使用智能鞋垫治疗脑卒中后偏瘫患者的斜测步态分析卡塔尔世界杯8强波胆分析先导研究%A Seo,Minseok %A Shin,Myung-Jun %A Park,Tae Sung %A Park,Jong-Hwan %+釜山国立大学医学院康复医学系，釜山，49241，韩国，82 1085130907,drshinmj@gmail.com %K中风%K半身瘫痪%K步态%K智能鞋垫%K医学信息学%K康复%K观察%K可穿戴%K评估%D 2020 %7 10.9.2020 %9原创论文%J JMIR Mhealth Uhealth %G英语%X对于脑卒中后的有效康复，对患者的功能状态进行客观的评估是至关重要的。几种中风严重程度量表已用于此目的，但这些量表有各种局限性。目的:利用智能鞋垫技术进行步态分析，可以实现连续、客观、定量的应用，从而克服其他评估工具的不足。方法:为验证智能鞋垫技术步态分析的可靠性，正常健康对照者在进行“计时起走”(Timed Up and Go, TUG)测试时穿着鞋垫。将步态参数与人工采集的数据进行比较。为了确定中风偏瘫患者的步态特征，他们被要求穿鞋垫并进行TUG测试;计算步态参数，并与对照组进行比较。为了研究步态分析是否能准确反映患者的临床状况，我们分析了4个脑卒中严重程度量表上22个步态参数的关系。 Results: The smart insole gait parameter data were similar to those calculated manually. Among the 18 gait parameters tested, 14 were significantly effective at distinguishing patients from healthy controls. The smart insole data revealed that the stance duration on both sides was longer in patients than controls, which has proven difficult to show using other methods. Furthermore, the sound side in patients showed a markedly longer stance duration. Regarding swing duration, that of the sound side was shorter in patients than controls, whereas that of the hemiplegic side was longer. We identified 10 significantly correlated gait parameters on the stroke severity scales. Notably, the difference in stance duration between the sound and hemiplegic sides was significantly correlated with the Fugl-Meyer Assessment (FMA) lower extremity score. Conclusions: This study confirmed the feasibility and applicability of the smart insole as a device to assess the gait of patients with hemiplegia due to stroke. In addition, we demonstrated that the FMA score was significantly correlated with the smart insole data. Providing an environment where stroke patients can easily measure walking ability helps to maintain chronic functions as well as acute rehabilitation. Trial Registration: UMIN Clinical Trials Registry UMIN000041646, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047538 %M 32909949 %R 10.2196/22208 %U http://mhealth.www.mybigtv.com/2020/9/e22208/ %U https://doi.org/10.2196/22208 %U http://www.ncbi.nlm.nih.gov/pubmed/32909949