Determining the Reliability of Software Electronic Engineering Tools in the Control of Vestibular Disorders in Inclusive Physical Education of Students
DOI:
https://doi.org/10.17309/tmfv.2024.6.13Keywords:
physical education, student, inclusion, blast TBI, electronic engineering, testing, control, reliabilityAbstract
Background. Due to the increase in the proportion of mine-blast injuries sustained during the Russian-Ukrainian war, the number of students in higher education institutions after blast TBI has risen.
Objectives. The study aimed to determine the reliability of the tool for test control of gait parameters, created based on software electronic engineering for students after blast TBI in inclusive physical education.
Materials and methods. The theoretical stage of the research was realized by analyzing the literature on the studied problem, evaluating and synthesizing information from scientific sources. For the empirical part of the experiment, the Dynamic Gait Index test was used to assess gait parameters, dynamic balance, and fall risk. The test results were processed using the methods of statistical mathematical analysis. The experiment involved 30 students (men) after sustaining an explosive traumatic brain injury.
Results. The study presents the developed tool for testing gait parameters using the Dynamic Gait Index, which is based on the integration of various types of software electronic engineering services. The development uses motion, speed, pressure, and touch sensors. The information about the test exercise, recorded by the sensors, is sequentially transmitted by wireless communication means to the controller (Arduino Leonardo based on the ATmega32u4 microcontroller platform) and then to a PC, where the results are displayed on the monitor in digital and graphical form. The development uses a neural network and the Microsoft OneDrive cloud service to process information, which provides processing and storage of large amounts of test control data. The results of the empirical establishment of the Dynamic Gait Index quality measure, the characteristics of reliability and validity that were recorded by the teacher, are significantly inferior in numerical values to the correlation coefficient obtained by the results of the Dynamic Gait Index when the outcomes were recorded using the developed tool.
Conclusions. The introduction of modern software engineering services into inclusive physical education of students represents a significant step forward in implementing an impartial control mechanisms for restoring damaged gait and balance functions, which have been recognized as a leading factor in disability caused by blast TBI, and contributes to ensuring the effectiveness of this process.
Downloads
References
United Nations Ukraine. Available at: https://ukraine.un.org/en; https://unric.org/en/the-un-and-the-war-in-ukraine-key-information/#
Blavt, O., Galamanzhuk, L., Huska, M., Iedynak, G., Pityn, M., Kachurak, Y., Faidevych, V., & Turka, R. (2024). Using Programmable Device Installations to Control Students with Disabilities after Blast Traumatic Brain Injury in 10 Meter Walking Test. Physical Education Theory and Methodology, 24(3), 433-441. https://doi.org/10.17309/tmfv.2024.3.12 DOI: https://doi.org/10.17309/tmfv.2024.3.12
VA research on Traumatic Brain Injury (TBI). (2019). DVBIC: Defense and Veterans Brain Injury Center. https://www.research.va.gov/topics/tbi.cfm
Gliga, І. (2024). Military and civilian TBI. АМN: https://brain-amn.org/military-and-civilian-tbi/
Mykytyuk, Z., Blavt, O., Hnatchuk, Ya., Stechkevych, O., & Helzhynska, T. (2022). Intensification of Back Muscle Strength Testing in Physical Education of Students by Applying Information and Communication Technologies. Physical Education Theory and Methodology 22(2), 216-222. https://doi.org/10.17309/tmfv.2022.2.10 DOI: https://doi.org/10.17309/tmfv.2022.2.10
Du, T., Zhou, G., Wu, S., & Ni, H. (2024). Understand the current situation of students’ physical fitness test and measures to improve their physical fitness test scores. Georgian Med News. 351, 76-79.
