Evidence map›Paper›PMID 39140268›Full record

ArticleJMIR mHealth and uHealth2024

A Novel Approach for Improving Gait Speed Estimation Using a Single Inertial Measurement Unit Embedded in a Smartphone: Validity and Reliability Study.

Pei-An Lee, Wanting Yu, Junhong Zhou, Timothy Tsai, Brad Manor, On-Yee Lo

Abstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Pei-An LeeHinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, United States.ORCID 0009-0001-6230-5956
Wanting YuHinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, United States.ORCID 0000-0002-5241-0891
Junhong ZhouHinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, United States.ORCID 0000-0002-7931-7646
Timothy TsaiHinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, United States.ORCID 0000-0002-0274-8042
Brad ManorHinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, United States.ORCID 0000-0002-0776-237X
On-Yee LoHinda and Arthur Marcus Institute for Aging Research, Hebrew SeniorLife, Boston, MA, United States.ORCID 0000-0002-7964-7717

Funding

Modulating brain networks to reduce gait variability in older adults at risk of fallingK01AG075252 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI CARRETIE, SABRINA, LO, ON-YEE AMY · 2022 to 2024
$362k
NIA NIH HHS K01 AG075252
6 · The paper itself

Abstract

Background: Gait speed is a valuable biomarker for mobility and overall health assessment. Existing methods to measure gait speed require expensive equipment or personnel assistance, limiting their use in unsupervised, daily-life conditions. The availability of smartphones equipped with a single inertial measurement unit (IMU) presents a viable and convenient method for measuring gait speed outside of laboratory and clinical settings. Previous works have used the inverted pendulum model to estimate gait speed using a non-smartphone-based IMU attached to the trunk. However, it is unclear whether and how this approach can estimate gait speed using the IMU embedded in a smartphone while being carried in a pants pocket during walking, especially under various walking conditions. Objective: This study aimed to validate and test the reliability of a smartphone IMU-based gait speed measurement placed in the user's front pants pocket in both healthy young and older adults while walking quietly (ie, normal walking) and walking while conducting a cognitive task (ie, dual-task walking). Methods: A custom-developed smartphone application (app) was used to record gait data from 12 young adults and 12 older adults during normal and dual-task walking. The validity and reliability of gait speed and step length estimations from the smartphone were compared with the gold standard GAITRite mat. A coefficient-based adjustment based upon a coefficient relative to the original estimation of step length was applied to improve the accuracy of gait speed estimation. The magnitude of error (ie, bias and limits of agreement) between the gait data from the smartphone and the GAITRite mat was calculated for each stride. The Passing-Bablok orthogonal regression model was used to provide agreement (ie, slopes and intercepts) between the smartphone and the GAITRite mat. Results: The gait speed measured by the smartphone was valid when compared to the GAITRite mat. The original limits of agreement were 0.50 m/s (an ideal value of 0 m/s), and the orthogonal regression analysis indicated a slope of 1.68 (an ideal value of 1) and an intercept of -0.70 (an ideal value of 0). After adjustment, the accuracy of the smartphone-derived gait speed estimation improved, with limits of agreement reduced to 0.34 m/s. The adjusted slope improved to 1.00, with an intercept of 0.03. The test-retest reliability of smartphone-derived gait speed was good to excellent within supervised laboratory settings and unsupervised home conditions. The adjustment coefficients were applicable to a wide range of step lengths and gait speeds. Conclusions: The inverted pendulum approach is a valid and reliable method for estimating gait speed from a smartphone IMU placed in the pockets of younger and older adults. Adjusting step length by a coefficient derived from the original estimation of step length successfully removed bias and improved the accuracy of gait speed estimation. This novel method has potential applications in various settings and populations, though fine-tuning may be necessary for specific data sets.

Indexed as

SmartphoneWalking SpeedAccelerometryAdultAgedFemaleHumansMaleMobile ApplicationsReproducibility of Resultsdual-task walkinggait speedmobile phonereliabilitysmartphone appvalidity

Identifiers

PMID39140268
PMCPMC11336779

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.