Preliminary Clinical Application of Textile Insole Sensor for Hemiparetic Gait Pattern Analysis

Post-stroke gait dysfunction occurs at a very high prevalence. A practical method to quantitatively analyze the characteristics of hemiparetic gait is needed in both clinical and community settings. This study developed a 10-channeled textile capacitive pressure sensing insole (TCPSI) with a real-ti...

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Main Authors: Changwon Wang, Young Kim, Hangsik Shin, Se Dong Min
Format: Article
Language:English
Published: MDPI AG 2019-09-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/19/18/3950
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author Changwon Wang
Young Kim
Hangsik Shin
Se Dong Min
author_facet Changwon Wang
Young Kim
Hangsik Shin
Se Dong Min
author_sort Changwon Wang
collection DOAJ
description Post-stroke gait dysfunction occurs at a very high prevalence. A practical method to quantitatively analyze the characteristics of hemiparetic gait is needed in both clinical and community settings. This study developed a 10-channeled textile capacitive pressure sensing insole (TCPSI) with a real-time monitoring system and tested its performance through hemiparetic gait pattern analysis. Thirty-five subjects (18 hemiparetic, 17 healthy) walked down a 40-m long corridor at a comfortable speed while wearing TCPSI inside the shoe. For gait analysis, the percentage of the plantar pressure difference (PPD), the step count, the stride time, the coefficient of variation, and the phase coordination index (PCI) were used. The results of the stroke patients showed a threefold higher PPD, a higher step count (41.61 ± 10.7), a longer average stride time on the affected side, a lower mean plantar pressure on the affected side, higher plantar pressure in the toe area and the lateral side of the foot, and a threefold higher PCI (hemi: 19.50 ± 13.86%, healthy: 5.62 ± 5.05%) compared to healthy subjects. This study confirmed that TCPSI is a promising tool for distinguishing hemiparetic gait patterns and thus may be used as a wearable gait function evaluation tool, the external feedback gait training device, and a simple gait pattern analyzer for both hemiparetic patients and healthy individuals.
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spelling doaj.art-6b8d5c72b42045f7a4a5243319d8a2f72022-12-22T01:57:27ZengMDPI AGSensors1424-82202019-09-011918395010.3390/s19183950s19183950Preliminary Clinical Application of Textile Insole Sensor for Hemiparetic Gait Pattern AnalysisChangwon Wang0Young Kim1Hangsik Shin2Se Dong Min3Department of Medical IT Engineering, Soonchunhyang University, Asan 31538, KoreaWellness Coaching Service Research Center, Soonchunhyang University, Asan 31538, KoreaDepartment of Biomedical Engineering, Chonnam National University, Yeosu 59626, KoreaDepartment of Medical IT Engineering, Soonchunhyang University, Asan 31538, KoreaPost-stroke gait dysfunction occurs at a very high prevalence. A practical method to quantitatively analyze the characteristics of hemiparetic gait is needed in both clinical and community settings. This study developed a 10-channeled textile capacitive pressure sensing insole (TCPSI) with a real-time monitoring system and tested its performance through hemiparetic gait pattern analysis. Thirty-five subjects (18 hemiparetic, 17 healthy) walked down a 40-m long corridor at a comfortable speed while wearing TCPSI inside the shoe. For gait analysis, the percentage of the plantar pressure difference (PPD), the step count, the stride time, the coefficient of variation, and the phase coordination index (PCI) were used. The results of the stroke patients showed a threefold higher PPD, a higher step count (41.61 ± 10.7), a longer average stride time on the affected side, a lower mean plantar pressure on the affected side, higher plantar pressure in the toe area and the lateral side of the foot, and a threefold higher PCI (hemi: 19.50 ± 13.86%, healthy: 5.62 ± 5.05%) compared to healthy subjects. This study confirmed that TCPSI is a promising tool for distinguishing hemiparetic gait patterns and thus may be used as a wearable gait function evaluation tool, the external feedback gait training device, and a simple gait pattern analyzer for both hemiparetic patients and healthy individuals.https://www.mdpi.com/1424-8220/19/18/3950conductive textilegaitstrokehemipareticreal-time monitoring
spellingShingle Changwon Wang
Young Kim
Hangsik Shin
Se Dong Min
Preliminary Clinical Application of Textile Insole Sensor for Hemiparetic Gait Pattern Analysis
Sensors
conductive textile
gait
stroke
hemiparetic
real-time monitoring
title Preliminary Clinical Application of Textile Insole Sensor for Hemiparetic Gait Pattern Analysis
title_full Preliminary Clinical Application of Textile Insole Sensor for Hemiparetic Gait Pattern Analysis
title_fullStr Preliminary Clinical Application of Textile Insole Sensor for Hemiparetic Gait Pattern Analysis
title_full_unstemmed Preliminary Clinical Application of Textile Insole Sensor for Hemiparetic Gait Pattern Analysis
title_short Preliminary Clinical Application of Textile Insole Sensor for Hemiparetic Gait Pattern Analysis
title_sort preliminary clinical application of textile insole sensor for hemiparetic gait pattern analysis
topic conductive textile
gait
stroke
hemiparetic
real-time monitoring
url https://www.mdpi.com/1424-8220/19/18/3950
work_keys_str_mv AT changwonwang preliminaryclinicalapplicationoftextileinsolesensorforhemipareticgaitpatternanalysis
AT youngkim preliminaryclinicalapplicationoftextileinsolesensorforhemipareticgaitpatternanalysis
AT hangsikshin preliminaryclinicalapplicationoftextileinsolesensorforhemipareticgaitpatternanalysis
AT sedongmin preliminaryclinicalapplicationoftextileinsolesensorforhemipareticgaitpatternanalysis