Zhytomyrskyi, L. (2021). Improving the health of students in institutions of higher education in modern conditions. Scientific Bulletin of Izmail State Humanitarian University, 56, 113–119. Available at: http://visnyk.idgu.edu.ua/index.php/nv/article/view/493 [in Ukrainian] DOI: https://doi.org/10.31909/26168812.21-(56)-12
Blavt, O., Iedynak, G., Pityn, M., Hluhov, I., Guska, M., Stadnyk, V., Zaikin, A., & Karatnyk, I. (2022). Implementation of Information and Communication Technologies in Test Control of Leg Strength in Physical Education of Students. Physical Education Theory and Methodology, 22(3s), S110-S116. https://doi.org/10.17309/tmfv.2022.3s.15 DOI: https://doi.org/10.17309/tmfv.2022.3s.15
Blavt, O., Iedynak, G., Pereverzieva, S., Holub, V., & Melnyk, S. (2023). Increasing the Reliability of Test Control Using Information Technologies in Inclusive Physical Education. Physical Education Theory and Methodology, 23(4), 607- 613. https://doi.org/10.17309/tmfv.2023.4.16 DOI: https://doi.org/10.17309/tmfv.2023.4.16
Pérez-Gutiérrez, M., Castanedo-Alonso, J. M., Salceda-Mesa, M., & Cobo-Corrales, C. (2021). Scientific production on inclusive education and physical education: a bibliometric analysis. International Journal of Inclusive Education, 27(14), 1679-1695. https://doi.org/10.1080/13603116.2021.1916103 DOI: https://doi.org/10.1080/13603116.2021.1916103
Page, A., Anderson, J., & Charteris, J. (2021). Including students with disabilities in innovative learning environments: a model for inclusive practices. International Journal of Inclusive Education, 27(14), 1696-1711. https://doi.org/10.1080/13603116.2021.1916105 DOI: https://doi.org/10.1080/13603116.2021.1916105
Iacono, T., Landry, O., Garcia-Melgar, A., Spong, J., Hyett, N., Bagley, K., & McKinstry, C. (2021). A systematized review of co-teaching efficacy in enhancing inclusive education for students with disability. International Journal of Inclusive Education, 27(13), 1454-1468. https://doi.org/10.1080/13603116.2021.1900423 DOI: https://doi.org/10.1080/13603116.2021.1900423
Heck, S., & Block, M. E. (2021). Inclusive Physical Education Around the World Origins, Cultures, Practices. 1st Edition. Routledge.
Lawrence, J. (2018). Inclusion in Physical Education. SAGE Publications Ltd. https://doi.org/10.4135/9781529793758 DOI: https://doi.org/10.4135/9781529793758
Holland, K., Haegele, J.A., Zhu, X., & Bobzien, J. (2023). Everybody wants to be included: Experiences with ‘inclusive’strategies in physical education. Journal of Developmental and Physical Disabilities, 35(2), 273–293. https://doi.org/10.1007/s10882-022-09852-x DOI: https://doi.org/10.1007/s10882-022-09852-x
Lieberman, L.J., Houston-Wilson, C., & Grenier, M. (2024). Strategies for inclusion: Physical education for everyone. Human Kinetics.
Almond, L. (2015). ‘A change in focus for physical education. Physical Education Matters, 10(1), 22-6.
Kuntjoro, B.F.T., Soegiyanto, S., Setijono, H., & Suhiharto, S. (2022). Inclusion of students with disability in physical education: analysis of trends and best practices. AJPESH, 2(2), 88-94. DOI: https://doi.org/10.15294/ajpesh.v2i2.64840
Fulk, G.D., Nirider, C., Williams, G., & DeBlois, A. (2024). Traumatic brain injury. Fulk G.D., & Chui K.K.(Eds.), O’Sullivan & Schmitz’s Physical Rehabilitation, 8th Edition. F. A. Davis Company.
