Wearable sensors to improve activities in individuals with cerebral palsy

Dan, Jonathan

doi:10.1111/dmcn.14515

Cited by 2 publications

(1 citation statement)

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“…Indeed, artificial intelligence and machine learning support a range of other technological developments for which we can anticipate ethical discussion relating to cerebral palsy (13). In a not-so-distant future, artificial intelligence may allow reliable objective characterization of clinical presentations (14), possibly fed by wearable sensor technology (15,16). As previously demonstrated in other populations, machine learning can now recognize a range of relevant physical activity behaviors in individuals with cerebral palsy with great accuracy (17).…”

Section: Technological Issuesmentioning

confidence: 96%

New Ethical Issues in Cerebral Palsy

Dan

2021

Front. Neurol.

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Current societal and technological changes have added to the ethical issues faced by people with cerebral palsy. These include new representations of disability, and the current International Classification of Functioning, Disability, and Health, changes in legislation and international conventions, as well as applications of possibilities offered by robotics, brain–computer interface devices, muscles and brain stimulation techniques, wearable sensors, artificial intelligence, genetics, and more for diagnostic, therapeutic, or other purposes. These developments have changed the way we approach diagnosis, set goals for intervention, and create new opportunities. This review examines those influences on clinical practice from an ethical perspective and highlights how a principled approach to clinical bioethics can help the clinician to address ethical dilemmas that occur in practice. It also points to implications of those changes on research priorities.

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Section: Technological Issuesmentioning

confidence: 96%

New Ethical Issues in Cerebral Palsy

Dan

2021

Front. Neurol.

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Sensor-based outcomes to monitor everyday life motor activities of children and adolescents with neuromotor impairments: A survey with health professionals

Rast

Labruyère

2022

Front. Rehabilit. Sci.

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In combination with appropriate data processing algorithms, wearable inertial sensors enable the measurement of motor activities in children's and adolescents' habitual environments after rehabilitation. However, existing algorithms were predominantly designed for adult patients, and their outcomes might not be relevant for a pediatric population. In this study, we identified the needs of pediatric rehabilitation to create the basis for developing new algorithms that derive clinically relevant outcomes for children and adolescents with neuromotor impairments. We conducted an international survey with health professionals of pediatric neurorehabilitation centers, provided them a list of 34 outcome measures currently used in the literature, and asked them to rate the clinical relevance of these measures for a pediatric population. The survey was completed by 62 therapists, 16 doctors, and 9 nurses of 16 different pediatric neurorehabilitation centers from Switzerland, Germany, and Austria. They had an average work experience of 13 ± 10 years. The most relevant outcome measures were the duration of lying, sitting, and standing positions; the amount of active self-propulsion during wheeling periods; the hand use laterality; and the duration, distance, and speed of walking periods. The health profession, work experience, and workplace had a minimal impact on the priorities of health professionals. Eventually, we complemented the survey findings with the family priorities of a previous study to provide developers with the clinically most relevant outcomes to monitor everyday life motor activities of children and adolescents with neuromotor impairments.

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Wearable sensors to improve activities in individuals with cerebral palsy

Abstract: This commentary is on the original article by Michelsen et al. on pages 714–722 of this issue.

Cited by 2 publications

References 5 publications

New Ethical Issues in Cerebral Palsy

New Ethical Issues in Cerebral Palsy

Sensor-based outcomes to monitor everyday life motor activities of children and adolescents with neuromotor impairments: A survey with health professionals

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