Inertial Measurement Unit-Based Romberg Test for Assessing Adults With Vestibular Hypofunction
This work aims to explore the utility of wearable inertial measurement units (IMUs) for quantifying movement in Romberg tests and investigate the extent of movement in adults with vestibular hypofunction (VH). A cross-sectional study was conducted at an academic tertiary medical center between March...
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IEEE
2024-01-01
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| Series: | IEEE Journal of Translational Engineering in Health and Medicine |
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| Online Access: | https://ieeexplore.ieee.org/document/10322744/ |
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| author | Kuan-Chung Ting Yu-Chieh Lin Chia-Tai Chan Tzong-Yang Tu Chun-Che Shih Kai-Chun Liu Yu Tsao |
| author_facet | Kuan-Chung Ting Yu-Chieh Lin Chia-Tai Chan Tzong-Yang Tu Chun-Che Shih Kai-Chun Liu Yu Tsao |
| author_sort | Kuan-Chung Ting |
| collection | DOAJ |
| description | This work aims to explore the utility of wearable inertial measurement units (IMUs) for quantifying movement in Romberg tests and investigate the extent of movement in adults with vestibular hypofunction (VH). A cross-sectional study was conducted at an academic tertiary medical center between March 2021 and April 2022. Adults diagnosed with unilateral vestibular hypofunction (UVH) or bilateral vestibular hypofunction (BVH) were enrolled in the VH group. Healthy controls (HCs) were recruited from community or outpatient clinics. The IMU-based instrumented Romberg and tandem Romberg tests on the floor were applied to both groups. The primary outcomes were kinematic body metrics (maximum acceleration [ACC], mean ACC, root mean square [RMS] of ACC, and mean sway velocity [MV]) along the medio-lateral (ML), cranio-caudal (CC), and antero-posterior (AP) axes. A total of 31 VH participants (mean age, 33.48 [SD 7.68] years; 19 [61%] female) and 31 HCs (mean age, 30.65 [SD 5.89] years; 18 [58%] female) were recruited. During the eyes-closed portion of the Romberg test, VH participants demonstrated significantly higher maximum ACC and increased RMS of ACC in head movement, as well as higher maximum ACC in pelvic movement along the ML axis. In the same test condition, individuals with BVH exhibited notably higher maximum ACC and RMS of ACC along the ML axis in head and pelvic movements compared with HCs. Additionally, BVH participants exhibited markedly increased maximum ACC along the ML axis in head movement during the eyes-open portion of the tandem Romberg test. Conversely, no significant differences were found between UVH participants and HCs in the assessed parameters. The instrumented Romberg and tandem Romberg tests characterized the kinematic differences in head, pelvis, and ankle movement between VH and healthy adults. The findings suggest that these kinematic body metrics can be useful for screening BVH and can provide goals for vestibular rehabilitation. |
| format | Article |
| id | doaj-art-d6dcb98e284042338e0d1bbad61d86e9 |
| institution | DOAJ |
| issn | 2168-2372 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | IEEE |
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| series | IEEE Journal of Translational Engineering in Health and Medicine |
| spelling | doaj-art-d6dcb98e284042338e0d1bbad61d86e92025-08-20T02:47:33ZengIEEEIEEE Journal of Translational Engineering in Health and Medicine2168-23722024-01-011224525510.1109/JTEHM.2023.333423810322744Inertial Measurement Unit-Based Romberg Test for Assessing Adults With Vestibular HypofunctionKuan-Chung Ting0Yu-Chieh Lin1Chia-Tai Chan2Tzong-Yang Tu3Chun-Che Shih4Kai-Chun Liu5https://orcid.org/0000-0001-7867-4716Yu Tsao6https://orcid.org/0000-0001-6956-0418Department of Otolaryngology-Head and Neck Surgery, Taipei Veterans General Hospital, Taipei, TaiwanDepartment of Biomedical Engineering, National Yang Ming Chiao Tung University, Taipei, TaiwanDepartment of Biomedical Engineering, National Yang Ming Chiao Tung University, Taipei, TaiwanDepartment of Otolaryngology-Head and Neck Surgery, Taipei Veterans General Hospital, Taipei, TaiwanInstitute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanResearch Center for Information Technology Innovation, Academia Sinica, Taipei, TaiwanResearch Center for Information Technology Innovation, Academia Sinica, Taipei, TaiwanThis work aims to explore the utility of wearable inertial measurement units (IMUs) for quantifying movement in Romberg tests and investigate the extent of movement in adults with vestibular hypofunction (VH). A cross-sectional study was conducted at an academic tertiary medical center between March 2021 and April 2022. Adults diagnosed with unilateral vestibular hypofunction (UVH) or bilateral vestibular hypofunction (BVH) were enrolled in the VH group. Healthy controls (HCs) were recruited from community or outpatient clinics. The IMU-based instrumented Romberg and tandem Romberg tests on the floor were applied to both groups. The primary outcomes were kinematic body metrics (maximum acceleration [ACC], mean ACC, root mean square [RMS] of ACC, and mean sway velocity [MV]) along the medio-lateral (ML), cranio-caudal (CC), and antero-posterior (AP) axes. A total of 31 VH participants (mean age, 33.48 [SD 7.68] years; 19 [61%] female) and 31 HCs (mean age, 30.65 [SD 5.89] years; 18 [58%] female) were recruited. During the eyes-closed portion of the Romberg test, VH participants demonstrated significantly higher maximum ACC and increased RMS of ACC in head movement, as well as higher maximum ACC in pelvic movement along the ML axis. In the same test condition, individuals with BVH exhibited notably higher maximum ACC and RMS of ACC along the ML axis in head and pelvic movements compared with HCs. Additionally, BVH participants exhibited markedly increased maximum ACC along the ML axis in head movement during the eyes-open portion of the tandem Romberg test. Conversely, no significant differences were found between UVH participants and HCs in the assessed parameters. The instrumented Romberg and tandem Romberg tests characterized the kinematic differences in head, pelvis, and ankle movement between VH and healthy adults. The findings suggest that these kinematic body metrics can be useful for screening BVH and can provide goals for vestibular rehabilitation.https://ieeexplore.ieee.org/document/10322744/Vestibular hypofunctionRomberg testtandem Romberg testwearable sensorinertial measurement units |
| spellingShingle | Kuan-Chung Ting Yu-Chieh Lin Chia-Tai Chan Tzong-Yang Tu Chun-Che Shih Kai-Chun Liu Yu Tsao Inertial Measurement Unit-Based Romberg Test for Assessing Adults With Vestibular Hypofunction IEEE Journal of Translational Engineering in Health and Medicine Vestibular hypofunction Romberg test tandem Romberg test wearable sensor inertial measurement units |
| title | Inertial Measurement Unit-Based Romberg Test for Assessing Adults With Vestibular Hypofunction |
| title_full | Inertial Measurement Unit-Based Romberg Test for Assessing Adults With Vestibular Hypofunction |
| title_fullStr | Inertial Measurement Unit-Based Romberg Test for Assessing Adults With Vestibular Hypofunction |
| title_full_unstemmed | Inertial Measurement Unit-Based Romberg Test for Assessing Adults With Vestibular Hypofunction |
| title_short | Inertial Measurement Unit-Based Romberg Test for Assessing Adults With Vestibular Hypofunction |
| title_sort | inertial measurement unit based romberg test for assessing adults with vestibular hypofunction |
| topic | Vestibular hypofunction Romberg test tandem Romberg test wearable sensor inertial measurement units |
| url | https://ieeexplore.ieee.org/document/10322744/ |
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