R Ganea

Multi-parametric Evaluation of Sit-to-Stand and Stand-to-Sit Transitions in Elderly People

The aim of this study was to extract multi-parametric measures characterizing different features of sit-to-stand (Si-St) and stand-to-sit (St-Si) transitions in older persons, using a single inertial sensor attached to the chest. Investigated parameters were transitions duration, range of trunk tilt, smoothness of transition pattern assessed by its fractal dimension, and trunk movements dynamic described by local wavelet energy. A measurement protocol with a Si-St followed by a St-Si postural transition was performed by two groups of participants: the first group (N=79) included Frail Elderly subjects admitted to a post-acute rehabilitation facility and the second group (N=27) were healthy community-dwelling elderly persons. Subjects were also evaluated with Tinettis POMA scale. Compared to Healthy Elderly persons, frail group at baseline had significantly longer Si-St (3.85±1.04 vs. 2.60±0.32, p=0.001) and St-Si (4.08±1.21 vs. 2.81±0.36, p=0.001) transitions duration. Frail older persons also had significantly decreased smoothness of Si-St transition pattern (1.36±0.07 vs. 1.21±0.05, p=0.001) and dynamic of trunk movement. Measurements after three weeks of rehabilitation in frail older persons showed that smoothness of transition pattern had the highest improvement effect size (0.4) and discriminative performance. These results demonstrate the potential interest of such parameters to distinguish older subjects with different functional and health conditions.

Gait Assessment in Children With Duchenne Muscular Dystrophy During Long-Distance Walking:

The aim of this study was to investigate the alteration of the gait pattern in 25 children with Duchenne muscular dystrophy, using body-worn inertial sensors during a long walking distance. Normalized spatiotemporal gait parameters and their variability were extracted from the angular velocity of the shanks; the smoothness of the trunk movement was assessed based on the spectral entropy of the acceleration norm. As compared to healthy children, patients with Duchenne muscular dystrophy showed significantly lower stride velocity and a less smooth trunk movement. When the group of patients was divided into mild and moderate based on the Motor Function Measure, the authors noticed significantly higher values both for cadence and stride velocity, as well as improved trunk smoothness in the mild versus moderate group. The potential of such parameters to distinguish between different disease states opens new perspectives for the objective assessment of efficacy of the new therapies associated with Duchenne muscular dystrophy.

Conjugate momentum estimate using non-linear dynamic model of the sit-to-stand correlates well with accelerometric surface data

The purpose of this study was the development of a non-linear double inverted constrained pendulum model for the analysis of the movement of sit-to-stand (STS) transition. Ten able-bodied subjects perform five trials in their natural speed. Kinematics, kinetics as well as body worn accelerometer data were collected during the STS task using optoelectronic motion capture, force plate and inertial measurement unit, respectively. The conjugate momentum for the whole body which includes linear and angular motion correlates well with the accelerometric surface spanned by the accelerometer data. The partitioning of the conjugate momentum indicates a clear coordination between upper and lower limb after seat-off period. Moreover, the normalization procedure indicates a clear minimal and somehow invariant threshold value of the conjugate momentum to approximately 0.3 (body mass×body length) to perform the sit-to-stand for able-bodied subject. This threshold correlates well with the data obtained from accelerometeric index. The proposed accelerometric index is relevant to assess STS performance and to detect failed STS in clinics and outside a laboratory for patients with reduced mobility.

M.P.3.02 Detailed analysis of daily-life physical activity patterns in DMD children

Reference LMAM-CONF-2010-014doi:10.1016/j.nmd.2009.06.183View record in Web of Science Record created on 2010-01-21, modified on 2017-05-10

M.P.3.01 Gait steadiness and upper-body kinematics in DMD children

Reference LMAM-CONF-2010-013doi:10.1016/j.nmd.2009.06.182View record in Web of Science Record created on 2010-01-21, modified on 2017-05-10