Medical Health Central

Instrumented approaches have been attempted for multiple sclerosis81 and Parkinson’s disease,72 but highly quantitative approaches to tremor, coordination, balance, and reaction times, among other tasks, have not found a niche in outcome studies. Mechanical goniometry is adequate for static range of motion measures in neurologic diseases, but electrogoniometers are required for dynamic studies, particularly in gait analysis. Methods for the analysis of gait patterns are reviewed in Chapter 6. When the question is how much walking is carried out by a disabled person, computerized data can be obtained from a foot switch, a pedometer set to stride length, or a more sophisticated accelerometer attached to the leg.82 Fiber-optic technology and software programming, initially applied to make the DataGlove83 and a suit for whole-body virtual reality experiments, offer methodologies to assess limb positions during complex movements Table 7–9. The Orpington Prognostic Score

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