Wearables for gait and balance assessment in the neurological ward - study design and first results of a prospective cross-sectional feasibility study with 384 inpatients
Abstract Background Deficits in gait and balance are common among neurological inpatients. Currently, assessment of these patients is mainly subjective. New assessment options using wearables may provide complementary and more objective information. Methods In this prospective cross-sectional feasib...
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doaj-c1057cf53a6e46a7861290e9e6cfec412020-11-25T02:09:19ZengBMCBMC Neurology1471-23772018-08-011811810.1186/s12883-018-1111-7Wearables for gait and balance assessment in the neurological ward - study design and first results of a prospective cross-sectional feasibility study with 384 inpatientsFelix P. Bernhard0Jennifer Sartor1Kristina Bettecken2Markus A. Hobert3Carina Arnold4Yvonne G. Weber5Sven Poli6Nils G. Margraf7Christian Schlenstedt8Clint Hansen9Walter Maetzler10Department of Neurology and Neurodegenerative Diseases and Hertie Institute for Clinical Brain Research, University TübingenDepartment of Neurology and Neurodegenerative Diseases and Hertie Institute for Clinical Brain Research, University TübingenDepartment of Neurology and Neurodegenerative Diseases and Hertie Institute for Clinical Brain Research, University TübingenDepartment of Neurology and Neurodegenerative Diseases and Hertie Institute for Clinical Brain Research, University TübingenDepartment of Neurology and Neurodegenerative Diseases and Hertie Institute for Clinical Brain Research, University TübingenDepartment of Neurology and Epileptology, University TübingenDepartment of Neurology & Stroke, University Hospital TübingenDepartment of Neurology, University Hospital Schleswig-Holstein, Campus KielDepartment of Neurology, University Hospital Schleswig-Holstein, Campus KielDepartment of Neurology, University Hospital Schleswig-Holstein, Campus KielDepartment of Neurology and Neurodegenerative Diseases and Hertie Institute for Clinical Brain Research, University TübingenAbstract Background Deficits in gait and balance are common among neurological inpatients. Currently, assessment of these patients is mainly subjective. New assessment options using wearables may provide complementary and more objective information. Methods In this prospective cross-sectional feasibility study performed over a four-month period, all patients referred to a normal neurology ward of a university hospital and aged between 40 and 89 years were asked to participate. Gait and balance deficits were assessed with wearables at the ankles and the lower back. Frailty, sarcopenia, Parkinsonism, depression, quality of life, fall history, fear of falling, physical activity, and cognition were evaluated with questionnaires and surveys. Results Eighty-two percent (n = 384) of all eligible patients participated. Of those, 39% (n = 151) had no gait and balance deficit, 21% (n = 79) had gait deficits, 11% (n = 44) had balance deficits and 29% (n = 110) had gait and balance deficits. Parkinson’s disease, stroke, epilepsy, pain syndromes, and multiple sclerosis were the most common diseases. The assessment was well accepted. Conclusions Our study suggests that the use of wearables for the assessment of gait and balance features in a clinical setting is feasible. Moreover, preliminary results confirm previous epidemiological data about gait and balance deficits among neurological inpatients. Evaluation of neurological inpatients with novel wearable technology opens new opportunities for the assessment of predictive, progression and treatment response markers.http://link.springer.com/article/10.1186/s12883-018-1111-7AccelerometerInertial sensorPostural controlNeurological diseases |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Felix P. Bernhard Jennifer Sartor Kristina Bettecken Markus A. Hobert Carina Arnold Yvonne G. Weber Sven Poli Nils G. Margraf Christian Schlenstedt Clint Hansen Walter Maetzler |
spellingShingle |
Felix P. Bernhard Jennifer Sartor Kristina Bettecken Markus A. Hobert Carina Arnold Yvonne G. Weber Sven Poli Nils G. Margraf Christian Schlenstedt Clint Hansen Walter Maetzler Wearables for gait and balance assessment in the neurological ward - study design and first results of a prospective cross-sectional feasibility study with 384 inpatients BMC Neurology Accelerometer Inertial sensor Postural control Neurological diseases |
author_facet |
Felix P. Bernhard Jennifer Sartor Kristina Bettecken Markus A. Hobert Carina Arnold Yvonne G. Weber Sven Poli Nils G. Margraf Christian Schlenstedt Clint Hansen Walter Maetzler |
author_sort |
Felix P. Bernhard |
title |
Wearables for gait and balance assessment in the neurological ward - study design and first results of a prospective cross-sectional feasibility study with 384 inpatients |
title_short |
Wearables for gait and balance assessment in the neurological ward - study design and first results of a prospective cross-sectional feasibility study with 384 inpatients |
title_full |
Wearables for gait and balance assessment in the neurological ward - study design and first results of a prospective cross-sectional feasibility study with 384 inpatients |
title_fullStr |
Wearables for gait and balance assessment in the neurological ward - study design and first results of a prospective cross-sectional feasibility study with 384 inpatients |
title_full_unstemmed |
Wearables for gait and balance assessment in the neurological ward - study design and first results of a prospective cross-sectional feasibility study with 384 inpatients |
title_sort |
wearables for gait and balance assessment in the neurological ward - study design and first results of a prospective cross-sectional feasibility study with 384 inpatients |
publisher |
BMC |
series |
BMC Neurology |
issn |
1471-2377 |
publishDate |
2018-08-01 |
description |
Abstract Background Deficits in gait and balance are common among neurological inpatients. Currently, assessment of these patients is mainly subjective. New assessment options using wearables may provide complementary and more objective information. Methods In this prospective cross-sectional feasibility study performed over a four-month period, all patients referred to a normal neurology ward of a university hospital and aged between 40 and 89 years were asked to participate. Gait and balance deficits were assessed with wearables at the ankles and the lower back. Frailty, sarcopenia, Parkinsonism, depression, quality of life, fall history, fear of falling, physical activity, and cognition were evaluated with questionnaires and surveys. Results Eighty-two percent (n = 384) of all eligible patients participated. Of those, 39% (n = 151) had no gait and balance deficit, 21% (n = 79) had gait deficits, 11% (n = 44) had balance deficits and 29% (n = 110) had gait and balance deficits. Parkinson’s disease, stroke, epilepsy, pain syndromes, and multiple sclerosis were the most common diseases. The assessment was well accepted. Conclusions Our study suggests that the use of wearables for the assessment of gait and balance features in a clinical setting is feasible. Moreover, preliminary results confirm previous epidemiological data about gait and balance deficits among neurological inpatients. Evaluation of neurological inpatients with novel wearable technology opens new opportunities for the assessment of predictive, progression and treatment response markers. |
topic |
Accelerometer Inertial sensor Postural control Neurological diseases |
url |
http://link.springer.com/article/10.1186/s12883-018-1111-7 |
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