Abstract:Background: We aimed to compare 4 automatic devices with a conventional stopwatch for measuring gait speed. Methods: We used 4 experimental devices to automatically measure gait speed: 1) Gaitspeedometer (GSM) 1, with laser sensors; 2) GSM2, with ultrasound sensors; 3) GSM3, with infrared sensors; and 4) GSM4, with a light detection and ranging sensor. To assess compatibility between different versions of GSMs, we collected 426 data points from 4 young engineers walking at random speeds and with varying postur… Show more
“…Our laboratory measures gait speed using automatic sensors and manual stopwatch. We agree with the results of the study performed by Jung et al 11) in their cross-comparisons of gait speed measured using four different versions of automatic sensors and a conventional stopwatch. Until now, gait speed has mainly been measured manually using a stopwatch in clinical settings; however, gait speed assessment requires more accurate and consistent measurement for assessing the physical function in older adults.…”
supporting
confidence: 92%
“…8,9) However, with the emerging importance of gait speed measurement, automatic sensors are increasingly used for more accurate measurement. 10) We read the article by Jung et al 11) with great interest. Our laboratory measures gait speed using automatic sensors and manual stopwatch.…”
Physical changes due to age, cognitive decline, reduced agility to cope with the risk of falling, and environmental factors are becoming a significant threat to healthy aging. 1) In older adults, reduced gait speed is strongly associated with the risk of falls and limited physical functional capacity. 2,3) Gait speed measurement is the most important and simple test to assess changes in the physical function of older adults. [4][5][6] Gait speed is used not only to evaluate physical function but also to assess the general health status and diagnose sarcopenia in older adults. 7) Generally, manual stopwatch measurement is the most frequently used method to evaluate gait speed because it is easy, simple, fast, convenient, and economical and can be performed without the need for experts. 8,9) However, with the emerging importance of gait speed measurement, automatic sensors are increasingly used for more accurate measurement. 10) We read the article by Jung et al. 11) with great interest. Our laboratory measures gait speed using automatic sensors and manual stopwatch. We agree with the results of the study performed by Jung et al. 11) in their cross-comparisons of gait speed measured using four different versions of automatic sensors and a conventional stopwatch. Until now, gait speed has mainly been measured manually using a stopwatch in clinical settings; however, gait speed assessment requires more accurate and consistent measurement for assessing the physical function in older adults. Therefore, cross-comparison of gait speed assessed by various automatic walking measurement equipment and stopwatch is an exciting and meaningful topic. In particular, we thank Jung et al. 11) for their impressive research on a more advanced version of the automatic sensor.We previously compared the results of gait speed measured using automatic sensors by beam-breaking to those measured by manual stopwatch according to the starting protocols (standing start or moving start). 12) We suggested the need for careful attention to avoid misevaluation when gait speed was measured manu-Letter to the Editor pISSN 2508-4798 eISSN 2508-4909 Ann Geriatr Med Res 2019;23(3):155-156 https://doi.org/10.4235/agmr.19.0033ally using a stopwatch with a moving start. The use of automatic measuring equipment is recommended when a moving start is used as the starting protocol. Therefore, not only the timing method (manual stopwatch vs. automatic timer) but also the starting protocol (standing vs. moving start) require consideration in the study of gait speed measurement. One disadvantage of measurement by the beam-breaking system described by the authors is an enlarged fanning effect in participants with wide-based gait or veering tendency. 11) To compensate for this problem, assessment of trunk movement with the sensor facing the participant's trunk rather than the side of the ankle has been proposed. However, this method requires some consideration. First, in the moving start method, the automatic measurement equipment is located in front of the end...
