Logo for the Journal of Rehab R and D

Volume 45 Number 4, 2008
   Pages 577 — 586

Abstract - Ambulation monitoring of transtibial amputation subjects with patient activity monitor versus pedometer

Nancy L. Dudek, MD, MEd;* Omar D. Khan, MD; Edward D. Lemaire, PhD; Meridith B. Marks, MD, MEd; Leyana Saville

Division of Physical Medicine and Rehabilitation, The Rehabilitation Centre, University of Ottawa, Ottawa, Canada

Abstract — Our study aimed to compare the accuracy of step count and ambulation distance determined with the Yamax Digi-Walker SW-700 pedometer (DW) and the Ossur patient activity monitor (PAM) in 20 transtibial amputation subjects who were functioning at the K3 Medicare Functional Classification Level. Subjects completed four simulated household tasks in an apartment setup and a gymnasium walking course designed to simulate outdoor walking without the presence of environmental barriers or varied terrain. The mean step count accuracy of the DW and the PAM was equivalent for both the household activity (75.3% vs 70.6%) and the walking course (93.8% vs 94.0%). The mean distance measurement accuracy was better with the DW than with the PAM (household activity: 72.8% vs 0%, walking course: 92.5% vs 86.3%; p < 0.05). With acceptable step count accuracy, both devices are appropriate for assessing relatively continuous ambulation. The DW may be preferred for its more accurate distance measurements. Neither device is ideal for monitoring in-home ambulation.

Key words: activities of daily living, ambulation, ambulatory monitoring, amputees, gait, measurement, pedometer, rehabilitation, step count, validation studies.

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