Gaze Trajectory Measurement of Physiotherapists during Assisted Stair Climbing Up and Down

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Risa Suzuki, Yasunari Kurita, Koji Komatsu
Purpose:

 To investigate differences in therapists' eye movement trajectory parameters when assisting patients on stairs, based on clinical experience, and to explore factors contributing to observation skill and fall prevention ability.

Methods:

 The study involved twenty-six physical therapists (sixteen male, ten female, mean age 31.6 ± 4.8 years) with 9.7 ± 4.7 years of clinical experience. The eye-tracking device used was the Talk Eye Lite (manufactured by Takei Kiki Co., Ltd.), and the data of the participants during one round of watching a simulated patient ascend and descend a staircase was recorded. Data were analyzed from the first to third steps. Measured parameters included binocular composite angle deviation (X and Y axes) and average right-eye (dominant-eye)  movement speed. Participants were divided into two groups: >ten years (n=14) and

Results:

 For ascent, the X-axis deviation was 51.90 ± 112.3 [deg] (> ten years: 78.20 ± 149.80, ten years: 13.23 ± 7.76, ten years: 106.67 ± 87.50, ten years: 117.94 ± 239.3, ten years: 20.03 ± 13.65), Y-axis deviation was 72.75 ± 179.84 [deg] (> ten years: 117.94 ± 239.32, ten years: 20.03 ± 13.65), and average right-eye movement speed was 72.75 ± 179.84 [deg/sec] (> ten years: 117.94 ± 239.32, ten years: 20.03 ± 13.65). A significant difference was found in the Y-axis deviation during descent between the two groups (p=0.041). No significant differences were observed in other parameters.

Conclusion(s):

 While eye movement speed tended to increase with experience, the range of movement during assisted walking may be narrow. Horizontal gaze and eye movement speed varied considerably, indicating significant individual differences in the more experienced group. Those with > ten years of experience could quickly observe patients' problems while focusing on a narrower vertical point when descending stairs. This study examined physical therapists' eye movement trajectories during assisted stair climbing, comparing groups with more than and under ten years of experience. 


Implications:

 Results indicate that the Y-axis deviation of the binocular synthesis angle improves with experience, and ten years of experience serves as a good benchmark for observing movements and identifying problems when assisting patients on stairs, particularly during descent.

Funding acknowledgements:
This work was supported by JSPS KAKENHI Grant Number 23K11951.
Keywords:
Gaze-tracking
Motion analysis
Physiotherapy education
Primary topic:
Education
Second topic:
Education: continuing professional development
Third topic:
Education: methods of teaching and learning
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
The Ethics Review Committee on Research with Human Subjects of Waseda University
Provide the ethics approval number:
2024-256
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
No

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