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  4. Data‑driven characterization of walking after a spinal cord injury using inertial sensors

Data‑driven characterization of walking after a spinal cord injury using inertial sensors

Journal of NeuroEngineering and Rehabilitation, 2023 · DOI: https://doi.org/10.1186/s12984-023-01178-9 · Published: May 1, 2023

Spinal Cord InjuryRehabilitationBiomechanics

Simple Explanation

An incomplete spinal cord injury (SCI) refers to remaining sensorimotor function below the injury with the possibility for the patient to regain walking abilities. Wearable inertial sensors are a promising tool to capture gait patterns objectively and started to gain ground for other neurological disorders such as stroke, multiple sclerosis, and Parkinson’s disease. This work is a step towards a more deficit-oriented therapy and paves the way for better rehabilitation outcome predictions.

Study Duration
Not specified
Participants
66 SCI patients and 20 healthy controls
Evidence Level
Not specified

Key Findings

  • 1
    Clustering resulted in 4 groups of patients that were compared to each other and to the healthy controls.
  • 2
    Including sensor-derived gait parameters as inputs for the prediction model resulted in an accuracy of 80%, which is a considerable improvement of 10% compared to using only the days since injury, the present 6MWT distance, and the days until the next 6MWT as predictors.
  • 3
    The work presented proves that sensor-derived gait parameters provide additional information on walking characteristics and thus are beneficial to complement clinical walking assessments of SCI patients.

Research Summary

The work presented a data-driven characterization of the gait properties of patients with a SCI. A clustering procedure based on sensor-derived gait parameters separated the patients into four clusters. Adding sensor-derived gait parameters as predictors for the binary classification model could improve the prediction accuracy by 10%, to 80%.

Practical Implications

Deficit-oriented therapy

Sensor-based gait assessments can foster a more deficit-oriented gait therapy by using objective gait measures.

Objective tracking of improvements

The tool will allow to objectively track improvements in gait metrics other than pure walking speed.

Better expectation management

Combining a data-driven model with the expertise and experience of clinicians would result in better expectation management of patients and more accurate definition of rehabilitation goals.

Study Limitations

  • 1
    Many of the gait parameters correlate with speed, such as for example the cadence, swing phase, and stride length, which is widely known.
  • 2
    The assessments were unequally spaced in time.
  • 3
    Sensor-derived gait parameters suffer generally from estimation errors.

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