Measuring upper limb function in children with hemiparesis with 3D inertial sensors

Newman, Christopher J.; Bruchez, Roselyn; Roches, Sylvie; Gygax, Marine Jequier; Duc, Cyntia; Dadashi, Farzin; Massé, Fabien; Aminian, Kamiar

doi:10.1007/s00381-017-3580-1

Cited by 23 publications

(51 citation statements)

References 45 publications

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“…Quantitative measurements, such as movement time and smoothness, showed a strong correlation with Action research arm test scores in patients after stroke [7]. Spatiotemporal parameters (e.g., ROM, movement time) extracted from inertial sensors’ data provided an accurate evaluation of patients with multiple sclerosis and they distinguished affected and unaffected upper limbs in children with hemiparesis significantly [60, 62].…”

Section: Discussionmentioning

confidence: 99%

Wearable systems for shoulder kinematics assessment: a systematic review

Carnevale

Longo

Schena

et al. 2019

BMC Musculoskelet Disord

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BackgroundWearable sensors are acquiring more and more influence in diagnostic and rehabilitation field to assess motor abilities of people with neurological or musculoskeletal impairments. The aim of this systematic literature review is to analyze the wearable systems for monitoring shoulder kinematics and their applicability in clinical settings and rehabilitation.MethodsA comprehensive search of PubMed, Medline, Google Scholar and IEEE Xplore was performed and results were included up to July 2019. All studies concerning wearable sensors to assess shoulder kinematics were retrieved.ResultsSeventy-three studies were included because they have fulfilled the inclusion criteria. The results showed that magneto and/or inertial sensors are the most used. Wearable sensors measuring upper limb and/or shoulder kinematics have been proposed to be applied in patients with different pathological conditions such as stroke, multiple sclerosis, osteoarthritis, rotator cuff tear. Sensors placement and method of attachment were broadly heterogeneous among the examined studies.ConclusionsWearable systems are a promising solution to provide quantitative and meaningful clinical information about progress in a rehabilitation pathway and to extrapolate meaningful parameters in the diagnosis of shoulder pathologies. There is a strong need for development of this novel technologies which undeniably serves in shoulder evaluation and therapy.

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Section: Discussionmentioning

confidence: 99%

Wearable systems for shoulder kinematics assessment: a systematic review

Carnevale

Longo

Schena

et al. 2019

BMC Musculoskelet Disord

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“…The smoothness of a movement can be affected by spasticity which is a major issue in CP 59 . Higuchi's fractal 60 dimension was used for this purpose in children with hemiplegia to assess the smoothness/ roughness of the affected upper limb 61 . Fractal dimension was computed on the shank pitch angular velocity time series, for each gait cycle.…”

Section: Walking Bout Characterizationmentioning

confidence: 99%

Comparison of gait characteristics between clinical and daily life settings in children with cerebral palsy

Carcreff

Gerber

Paraschiv-Ionescu

et al. 2020

Sci Rep

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Gait assessments in standardized settings, as part of the clinical follow-up of children with cerebral palsy (CP), may not represent gait in daily life. This study aimed at comparing gait characteristics in laboratory and real life settings on the basis of multiple parameters in children with cp and with typical development (TD). Fifteen children with CP and 14 with TD wore 5 inertial sensors (chest, thighs and shanks) during in-laboratory gait assessments and during 3 days of daily life. Sixteen parameters belonging to 8 distinct domains were computed from the angular velocities and/or accelerations. Each parameter measured in the laboratory was compared to the same parameter measured in daily life for walking bouts defined by a travelled distance similar to the laboratory, using Wilcoxon paired tests and Spearman's correlations. Most gait characteristics differed between both environments in both groups. Numerous high correlations were found between laboratory and daily life gait parameters for the CP group, whereas fewer correlations were found in the TD group. These results demonstrated that children with CP perform better in clinical settings. Such quantitative evidence may enhance clinicians' understanding of the gap between capacity and performance in children with CP and improve their decision-making. Cerebral palsy (CP) describes a group of motor disorders resulting from early damage to the developing brain 1. It is the most frequent motor disability in children, with a prevalence of 1.8 per 1000 live births in Europe 2. Children with CP have heterogeneous clinical profiles and are classified into five levels of severity with the Gross Motor Function Classification System (I: independent walker; II: independent walker with limitations; III: ambulate with walking aids; IV: ambulate with powered mobility; and V: dependent for all mobility) 3,4. In CP, gait disorders are among the leading limitations, with a negative impact on participation and self-perception 5. Current management of gait deviations is largely based on assessments of body structures and body functions of individuals measured in clinical settings 6. 'Clinical gait analysis' (CGA) measures multiple gait parameters in order to identify and understand the main causes of gait deviations 7. Although CGA has become a widely accepted tool in clinical practice, it is not clear whether in-laboratory assessments reflect the usual walking performance of the patients in daily life. Patients are often considered to perform better when walking under clinical supervision to please caregivers 8 , known as the 'Hawthorne effect' 9 , and thanks to improved concentration in the absence of external distractors requiring additional attention 10. Integrating unsupervised assessments of the patients' daily walking into the clinical process could improve clinicians' understanding of their real behavior and overall difficulties, beyond the observation of functional limitations in a purely clinical setting 10. The link between capacity (what an individual can do in ...

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“…(iii) Global physical activity (resting and active states with intensity, posture and gait periods via bar-code parameters) will be measured using wrist sensors [57,58] (automatic calibration, simple positioning, similar to a watch on each wrist). The main outcome will be the percentage of total time spent in movement (i.e.…”

Section: Movement Parameters (T0 and T2)mentioning

confidence: 99%

Functional, neuroplastic and biomechanical changes induced by early Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (e-HABIT-ILE) in pre-school children with unilateral cerebral palsy: study protocol of a randomized control trial

Araneda¹,

Sizonenko²,

Newman³

et al. 2020

BMC Neurol

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Background: Cerebral palsy (CP) causes motor, cognitive and sensory impairment at different extents. Many recent rehabilitation developments (therapies) have focused solely on the upper extremities (UE), although the lower extremities (LE) are commonly affected. Hand-arm Bimanual Intensive Therapy Including Lower Extremities (HABIT-ILE) applies the concepts of motor skill learning and intensive training to both the UE and LE. It involves constant stimulation of the UE and LE, for several hours each day over a 2-week period. The effects of HABIT-ILE have never been evaluated in a large sample of young children. Furthermore, understanding of functional, neuroplastic and biomechanical changes in infants with CP is lacking. The aim of this study is to carry out a multi-center randomized controlled trial (RCT) to evaluate the effects of HABIT-ILE in preschool children with unilateral CP on functional, neuroplastic and biomechanical parameters.

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Measuring upper limb function in children with hemiparesis with 3D inertial sensors

Abstract: Inertial sensor measurements reliably identify paresis and correlate with clinical measurements; they can therefore provide a complementary dimension of assessment in clinical practice and during clinical trials aimed at improving upper limb function.

Cited by 23 publications

References 45 publications

Wearable systems for shoulder kinematics assessment: a systematic review

Wearable systems for shoulder kinematics assessment: a systematic review

Comparison of gait characteristics between clinical and daily life settings in children with cerebral palsy

Functional, neuroplastic and biomechanical changes induced by early Hand-Arm Bimanual Intensive Therapy Including Lower Extremities (e-HABIT-ILE) in pre-school children with unilateral cerebral palsy: study protocol of a randomized control trial

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