Algorithmic assessment of shoulder function using smartphone video capture and machine learning

© 2023. The Author(s)..

Tears within the stabilizing muscles of the shoulder, known as the rotator cuff (RC), are the most common cause of shoulder pain-often presenting in older patients and requiring expensive advanced imaging for diagnosis. Despite the high prevalence of RC tears within the elderly population, there is no previously published work examining shoulder kinematics using markerless motion capture in the context of shoulder injury. Here we show that a simple string pulling behavior task, where subjects pull a string using hand-over-hand motions, provides a reliable readout of shoulder mobility across animals and humans. We find that both mice and humans with RC tears exhibit decreased movement amplitude, prolonged movement time, and quantitative changes in waveform shape during string pulling task performance. In rodents, we further note the degradation of low dimensional, temporally coordinated movements after injury. Furthermore, a logistic regression model built on our biomarker ensemble succeeds in classifying human patients as having a RC tear with > 90% accuracy. Our results demonstrate how a combined framework bridging animal models, motion capture, convolutional neural networks, and algorithmic assessment of movement quality enables future research into the development of smartphone-based, at-home diagnostic tests for shoulder injury.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Scientific reports - 13(2023), 1 vom: 15. Nov., Seite 19986

Sprache:

Englisch

Beteiligte Personen:

Darevsky, David M [VerfasserIn]
Hu, Daniel A [VerfasserIn]
Gomez, Francisco A [VerfasserIn]
Davies, Michael R [VerfasserIn]
Liu, Xuhui [VerfasserIn]
Feeley, Brian T [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.

Anmerkungen:

Date Completed 17.11.2023

Date Revised 10.02.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1038/s41598-023-46966-4

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364598697