Digital Biomarkers of Gait and Balance in Diabetic Foot, Measurable by Wearable Inertial Measurement Units: A Mini Review.
Digital Biomarkers of Gait and Balance in Diabetic Foot, Measurable by Wearable Inertial Measurement Units: A Mini Review.
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DOI：
10.3390/s22239278
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发表时间：
2022-11-29
期刊：
影响因子：
--
通讯作者：
Lavery LA
中科院分区：
文献类型：
--
作者：
Kang GE;Stout A;Waldon K;Kang S;Killeen AL;Crisologo PA;Siah M;Jupiter D;Najafi B;Vaziri A;Lavery LA
糖尿病足患者经常表现出步态和平衡功能障碍。可穿戴惯性测量单元（伊穆斯）的最新进展使得能够评估与糖尿病足相关的一些步态和平衡功能障碍（即，步态和平衡的数字生物标志物）。然而，没有综述来告知与糖尿病足相关的步态和平衡功能障碍的数字生物标志物，其可通过可穿戴伊穆斯测量（例如，可穿戴伊穆斯可以收集哪些步态和平衡参数？测量是否可重复？）。因此，我们使用PubMed进行了一项基于网络的小型审查。我们的搜索仅限于人类受试者和在同行评审期刊上发表的英文论文。我们在这篇小型综述中确定了20篇论文。我们发现了糖尿病足患者步态和平衡功能障碍的数字生物标志物的初步证据，如步态速度慢，步态变异大，步态启动不稳定和身体摇摆大。然而，由于纳入文献在研究设计、运动任务和样本量方面的异质性，建议进行更多研究以证实这一初步证据。此外，根据我们的小型审查，我们建议建立适当的策略，以成功地将基于可穿戴设备的评估纳入糖尿病足护理的临床实践。
People with diabetic foot frequently exhibit gait and balance dysfunction. Recent advances in wearable inertial measurement units (IMUs) enable to assess some of the gait and balance dysfunction associated with diabetic foot (i.e., digital biomarkers of gait and balance). However, there is no review to inform digital biomarkers of gait and balance dysfunction related to diabetic foot, measurable by wearable IMUs (e.g., what gait and balance parameters can wearable IMUs collect? Are the measurements repeatable?). Accordingly, we conducted a web-based, mini review using PubMed. Our search was limited to human subjects and English-written papers published in peer-reviewed journals. We identified 20 papers in this mini review. We found preliminary evidence of digital biomarkers of gait and balance dysfunction in people with diabetic foot, such as slow gait speed, large gait variability, unstable gait initiation, and large body sway. However, due to heterogeneities in included papers in terms of study design, movement tasks, and small sample size, more studies are recommended to confirm this preliminary evidence. Additionally, based on our mini review, we recommend establishing appropriate strategies to successfully incorporate wearable-based assessment into clinical practice for diabetic foot care.
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