An Objective Balance Error Scoring System for Sideline Concussion Evaluation Using Duplex Kinect Sensors

Sports-related concussion is a common sports injury that might induce potential long-term consequences without early diagnosis and intervention in the field. However, there are few options of such sensor systems available. The aim of the study is to propose and validate an automated concussion admin...

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Main Authors: Mengqi Zhu, Zhonghua Huang, Chao Ma, Yinlin Li
Format: Article
Language:English
Published: MDPI AG 2017-10-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/17/10/2398
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author Mengqi Zhu
Zhonghua Huang
Chao Ma
Yinlin Li
author_facet Mengqi Zhu
Zhonghua Huang
Chao Ma
Yinlin Li
author_sort Mengqi Zhu
collection DOAJ
description Sports-related concussion is a common sports injury that might induce potential long-term consequences without early diagnosis and intervention in the field. However, there are few options of such sensor systems available. The aim of the study is to propose and validate an automated concussion administration and scoring approach, which is objective, affordable and capable of detecting all balance errors required by the balance error scoring system (BESS) protocol in the field condition. Our approach is first to capture human body skeleton positions using two Microsoft Kinect sensors in the proposed configuration and merge the data by a custom-made algorithm to remove the self-occlusion of limbs. The standing balance errors according to BESS protocol were further measured and accessed automatically by the proposed algorithm. Simultaneously, the BESS test was filmed for scoring by an experienced rater. Two results were compared using Pearson coefficient r, obtaining an excellent consistency (r = 0.93, p < 0.05). In addition, BESS test–retest was performed after seven days and compared using intraclass correlation coefficients (ICC), showing a good test–retest reliability (ICC = 0.81, p < 0.01). The proposed approach could be an alternative of objective tools to assess postural stability for sideline sports concussion diagnosis.
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spelling doaj.art-148528b4c0cf48a99b802ef8f959e66d2022-12-22T03:58:34ZengMDPI AGSensors1424-82202017-10-011710239810.3390/s17102398s17102398An Objective Balance Error Scoring System for Sideline Concussion Evaluation Using Duplex Kinect SensorsMengqi Zhu0Zhonghua Huang1Chao Ma2Yinlin Li3School of Mechatronical Engineering, Beijing Institute of Technology, Beijing 100081, ChinaSchool of Mechatronical Engineering, Beijing Institute of Technology, Beijing 100081, ChinaSchool of Mechatronical Engineering, Beijing Institute of Technology, Beijing 100081, ChinaSchool of Mechatronical Engineering, Beijing Institute of Technology, Beijing 100081, ChinaSports-related concussion is a common sports injury that might induce potential long-term consequences without early diagnosis and intervention in the field. However, there are few options of such sensor systems available. The aim of the study is to propose and validate an automated concussion administration and scoring approach, which is objective, affordable and capable of detecting all balance errors required by the balance error scoring system (BESS) protocol in the field condition. Our approach is first to capture human body skeleton positions using two Microsoft Kinect sensors in the proposed configuration and merge the data by a custom-made algorithm to remove the self-occlusion of limbs. The standing balance errors according to BESS protocol were further measured and accessed automatically by the proposed algorithm. Simultaneously, the BESS test was filmed for scoring by an experienced rater. Two results were compared using Pearson coefficient r, obtaining an excellent consistency (r = 0.93, p < 0.05). In addition, BESS test–retest was performed after seven days and compared using intraclass correlation coefficients (ICC), showing a good test–retest reliability (ICC = 0.81, p < 0.01). The proposed approach could be an alternative of objective tools to assess postural stability for sideline sports concussion diagnosis.https://www.mdpi.com/1424-8220/17/10/2398concussion evaluationpostural stabilitybalance error scoring systemKinect sensor
spellingShingle Mengqi Zhu
Zhonghua Huang
Chao Ma
Yinlin Li
An Objective Balance Error Scoring System for Sideline Concussion Evaluation Using Duplex Kinect Sensors
Sensors
concussion evaluation
postural stability
balance error scoring system
Kinect sensor
title An Objective Balance Error Scoring System for Sideline Concussion Evaluation Using Duplex Kinect Sensors
title_full An Objective Balance Error Scoring System for Sideline Concussion Evaluation Using Duplex Kinect Sensors
title_fullStr An Objective Balance Error Scoring System for Sideline Concussion Evaluation Using Duplex Kinect Sensors
title_full_unstemmed An Objective Balance Error Scoring System for Sideline Concussion Evaluation Using Duplex Kinect Sensors
title_short An Objective Balance Error Scoring System for Sideline Concussion Evaluation Using Duplex Kinect Sensors
title_sort objective balance error scoring system for sideline concussion evaluation using duplex kinect sensors
topic concussion evaluation
postural stability
balance error scoring system
Kinect sensor
url https://www.mdpi.com/1424-8220/17/10/2398
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