Ponsford, J.L., Carty, М., Olver, J., Acher, R., Ponsford, М., McKenzie, D., & Downing, М.G. (2024). Considering the Importance of Personal and Injury Factors Influencing Outcome After Traumatic Brain Injury. Archives of Physical Medicine and Rehabilitation. https://doi.org/10.1016/j.apmr.2024.03.003 DOI: https://doi.org/10.1016/j.apmr.2024.03.003
Shute, V.J., & Rahimi, S. (2017). Review of computer-based assessment for learning in elementary and secondary education. J. Comput. Assist. Learn, 33, 1-19. DOI: https://doi.org/10.1111/jcal.12172
Clara, А.J., & Qursum, Q. (2023). Increasing Access to Technology for Inclusion. Issues and Practice Note Series. World Bank, Washington DC. http://hdl.handle.net/10986/39495
Calabuig-Moreno, F., González-Serrano, M.H., Fombona, J., & García-Tascón, M. (2020). The Emergence of Technology in Physical Education: A General Bibliometric Analysis with a Focus on Virtual and Augmented Reality. Sustainability, 12(7), 2728. https://doi.org/10.3390/su12072728 DOI: https://doi.org/10.3390/su12072728
Morgulec-Adamowicz, N., Łabęcka, M., Ng, K., Puromies, M., Vengale, A., Ostasevicienė, V., & Ogonowska-Słodownik, A. (2024). Can information and communication technology be used in physical education classes in an inclusive setting?-A pilot qualitative study. In European journal of adapted physical activity: EUCAPA 2022: European congress of adapted physical activity, Seville, Spain, 11th-14th June, 2024: book of abstracts. (Vol. 17). EUFAPA. https://doi.org/10.5507/euj.2024.007 DOI: https://doi.org/10.5507/euj.2024.007
Yadav, R., Sharma, P., & Kumar, R. (2023). Importance of information technology in Physical Education. Sports Science & Health Advances, 1(01), 10-13. https://doi.org/10.60081/SSHA.1.1.2023.10-13 DOI: https://doi.org/10.60081/SSHA.1.1.2023.10-13
Physiopedia. Dynamic Gait Index. Available at: https://www.physio-pedia.com/Dynamic_Gait_Index
Shirley Ryan Ability Lab. Dynamic Gait Index. Available at: https://www.sralab.org/rehabilitation-measures/dynamic-gait-index
Tramontano, M., Belluscio, V., Bergamini, E., Allevi, G., De Angelis, S., Verdecchia, G., Formisano, R., Vannozzi, G., & Buzzi, M.G. (2022). Vestibular Rehabilitation Improves Gait Quality and Activities of Daily Living in People with Severe Traumatic Brain Injury: A Randomized Clinical Trial. Sensors (Basel), 6, 22(21), 8553. https://doi.org/10.3390/s22218553 DOI: https://doi.org/10.3390/s22218553
Simon, T.A., & Harro, C.C. (2004). Reliability and validity of the dynamic gait index in individuals with brain injury. Journal of Neurologic Physical Therapy, 28(4), 180-181. DOI: https://doi.org/10.1097/01253086-200412000-00039
Zhou, R., Liu, B., Zhang, S., Liu, J., Wang, H., & Kong, W. (2021). The relationship between vestibular function and gait parameters in vestibular dysfunctional patients with idiopathic sudden sensorineural hearing loss. J Clin Otorhinolaryngol Head Neck Surg, 35(7), 636-640. https://doi.org/10.13201/j.issn.2096-7993.2021.07.013
Magnani, R. M., van Dieën, J. H., & Bruijn, S. M. (2023). Effects of vestibular stimulation on gait stability when walking at different step widths. Experimental Brain Research, 241(1), 49-58. https://doi.org/10.1007/s00221-022-06488-3 DOI: https://doi.org/10.1007/s00221-022-06488-3
Chiu, Y.-P., Fritz, S.L., Light, К.Е., & Velozo, С.А. (2006). Use of Item Response Analysis to Investigate Measurement Properties and Clinical Validity of Data for the Dynamic Gait Index. Physical Therapy, 86(6), 778-787. https://doi.org/10.1093/ptj/86.6.778 DOI: https://doi.org/10.1093/ptj/86.6.778
Blavt, O., & Gurtova, T. (2024). Physical Education in the Restoration of Damaged Functions in Students After Blast Tbi Complicated By Acuborotrauma. Journal of Learning Theory and Methodology, 5(2), 56-63. https://doi.org/10.17309/jltm.2024.5.2.02 DOI: https://doi.org/10.17309/jltm.2024.5.2.02