“…Our laboratory measures gait speed using automatic sensors and manual stopwatch. We agree with the results of the study performed by Jung et al 11) in their cross-comparisons of gait speed measured using four different versions of automatic sensors and a conventional stopwatch. Until now, gait speed has mainly been measured manually using a stopwatch in clinical settings; however, gait speed assessment requires more accurate and consistent measurement for assessing the physical function in older adults.…”
supporting
confidence: 92%
“…8,9) However, with the emerging importance of gait speed measurement, automatic sensors are increasingly used for more accurate measurement. 10) We read the article by Jung et al 11) with great interest. Our laboratory measures gait speed using automatic sensors and manual stopwatch.…”
Physical changes due to age, cognitive decline, reduced agility to cope with the risk of falling, and environmental factors are becoming a significant threat to healthy aging. 1) In older adults, reduced gait speed is strongly associated with the risk of falls and limited physical functional capacity. 2,3) Gait speed measurement is the most important and simple test to assess changes in the physical function of older adults. [4][5][6] Gait speed is used not only to evaluate physical function but also to assess the general health status and diagnose sarcopenia in older adults. 7) Generally, manual stopwatch measurement is the most frequently used method to evaluate gait speed because it is easy, simple, fast, convenient, and economical and can be performed without the need for experts. 8,9) However, with the emerging importance of gait speed measurement, automatic sensors are increasingly used for more accurate measurement. 10) We read the article by Jung et al. 11) with great interest. Our laboratory measures gait speed using automatic sensors and manual stopwatch. We agree with the results of the study performed by Jung et al. 11) in their cross-comparisons of gait speed measured using four different versions of automatic sensors and a conventional stopwatch. Until now, gait speed has mainly been measured manually using a stopwatch in clinical settings; however, gait speed assessment requires more accurate and consistent measurement for assessing the physical function in older adults. Therefore, cross-comparison of gait speed assessed by various automatic walking measurement equipment and stopwatch is an exciting and meaningful topic. In particular, we thank Jung et al. 11) for their impressive research on a more advanced version of the automatic sensor.We previously compared the results of gait speed measured using automatic sensors by beam-breaking to those measured by manual stopwatch according to the starting protocols (standing start or moving start). 12) We suggested the need for careful attention to avoid misevaluation when gait speed was measured manu-Letter to the Editor pISSN 2508-4798 eISSN 2508-4909 Ann Geriatr Med Res 2019;23(3):155-156 https://doi.org/10.4235/agmr.19.0033ally using a stopwatch with a moving start. The use of automatic measuring equipment is recommended when a moving start is used as the starting protocol. Therefore, not only the timing method (manual stopwatch vs. automatic timer) but also the starting protocol (standing vs. moving start) require consideration in the study of gait speed measurement. One disadvantage of measurement by the beam-breaking system described by the authors is an enlarged fanning effect in participants with wide-based gait or veering tendency. 11) To compensate for this problem, assessment of trunk movement with the sensor facing the participant's trunk rather than the side of the ankle has been proposed. However, this method requires some consideration. First, in the moving start method, the automatic measurement equipment is located in front of the end...
“…Fourth, we performed walking speed measurement for the eSPPB and mSPPB in separate spaces, and this might have resulted in an apparently higher discrepancy between manually measured walking speed and sensor-based walking speed in contrast to a previous report. 13 Based on our initial findings, further research with the eSPPB in a large longitudinal setting may resolve these drawbacks.…”
Section: Discussionmentioning
confidence: 96%
“…For balance, we used a load cell array composed of 16 load cells that could detect the two‐dimensional location of each foot and measure the weights applied on the load cells every 10 milliseconds. For walking speed, we used a previously validated one‐dimensional light detection and ranging (LiDAR) sensor that could measure the distance between the sensor and the participants once in every 10 milliseconds and produced a distance‐time curve of the participants while walking . For the five‐times chair stand, we combined two sensors: a load cell embedded chair, which can measure the weights of the sitting participants every 10 milliseconds; and a LiDAR sensor to measure the distance between the buttocks of the participant and the chair.…”
Section: Methodsmentioning
confidence: 99%
“…For walking speed, we used a previously validated one-dimensional light detection and ranging (LiDAR) sensor that could measure the distance between the sensor and the participants once in every 10 milliseconds and produced a distance-time curve of the participants while walking. 13 For the five-times chair stand, we combined two sensors: a load cell embedded chair, which can measure the weights of the sitting participants every 10 milliseconds; and a LiDAR sensor to measure the distance between the buttocks of the participant and the chair. These three components were connected to a computer and controlled by a program that could perform the SPPB protocol in a standard manner with graphic and voice instructions.…”
OBJECTIVES
We aimed to validate a multi–sensor‐based kiosk (automatically measured Short Physical Performance Battery [eSPPB] kiosk) that can perform automated measurement of the SPPB.
DESIGN
Prospective, cross‐sectional study.
SETTING
Rehabilitation clinic of a tertiary‐care hospital.
PARTICIPANTS
Ambulatory outpatients, aged 65 years or older (N = 40).
MEASUREMENTS
The eSPPB kiosk was developed to measure the three components of the SPPB: standing balance, gait speed, and chair stand test with embedded sensors and algorithms. Correlations between the total and component‐specific scores of the eSPPB and manually measured SPPB (mSPPB), assessed by a physical therapist, were assessed. Further, correlations between SPPB parameters and geriatric functional measures were also evaluated.
RESULTS
This study included 40 participants with a mean age of 74.4 ± 6.5 years, a mean total eSPPB score of 10.1 ± 2.1, and a mean total mSPPB score of 10.2 ± 2.1. The intraclass correlation coefficient between the eSPPB and mSPPB total score was 0.97 (P < .001), and the κ agreement was 0.79 (P < .001). The intraclass coefficients between the components of eSPPB and mSPPB were 0.77 (P < .001), 0.88 (P < .001), and 0.99 (P < .001) for standing balance, gait speed, and chair stand test, respectively.
CONCLUSION
The newly developed kiosk might be a viable and efficient method for performing the SPPB in older adults. J Am Geriatr Soc 67:2605–2609, 2019
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