Objective diagnosis of ADHD through movement analysis by using a smart chair with piezoelectric material

Background: Attention-deficit/hyperactivity disorder (ADHD) is the most common neuropsychiatric disorder in schoolchildren. ADHD diagnoses are generally made based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. The diagnosis is made clinically based on obs...

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Main Authors: Tung-Ming Chang, Rong-Ching Wu, Rei-Cheng Yang, Ching-Tai Chiang, Yi-Hung Chiu, Chen-Sen Ouyang, Yun-Ming Wang, Ming-Hsu Wu, Guang-Chung Lin, Lung-Chang Lin
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Pediatrics and Neonatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1875957222001875
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author Tung-Ming Chang
Rong-Ching Wu
Rei-Cheng Yang
Ching-Tai Chiang
Yi-Hung Chiu
Chen-Sen Ouyang
Yun-Ming Wang
Ming-Hsu Wu
Guang-Chung Lin
Lung-Chang Lin
author_facet Tung-Ming Chang
Rong-Ching Wu
Rei-Cheng Yang
Ching-Tai Chiang
Yi-Hung Chiu
Chen-Sen Ouyang
Yun-Ming Wang
Ming-Hsu Wu
Guang-Chung Lin
Lung-Chang Lin
author_sort Tung-Ming Chang
collection DOAJ
description Background: Attention-deficit/hyperactivity disorder (ADHD) is the most common neuropsychiatric disorder in schoolchildren. ADHD diagnoses are generally made based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. The diagnosis is made clinically based on observation and information provided by parents and teachers, which is highly subjective and can lead to disparate results. Considering that hyperactivity is one of the main symptoms of ADHD, the inaccuracy of ADHD diagnosis based on subjective criteria necessitates the identification of a method to objectively diagnose ADHD. Methods: In this study, a medical chair containing a piezoelectric material was applied to objectively analyze movements of patients with ADHD, which were compared with those of patients without ADHD. This study enrolled 62 patients—31 patients with ADHD and 31 patients without ADHD. During the clinical evaluation, participants’ movements were recorded by the piezoelectric material for analysis. The variance, zero-crossing rate, and high energy rate of movements were subsequently analyzed. Results: The results revealed that the variance, zero-crossing rate, and high energy rate were significantly higher in patients with ADHD than in those without ADHD. Classification performance was excellent in both groups, with the area under the curve as high as 98.00%. Conclusion: Our findings suggest that the use of a smart chair equipped with piezoelectric material is an objective and potentially useful method for supporting the diagnosis of ADHD.
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spelling doaj.art-d46807ed52f4430997dfce59ade8af6b2023-01-14T04:26:27ZengElsevierPediatrics and Neonatology1875-95722023-01-016414652Objective diagnosis of ADHD through movement analysis by using a smart chair with piezoelectric materialTung-Ming Chang0Rong-Ching Wu1Rei-Cheng Yang2Ching-Tai Chiang3Yi-Hung Chiu4Chen-Sen Ouyang5Yun-Ming Wang6Ming-Hsu Wu7Guang-Chung Lin8Lung-Chang Lin9Department of Pediatric Neurology, Changhua Christian Children's Hospital, Changhua, Taiwan; Department of Biological Science and Technology, College of Biological Science and Technology, National Yang Ming Chiao Tung University, Hsinchu, TaiwanDepartment of Electrical Engineering, I-Shou University, TaiwanDepartments of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, TaiwanDepartment of Computer and Communication, National Pingtung University, TaiwanDepartment of Information Engineering, I-Shou University, TaiwanDepartment of Information Engineering, I-Shou University, TaiwanDepartment of Biological Science and Technology, Institute of Molecular Medicine and Bioengineering, Center for Intelligent Drug Systems and Smart Bio-Devices (IDS2B), National Yang Ming Chiao Tung University, TaiwanDepartments of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, TaiwanDepartments of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, TaiwanDepartments of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Taiwan; Department of Pediatrics, School of Medicine, College of Medicine, Kaohsiung Medical University, Taiwan; Corresponding author. Department of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, 807, #100, Tzu-you 1st Road, Kaohsiung City, Taiwan.Background: Attention-deficit/hyperactivity disorder (ADHD) is the most common neuropsychiatric disorder in schoolchildren. ADHD diagnoses are generally made based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. The diagnosis is made clinically based on observation and information provided by parents and teachers, which is highly subjective and can lead to disparate results. Considering that hyperactivity is one of the main symptoms of ADHD, the inaccuracy of ADHD diagnosis based on subjective criteria necessitates the identification of a method to objectively diagnose ADHD. Methods: In this study, a medical chair containing a piezoelectric material was applied to objectively analyze movements of patients with ADHD, which were compared with those of patients without ADHD. This study enrolled 62 patients—31 patients with ADHD and 31 patients without ADHD. During the clinical evaluation, participants’ movements were recorded by the piezoelectric material for analysis. The variance, zero-crossing rate, and high energy rate of movements were subsequently analyzed. Results: The results revealed that the variance, zero-crossing rate, and high energy rate were significantly higher in patients with ADHD than in those without ADHD. Classification performance was excellent in both groups, with the area under the curve as high as 98.00%. Conclusion: Our findings suggest that the use of a smart chair equipped with piezoelectric material is an objective and potentially useful method for supporting the diagnosis of ADHD.http://www.sciencedirect.com/science/article/pii/S1875957222001875Attention-deficit/hyperactivity disorderpiezoelectric materialsmart chair
spellingShingle Tung-Ming Chang
Rong-Ching Wu
Rei-Cheng Yang
Ching-Tai Chiang
Yi-Hung Chiu
Chen-Sen Ouyang
Yun-Ming Wang
Ming-Hsu Wu
Guang-Chung Lin
Lung-Chang Lin
Objective diagnosis of ADHD through movement analysis by using a smart chair with piezoelectric material
Pediatrics and Neonatology
Attention-deficit/hyperactivity disorder
piezoelectric material
smart chair
title Objective diagnosis of ADHD through movement analysis by using a smart chair with piezoelectric material
title_full Objective diagnosis of ADHD through movement analysis by using a smart chair with piezoelectric material
title_fullStr Objective diagnosis of ADHD through movement analysis by using a smart chair with piezoelectric material
title_full_unstemmed Objective diagnosis of ADHD through movement analysis by using a smart chair with piezoelectric material
title_short Objective diagnosis of ADHD through movement analysis by using a smart chair with piezoelectric material
title_sort objective diagnosis of adhd through movement analysis by using a smart chair with piezoelectric material
topic Attention-deficit/hyperactivity disorder
piezoelectric material
smart chair
url http://www.sciencedirect.com/science/article/pii/S1875957222001875
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