Repeatability of Inertial Measurement Units for Measuring Pelvic Mobility in Patients Undergoing Total Hip Arthroplasty
Consideration of pelvic mobility when positioning implants for total hip arthroplasty (THA) has been shown to reduce the risk of complications such as dislocation, squeaking and excessive wear. We aim to test the repeatability of pelvic tilt measurements taken between three positions (standing, flex...
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Published in | Sensors (Basel, Switzerland) Vol. 23; no. 1; p. 377 |
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29.12.2022
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Abstract | Consideration of pelvic mobility when positioning implants for total hip arthroplasty (THA) has been shown to reduce the risk of complications such as dislocation, squeaking and excessive wear. We aim to test the repeatability of pelvic tilt measurements taken between three positions (standing, flexed-seated and step-up) by an inertial measurement unit (IMU) and hence, evaluate their reliability in screening for high pelvic mobility in patients undergoing THA. The repeated IMU measurements of pelvic tilt were analysed for consistency and compared with measures taken by x-ray analysis. Our study showed greater variation in measures taken by the IMU particularly in the flexed-seated position. The patient's pelvic tilt in this position negatively correlated with their mid-back angle, suggesting the posture of the patient is a source of variation in the flexed-seated position if not kept consistent during assessments. IMUs were overall able to produce accurate and reliable measurements of pelvic tilt; however, protocols will need to be adjusted to factor in a patient's mid-back angle when taking future readings. |
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AbstractList | Consideration of pelvic mobility when positioning implants for total hip arthroplasty (THA) has been shown to reduce the risk of complications such as dislocation, squeaking and excessive wear. We aim to test the repeatability of pelvic tilt measurements taken between three positions (standing, flexed-seated and step-up) by an inertial measurement unit (IMU) and hence, evaluate their reliability in screening for high pelvic mobility in patients undergoing THA. The repeated IMU measurements of pelvic tilt were analysed for consistency and compared with measures taken by x-ray analysis. Our study showed greater variation in measures taken by the IMU particularly in the flexed-seated position. The patient’s pelvic tilt in this position negatively correlated with their mid-back angle, suggesting the posture of the patient is a source of variation in the flexed-seated position if not kept consistent during assessments. IMUs were overall able to produce accurate and reliable measurements of pelvic tilt; however, protocols will need to be adjusted to factor in a patient’s mid-back angle when taking future readings. |
Audience | Academic |
Author | Qureshi, Arham Palit, Arnab King, Richard Wang, Xueyang Rahman, Usama Elliott, Mark T Vayalapra, Sushanth Vepa, Abhinav Williams, Mark A |
AuthorAffiliation | 2 WMG, University of Warwick, Coventry CV4 7AL, UK 1 Department of Trauma and Orthopaedics, University Hospitals Coventry & Warwickshire NHS Trust, Coventry CV2 2DX, UK |
AuthorAffiliation_xml | – name: 2 WMG, University of Warwick, Coventry CV4 7AL, UK – name: 1 Department of Trauma and Orthopaedics, University Hospitals Coventry & Warwickshire NHS Trust, Coventry CV2 2DX, UK |
Author_xml | – sequence: 1 givenname: Sushanth surname: Vayalapra fullname: Vayalapra, Sushanth organization: Department of Trauma and Orthopaedics, University Hospitals Coventry & Warwickshire NHS Trust, Coventry CV2 2DX, UK – sequence: 2 givenname: Xueyang surname: Wang fullname: Wang, Xueyang organization: WMG, University of Warwick, Coventry CV4 7AL, UK – sequence: 3 givenname: Arham surname: Qureshi fullname: Qureshi, Arham organization: Department of Trauma and Orthopaedics, University Hospitals Coventry & Warwickshire NHS Trust, Coventry CV2 2DX, UK – sequence: 4 givenname: Abhinav orcidid: 0000-0001-5858-1109 surname: Vepa fullname: Vepa, Abhinav organization: Department of Trauma and Orthopaedics, University Hospitals Coventry & Warwickshire NHS Trust, Coventry CV2 2DX, UK – sequence: 5 givenname: Usama surname: Rahman fullname: Rahman, Usama organization: Department of Trauma and Orthopaedics, University Hospitals Coventry & Warwickshire NHS Trust, Coventry CV2 2DX, UK – sequence: 6 givenname: Arnab surname: Palit fullname: Palit, Arnab organization: WMG, University of Warwick, Coventry CV4 7AL, UK – sequence: 7 givenname: Mark A surname: Williams fullname: Williams, Mark A organization: WMG, University of Warwick, Coventry CV4 7AL, UK – sequence: 8 givenname: Richard surname: King fullname: King, Richard organization: Department of Trauma and Orthopaedics, University Hospitals Coventry & Warwickshire NHS Trust, Coventry CV2 2DX, UK – sequence: 9 givenname: Mark T orcidid: 0000-0003-4000-0198 surname: Elliott fullname: Elliott, Mark T organization: WMG, University of Warwick, Coventry CV4 7AL, UK |
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Keywords | inertial measurement unit total hip arthroplasty wearables pelvic tilt reliability |
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Snippet | Consideration of pelvic mobility when positioning implants for total hip arthroplasty (THA) has been shown to reduce the risk of complications such as... |
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SubjectTerms | Accelerometers Biomedical materials Hip dislocation inertial measurement unit Inertial platforms Joint replacement surgery Orthopaedic implants Patients pelvic tilt Pelvis Position measurement reliability Reliability analysis Sitting position total hip arthroplasty Transplants & implants wearables X ray analysis |
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Title | Repeatability of Inertial Measurement Units for Measuring Pelvic Mobility in Patients Undergoing Total Hip Arthroplasty |
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