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. 2019 Jun 15;20(1):288.
doi: 10.1186/s12891-019-2663-4.

The role of wearable devices and objective gait analysis for the assessment and monitoring of patients with lumbar spinal stenosis: systematic review

Ananya Chakravorty  1 , Ralph J Mobbs  2   3   4 , David B Anderson  5 , Kaitlin Rooke  6 , Kevin Phan  7   6   1 , Nicole Yoong  7   6   1 , Monish Maharaj  7   1 , Wen Jie Choy  7   6   1
Affiliations

The role of wearable devices and objective gait analysis for the assessment and monitoring of patients with lumbar spinal stenosis: systematic review

Ananya Chakravorty et al. BMC Musculoskelet Disord. .

Abstract

Background: The purpose of this systematic review was to evaluate the accuracy and reliability of wearable devices for objective gait measurement of Lumbar Spinal Stenosis (LSS) patients, with a focus on relevant gait metrics.

Methods: Systematic searches were conducted of five electronic databases to identify studies that assessed gait metrics by wearable or portable technology. Data was collected according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement guidelines.

Results: Four articles were identified for inclusion in this review. The objectives, methodology and quality of the studies varied. No single gait metric was investigated in all four studies, making comparison difficult. The most relevant metrics reported included gait cycle, gait velocity, step length and cadence, which were reported in two studies. Two studies explored gait symmetry. Differences between LSS patients and normal healthy subjects are demonstrable using wearable technology.

Conclusions: The measurements of gait cycle, cadence, step length, gait velocity, and number of steps with wearable devices can be used in the gait measurement of LSS patients for initial assessment, and objective outcomes following interventions. However, data and analysis are limited, and further studies are necessary to comment on reliability.

Keywords: Gait assessment; Gait metrics; Lumbar spinal stenosis; Wearables.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Flow chart outlining the process in this systematic review. Based upon the PRISMA preferred reporting for Systematic reviews [26]
See this image and copyright information in PMC

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