“… 42 , 43 Recent work using supervised machine learning algorithms, have shown promising results in detecting arm use. 27 , 31 – 33 Although the performance of these machine learning approaches in patients are not as good as those in healthy subjects, they still perform better than activity counting or the gross movement score algorithms. Thus, these approaches are likely to gain traction in the coming years with an increasing focus on patient-specific models.…”
Section: Discussionmentioning
confidence: 99%
“… 28 – 30 Some accelerometry based data-driven approaches using machine learning algorithms to classify functional or non-functional movements yield higher classification accuracy but are restricted to specific tasks used in the laboratory setting. 31 – 33 Other methods to accurately measure arm use require multiple sensors which can lower patient compliance, or optical tracking which are impractical for the natural settings. Hence, there is a need for wearable devices with high sensitivity and specificity to detect functional and non-functional movements, along with good generalisability to estimate arm use in natural settings using minimum number of sensors.…”
Introduction Accelerometry-based activity counting for measuring arm use is prone to overestimation due to non-functional movements. In this paper, we used an inertial measurement unit (IMU)-based gross movement (GM) score to quantify arm use. Methods In this two-part study, we first characterized the GM by comparing it to annotated video recordings of 5 hemiparetic patients and 10 control subjects performing a set of activities. In the second part, we tracked the arm use of 5 patients and 5 controls using two wrist-worn IMUs for 7 and 3 days, respectively. The IMU data was used to develop quantitative measures (total and relative arm use) and a visualization method for arm use. Results From the characterization study, we found that GM detects functional activities with 50–60% accuracy and eliminates non-functional activities with >90% accuracy. Continuous monitoring of arm use showed that the arm use was biased towards the dominant limb and less paretic limb for controls and patients, respectively. Conclusions The gross movement score has good specificity but low sensitivity in identifying functional activity. The at-home study showed that it is feasible to use two IMU-watches to monitor relative arm use and provided design considerations for improving the assessment method. Clinical trial registry number: CTRI/2018/09/015648
“… 42 , 43 Recent work using supervised machine learning algorithms, have shown promising results in detecting arm use. 27 , 31 – 33 Although the performance of these machine learning approaches in patients are not as good as those in healthy subjects, they still perform better than activity counting or the gross movement score algorithms. Thus, these approaches are likely to gain traction in the coming years with an increasing focus on patient-specific models.…”
Section: Discussionmentioning
confidence: 99%
“… 28 – 30 Some accelerometry based data-driven approaches using machine learning algorithms to classify functional or non-functional movements yield higher classification accuracy but are restricted to specific tasks used in the laboratory setting. 31 – 33 Other methods to accurately measure arm use require multiple sensors which can lower patient compliance, or optical tracking which are impractical for the natural settings. Hence, there is a need for wearable devices with high sensitivity and specificity to detect functional and non-functional movements, along with good generalisability to estimate arm use in natural settings using minimum number of sensors.…”
Introduction Accelerometry-based activity counting for measuring arm use is prone to overestimation due to non-functional movements. In this paper, we used an inertial measurement unit (IMU)-based gross movement (GM) score to quantify arm use. Methods In this two-part study, we first characterized the GM by comparing it to annotated video recordings of 5 hemiparetic patients and 10 control subjects performing a set of activities. In the second part, we tracked the arm use of 5 patients and 5 controls using two wrist-worn IMUs for 7 and 3 days, respectively. The IMU data was used to develop quantitative measures (total and relative arm use) and a visualization method for arm use. Results From the characterization study, we found that GM detects functional activities with 50–60% accuracy and eliminates non-functional activities with >90% accuracy. Continuous monitoring of arm use showed that the arm use was biased towards the dominant limb and less paretic limb for controls and patients, respectively. Conclusions The gross movement score has good specificity but low sensitivity in identifying functional activity. The at-home study showed that it is feasible to use two IMU-watches to monitor relative arm use and provided design considerations for improving the assessment method. Clinical trial registry number: CTRI/2018/09/015648
“…Are systems which aim to identify specific movements of rehabilitation of the patients and differentiate between them for record and monitoring purposes [41][42][43][44][45][46][47][48][49][50][51], in this category researchers monitored Activities of Daily Living (ADL) [75] and they most frequently covered detecting general activities like standing, sitting, lying, standing up, sitting down [42,44,47,48,50], performing kitchen tasks like making a drink, chopping food [42] and other routine activities like making the bed, reading and lacing shoes [48], folding, sweeping and brushing teeth [46,48,49]. Other researchers covered activities for specific body parts like recognising different hand gestures [41], arm gestures [43] and some exercises to strengthen shoulders, and arms [48].…”
Section: Activity Recognitionmentioning
confidence: 99%
“…Over the past few years, effort has been put into developing unobtrusive, effective and objective motion-modeling systems, taking advantage of the progress made in the sensor technology which became more compact and more power-efficient [83]. All the included works utilised IMUs for the data acquisition [42][43][44][45][46][47][48][49][50][52][53][54][55][56][57][58][59][60][61][65][66][67][68][69][70]63,[71][72][73][74]64]. IMUs are devices that combine linear acceleration from accelerometer and the angular turning rates from gyroscopes [84].…”
“…Quantifying arm-use by without distinguishing between functional versus non-functional arm movements while assumptions on the mobility status of patients can lead to overestimation of arm-use [19][20][21] . Some data-driven approaches using supervised or unsupervised learning algorithms to classify functional or non-functional movements through accelerometry yield high classification accuracy, but are restricted to specific tasks that were used in the laboratory setting [22][23][24] . A simple, elegant and general algorithm to detect functional arm-use of an upper-limb was proposed by Leuenberger et al using a single IMU on the forearm 25 .…”
Background: The most popular method for measuring upper limb activity is based on accelerometry. However, this method is prone to overestimation and is agnostic to the functional utility of a movement. In this study, we used an inertial measurement unit(IMU)-based gross movement score to quantify arm-use in hemiparetic patients at home.
Objectives: (i) Validate the gross movement score detected by wrist-worn IMUs against functional movements identified by human assessors. (ii) Test the feasibility of using wrist-worn IMUs to measure arm-use in patients' natural settings.
Methods: To validate the gross movement score two independent assessors analyzed and annotated the video recordings of 5 hemiparetic patients and 10 healthy controls performing a set of activities while wearing IMUs. The second study tracked arm-use of 5 hemiparetic patients and 5 healthy controls using two wrist-worn IMUs for 7 days and 3 days, respectively. The IMU data obtained from this study was used to develop quantitative measures (total and relative arm-use (RAU)) and a visualization method for arm-use.
Results: The gross movement score detects functional movement with 50-60% accuracy in hemiparetic patients, and is robust to non-functional movements. Healthy controls showed a slight bias towards the dominant arm (RAU: 40.52)°. Patients' RAU varied between 15-47° depending upon their impairment level and pre-stroke hand dominance.
Conclusions: The gross movement score performs moderately well in detecting functional movements while rejecting non-functional movements. The patients' total arm-use is less than healthy controls, and their relative arm-use is skewed towards the less-impaired arm.
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