Functional movement assessment by means of inertial sensor technology to discriminate between movement behaviour of healthy controls and persons with knee osteoarthritis
Abstract Background Apart from biomechanical alterations in movement patterns, it is known that movement limitations in persons with knee osteoarthritis (PwKOA) are related to an individual’s perception and belief regarding pain and disability. To gain more insights into the functional movement beha...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | Journal of NeuroEngineering and Rehabilitation |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12984-020-00694-2 |
| _version_ | 1828496268624658432 |
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| author | Rob van der Straaten Mariska Wesseling Ilse Jonkers Benedicte Vanwanseele Amber K. B. D. Bruijnes Jan Malcorps Johan Bellemans Jan Truijen Liesbet De Baets Annick Timmermans |
| author_facet | Rob van der Straaten Mariska Wesseling Ilse Jonkers Benedicte Vanwanseele Amber K. B. D. Bruijnes Jan Malcorps Johan Bellemans Jan Truijen Liesbet De Baets Annick Timmermans |
| author_sort | Rob van der Straaten |
| collection | DOAJ |
| description | Abstract Background Apart from biomechanical alterations in movement patterns, it is known that movement limitations in persons with knee osteoarthritis (PwKOA) are related to an individual’s perception and belief regarding pain and disability. To gain more insights into the functional movement behaviour of PwKOA in a clinical setting, inertial sensor technology can be applied. This study first aims to evaluate the ability of inertial sensors to discriminate between healthy controls (HC) and PwKOA. Secondly, this study aims to determine the relationship between movement behaviour, pain-related factors and disability scores. Methods Twelve HC and 19 PwKOA were included. Five repetitions of six functional movement tasks (walking, forward lunge, sideward lunge, ascent and descent stairs, single leg squat and sit-to-stand) were simultaneously recorded by the inertial sensor system and a camera-based motion analysis system. Statistically significant differences in angular waveforms of the trunk, pelvis and lower limb joints between HC and PwKOA were determined using one-dimensional statistical parametric mapping (SPM1D). The Knee injury and Osteoarthritis Outcome Score and TAMPA scale for Kinesiophobia were used to evaluate the relationship between discriminating joint motion, pain-related factors and disability using spearman’s correlation coefficients. Results PwKOA had significantly less trunk rotation, internal pelvis rotation and knee flexion ROM during walking. Additionally, the reduced knee flexion (i.e. at the end of the stance phase and swing phase) was related to increased level of perceived pain. During the sideward lunge, PwKOA had significantly less knee flexion, ankle plantarflexion and hip abduction. This decreased hip abduction (i.e. during stance) was related to higher fear of movement. Finally, PwKOA had significantly less knee flexion during the forward lunge, single leg squat and during ascent and descent stairs. No significant correlations were observed with disability. Conclusions Inertial sensors were able to discriminate between movement characteristics of PwKOA and HC. Additionally, significant relationships were found between joint motion, perceived pain and fear of movement. Since inertial sensors can be used outside the laboratory setting, these results are promising as they indicate the ability to evaluate movement deviations. Further research is required to enable measurements of small movement deviations in clinically relevant tasks. |
| first_indexed | 2024-12-11T12:26:49Z |
| format | Article |
| id | doaj.art-90a552ca029f4ea79e078b0db4597937 |
| institution | Directory Open Access Journal |
| issn | 1743-0003 |
| language | English |
| last_indexed | 2024-12-11T12:26:49Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of NeuroEngineering and Rehabilitation |
| spelling | doaj.art-90a552ca029f4ea79e078b0db45979372022-12-22T01:07:22ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032020-05-0117111210.1186/s12984-020-00694-2Functional movement assessment by means of inertial sensor technology to discriminate between movement behaviour of healthy controls and persons with knee osteoarthritisRob van der Straaten0Mariska Wesseling1Ilse Jonkers2Benedicte Vanwanseele3Amber K. B. D. Bruijnes4Jan Malcorps5Johan Bellemans6Jan Truijen7Liesbet De Baets8Annick Timmermans9REVAL Rehabilitation Research Center, Hasselt UniversityDepartment of Movement Sciences, Human Movement Biomechanics, KU LeuvenDepartment of Movement Sciences, Human Movement Biomechanics, KU LeuvenDepartment of Movement Sciences, Human Movement Biomechanics, KU