Validity of the Instrumented Push and Release Test to Quantify Postural Responses in Persons With Multiple Sclerosis.

Abstract:

OBJECTIVE:To test the validity of wearable inertial sensors to provide objective measures of postural stepping responses to the push and release clinical test in people with multiple sclerosis. DESIGN:Cross-sectional study. SETTING:University medical center balance disorder laboratory. PARTICIPANTS:Total sample N=73; persons with multiple sclerosis (PwMS) n=52; healthy controls n=21. MAIN OUTCOME MEASURES:Stepping latency, time and number of steps required to reach stability, and initial step length were calculated using 3 inertial measurement units placed on participants' lumbar spine and feet. RESULTS:Correlations between inertial sensor measures and measures obtained from the laboratory-based systems were moderate to strong and statistically significant for all variables: time to release (r=.992), latency (r=.655), time to stability (r=.847), time of first heel strike (r=.665), number of steps (r=.825), and first step length (r=.592). Compared with healthy controls, PwMS demonstrated a longer time to stability and required a larger number of steps to reach stability. CONCLUSIONS:The instrumented push and release test is a valid measure of postural responses in PwMS and could be used as a clinical outcome measures for patient care decisions or for clinical trials aimed at improving postural control in PwMS.

journal_name

Arch Phys Med Rehabil

authors

El-Gohary M,Peterson D,Gera G,Horak FB,Huisinga JM

doi

10.1016/j.apmr.2017.01.030

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

1325-1331

issue

7

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(17)30137-5

journal_volume

98

pub_type

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