Moriña, A. (2016). Inclusive education in higher education: challenges and opportunities. European Journal of Special Needs Education, 32(1), 3-17. https://doi.org/10.1080/08856257.2016.1254964 DOI: https://doi.org/10.1080/08856257.2016.1254964
Nilholm, C. (2020). Research about inclusive education in 2020 – How can we improve our theories in order to change practice? European Journal of Special Needs Education, 36(3), 358-370. https://doi.org/10.1080/08856257.2020.1754547 DOI: https://doi.org/10.1080/08856257.2020.1754547
Goodwino, D. & Watkinson, J. (2000). Inclusive Physical Education from the Perspective of Students with Physical Disabilities. Adapted physical activity quarterly: APA, 17, 144-160. https://doi.org/10.1123/apaq.17.2.144 DOI: https://doi.org/10.1123/apaq.17.2.144
Penney, D., Jeanes, R., O’Connor, J., & Alfrey, L. (2017). Re-theorising inclusion and reframing inclusive practice in physical education. International Journal of Inclusive Education, 22(10), 1062-1077. https://doi.org/10.1080/13603116.2017.1414888 DOI: https://doi.org/10.1080/13603116.2017.1414888
Pocock, T., & Miyahara, M. (2017). Inclusion of students with disability in physical education: a qualitative meta-analysis. International Journal of Inclusive Education, 22(7), 751-766. https://doi.org/10.1080/13603116.2017.1412508 DOI: https://doi.org/10.1080/13603116.2017.1412508
Almusawi, H.A., Durugbo, C.M., & Bugawa, A.M. (2021). Innovation in physical education: Teachers’ perspectives on readiness for wearable technology integration. Computers and Education, 167, 104185. DOI: https://doi.org/10.1016/j.compedu.2021.104185
Yu, H., Kulinna, P.H., & Lorenz, K.A. (2018). An integration of mobile applications into physical education programs. Strategies, 31(3), 13-9. https://doi.org/10.1080/08924562.2018.1442275 DOI: https://doi.org/10.1080/08924562.2018.1442275
Kim, S., Kim, М., Kim, N., Kim, S., & Han, G. (2012). Quantification and Validity of Modified Romberg Tests Using Three-Axis Accelerometers.Green and Smart Technology with Sensor Applications. Communications in Computer and Information Science, 338, 254-261. https://doi.org/10.1007/978-3-642-35251-5_35 DOI: https://doi.org/10.1007/978-3-642-35251-5_35
Gil-Espinosa, F.J., Nielsen-Rodríguez, A., Romance, R., Burgueño, R. (2022). Smartphone applications for physical activity promotion from physical education. Educ Inf Techn, 27(8), 11759-79. https://doi.org/10.1007/s10639-022-11108-2 DOI: https://doi.org/10.1007/s10639-022-11108-2
Cabrera Ramos, J.F., Álamos Vásquez, P.A., Ariane, A.A., & Lagos Rebolledo, P.A. (2019). Bаrriers to ICT integration in interdisciplinary articulation through physical education. Journal of Sport and Health Research, 11. http://www.journalshr.com/papers/Vol%2011_suplemento2/JSHR_V11_SUPL2_01.pdf
Son, E.J., Kim, J.H., Noh, H.E., Kim, I., Lim, J.A., & Han, S.H. (2022). Comparison of Gait Parameters during Forward Walking under Different Visual Conditions Using Inertial Motion Sensors. Yonsei Med J, 63(1), 82-87. https://doi.org/10.3349/ymj.2022.63.1.82 DOI: https://doi.org/10.3349/ymj.2022.63.1.82
Belluscio, V., Bergamini, E., Tramontano, M., Orejel Bustos, A., Allevi, G., Formisano, R., Vannozzi, G., & Buzzi, M.G. (2019). Gait Quality Assessment in Survivors from Severe Traumatic Brain Injury: An Instrumented Approach Based on Inertial Sensors. Sensors (Basel), 3, 19(23), 5315. https://doi.org/10.3390/s19235315 DOI: https://doi.org/10.3390/s19235315
Ho-Dong, К., Eunjung, С., & Byoung-Hee, L. (2024). The effect of balance training using touch controller-based fully immersive virtual reality devices on balance and walking ability in patients with stroke: A pilot randomized controlled trial. Medicin, 103, e38578. https://doi.org/10.1097/MD.0000000000038578 DOI: https://doi.org/10.1097/MD.0000000000038578
Magnani, R.M., Bruijn, S.M., van Dieën, J. H., & Forbes, Р.А. (2021). Stabilization demands of walking modulate the vestibular contributions to gait. BioRxiv, 9(30), 319434. https://doi.org/10.1101/2020.09.30.319434 DOI: https://doi.org/10.1101/2020.09.30.319434
