Modified Fukuda stepping motion assessment of young healthy adults using portable inertial measurement units

Currently, vestibular rehabilitation approaches used to monitor body position and movement during rehabilitation training require specialized equipment or rely on clinician observation. Thus, a simpler position-sensing approach that can be used to monitor movement during vestibular rehabilitation is...

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Main Authors: Toru Miwa, Tomohisa Yasuda, Teppei Kouga, Kishiko Sunami
Format: Article
Language:English
Published: Elsevier 2023-04-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023022259
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author Toru Miwa
Tomohisa Yasuda
Teppei Kouga
Kishiko Sunami
author_facet Toru Miwa
Tomohisa Yasuda
Teppei Kouga
Kishiko Sunami
author_sort Toru Miwa
collection DOAJ
description Currently, vestibular rehabilitation approaches used to monitor body position and movement during rehabilitation training require specialized equipment or rely on clinician observation. Thus, a simpler position-sensing approach that can be used to monitor movement during vestibular rehabilitation is required. This study used wearable motion sensors with built-in accelerometers and gyrometers to assess movement in adults. We explored stepping patterns in adults using this motion-sensing system. Six healthy adults (men, age 27.3 ± 5.8 years) underwent a modified Fukuda stepping test (Foulage test [FT]) while wearing a six-axis motion sensor (accelerometer: X-axis, Y-axis, Z-axis; gyrometer: X-axis, Y-axis, Z-axis) positioned at the head, thorax, and lumbar spine. For motion sensor parameters, we calculated the root mean square (RMS), autocorrelation coefficient (AC), power spectrum (PS) of the AC, and Euler angles from the six-axis motion sensor. For the FT parameters, the FT value, step variance, and θ values were calculated. Data were analyzed, and multivariable regression analysis was performed using the FT value, step variance, and θ value as the dependent variables to investigate their influence on dynamic equilibrium. The explanatory variables included the motion sensor parameters, RMS, AC, and PS. Our results suggested that almost no head and lumbar spine movement occurred while stepping with eyes open. Contrastingly, the head and lumbar spine swayed with eyes closed. This accelerometric and gyroscopic device is easy to use, does not require specialized equipment, and can be used to analyze performance in the modified Fukuda stepping test in clinical practice. Inertial sensors have many advantages over other sensing technologies.
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spelling doaj.art-ad540189fe164d9bb0028cf6c7cb1a082023-04-29T14:53:57ZengElsevierHeliyon2405-84402023-04-0194e15018Modified Fukuda stepping motion assessment of young healthy adults using portable inertial measurement unitsToru Miwa0Tomohisa Yasuda1Teppei Kouga2Kishiko Sunami3Department of Otolaryngology-Head and Neck Surgery, Osaka Metropolitan University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, Japan; Department of Otolaryngology-Head and Neck Surgery, Graduate of School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan; Corresponding author. Department of Otolaryngology-Head and Neck Surgery¸ Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.Yasuda ENT Clinic, 1-1-1 Takaramachi, Katsusika-ku, Tokyo 124-0005, JapanDepartment of Otolaryngology-Head and Neck Surgery, Osaka Metropolitan University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, JapanDepartment of Otolaryngology-Head and Neck Surgery, Osaka Metropolitan University, 1-4-3 Asahi-machi, Abeno-ku, Osaka 545-8585, JapanCurrently, vestibular rehabilitation approaches used to monitor body position and movement during rehabilitation training require specialized equipment or rely on clinician observation. Thus, a simpler position-sensing approach that can be used to monitor movement during vestibular rehabilitation is required. This study used wearable motion sensors with built-in accelerometers and gyrometers to assess movement in adults. We explored stepping patterns in adults using this motion-sensing system. Six healthy adults (men, age 27.3 ± 5.8 years) underwent a modified Fukuda stepping test (Foulage test [FT]) while wearing a six-axis motion sensor (accelerometer: X-axis, Y-axis, Z-axis; gyrometer: X-axis, Y-axis, Z-axis) positioned at the head, thorax, and lumbar spine. For motion sensor parameters, we calculated the root mean square (RMS), autocorrelation coefficient (AC), power spectrum (PS) of the AC, and Euler angles from the six-axis motion sensor. For the FT parameters, the FT value, step variance, and θ values were calculated. Data were analyzed, and multivariable regression analysis was performed using the FT value, step variance, and θ value as the dependent variables to investigate their influence on dynamic equilibrium. The explanatory variables included the motion sensor parameters, RMS, AC, and PS. Our results suggested that almost no head and lumbar spine movement occurred while stepping with eyes open. Contrastingly, the head and lumbar spine swayed with eyes closed. This accelerometric and gyroscopic device is easy to use, does not require specialized equipment, and can be used to analyze performance in the modified Fukuda stepping test in clinical practice. Inertial sensors have many advantages over other sensing technologies.http://www.sciencedirect.com/science/article/pii/S2405844023022259Foulage testInertial measurement unitMicro-electromechanical systemModified fukuda stepping testMultivariable regression analysisSensing technologies
spellingShingle Toru Miwa
Tomohisa Yasuda
Teppei Kouga
Kishiko Sunami
Modified Fukuda stepping motion assessment of young healthy adults using portable inertial measurement units
Heliyon
Foulage test
Inertial measurement unit
Micro-electromechanical system
Modified fukuda stepping test
Multivariable regression analysis
Sensing technologies
title Modified Fukuda stepping motion assessment of young healthy adults using portable inertial measurement units
title_full Modified Fukuda stepping motion assessment of young healthy adults using portable inertial measurement units
title_fullStr Modified Fukuda stepping motion assessment of young healthy adults using portable inertial measurement units
title_full_unstemmed Modified Fukuda stepping motion assessment of young healthy adults using portable inertial measurement units
title_short Modified Fukuda stepping motion assessment of young healthy adults using portable inertial measurement units
title_sort modified fukuda stepping motion assessment of young healthy adults using portable inertial measurement units
topic Foulage test
Inertial measurement unit
Micro-electromechanical system
Modified fukuda stepping test
Multivariable regression analysis
Sensing technologies
url http://www.sciencedirect.com/science/article/pii/S2405844023022259
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