Decision Trees for Detection of Activity Intensity in Youth with Cerebral Palsy

Trost, Stewart G.; Fragala-Pinkham, Maria; Lennon, Nancy; O’Neil, Margaret E.

doi:10.1249/mss.0000000000000842

Cited by 55 publications

(61 citation statements)

References 40 publications

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“…More generally speaking, the present study is also limited from the algorithmic point of view, not taking yet into consideration the growing and promising area of Machine Learning and AI techniques to classify and assess movements and performance from sensors' readings. These are perspectives that of course deserve to be further studied, having already produced interesting results in the field (Ahmadi et al 2018;Hagenbuchner et al 2015;Trost et al 2016). The difficulty however is also related to the freedom of the performed movements, since the tasks of each exercise could be accomplished by different subjects in completely different ways, according to the nature and severity of each child's pathology.…”

Section: Discussionmentioning

confidence: 98%

From AAL to ambient assisted rehabilitation: a research pilot protocol based on smart objects and biofeedback

Meriggi

Mandalà

Brazzoli

et al. 2020

J Ambient Intell Human Comput

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The progressive miniaturization of electronic devices and their exponential increase in processing, storage and transmission capabilities, represent key factors of the current digital transformation, also sustaining the great development of Ambient Assisted Living (AAL) and the Internet of Things. Although most of the investigations in the recent years focused on remote monitoring and diagnostics, rehabilitation too could be positively affected by the widespread integrated use of these devices. Smart Objects in particular may be among the enablers to new quantitative approaches. In this paper, we present a proofof-concept and some preliminary results of an innovative pediatric rehabilitation protocol based on Smart Objects and biofeedback, which we administered to a sample of children with unilateral cerebral palsy. The novelty of the approach mainly consists in placing the sensing device into a common toy (a ball in our protocol) and using the information measured by the device to administer multimedia-enriched type of exercises, more engaging if compared to the usual rehabilitation activities used in clinical settings. We also introduce a couple of performance indexes, which could be helpful for a quantitative continuous evaluation of movements during the exercises. Even if the number of children involved and sessions performed are not suitable to assess any change in the subjects' abilities, nor to derive solid statistical inferences, the novel approach resulted very engaging and enjoyable by all the children participating in the study. Moreover, given the almost non-existent literature on the use of Smart Objects in pediatric rehabilitation, the few qualitative/quantitative results here reported may promote the scientific and clinical discussion regarding AAL solutions in a "Computer Assisted Rehabilitation" perspective, towards what can be defined "Pediatric Rehabilitation 2.0".

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Section: Discussionmentioning

confidence: 98%

From AAL to ambient assisted rehabilitation: a research pilot protocol based on smart objects and biofeedback

Meriggi

Mandalà

Brazzoli

et al. 2020

J Ambient Intell Human Comput

View full text Add to dashboard Cite

show abstract

“…Participants were asked to wear a wGT3X-BT triaxial accelerometer (ActiGraph, Pensacola, FL) for 7 days to objectively assess PA. This accelerometer was chosen as it has shown to be a reliable and valid measure of habitual physical activity in ambulant children and adolescents with CP [17,18]. The monitor was worn on the waist above the right hip or least affected side in the case of significant asymmetry, in the midaxillary line.…”

Section: Testing Proceduresmentioning

confidence: 99%

“…The wGT3X-BT accelerometer generates a variable output voltage signal, proportional to acceleration in three orthogonal planes (vertical, anteroposterior and mediolateral), which are converted to vector magnitude activity counts that are then stored on the device. PA was classified time spent in sedentary behaviour, light physical activity (LPA) and MVPA, using previously validated cut-points for adolescents with CP [18] per day was calculated by dividing total time in each intensity by the number of days on which the accelerometer was worn. TPA was calculated by summing time in LPA and MVPA.…”

