Gait due to difference in Intravenous poleposition on the healthy participants
Gait due to difference in Intravenous poleposition on the healthy participants
复制标题
由于健康参与者静脉注射极位的差异而导致的步态
DOI：
10.1109/embc46164.2021.9629564
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
A.
中科院分区：
文献类型：
--
作者：
Shinkawa;M.;Kitagawa;Y.;& Amemiya;A.
使用静脉(IV)杆时的步态接近老年人和跌倒者的步态。此外，一项调查报告称，对角线位置是运输轻负荷静脉输液杆的最佳位置。然而，在临床实践中，携带更重的负荷是可能的。因此，本研究明确了使用重量更接近临床实际的静脉输液杆的最佳操作位置。方法利用图像分析软件，对步长等几个指示步态的变量进行研究。参与者带着静脉输液杆以三种方式行走：横向、前面和对角。我们研究了0.5 kg和5.0 kg两种不同的静脉输液极负荷。结果与讨论在0.5 kg负荷下，侧卧位是一种抑制跟底角变窄的方法。侧位和斜位的主观评价无显著差异。此外，侧向位置与对角位置一样是最佳的。在5.0公斤级的训练中，只有侧身姿势抑制了步长的收窄。因此，横向位置是最优的。然而，参与者的印象表明，侧身姿势需要手臂力量。如果患者手臂无力，不能保持侧卧位，患者可以选择斜位。此外，前面的位置是保持躯干最向前的方式。然而，有一种可能性是特定的人，例如滚轮用户，很容易选择。结论在总负重约为5.0 kg的负重条件下，使用静脉输液杆行走时，宜选择侧卧位置。临床意义：本研究结果有助于预防老年人在临床使用静脉输液杆时跌倒。
IntroductionThe gait while using an intravenous (IV) pole is close to the gait of the elderly and fallers. Additionally, one survey has reported that the diagonal position is optimal for transporting an IV pole with a light load. However, in clinical practice, carrying a heavier load may be possible. Therefore, this study clarifies the optimum operation position using an IV pole with a weight closer to that in actual clinical practice.MethodUsing image analysis software, we investigated several variables indicating gait, such as stride length. Participants walk with an IV pole in three ways: sideways, in front, and diagonally. We investigated two types of IV pole loads, which are 0.5 kg and 5.0 kg.Results and DiscussionIn 0.5-kg settings, the sideways position is a way to suppress the narrowing of the heel–floor angle. No significant difference in the subjective appraisals was observed between the sideways and diagonal positions. In addition, the sideways position is as optimum as the diagonal position. In 5.0-kg settings, only the sideways position suppressed the narrowing of the step length. Therefore, the sideways position is optimal. However, the participants’ impressions suggested that arm strength is required for the sideways position. If a patient has weak arms and cannot maintain the sideways position, the patient may choose the diagonal position. Moreover, the front position is the way to hold the trunk most forward. However, there is a possibility that it is easy for a specific person, such as a rollator user, to choose. Therefore, further investigate of the optimum operation position depending on the walking abilities is needed.ConclusionIt was suggested that the sideways position is optimal for walking with an IV pole when transporting with a total load of approximately 5.0 kg.Clinical Relevance— The results of this study help to prevent people from gait like fallers and the elderly when using IV poles in clinical settings.