title: Quantifying human movement across the continuum of care: From lab to clinic to community.
abstract: The ability to precisely quantify human movement within the laboratory setting provides researchers with data that comprehensively describe movement dysfunction in clinical cohorts. Furthermore, these data can be effectively utilized to identify potential underlying mechanisms as targets for therapeutic intervention. Although the utility of these methodologies is evidenced by the number of laboratories incorporating these techniques to understand clinical pathologies, the direct translation to clinical practice remains elusive and there exists an information gap between researchers studying these populations and the clinicians developing treatment for the individuals.
  
  
  METHODS
  Recent technological advancements allow researchers and their clinician counterparts to measure certain elements of human movement outside of the laboratory. Specifically, the use of portable accelerometers allows for calculation of acceleration of the center of mass (COMa) during walking. COMa can be then be used to infer information about force generation by the individual during walking. This information may then be used by researchers to integrate with laboratory based results as well as by clinicians to partner with clinical findings, thus guiding clinical decision making as well as treatment design. The extent to which these types of measurement devices can be used to generate specific data describing human movement away from the lab is in the early stages of investigation, however, the potential for their use is something that could help advance research and patient care in the future.
authors.affiliation: Department of Health Sciences & Research, Medical University of South Carolina, United States. Electronic address: gregoryc@musc.edu.
authors.forename: Chris M
authors.initials: CM
authors.lastname: Gregory
authors.affiliation: Division of Physical Therapy, Medical University of South Carolina, United States.
authors.forename: Aaron
authors.initials: A
authors.lastname: Embry
authors.affiliation: Research Service, Ralph H. Johnson VAMC, Charleston, SC, United States.
authors.forename: Lindsay
authors.initials: L
authors.lastname: Perry
authors.affiliation: Research Service, Ralph H. Johnson VAMC, Charleston, SC, United States.
authors.forename: Mark G
authors.initials: MG
authors.lastname: Bowden
mesh_terms: D056044:Actigraphy / Q000295:instrumentation* / Q000379:methods*; D001696:Biomechanical Phenomena; D003266:Continuity of Patient Care; D006801:Humans; D007700:Kinetics; D018670:Monitoring, Ambulatory / Q000295:instrumentation* / Q000379:methods*; D009068:Movement; D016138:Walking
keywords: Biomechanics; Motion analysis; Rehabilitation; Walking