Section: Testing Proceduresmentioning

confidence: 99%

Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF) as a measure of physical activity (PA) in young people with cerebral palsy: A cross-sectional study

et al. 2020

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Objectives The aim of this study was to examine the validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF) as a measure of physical activity (PA) in young people with cerebral palsy (CP). Design Cross-sectional. Setting Participants were recruited through 8 National Health Service (NHS) trusts, one school, one university and through organisations that provide services for people with disabilities in England. Participants Sixty-four, ambulatory young people aged 10-19 years with CP [Gross Motor Function Classification System (GMFCS) levels I-III] participated in this study. Main outcome measure The IPAQ-SF was administered to participants. Participants were then asked to wear a wGT3X-BT triaxial accelerometer (ActiGraph, Pensacola, FL) for 7 days to objectively assess PA. Time spent in sedentary behaviour, in moderate to vigorous PA (MVPA) and in total PA (TPA) was compared between measures. Results Young people with CP self-reported less time in sedentary behaviour and underestimated the time spent in TPA, when compared to accelerometer measurements. Bland-Altman plots demonstrated poor agreement between the measures for MVPA, with upper and lower 95% limits of agreement of −147 to 148.9 minute. After adjusting for gender and GMFCS level, age was a predictor of the difference between measures for MVPA (P < 0.001) and TPA (P < 0.001). Conclusions These findings suggest that the IPAQ-SF is not a valid method of measuring TPA or sedentary behaviour in young people with CP and it is not appropriate for use when assessing an individual's time in MVPA. Therefore, where feasible, an objective measure of PA should be used. Clinical trial registration number ISRCTN90378161.

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“…93,115 In this regard, recent studies involving ambulatory youth with CP (GMFCS I – III) have demonstrated good concurrent validity between accelerometry data and indirect calorimetry while performing standardized physical activities of varying intensity 119 and shown that GMFCS-specific intensity-based cutpoint thresholds produce more accurate assessments of MVPA levels compared to previously published cutpoint values. 120 …”

Section: Health Promotion and Secondary Prevention In Pediatric Neuromentioning

confidence: 99%

From Disease to Health: Physical Therapy Health Promotion Practices for Secondary Prevention in Adult and Pediatric Neurologic Populations

Quinn

Morgan

2017

Journal of Neurologic Physical Therapy

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Background and Purpose Over the last decade there has been a substantial increase in efforts to better understand how targeted physical activity and exercise interventions can be used to minimize secondary consequences arising from neurological damage in both adult and pediatric populations. This paper overviews contemporary research that address mediators of functional and neuroplastic adaptations to physical activity and exercise, and seeks to highlight the important role that physical therapists can play to increase participation and improve well-being in adults and children with neurological disorders. We further highlight potential strategies to foster translation of evidence-based findings for use by clinicians and consumers. Summary of Key Points Engagement in physical activity can serve as a powerful promoter of health and well-being in adults and youth with neurologic disease, and may have the potential to alter the course of disease processes. Physical therapists can play a key role in promoting fitness and wellness by encouraging active living, providing early diagnosis of disease and prescribing targeted activity interventions to improve fitness and participation and helping individuals overcome personal and environmental barriers to an active lifestyle. Recommendations for Clinical Practice Physical therapists must adopt a model of rehabilitation that emphasizes secondary prevention in adults and youth with neurological diseases. Physical therapists can play a unique role in developing forward-thinking approaches in using innovative health and wellness strategies to promote positive changes in activity and exercise behaviors.

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Decision Trees for Detection of Activity Intensity in Youth with Cerebral Palsy

Cited by 55 publications

References 40 publications

From AAL to ambient assisted rehabilitation: a research pilot protocol based on smart objects and biofeedback

From AAL to ambient assisted rehabilitation: a research pilot protocol based on smart objects and biofeedback

Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF) as a measure of physical activity (PA) in young people with cerebral palsy: A cross-sectional study

From Disease to Health: Physical Therapy Health Promotion Practices for Secondary Prevention in Adult and Pediatric Neurologic Populations

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