Amputation, Gait Disorders, Neurologic
Conditions
Keywords
Gait analysis, Computerised assessment, Rehabilitation, Lower limb loss, Prosthetics and orthotics
Brief summary
The aim of the study is to examine suitability of data and processed reports acquired from the Smart Hallway system for clinical settings in terms of user acceptability and accuracy for use in clinical practice.
Detailed description
The goal of the study is to use off-the-shelves markerless and contactless technologies and automatically digitise the person's movements as they walk through an institutional hallway. Multi-camera-based technologies can merge 2D-video into 3D-information. With an appropriate software, one can acquire data, perform the kinematic calculations and generate a report, all with minimal or no human intervention. The specific research question are whether pathological gait or walking disorders of the patients can be identified and classified based on the system's output, whether signs of depression can be classified from the the system's output, and whether the results of the 6-minute walk test can be predicted from the the system's output.
Interventions
BEHAVIORALStandard rehabilitation
The patients will receive standard rehabilitation that comprises assessment performed by a multidisciplinary team (physical-and-rehabilitation-medicine specialist physician, physiotherapist, occupational therapist, psychologist, social worker, prosthetics-and-orthotics engineer).
DEVICELower-limb prosthesis
The patients from the LLL group will be fitted with an appropriate lower-limb prosthesis.
DEVICELower-limb orthosis
The patients from the LLO group will be fitted with an appropriate lower-limb orthosis.
Sponsors
University Rehabilitation Institute, Republic of Slovenia
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* ability to walk at least 10 metres without help of a person, * no severe cognitive problems (able to answer questionnaires), * native Slovenian speakers, * wiling to participate (signed informed consent)
Exclusion criteria
* severe cognitive impairment, * not being able to walk with or without a prosthesis or orthosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Smart Hallway | Upon admission to rehabilitation | As part of the regular clinical examination, the patients walk straight through a 7m long walkway, turn, and come back while data is collected with the Smart Hallway system. They start walking one meter outside the capture volume. The procedure is repeated five times to provide a sufficient number of walking cycles. Three-dimensional temporospatial gait features (position, joint angles, velocities, accelerations) are extracted from the acquired data. |
| Falls during rehabilitation | Upon discharge from rehabilitation | Data on falls during rehabilitation is routinely collected and entered in the hospital information system (HIS). It will be transferred from the HIS to the study database upon the patient's discharge. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| World Health Organisation Disability Assessment Schedule | Upon admission to rehabilitation | The World Health Organisation Disability Assessment Schedule (WHODAS II) is a generic patient-reported outcome measure of disability that has been translated into Slovenian. It covers six life domains. The scores range from 0 to 100; higher score indicates more disability (i.e., worse outcome). |
| Activity Specific Balance Confidence Scale | Upon admission to rehabilitation | The Activity Specific Balance Confidence Scale (ABC) is a pathology-specific patient-reported outcome measure of balance that has been translated and validated in Slovenian. The scores range from 0 to 100; higher score indicates more confidence (i.e., better outcome). |
| Hospital Anxiety and Depression Scale | Upon admission to rehabilitation | The Hospital Anxiety and Depression Scale (HADS) is a patient-reported outcome measure that is used for assessing depression, which has been translated and validated in Slovenian. The scales comprises 14 items, 7 for anxiety and 7 for depression, all scored from 0 to 3, so the score range is from 0 to 21 for either anxiety or depression. Higher score means more pronounced anxiety and depression (i.e., worse outcome). |
| Six-minute walk test | Upon admission to rehabilitation | The Six-minute Walk Test (6MWT) is a standard test for assessing walking speed over a long distance with good and well-known metric characteristics. Longer walked distance means higher walking speed (i.e., better outcome). |
Countries
Slovenia
Contacts
CONTACTMetka Moharić, MD, PhD
PRINCIPAL_INVESTIGATORHelena Burger, MD, PhD
University Rehabilitation Institute, Republic of Slovenia
Outcome results
None listed