Use of the margin of stability to quantify stability in pathologic gait - a qualitative systematic review.
Use of the margin of stability to quantify stability in pathologic gait - a qualitative systematic review.
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DOI：
10.1186/s12891-021-04466-4
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发表时间：
2021-06-28
影响因子：
2.3
通讯作者：
Leong JJH
中科院分区：
文献类型：
--
作者：
Watson F;Fino PC;Thornton M;Heracleous C;Loureiro R;Leong JJH
稳定裕度（Margin of Stability，MoS）是步态动态稳定性的一个广泛使用的客观指标。研究人员越来越多地使用MoS来评估病理人群的稳定性，以衡量他们的稳定能力和应对策略，或作为结果、治疗反应或疾病进展的客观标志。目标是：描述使用MoS评估的病理步态类型，检查用于评估MoS的方法，并检查MoS数据的呈现和解释方式。根据系统性综述和荟萃分析指南的首选报告项目（PRISMA），在以下数据库中进行了系统性综述：Web of Science、PubMed、UCL Library Explore、科克伦图书馆、Scopus。所有文章测量了受病理影响的成年人群在直线行走时的MoS。根据前瞻性定义的列表收集提取的数据，包括：人群类型、数据分析和模型构建方法、进行的行走任务和MoS解释。最终审查纳入了31项研究。超过15个不同的临床人群进行了研究，最常见的中风后和单侧经胫骨截肢人群。大多数参与者在步态实验室使用运动捕捉技术进行评估，而2项研究使用仪器鞋。介绍了各种质心、支撑基础和MoS的定义和计算方法。这是第一个评估MoS使用的系统性综述，也是第一个考虑其临床应用的系统性综述。研究结果表明，MoS有可能成为各种临床受影响人群的有用，客观的测量方法。不幸的是，方法和解释各不相同，这阻碍了随后的研究比较。缺乏大型研究的基线结果意味着很难在研究之间进行直接比较，也很难得出强有力的结论。欢迎生物力学界进一步开展工作，为MoS计算方法制定报告指南，并承诺对每种病理进行更大规模的基线研究。
The Margin of Stability (MoS) is a widely used objective measure of dynamic stability during gait. Increasingly, researchers are using the MoS to assess the stability of pathological populations to gauge their stability capabilities and coping strategies, or as an objective marker of outcome, response to treatment or disease progression. The objectives are; to describe the types of pathological gait that are assessed using the MoS, to examine the methods used to assess MoS and to examine the way the MoS data is presented and interpreted. A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Guidelines (PRISMA) in the following databases: Web of Science, PubMed, UCL Library Explore, Cochrane Library, Scopus. All articles measured the MoS of a pathologically affected adult human population whilst walking in a straight line. Extracted data were collected per a prospectively defined list, which included: population type, method of data analysis and model building, walking tasks undertaken, and interpretation of the MoS. Thirty-one studies were included in the final review. More than 15 different clinical populations were studied, most commonly post-stroke and unilateral transtibial amputee populations. Most participants were assessed in a gait laboratory using motion capture technology, whilst 2 studies used instrumented shoes. A variety of centre of mass, base of support and MoS definitions and calculations were described. This is the first systematic review to assess use of the MoS and the first to consider its clinical application. Findings suggest the MoS has potential to be a helpful, objective measurement in a variety of clinically affected populations. Unfortunately, the methodology and interpretation varies, which hinders subsequent study comparisons. A lack of baseline results from large studies mean direct comparison between studies is difficult and strong conclusions are hard to make. Further work from the biomechanics community to develop reporting guidelines for MoS calculation methodology and a commitment to larger baseline studies for each pathology is welcomed.
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影响因子：
2.4
作者：
Beltran, Eduardo J.;Dingwell, Jonathan B.;Wilken, Jason M.
通讯作者：
Wilken, Jason M.
影响因子：
2.4
作者：
Hof, At L.;Curtze, Carolin
通讯作者：
Curtze, Carolin
DOI：
10.1016/j.apmr.2013.07.020
发表时间：
2013-11-01
影响因子：
4.3
作者：
Hak, Laura;van Dieen, Jaap H.;Houdijk, Han
通讯作者：
Houdijk, Han
影响因子：
5.1
作者：
Brandt, Andrea;Riddick, William;Huang, He Helen
通讯作者：
Huang, He Helen
影响因子：
2.1
作者：
Hof, At L.
通讯作者：
Hof, At L.