Movement Quality Parameters during Gait Assessed by a Single Accelerometer in Subjects with Osteoarthritis and Following Total Joint Arthroplasty

This study’s aim is threefold: (I) Evaluate movement quality parameters of gait in people with hip or knee osteoarthritis (OA) compared to asymptomatic controls from a single trunk-worn 3D accelerometer. (II) Evaluate the sensitivity of these parameters to capture changes at 6-weeks, 3-, 6-, and 12-...

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Main Authors: Jill Emmerzaal, Kristoff Corten, Rob van der Straaten, Liesbet De Baets, Sam Van Rossom, Annick Timmermans, Ilse Jonkers, Benedicte Vanwanseele
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/22/8/2955
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author Jill Emmerzaal
Kristoff Corten
Rob van der Straaten
Liesbet De Baets
Sam Van Rossom
Annick Timmermans
Ilse Jonkers
Benedicte Vanwanseele
author_facet Jill Emmerzaal
Kristoff Corten
Rob van der Straaten
Liesbet De Baets
Sam Van Rossom
Annick Timmermans
Ilse Jonkers
Benedicte Vanwanseele
author_sort Jill Emmerzaal
collection DOAJ
description This study’s aim is threefold: (I) Evaluate movement quality parameters of gait in people with hip or knee osteoarthritis (OA) compared to asymptomatic controls from a single trunk-worn 3D accelerometer. (II) Evaluate the sensitivity of these parameters to capture changes at 6-weeks, 3-, 6-, and 12-months following total knee arthroplasty (TKA). (III) Investigate whether observed changes in movement quality from 6-weeks and 12-months post-TKA relates to changes in patient-reported outcome measures (PROMs). We invited 20 asymptomatic controls, 20 people with hip OA, 18 people pre- and post-TKA to our movement lap. They wore a single trunk-worn accelerometer and walked at a self-selected speed. Movement quality parameters (symmetry, complexity, smoothness, and dynamic stability) were calculated from the 3D acceleration signal. Between groups and between timepoints comparisons were made, and changes in movement quality were correlated with PROMs. We found significant differences in symmetry and stability in both OA groups. Post-TKA, most parameters reflected an initial decrease in movement quality at 6-weeks post-TKA, which mostly normalised 6-months post-TKA. Finally, improved movement quality relates to improvements in PROMs. Thus, a single accelerometer can characterise movement quality in both OA groups and post-TKA. The correlation shows the potential to monitor movement quality in a clinical setting to inform objective, data-driven personalised rehabilitation.
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spelling doaj.art-806479405546418eb94d1d1037bcbcfd2023-11-30T21:52:54ZengMDPI AGSensors1424-82202022-04-01228295510.3390/s22082955Movement Quality Parameters during Gait Assessed by a Single Accelerometer in Subjects with Osteoarthritis and Following Total Joint ArthroplastyJill Emmerzaal0Kristoff Corten1Rob van der Straaten2Liesbet De Baets3Sam Van Rossom4Annick Timmermans5Ilse Jonkers6Benedicte Vanwanseele7Human Movement Biomechanics Research Group, Department of Movement Sciences, KU Leuven, 3001 Leuven, BelgiumDepartment of Orthopaedics, Ziekenhuis Oost Limburg, 3600 Genk, BelgiumREVAL Rehabilitation Research Centre, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, BelgiumPain in Motion Research Group (PAIN), Department of Physiotherapy, Human Physiology and Anatomy, Vrije Universiteit Brussel, 1050 Brussel, BelgiumHuman Movement Biomechanics Research Group, Department of Movement Sciences, KU Leuven, 3001 Leuven, BelgiumREVAL Rehabilitation Research Centre, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, BelgiumHuman Movement Biomechanics Research Group, Department of Movement Sciences, KU Leuven, 3001 Leuven, BelgiumHuman Movement Biomechanics Research Group, Department of Movement Sciences, KU Leuven, 3001 Leuven, BelgiumThis study’s aim is threefold: (I) Evaluate movement quality parameters of gait in people with hip or knee osteoarthritis (OA) compared to asymptomatic controls from a single trunk-worn 3D accelerometer. (II) Evaluate the sensitivity of these parameters to capture changes at 6-weeks, 3-, 6-, and 12-months following total knee arthroplasty (TKA). (III) Investigate whether observed changes in movement quality from 6-weeks and 12-months post-TKA relates to changes in patient-reported outcome measures (PROMs). We invited 20 asymptomatic controls, 20 people with hip OA, 18 people pre- and post-TKA to our movement lap. They wore a single trunk-worn accelerometer and walked at a self-selected speed. Movement quality parameters (symmetry, complexity, smoothness, and dynamic stability) were calculated from the 3D acceleration signal. Between groups and between timepoints comparisons were made, and changes in movement quality were correlated with PROMs. We found significant differences in symmetry and stability in both OA groups. Post-TKA, most parameters reflected an initial decrease in movement quality at 6-weeks post-TKA, which mostly normalised 6-months post-TKA. Finally, improved movement quality relates to improvements in PROMs. Thus, a single accelerometer can characterise movement quality in both OA groups and post-TKA. The correlation shows the potential to monitor movement quality in a clinical setting to inform objective, data-driven personalised rehabilitation.https://www.mdpi.com/1424-8220/22/8/2955biomechanicstrunk-worn accelerometermovement qualityhip osteoarthritisknee osteoarthritistotal knee arthroplasty
spellingShingle Jill Emmerzaal
Kristoff Corten
Rob van der Straaten
Liesbet De Baets
Sam Van Rossom
Annick Timmermans
Ilse Jonkers
Benedicte Vanwanseele
Movement Quality Parameters during Gait Assessed by a Single Accelerometer in Subjects with Osteoarthritis and Following Total Joint Arthroplasty
Sensors
biomechanics
trunk-worn accelerometer
movement quality
hip osteoarthritis
knee osteoarthritis
total knee arthroplasty
title Movement Quality Parameters during Gait Assessed by a Single Accelerometer in Subjects with Osteoarthritis and Following Total Joint Arthroplasty
title_full Movement Quality Parameters during Gait Assessed by a Single Accelerometer in Subjects with Osteoarthritis and Following Total Joint Arthroplasty
title_fullStr Movement Quality Parameters during Gait Assessed by a Single Accelerometer in Subjects with Osteoarthritis and Following Total Joint Arthroplasty
title_full_unstemmed Movement Quality Parameters during Gait Assessed by a Single Accelerometer in Subjects with Osteoarthritis and Following Total Joint Arthroplasty
title_short Movement Quality Parameters during Gait Assessed by a Single Accelerometer in Subjects with Osteoarthritis and Following Total Joint Arthroplasty
title_sort movement quality parameters during gait assessed by a single accelerometer in subjects with osteoarthritis and following total joint arthroplasty
topic biomechanics
trunk-worn accelerometer
movement quality
hip osteoarthritis
knee osteoarthritis
total knee arthroplasty
url https://www.mdpi.com/1424-8220/22/8/2955
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AT liesbetdebaets movementqualityparametersduringgaitassessedbyasingleaccelerometerinsubjectswithosteoarthritisandfollowingtotaljointarthroplasty
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