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Techniques for measuring weight bearing during standing and walking.

H L P Hurkmans1, J B J Bussmann, E Benda

  • 1Erasmus MC--University Medical Center Rotterdam, Department of Physical Therapy, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands. h.hurkmans@erasmusmc.nl

Clinical Biomechanics (Bristol, Avon)
|July 26, 2003
PubMed
Summary

This review classifies and assesses weight-bearing measurement techniques, highlighting that while clinical examination is crude, biofeedback systems and ambulatory devices offer more reliable data for clinicians and researchers. The best choice depends on application, budget, and desired accuracy.

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Area of Science:

  • Biomechanics
  • Rehabilitation Engineering
  • Clinical Measurement

Background:

  • A wide array of techniques exists for measuring weight bearing during standing and walking.
  • Understanding the advantages and limitations of each technique is crucial for effective clinical and research applications.

Purpose of the Study:

  • To classify and critically assess various methods for quantifying weight bearing during static and dynamic activities.
  • To provide guidance for clinicians and researchers in selecting appropriate weight-bearing measurement techniques based on specific needs.

Main Methods:

  • A comprehensive literature search was conducted across major databases (PubMed-Medline, CINAHL, EMBASE).
  • Measurement techniques were categorized into clinical examination, scales, biofeedback systems, ambulatory devices, and platforms.

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  • Each technique was evaluated based on methodological quality, practical application, and feasibility.

    • Main Results:

    • Sixty-eight articles were reviewed, revealing clinical examination as a rudimentary method.
    • Scales are suitable for static weight-bearing symmetry assessment.
    • Biofeedback systems offer enhanced reliability and objectivity but may be costly.
    • Ambulatory devices provide accurate and reliable measurements in diverse settings.
    • Platforms exhibit high methodological quality but are typically confined to specialized laboratories and require expert operation.

    Conclusions:

    • The selection of a weight-bearing measurement technique is contingent upon specific criteria, including clinical utility, research objectives, and budget constraints.
    • Emerging ambulatory devices show promise for extended measurement durations and improved data handling, though many are still in preliminary research phases and not yet commercially available.