准确性和可靠性用于估计功能运动范围
Evelina Nilsson1, Helena Grip2, Catharina Österlund1
1Department of Odontology, Clinical Oral Physiology, Umeå University, Umeå 901 87, Sweden.
Gait & posture
|July 6, 2024
概括
三维动力学分析使用运动面积和体积准确地测量了下巴运动范围 (ROM). 该方法为在临床环境中评估功能提供了可靠的工具.
科学领域:
- 生物力学 生物力学
- 运动学 运动学
- 医疗技术 医疗技术 医学技术
背景情况:
- 三维 (3D) 运动分析捕获了同步的和部运动系统数据.
- 传统的功能评估依赖于线性运动范围,限制了全面的分析.
- 在三个平面上整合下巴运动,可以通过运动区域和体积进行详细描述.
研究的目的:
- 为了验证功能运动范围 (ROM) 3D动力学分析的准确性,测试-重新测试可靠性和个体内可变性.
- 评估3D动力学分析在量化部运动面积和体积方面的精度.
- 用3D动力学来评估线性下和头部运动测量的可靠性.
主要方法:
- 通过测量已知的体积,评估百分比偏差和相关性来确定准确性.
- 测试重复测试的可靠性在17名没有疼痛的参与者中进行了评估,他们进行了标准化的下巴运动.
- 类内相关系数 (ICC) 和布兰德-阿尔特曼图表评估了可靠性;变量系数 (CV) 测量了会话内可重复性.
主要成果:
- 在体积 (0.03±0.59偏差) 和面积 (1.2±0.45偏差) 测量方面实现了高精度,具有强烈的线性相关性 (R2=0.99).
- 测试-再测试可靠性从中等到优秀,在Bland-Altman图片中显示出良好的协议.
- 观察到高重复性 (CVs),尽管水平下巴运动表现出较低的可靠性和更高的可变性.
结论:
- 3D动力学分析为准确可靠的功能ROM测量提供了经过验证的方法基础.
- 这种方法为评估ROM提供了新的措施,有利于治疗疼痛和功能障碍的临床干预.
- 该方法突出了自然的生物运动变异性和复杂的-头相互作用.
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