Accuracy of Sensor-Based Measurement of Clinically Relevant Motor Activities in Daily Life of Children With Mobility Impairments

Copyright © 2023 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved..

OBJECTIVE: This study aimed to determine the accuracy of 3 sensor configurations and corresponding algorithms deriving clinically relevant outcomes of everyday life motor activities in children undergoing rehabilitation. These outcomes were identified in 2 preceding studies assessing the needs of pediatric rehabilitation. The first algorithm estimates the duration of lying, sitting, and standing positions and the number of sit-to-stand transitions with data from a trunk and a thigh sensor. The second algorithm detects active and passive wheeling periods with data from a wrist and a wheelchair sensor. The third algorithm detects free and assisted walking periods and estimates the covered altitude change during stair climbing with data from a single ankle sensor and a sensor placed on walking aids.

DESIGN: The participants performed a semi-structured activity circuit while wearing inertial sensors on both wrists, the sternum, and the thigh and shank of the less-affected side. The circuit included watching a movie, playing, cycling, drinking, and moving around between facilities. Video recordings, which 2 independent researchers labeled, served as reference criteria to determine the algorithms' performance.

SETTING: In-patient rehabilitation center.

PARTICIPANTS: Thirty-one children and adolescents with mobility impairments who were able to walk or use a manual wheelchair for household distances (N=31).

INTERVENTIONS: Not applicable.

MAIN OUTCOME MEASURE(S): The algorithms' activity classification accuracies.

RESULTS: The activity classification accuracy was 97% for the posture detection algorithm, 96% for the wheeling detection algorithm, and 93% for the walking detection algorithm.

CONCLUSION(S): The 3 sensor configurations and corresponding algorithms presented in this study revealed accurate measurements of everyday life motor activities in children with mobility impairments. To follow-up on this promising results, the sensor systems needs to be tested in long-term measurements outside the clinic before using the system to determine the children's motor performance in their habitual environment for clinical and scientific purposes.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:105

Enthalten in:

Archives of physical medicine and rehabilitation - 105(2024), 1 vom: 16. Jan., Seite 27-33

Sprache:

Englisch

Beteiligte Personen:

Rast, Fabian Marcel [VerfasserIn]
Jucker, Florence [VerfasserIn]
Labruyère, Rob [VerfasserIn]

Links:

Volltext

Themen:

Activities of daily living
Adolescent
Child
Journal Article
Motor disorders
Rehabilitation
Rehabilitation research
Research Support, Non-U.S. Gov't
Wearable electronic devices

Anmerkungen:

Date Completed 08.01.2024

Date Revised 23.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.apmr.2023.05.015

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM358315298