- 著者
- 
             
             Tomohiro Oba
             
             Hiroaki Iwase
             
             Yoshitake Oshima
             
             Junya Miyazaki
             
             Kojiro Ishii
             
          
- 出版者
- The Japanese Association of Rehabilitation Medicine
- 雑誌
- Progress in Rehabilitation Medicine (ISSN:24321354)
- 巻号頁・発行日
- vol.2, pp.20170016, 2017 (Released:2017-12-27)
- 参考文献数
- 26
- 被引用文献数
- 
             
             1
             
             
             1
             
             
          
        
        Objective: This study investigated the optimum conditions for obtaining          valid step-count measurements for patients with abnormal gait. Methods:          Subjects comprised 61 hospitalized patients with abnormal gait. Four different devices          were tested: Active Style Pro (AS), Walking Style (WS), Lifecorder PLUS, and Steps. The          same device type was attached to the waist on both the affected and the unaffected side.          Patients then walked 25 m at a comfortable speed. This test was repeated four times, once          for each device. The measurement error (ME) and walking parameters (gait velocity, step          length, and cadence) were calculated from the test data. ME scores smaller than 3% and 10%          were classified as valid: scores above these standards were classified as invalid. Walking          parameter values that identified the invalid group with a specificity of 0.95 were set as          the cut-off velocity (COV), the cut-off step length (COS), and the cut-off cadence.          Sensitivity values >0.40 and positive predictive values >80% were then set as          necessary conditions. Results: COV values were 0.90 m/s (AS on the unaffected          side at 3% ME and AS on the affected side or the unaffected side at 10% ME), 0.92 m/s (WS          on the unaffected side at 10% ME), and 0.98 m/s (WS on the affected side at 3% ME). COS          values were 0.50 m (AS on the affected side at 10% ME) and 0.52 m (AS on the unaffected          side at 3% ME). Conclusion: The most accurate measurements were obtained          using AS attached to the unaffected side with a gait velocity of >0.90 m/s.