evidence of a neutral nature regarding the utilization of IMUs for static balance and functional mobility performance.

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惯性测量单元对社区老年人步态、静态平衡和功能活动表现的有效性和可靠性:一项系统综述和荟萃分析。
目的:本系统综述和荟萃分析调查了惯性测量单元(IMU)在社区老年人步态度量、静态平衡和功能性移动表现中的有效性和测试-再测可靠性:采用类内相关系数(ICC)或皮尔逊相关系数(r)分别对时空/生物力学结果的有效性和可靠性进行元分析:在我们对 56 篇文章进行的系统综述和对 38 篇文章进行的荟萃分析中,纳入的研究质量从低到中等不等。在效度分析中,IMU 得出的指标,包括步行速度、步幅、步/跨步时间、步时间变异性、步/跨步长度以及坐立(STS)测试/定时起立和走动测试(TUGT)的持续时间,与黄金标准的吻合度(ICCs)为优秀或良好至优秀(r 值)。在可靠性方面,步行速度、步幅、步/跨步时间、站立/摆动时间、步态中的步/跨步长度、个人 STS 持续时间、TUGT 持续时间和 6 分钟步行测试中的步行速度的测试-重复一致性极佳:本研究支持使用 IMUs 测量步态时空结果,因为其有效性和可靠性始终保持在较高水平。不过,在应用时空变异性和对称性指标时应谨慎。此外,目前的综述以中度到良好的有效性和可靠性为特点,提供了关于使用 IMU 进行静态平衡和功能性移动表现的中性证据。
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来源期刊
Efort Open Reviews
Efort Open Reviews Medicine-Orthopedics and Sports Medicine
CiteScore
6.60
自引率
2.90%
发文量
101
审稿时长
13 weeks
期刊介绍: EFORT Open Reviews publishes high-quality instructional review articles across the whole field of orthopaedics and traumatology. Commissioned, peer-reviewed articles from international experts summarize current knowledge and practice in orthopaedics, with the aim of providing systematic coverage of the field. All articles undergo rigorous scientific editing to ensure the highest standards of accuracy and clarity. This continuously published online journal is fully open access and will provide integrated CME. It is an authoritative resource for educating trainees and supports practising orthopaedic surgeons in keeping informed about the latest clinical and scientific advances. One print issue containing a selection of papers from the journal will be published each year to coincide with the EFORT Annual Congress. EFORT Open Reviews is the official journal of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) and is published in partnership with The British Editorial Society of Bone & Joint Surgery.
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