ABSTRACT
The aim was to assess concurrent validity and test-retest reliability of spatiotemporal gait parameters from a thoracic-placed inertial measurement unit (IMU) in lab- (Phase One) and field-based (Phase Two) conditions. Spatiotemporal gait parameters were compared (target speeds 3, 5 and 7.5 m·s-1) between a 100 Hz IMU and an optical measurement system (OptoJump Next, 1000 hz) in 14 trained individuals (Phase One). Additionally, 29 English Premier League football players performed weekly 3 × 60 m runs (5 m·s-1; observations = 1227; Phase Two). Mixed effects modelling assessed the effect of speed on agreement between systems (Phase One) and test-retest reliability (Phase Two). IMU step time showed strong agreement (<0.3%) regardless of individual or running speed. Direction of mean biases up to 40 ms for contact and flight time depended on the running speed and individual. Step time, length and frequency were most reliable (coefficient of variation = 1.3-1.4%) but confounded by running speed. Step time, length and frequency derived from a thoracic-placed IMU can be used confidently. Contact time could be used if bias is corrected for each individual. To optimise test-retest reliability, a minimum running distance of 40 m is needed to ensure 10 constant-speed steps is gathered.
ABSTRACT
Individuals with a laryngectomy face a host of challenges ranging from restricted vocal communication to significant lifestyle modifications associated with breathing through a stoma. Although there are significant mental and physical health benefits achieved by returning to recreational pursuits that were enjoyed pre-surgery, there can be significant obstacles in doing so. One particular challenge arises during participation in water activities (e.g, fishing, boating, etc.) where accidental submersion poses a significant risk of drowning. This manuscript describes a proof-of-concept device that protects the airway from accidental incursion of water into the airway during unanticipated submersion in water, thereby allowing laryngectomees to return to participation in water activities. The device is designed to be worn comfortably for long periods of time, while not interfering with the common methods of replacement speech that are utilized post-laryngectomy.