Quantitative Analysis of Movements in Children with Attention-Deficit Hyperactivity Disorder Using a Smart Watch at School

Attention-deficit hyperactivity disorder (ADHD) is primarily diagnosed using set criteria and checklists. However, authors have indicated that such criteria and checklists are subjective. In this study, data from the gyroscope and accelerometer in a smart watch were used to analyze the movements of...

Full description

Bibliographic Details
Main Authors: Lung-Chang Lin, Chen-Sen Ouyang, Ching-Tai Chiang, Rong-Ching Wu, Rei-Cheng Yang
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/10/12/4116
_version_ 1797565230722580480
author Lung-Chang Lin
Chen-Sen Ouyang
Ching-Tai Chiang
Rong-Ching Wu
Rei-Cheng Yang
author_facet Lung-Chang Lin
Chen-Sen Ouyang
Ching-Tai Chiang
Rong-Ching Wu
Rei-Cheng Yang
author_sort Lung-Chang Lin
collection DOAJ
description Attention-deficit hyperactivity disorder (ADHD) is primarily diagnosed using set criteria and checklists. However, authors have indicated that such criteria and checklists are subjective. In this study, data from the gyroscope and accelerometer in a smart watch were used to analyze the movements of children with ADHD. This study cohort comprised 15 children with ADHD and 15 age- and sex-matched control participants. The children with ADHD and controls wore the watches on their non-writing hands simultaneously in class. The recordings of one patient and one control were tracked for 2 h daily for three consecutive days with desk and seated class activities. We compared the measurements of variance and the zero-crossing rate (ZCR) of the gyroscope and accelerometer between the children with ADHD and controls. All average variance and ZCR values of the three axes (<i>x</i>, <i>y</i>, and <i>z</i>) in the gyroscope and accelerometer were higher in children with ADHD than in the controls. Significant differences in average variance values on the <i>y</i>-axis (<i>p</i> < 0.001) and ZCR values on all three axes (<i>x</i>, <i>p</i> = 0.005; <i>y</i>, <i>p</i> = 0.003; and <i>z</i>, <i>p</i> = 0.004) of the gyroscope were observed. Similarly, significant differences in the average variance values on the three axes (<i>x</i>, <i>p</i> = 0.001; <i>y</i>, <i>p</i> < 0.001; and <i>z</i>, <i>p</i> < 0.001) and ZCR values on the <i>z</i>-axis (<i>p</i> = 0.006) of the accelerometer were observed. The proposed method is a promising tool to objectively analyze the movements of children with ADHD at school.
first_indexed 2024-03-10T19:10:09Z
format Article
id doaj.art-6a3fc7e03efb47b9acffad9747a2c9f8
institution Directory Open Access Journal
issn 2076-3417
language English
last_indexed 2024-03-10T19:10:09Z
publishDate 2020-06-01
publisher MDPI AG
record_format Article
series Applied Sciences
spelling doaj.art-6a3fc7e03efb47b9acffad9747a2c9f82023-11-20T03:54:12ZengMDPI AGApplied Sciences2076-34172020-06-011012411610.3390/app10124116Quantitative Analysis of Movements in Children with Attention-Deficit Hyperactivity Disorder Using a Smart Watch at SchoolLung-Chang Lin0Chen-Sen Ouyang1Ching-Tai Chiang2Rong-Ching Wu3Rei-Cheng Yang4Departments of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City 80708, TaiwanDepartment of Information Engineering, I-Shou University, Kaohsiung City 84001, TaiwanDepartment of Computer and Communication, National Pingtung University, Pingtung City 90003, TaiwanDepartment of Electrical Engineering, I-Shou University, Kaohsiung City 84001, TaiwanDepartments of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City 80708, TaiwanAttention-deficit hyperactivity disorder (ADHD) is primarily diagnosed using set criteria and checklists. However, authors have indicated that such criteria and checklists are subjective. In this study, data from the gyroscope and accelerometer in a smart watch were used to analyze the movements of children with ADHD. This study cohort comprised 15 children with ADHD and 15 age- and sex-matched control participants. The children with ADHD and controls wore the watches on their non-writing hands simultaneously in class. The recordings of one patient and one control were tracked for 2 h daily for three consecutive days with desk and seated class activities. We compared the measurements of variance and the zero-crossing rate (ZCR) of the gyroscope and accelerometer between the children with ADHD and controls. All average variance and ZCR values of the three axes (<i>x</i>, <i>y</i>, and <i>z</i>) in the gyroscope and accelerometer were higher in children with ADHD than in the controls. Significant differences in average variance values on the <i>y</i>-axis (<i>p</i> < 0.001) and ZCR values on all three axes (<i>x</i>, <i>p</i> = 0.005; <i>y</i>, <i>p</i> = 0.003; and <i>z</i>, <i>p</i> = 0.004) of the gyroscope were observed. Similarly, significant differences in the average variance values on the three axes (<i>x</i>, <i>p</i> = 0.001; <i>y</i>, <i>p</i> < 0.001; and <i>z</i>, <i>p</i> < 0.001) and ZCR values on the <i>z</i>-axis (<i>p</i> = 0.006) of the accelerometer were observed. The proposed method is a promising tool to objectively analyze the movements of children with ADHD at school.https://www.mdpi.com/2076-3417/10/12/4116ADHDgyroscopeaccelerometersmart watch
spellingShingle Lung-Chang Lin
Chen-Sen Ouyang
Ching-Tai Chiang
Rong-Ching Wu
Rei-Cheng Yang
Quantitative Analysis of Movements in Children with Attention-Deficit Hyperactivity Disorder Using a Smart Watch at School
Applied Sciences
ADHD
gyroscope
accelerometer
smart watch
title Quantitative Analysis of Movements in Children with Attention-Deficit Hyperactivity Disorder Using a Smart Watch at School
title_full Quantitative Analysis of Movements in Children with Attention-Deficit Hyperactivity Disorder Using a Smart Watch at School
title_fullStr Quantitative Analysis of Movements in Children with Attention-Deficit Hyperactivity Disorder Using a Smart Watch at School
title_full_unstemmed Quantitative Analysis of Movements in Children with Attention-Deficit Hyperactivity Disorder Using a Smart Watch at School
title_short Quantitative Analysis of Movements in Children with Attention-Deficit Hyperactivity Disorder Using a Smart Watch at School
title_sort quantitative analysis of movements in children with attention deficit hyperactivity disorder using a smart watch at school
topic ADHD
gyroscope
accelerometer
smart watch
url https://www.mdpi.com/2076-3417/10/12/4116
work_keys_str_mv AT lungchanglin quantitativeanalysisofmovementsinchildrenwithattentiondeficithyperactivitydisorderusingasmartwatchatschool
AT chensenouyang quantitativeanalysisofmovementsinchildrenwithattentiondeficithyperactivitydisorderusingasmartwatchatschool
AT chingtaichiang quantitativeanalysisofmovementsinchildrenwithattentiondeficithyperactivitydisorderusingasmartwatchatschool
AT rongchingwu quantitativeanalysisofmovementsinchildrenwithattentiondeficithyperactivitydisorderusingasmartwatchatschool
AT reichengyang quantitativeanalysisofmovementsinchildrenwithattentiondeficithyperactivitydisorderusingasmartwatchatschool