Movement Analysis Could Help in the Assessment of Chronic Low Back Pain Patients: Results from a Preliminary Explorative Study

Introduction: This study aimed to assess the reliability of a qualitative scoring system based on the movement analysis of the spine in different populations and after usual care rehabilitative intervention. If proven true, the results could further future research development in quantitative indexes, leading to a possible subclassification of chronic low back pain (cLBP). Methods: This was a preliminary exploratory observational study. Data of an optoelectronic spine movement analysis from a pathological population (cLBP population, 5 male, 5 female, age 58 ± 16 years) were compared to young healthy participants (5M, 5F, age 22 ± 1) and were analysed via a new qualitative score of the pattern of movement. Internal consistency was calculated. Two independent assessors (experienced and inexperienced) assessed the blinded data, and we calculated inter- and intrarater reliability. We performed an analysis for cLBP pre and post a ten session group rehabilitation program between and within groups. Results: Internal consistency was good for all movements (α = 0.84-0.88). Intra-rater reliability (Intraclass correlation coefficient-ICC) was excellent for overall scores of all movements (ICC(1,k) = 0.95-0.99), while inter-rater reliability was poor to moderate (ICC(1,k) = 0.39-0.78). We found a significant difference in the total movement scores between cLBP and healthy participants (p = 0.001). Within-group comparison (cLBP) showed no significant difference in the total movement score in pre and post-treatment. Conclusion: The perception of differences between normal and pathological movements has been confirmed through the proposed scoring system, which proved to be able to distinguish different populations. This study has many limitations, but these results show that movement analysis could be a useful tool and open the door to quantifying the identified parameters through future studies

Response to Letter Regarding Article, "Is Worsening Renal Function an Ominous Prognostic Sign in Patients With Acute Heart Failure? The Role of Congestion and Its Interaction With Renal Function"

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Trunk motion analysis: a systematic review from a clinical and methodological perspective

This systematic literature review aims to check the current state of affairs of non-gait-related optoelectronic trunk movement analysis; results have been analyzed from a clinical and a methodological perspective

Soft, Transparent, Electronic Skin for Distributed and Multiple Pressure Sensing

In this paper we present a new optical, flexible pressure sensor that can be applied as smart skin to a robot or to consumer electronic devices. We describe a mechano-optical transduction principle that can allow the encoding of information related to an externally applied mechanical stimulus, e.g., contact, pressure and shape of contact. The physical embodiment that we present in this work is an electronic skin consisting of eight infrared emitters and eight photo-detectors coupled together and embedded in a planar PDMS waveguide of 5.5 cm diameter. When a contact occurs on the sensing area, the optical signals reaching the peripheral detectors experience a loss because of the Frustrated Total Internal Reflection and deformation of the material. The light signal is converted to electrical signal through an electronic system and a reconstruction algorithm running on a computer reconstructs the pressure map. Pilot experiments are performed to validate the tactile sensing principle by applying external pressures up to 160 kPa. Moreover, the capabilities of the electronic skin to detect contact pressure at multiple subsequent positions, as well as its function on curved surfaces, are validated. A weight sensitivity of 0.193 gr−1 was recorded, thus making the electronic skin suitable to detect pressures in the order of few grams