Matsuda, P.N., Taylor, C.S., & Shumway-Cook, А. (2014). Evidence for the Validity of the Modified Dynamic Gait Index Across Diagnostic Groups. Physical Therapy, 94(7), 996-1004. https://doi.org/10.2522/ptj.20130294 DOI: https://doi.org/10.2522/ptj.20130294
Jin, Y., Lee, Y., Park, S., Lee, S., & Lim, C. (2023). Effects of Curved-Path Gait Training on Gait Ability in Middle-Aged Patients with Stroke: Protocol for a Randomized Controlled Trial. Healthcare (Basel), 16, 11(12), 1777. https://doi.org/10.3390/healthcare11121777 DOI: https://doi.org/10.3390/healthcare11121777
Lubetzky-Vilnai, A., Jirikowic, T.L., & McCoy, S.W. (2011). Investigation of the Dynamic Gait Index in children: a pilot study. Pediatr Phys Ther, 23(3), 268-273. https://doi.org/10.1097/PEP.0b013e318227cd82 DOI: https://doi.org/10.1097/PEP.0b013e318227cd82
Reoli, R., Therrien, А., Cherry-Allen, К., Keller, J., Millar, J., & Bastian, А. (2021). Is the dynamic gait index a useful outcome to measure balance and ambulation in patients with cerebellar ataxia? Gait & Posture, 89, 200-205. https://doi.org/10.1016/j.gaitpost.2021.07.011 DOI: https://doi.org/10.1016/j.gaitpost.2021.07.011
Chivukula, S., Tempel, Z.J., Zwagerman, N. T., Newman, W.C., Shin, S. S., Chen, C.-J., Gardner, Р.А., McDade, Е.М., & Ducruet, A. F. (2015). The Dynamic Gait Index in Evaluating Patients with Normal Pressure Hydrocephalus for Cerebrospinal Fluid Diversion. World Neurosurgery, 84(6), 1871-1876. https://doi.org/10.1016/j.wneu.2015.08.021 DOI: https://doi.org/10.1016/j.wneu.2015.08.021
Jonsdottir, J., & Cattaneo, D. (2007). Reliability and Validity of the Dynamic Gait Index in Persons With Chronic Stroke. Archives of Physical Medicine and Rehabilitation, 88(11), 1410-1415. https://doi.org/10.1016/j.apmr.2007.08.109 DOI: https://doi.org/10.1016/j.apmr.2007.08.109
Alghadir, A.H., Al-Eisa, E.S., Anwer, S., & Sarkar, В. (2018). Reliability, validity, and responsiveness of three scales for measuring balance in patients with chronic stroke. BMC Neurol, 18, 141. https://doi.org/10.1186/s12883-018-1146-9 DOI: https://doi.org/10.1186/s12883-018-1146-9
Wrisley, D. M., Walker, M. L., Echternach, J. L., & Strasnick, B. (2003). Reliability of the dynamic gait index in people with vestibular disorders. Archives of physical medicine and rehabilitation, 84(10), 1528-1533. DOI: https://doi.org/10.1016/S0003-9993(03)00274-0
Marchetti, G.F., Lin, C.C., Alghadir, A., & Whitney, S. L. (2014). Responsiveness and minimal detectable change of the dynamic gait index and functional gait index in persons with balance and vestibular disorders. Journal of neurologic physical therapy, 38(2), 119-124. DOI: https://doi.org/10.1097/NPT.0000000000000015
Abdiani, M., Golpayegani, M., & Khajavi, D. (2014). Validity and reliability of Persian version of dynamic gait index in older men. Iranian Journal of Ageing, 9(2), 124-133.
Flansbjer, U.B., Holmbäck, A.M., Downham, D., Patten, C., & Lexell, J. ( 2005). Reliability of gait performance tests in men and women with hemiparesis after stroke. J Rehabil Med, 37(2). 75-82. https://doi.org/10.1080/16501970410017215 DOI: https://doi.org/10.1080/16501970410017215
Soltanpour, H., Kalantari, M., & Roostaei, M. (2019). Inter-rater Reliability, Test-retest Reliability, and Internal Consistency of the Persian Version of Dynamic Gait Index in Patients With Multiple Sclerosis. Journal of Modern Rehabilitation, 12(4), 245-252. http://dx.doi.org/10.32598/JMR.V12.N4.245 DOI: https://doi.org/10.32598/JMR.V12.N4.245
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Oksana Blavt, Gennadii Iedynak, Lesia Galamanzhuk, Tetyana Helzhynska, Yuliya Nosko, Yurii Kachurak, Olena Voloshyn, Stepan Shabaga

This work is licensed under a Creative Commons Attribution 4.0 International License.
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

