基于惯性传感器的新型系统的可靠性和可用性,用于测试颅颈屈曲运动控制。

IF 5.2 2区 医学 Q1 ENGINEERING, BIOMEDICAL Journal of NeuroEngineering and Rehabilitation Pub Date : 2024-09-23 DOI:10.1186/s12984-024-01438-2
Elena Bocos-Corredor, Filippo Moggioli, Tomás Pérez-Fernández, Susan Armijo-Olivo, Sonia Liébana, Aitor Martín-Pintado-Zugasti
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引用次数: 0

摘要

背景:颈痛对全球影响重大,是导致残疾的第四大原因。反复发作的颈部疼痛往往会导致感觉运动控制能力受损,尤其是在颅颈屈(CFF)方面。颅颈屈曲测试(CCFT)已被广泛用于评估颈深屈肌的表现。然而,使用该方法需要熟练的评估人员,他们需要在测试过程中主观地检测代偿、运动范围(ROM)的逐渐增加或浅屈肌的过度激活。本研究旨在设计和开发一种基于惯性传感器技术和实时计算机反馈的新型颅颈屈曲运动控制测试(CFMCT),并评估其安全性和可用性,以及在健康人和颈痛患者中评分者之间和评分者内部的可靠性:我们使用惯性传感器技术和提供实时计算机反馈的新软件,通过两个独立的测试方案,即渐进连续阶段方案(包括ROM的渐进递增阶段)和随机阶段方案(提供动态和较难预测的运动模式)来评估CCF运动控制。我们确定了两个测试方案的评分者内部和评分者之间的可靠性以及测量的标准误差。通过系统可用性量表(SUS)分析了参与者对其可用性的评价,并记录了与测试相关的可能的次生效应:结果:渐进连续阶段方案和随机阶段方案均安全易用(疼痛组的 SUS 得分为 82.00 ± 11.55,无症状组的 SUS 得分为 79.56 ± 13.36)。渐进连续分期方案的评分者间可靠性良好(类内相关系数 [ICC] ≥ 0.75),评分者内部可靠性中上(ICC 0.62-0.80)。然而,随机分期方案的评分者内部可靠性较低,尤其是在颈部疼痛组,某些情况下可靠性值较差(ICC 0.48-0.72):CFMCT(渐进连续阶段方案)是评估慢性颈痛患者CCF运动控制能力的一种很有前途的工具。对于疼痛患者和无症状者来说,它似乎是一种安全可用的工具。为了将其应用于临床实践,还需要对其作为测试或运动的用途进行进一步研究。
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Reliability and usability of a novel inertial sensor-based system to test craniocervical flexion movement control.

Background: Neck pain has a significant global impact, ranking as the fourth leading cause of disability. Recurrent neck pain often leads to impaired sensorimotor control, particularly in craniocervical flexion (CFF). The Craniocervical Flexion Test (CCFT) has been widely investigated to assess the performance of deep cervical flexor muscles. However, its use requires skilled assessors who need to subjectively detect compensations, progressive increases in range of motion (ROM) or excessive superficial flexor activation during the test. The aim of this study was to design and develop a novel Craniocervical Flexion Movement Control Test (CFMCT) based on inertial sensor technology and real-time computer feedback and to evaluate its safety and usability, as well as inter and intra-rater reliability in both healthy individuals and patients with neck pain.

Methods: We used inertial sensor technology associated with new software that provides real-time computer feedback to assess CCF movement control through two independent test protocols, the progressive consecutive stages protocol (including progressive incremental stages of ROM) and the random stages protocol (providing dynamic and less predictable movement patterns). We determined intra and inter-rater reliability and standard error of the measurement for both protocols. The participants rated their usability was analysed through the System Usability Scale (SUS) and possible secondary effects associated with the tests were registered.

Results: The progressive consecutive stages protocol and the random stages protocol were safe and easy to use (SUS scores of 82.00 ± 11.55 in the pain group and 79.56 ± 13.36 in the asymptomatic group). The progressive consecutive stages protocol demonstrated good inter-rater reliability (intraclass correlation coefficient [ICC] ≥ 0.75) and moderate to good intra-rater reliability (ICC 0.62-0.80). However, the random stages protocol exhibited lower intra-rater reliability, especially in the neck pain group, where the reliability values were poor in some cases (ICC 0.48-0.72).

Conclusion: The CFMCT (progressive consecutive stages protocol) is a promising instrument to evaluate CCF motor control in patients with chronic neck pain. It has potential for telehealth assessment and easy adherence for exercise prescription and seems to be a safe and usable tool for patients with pain and asymptomatic individuals. Its use as a test or for exercise needs to be further investigated to facilitate its transfer to clinical practice.

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来源期刊
Journal of NeuroEngineering and Rehabilitation
Journal of NeuroEngineering and Rehabilitation 工程技术-工程:生物医学
CiteScore
9.60
自引率
3.90%
发文量
122
审稿时长
24 months
期刊介绍: Journal of NeuroEngineering and Rehabilitation considers manuscripts on all aspects of research that result from cross-fertilization of the fields of neuroscience, biomedical engineering, and physical medicine & rehabilitation.
期刊最新文献
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