Management of a patient's gait abnormality using smartphone technology in-clinic for improved qualitative analysis: A case report
| Autor: | Donald L. Hoover, William R. VanWye |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Knee Joint Computer science medicine.medical_treatment ComputingMethodologies_IMAGEPROCESSINGANDCOMPUTERVISION Video Recording Foot Orthoses Work Capacity Evaluation Physical Therapy Sports Therapy and Rehabilitation Triple arthrodesis Knee Injuries 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Qualitative analysis Predictive Value of Tests Image Interpretation Computer-Assisted medicine Humans Gait Gait Disorders Neurologic 030222 orthopedics Video capture Digital video Equipment Design Recovery of Function Middle Aged Biomechanical Phenomena Treatment Outcome Gait abnormality Smartphone medicine.symptom 030217 neurology & neurosurgery |
| Zdroj: | Physiotherapy theory and practice. 34(5) |
| ISSN: | 1532-5040 |
| Popis: | Qualitative analysis has its limitations as the speed of human movement often occurs more quickly than can be comprehended. Digital video allows for frame-by-frame analysis, and therefore likely more effective interventions for gait dysfunction. Although the use of digital video outside laboratory settings, just a decade ago, was challenging due to cost and time constraints, rapid use of smartphones and software applications has made this technology much more practical for clinical usage.A 35-year-old man presented for evaluation with the chief complaint of knee pain 24 months status-post triple arthrodesis following a work-related crush injury. In-clinic qualitative gait analysis revealed gait dysfunction, which was augmented by using a standard IPhone® 3GS camera. After video capture, an IPhone® application (Speed Up TV®, https://itunes.apple.com/us/app/speeduptv/id386986953?mt=8 ) allowed for frame-by-frame analysis. Corrective techniques were employed using in-clinic equipment to develop and apply a temporary heel-to-toe rocker sole (HTRS) to the patient's shoe.Post-intervention video revealed significantly improved gait efficiency with a decrease in pain. The patient was promptly fitted with a permanent HTRS orthosis. This intervention enabled the patient to successfully complete a work conditioning program and progress to job retraining.Video allows for multiple views, which can be further enhanced by using applications for frame-by-frame analysis and zoom capabilities. This is especially useful for less experienced observers of human motion, as well as for establishing comparative signs prior to implementation of training and/or permanent devices. |
| Databáze: | OpenAIRE |
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