A learning system for automatic Berg Balance Scale score estimation

Bacciu, Davide; Chessa, Stefano; Gallicchio, Claudio; Micheli, Alessio; Pedrelli, Luca; Ferro, Erina; Fortunati, Luigi; LaRosa, Davide; Palumbo, Filippo; Vozzi, Federico; Parodi, Oberdan

doi:10.1016/j.engappai.2017.08.018

Cited by 27 publications

(18 citation statements)

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“…Stabilometry was performed using a Balance Board (Wii, Nintendo, Kyoto, Japan) [19,20,21,22]. All participants stood barefoot for 15 s on the Balance Board with their feet together and eyes closed and were instructed to remain still and relaxed in the standing posture with their arms hanging loosely at their sides.…”

Section: Methodsmentioning

confidence: 99%

Relationship Between L4/5 Lumbar Multifidus Cross-Sectional Area Ratio and Fall Risk in Older Adults with Lumbar Spinal Stenosis: A Retrospective Study

et al. 2019

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Various factors, including spinal deformities and trunk muscle atrophy, greatly affect the fall risk among older adults with lumbar spinal stenosis (LSS). However, the etiology of falls in older adults with degenerative LSS and trunk muscle atrophy is poorly understood. We investigated the association between trunk muscle atrophy and falls in older LSS patients. This retrospective study included 99 hospitalized older adults with LSS. Participants completed self-reported fall score questionnaires and were divided into the fall risk (n = 30) and non-fall risk (n = 69) groups. The patients’ low back pain visual analog scale score, Geriatric Depression Scale score, sagittal vertical axis, L4/5 lumbar multifidus cross-sectional area ratio (LMCSAR), and center of pressure (COP) values during quiet standing were evaluated. The fall risk group had a lower L4/5 LMCSAR (p = 0.002) and increased COP excursion (p = 0.034) than the non-fall risk group. No significant differences were observed in the other measured variables between the two groups. The L4/5 LMCSAR (p < 0.001) and COP (p = 0.024) were related to fall risk and may be useful in fall risk assessment in such populations. Strategies aimed at enhancing controlled lumbar segmental motion and improving trunk muscle stability or mass may decrease the fall risk in this cohort.

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Section: Methodsmentioning

confidence: 99%

Relationship Between L4/5 Lumbar Multifidus Cross-Sectional Area Ratio and Fall Risk in Older Adults with Lumbar Spinal Stenosis: A Retrospective Study

et al. 2019

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“…Postural stability characteristics were measured using a balance board (Wii, Nintendo Co., Ltd., Kyoto, Japan) [8,10,11,12]. Balance board data were acquired using a sampling frequency of 100 Hz and calculated using Matlab (MathWorks, Inc., Natick, MA, USA) with a low-pass filter and a cutoff frequency of 20 Hz.…”

Section: Methodsmentioning

confidence: 99%

Postural Strategy in Elderly, Middle-Aged, and Young People during Local Vibratory Stimulation for Proprioceptive Inputs

et al. 2018

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Proprioceptive input may greatly affect postural stability. However, the proprioceptive postural strategy in elderly, middle-aged, and young people has not been investigated sufficiently. Hence, in this study, we aimed to investigate differences in proprioceptive postural strategies of elderly, middle-aged, and young people. The center of pressure displacement was determined in 23 elderly, 23 middle-aged, and 23 young people during upright stance on a balance board with their eyes closed. Vibratory stimulations at 30, 60, and 240 Hz were applied to the lumbar multifidus (LM) and gastrocnemius (GS) muscles to evaluate the contributions of different proprioceptive signals used in balance control. Compared with middle-aged and young people, elderly people showed a high dependence on postural control of the GS at 30 Hz (p-values: Young and elderly: 0.033; middle-aged and elderly: 0.001). Moreover, compared with young people, elderly people were more dependent on postural control of the LM at 240 Hz (p = 0.016). There were no significant differences with respect to the GS at 60 and 240 Hz, and with respect to the LM at 30 and 60 Hz between the elderly, young, and middle-aged people. Thus, the postural control strategy of elderly people depends on the GS at 30 Hz.

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“…Motor, cognitive and balance monitoring service (keyword 'Stability, Cognitive, and Motor' in the figure), consisting of a Microsoft Kinect V2 infrared-based sensor for gesture and motion recognition, a Nintendo Wii balance board for stabilometric assessment [20], and a portable electroencephalogram (EEG) headset for the collection of EEG traces. These devices represent the hardware of a subsystem aimed at supporting the user to execute physical and cognitive rehabilitation exercises, designed specifically for the target primary users.…”

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confidence: 99%

Experimenting Mobile and e-Health Services with Frail MCI Older People

et al. 2019

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The ageing population has become an increasing phenomenon world-wide, leading to a growing need for specialised help. Improving the quality of life of older people can lower the risk of depression and social isolation, but it requires a multi-dimensional approach through continuous monitoring and training of the main health domains (e.g., cognitive, motor, nutritional and behavioural). To this end, the use of mobile and e-health services tailored to the user's needs can help stabilise their health conditions, in terms of physical, mental, and social capabilities. In this context, the INTESA project proposes a set of personalised monitoring and rehabilitation services for older people, based on mobile and wearable technologies ready to be used either at home or in residential long-term care facilities. We evaluated the proposed solution by deploying a suite of services in a nursing home and defining customised protocols to involve both guests (primary users) and nursing care personnel (secondary users). In this paper, we present the extended results obtained after the one-year period of experimentation in terms of technical reliability of the system, Quality of Experience, and user acceptance for both the user categories.Information 2019, 10, 253 2 of 18 reaching 12.6%, with a substantial prevalence of women (http://ec.europa.eu/eurostat/web/populationdemography-migration-projections/). These people need specialised help and continuous monitoring, training and rehabilitation to maintain their quality of life and discard the risk of depression, social isolation, and frailty decline. To this aim, the introduction of e-health services in nursing homes and, in general, in residential LTC facilities, can help stabilise the health conditions of the guests in terms of physical, mental, and social capabilities. In addition, the use of personalised monitoring and rehabilitation services can contribute to the reduction of LTC costs, both in nursing home institutions (with appropriate spaces and personnel support) and directly at home (for those who can continue living independently). Another fundamental requirement for LTC is the possibility to implement an individual integrated care program, providing a complete picture of the health status of each subject during time, and personalised feedback as well as coaching solutions to help reduce unhealthy behaviors.The integrated care approach was recently defined by the World Health Organization (WHO) in the Integrated Care for Older People (ICOPE) programme [3] with a focus on re-orienting primary care providers and health systems to respond to the great diversity in physical and mental capacities of older people, and to provide person-centred and integrated services. This type of programs can also help physicians address acute conditions based on a complete clinical and behavioural picture. Integrated care fits in the wider context of health and well-being research, that has witnessed a growing interest both from the research communities and governments. Specifically, an EU co...

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A learning system for automatic Berg Balance Scale score estimation

Cited by 27 publications

References 50 publications

Relationship Between L4/5 Lumbar Multifidus Cross-Sectional Area Ratio and Fall Risk in Older Adults with Lumbar Spinal Stenosis: A Retrospective Study

Relationship Between L4/5 Lumbar Multifidus Cross-Sectional Area Ratio and Fall Risk in Older Adults with Lumbar Spinal Stenosis: A Retrospective Study

Postural Strategy in Elderly, Middle-Aged, and Young People during Local Vibratory Stimulation for Proprioceptive Inputs

Experimenting Mobile and e-Health Services with Frail MCI Older People

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