LeuvenDepartment of Orthopaedics, Ziekenhuis Oost-LimburgDepartment of Orthopaedic Surgery, Jessa HospitalDepartment of Orthopaedics, Ziekenhuis Oost-LimburgDepartment of Orthopaedics, Ziekenhuis Oost-LimburgREVAL Rehabilitation Research Center, Hasselt UniversityREVAL Rehabilitation Research Center, Hasselt UniversityAbstract Background Apart from biomechanical alterations in movement patterns, it is known that movement limitations in persons with knee osteoarthritis (PwKOA) are related to an individual’s perception and belief regarding pain and disability. To gain more insights into the functional movement behaviour of PwKOA in a clinical setting, inertial sensor technology can be applied. This study first aims to evaluate the ability of inertial sensors to discriminate between healthy controls (HC) and PwKOA. Secondly, this study aims to determine the relationship between movement behaviour, pain-related factors and disability scores. Methods Twelve HC and 19 PwKOA were included. Five repetitions of six functional movement tasks (walking, forward lunge, sideward lunge, ascent and descent stairs, single leg squat and sit-to-stand) were simultaneously recorded by the inertial sensor system and a camera-based motion analysis system. Statistically significant differences in angular waveforms of the trunk, pelvis and lower limb joints between HC and PwKOA were determined using one-dimensional statistical parametric mapping (SPM1D). The Knee injury and Osteoarthritis Outcome Score and TAMPA scale for Kinesiophobia were used to evaluate the relationship between discriminating joint motion, pain-related factors and disability using spearman’s correlation coefficients. Results PwKOA had significantly less trunk rotation, internal pelvis rotation and knee flexion ROM during walking. Additionally, the reduced knee flexion (i.e. at the end of the stance phase and swing phase) was related to increased level of perceived pain. During the sideward lunge, PwKOA had significantly less knee flexion, ankle plantarflexion and hip abduction. This decreased hip abduction (i.e. during stance) was related to higher fear of movement. Finally, PwKOA had significantly less knee flexion during the forward lunge, single leg squat and during ascent and descent stairs. No significant correlations were observed with disability. Conclusions Inertial sensors were able to discriminate between movement characteristics of PwKOA and HC. Additionally, significant relationships were found between joint motion, perceived pain and fear of movement. Since inertial sensors can be used outside the laboratory setting, these results are promising as they indicate the ability to evaluate movement deviations. Further research is required to enable measurements of small movement deviations in clinically relevant tasks.http://link.springer.com/article/10.1186/s12984-020-00694-2Inertial sensorsMotion-analysisAmbulatoryValidationRepeatabilityFunctional movement |
| spellingShingle | Rob van der Straaten Mariska Wesseling Ilse Jonkers Benedicte Vanwanseele Amber K. B. D. Bruijnes Jan Malcorps Johan Bellemans Jan Truijen Liesbet De Baets Annick Timmermans Functional movement assessment by means of inertial sensor technology to discriminate between movement behaviour of healthy controls and persons with knee osteoarthritis Journal of NeuroEngineering and Rehabilitation Inertial sensors Motion-analysis Ambulatory Validation Repeatability Functional movement |
| title | Functional movement assessment by means of inertial sensor technology to discriminate between movement behaviour of healthy controls and persons with knee osteoarthritis |
| title_full | Functional movement assessment by means of inertial sensor technology to discriminate between movement behaviour of healthy controls and persons with knee osteoarthritis |
| title_fullStr | Functional movement assessment by means of inertial sensor technology to discriminate between movement behaviour of healthy controls and persons with knee osteoarthritis |
| title_full_unstemmed | Functional movement assessment by means of inertial sensor technology to discriminate between movement behaviour of healthy controls and persons with knee osteoarthritis |
| title_short | Functional movement assessment by means of inertial sensor technology to discriminate between movement behaviour of healthy controls and persons with knee osteoarthritis |
| title_sort | functional movement assessment by means of inertial sensor technology to discriminate between movement behaviour of healthy controls and persons with knee osteoarthritis |
| topic | Inertial sensors Motion-analysis Ambulatory Validation Repeatability Functional movement |
| url | http://link.springer.com/article/10.1186/s12984-020-00694-2 |
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