Article

Inertial sensor systems are increasingly used in the assessment of persons with
knee osteoarthritis (KOA) and total knee replacement (TKR). This systematic
review aims to (1) investigate the application of inertial sensor systems and
kinematics derived from these systems, and (2) assess if current assessment
protocols consist of tasks which are, according to the International
Classification of Functioning, Disability and Health (ICF) for KOA, relevant for
persons with KOA and TKR.
A search was conducted in six electronic databases
(ACM, CINAHL, EMBASE, IEEE, PubMed, Web of Science) to include papers assessing
the knee and one or more adjacent joints by means of inertial sensors in healthy
persons or persons with KOA or TKR. Two reviewers checked the methodological
quality. Twenty-three papers were included: 18 in healthy persons and five in
persons with KOA or TKR. In healthy persons, 11 tasks were related to metrics of
the ICF-function and ICF-activity level. In persons with KOA, only walking was
assessed. Apart from walking, four additional tasks were related to the
ICF-function and ICF-activity level in persons with TKR. In healthy persons,
joints located proximally and distally to the knee were assessed, while in
persons with KOA and TKR, only the knee and ankle were assessed. This is a
shortcoming since hip and trunk motion potentially contain clinically relevant
information, in terms of identifying (mal)adaptive compensatory movement
strategies. Additionally, physically more demanding tasks should be evaluated as
these might be superior in detecting compensatory movement strategies. Former
considerations warrant attention in future research.
CI - Copyright (c) 2017 Elsevier B.V. All rights reserved.

Langue : ANGLAIS