Spatiotemporal parameters from instrumented motion analysis represent clinical measurement of upper limb function in children with cerebral palsy

Shim, Dain; Choi, Ja Young; Yi, Sook-Hee; Park, Eun Sook; Kim, Seung Ki; Yoo, Beomki; Park, Dong‐Ho; Park, Hye-rin; Rha, Dong-Wook

doi:10.1016/j.gaitpost.2020.11.007

Cited by 4 publications

(7 citation statements)

References 20 publications

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“…Out of the 36 articles that linked parameters to clinical outcomes (see criterion 5 of the Quality Assessment, Additional file 1 ), 14 found a moderate to excellent significant correlation [ 16 , 31 , 33 , 39 , 46 , 53 , 54 , 59 , 61 , 64 , 75 , 78 , 85 , 89 ]. Two main articles have extensively studied the correlations between clinical outcomes and biomarkers, where a biomarker is the association between a task and a parameter.…”

Section: Resultsmentioning

confidence: 99%

“…The studies typically had small sample sizes, with a mean of 22.6 ± 12.2 patients included, and only 3 studies included more than 30 patients [ 16 , 85 , 89 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most studies have only focused only on patients with unilateral cerebral palsy. The three studies that included bilateral participants showed moderate to good correlation with clinical outcomes, but did not examine specific joint kinematics [ 31 , 59 , 89 ].…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of instrumented assessments for upper limb function in cerebral palsy: current limitations and future directions

Rozaire,

Paquin,

Henry

et al. 2024

J NeuroEngineering Rehabil

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Introduction Recently, interest in quantifying upper limb function in cerebral palsy has grown. However, the lack of reference tasks and protocols, have hindered the development of quantified movement analysis in clinical practice. This study aimed to evaluate existing instrumented assessments of upper limb function in cerebral palsy, with a focus on their clinical applicability, to identify reasons for the lack of adoption and provide recommendations for improving clinical relevance and utility. Methods A systematic review was conducted by a multidisciplinary team of researchers and clinicians (Prospero CRD42023402382). PubMed and Web of Science databases were searched using relevant keywords and inclusion/exclusion criteria. Results A total of 657 articles were initially identified, and after the selection process, 76 records were included for analysis comprising a total of 1293 patients with cerebral palsy. The quality assessment of the reviewed studies revealed a moderate overall quality, with deficiencies in sample size justification and participant information. Optoelectronic motion capture systems were predominantly used in the studies (N = 57/76). The population mainly consisted of individuals with spastic cerebral palsy (834/1293) with unilateral impairment (N = 1092/1293). Patients with severe functional impairment (MACS IV and V) were underrepresented with 3.4% of the 754 patients for whom the information was provided. Thirty-nine tasks were used across the articles. Most articles focused on unimanual activities (N = 66/76) and reach or reach and grasp (N = 51/76). Bimanual cooperative tasks only represented 3 tasks present in 4 articles. A total of 140 different parameters were identified across articles. Task duration was the most frequently used parameter and 23% of the parameters were used in only one article. Conclusion Further research is necessary before incorporating quantified motion analysis into clinical practice. Existing protocols focus on extensively studied populations and rely on costly equipment, limiting their practicality. Standardized unimanual tasks provide limited insights into everyday arm use. Balancing methodological requirements and performance evaluation flexibility is a challenge. Exploring the correlation between outcome parameters and therapeutic guidance could facilitate the integration of quantified movement assessment into treatment pathways.

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Section: Resultsmentioning

confidence: 99%

“…The studies typically had small sample sizes, with a mean of 22.6 ± 12.2 patients included, and only 3 studies included more than 30 patients [ 16 , 85 , 89 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A systematic review of instrumented assessments for upper limb function in cerebral palsy: current limitations and future directions

Rozaire,

Paquin,

Henry

et al. 2024

J NeuroEngineering Rehabil

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“…Motion capture systems based on optoelectronic devices (Vicon systems) (Oxford Metrics Group, UK) are considered to be the gold standard for a motion analysis. However, the analysis requires sending patients to a clinical laboratory and is most commonly used to assess kinematics and spatiotemporal variables during activities such as reaching and grasping [ 55 , 56 , 57 , 59 , 62 , 64 , 66 ]. Wearable inertial sensors also directly measure kinematic data of the human body and are an alternative able to be used both in the laboratory and in an open environment [ 61 , 63 , 67 ].…”

Section: Current Techniques For Objective Measurementsmentioning

confidence: 99%

“…As Table 3 shows, optoelectronic devices were also used to determine spatiotemporal parameters such as velocity and acceleration during the activities of each assessment [ 57 , 62 , 66 ]. Meanwhile, several authors used inertial sensors to simultaneously obtain the angular velocity and acceleration of their patients [ 61 , 63 ].…”

Section: Current Techniques For Objective Measurementsmentioning

confidence: 99%

Upper Limb Movement Measurement Systems for Cerebral Palsy: A Systematic Literature Review

Francisco-Martínez¹,

Prado-Olivarez²,

Padilla-Medina³

et al. 2021

Sensors

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Quantifying the quality of upper limb movements is fundamental to the therapeutic process of patients with cerebral palsy (CP). Several clinical methods are currently available to assess the upper limb range of motion (ROM) in children with CP. This paper focuses on identifying and describing available techniques for the quantitative assessment of the upper limb active range of motion (AROM) and kinematics in children with CP. Following the screening and exclusion of articles that did not meet the selection criteria, we analyzed 14 studies involving objective upper extremity assessments of the AROM and kinematics using optoelectronic devices, wearable sensors, and low-cost Kinect sensors in children with CP aged 4–18 years. An increase in the motor function of the upper extremity and an improvement in most of the daily tasks reviewed were reported. In the population of this study, the potential of wearable sensors and the Kinect sensor natural user interface as complementary devices for the quantitative evaluation of the upper extremity was evident. The Kinect sensor is a clinical assessment tool with a unique markerless motion capture system. Few authors had described the kinematic models and algorithms used to estimate their kinematic analysis in detail. However, the kinematic models in these studies varied from 4 to 10 segments. In addition, few authors had followed the joint assessment recommendations proposed by the International Society of Biomechanics (ISB). This review showed that three-dimensional analysis systems were used primarily for monitoring and evaluating spatiotemporal variables and kinematic parameters of upper limb movements. The results indicated that optoelectronic devices were the most commonly used systems. The joint assessment recommendations proposed by the ISB should be used because they are approved standards for human kinematic assessments. This review was registered in the PROSPERO database (CRD42021257211).

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Age-related differences in behavioral outcomes of bimanual functional motor tasks in children and adolescents with cerebral palsy: a scoping review

Gascon,

Maldonado Numata,

Emond

et al. 2024

Disability and Rehabilitation

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Spatiotemporal parameters from instrumented motion analysis represent clinical measurement of upper limb function in children with cerebral palsy

Cited by 4 publications

References 20 publications

A systematic review of instrumented assessments for upper limb function in cerebral palsy: current limitations and future directions

A systematic review of instrumented assessments for upper limb function in cerebral palsy: current limitations and future directions

Upper Limb Movement Measurement Systems for Cerebral Palsy: A Systematic Literature Review

Age-related differences in behavioral outcomes of bimanual functional motor tasks in children and adolescents with cerebral palsy: a scoping review

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