Exploration of Fall-Evaluation Scores Using Clinical Tools with the Short-Form Berg Balance Scale and Timed Up and Go and Motion Detection Sensors

The results obtained by medical experts and inertial sensors via clinical tests to determine fall risks are compared. A clinical test is used to perform the whole timed up and go (TUG) test and segment-based TUG (sTUG) tests, considering various cutoff points. In this paper, (a) t-tests are used to...

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Main Authors: Chia-Hsuan Lee, Chi-Han Wu, Bernard C. Jiang, Tien-Lung Sun
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/10/19/6931
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author Chia-Hsuan Lee
Chi-Han Wu
Bernard C. Jiang
Tien-Lung Sun
author_facet Chia-Hsuan Lee
Chi-Han Wu
Bernard C. Jiang
Tien-Lung Sun
author_sort Chia-Hsuan Lee
collection DOAJ
description The results obtained by medical experts and inertial sensors via clinical tests to determine fall risks are compared. A clinical test is used to perform the whole timed up and go (TUG) test and segment-based TUG (sTUG) tests, considering various cutoff points. In this paper, (a) t-tests are used to verify fall-risk categorization; and (b) a logistic regression with 100 stepwise iterations is used to divide features into training (80%) and testing sets (20%). The features of (a) and (b) are compared, measuring the similarity of each approach’s decisive features to those of the clinical-test results. In (a), the most significant features are the Y and Z axes, regardless of the segmentation, whereas sTUG outperforms TUG in (b). Comparing the results of (a) and (b) based on the overall TUG test, the <i>Z</i> axis multiscale entropy (MSE) features show significance regardless of the approach: expert opinion or logistic prediction. Among various clinical test combinations, the only commonalities between (a) and (b) are the Y-axis MSE features when walking. Thus, machine learning should be based on both expert domain knowledge and a preliminary analysis with objective screening. Finally, the clinical test results are compared with the inertial sensor results, prompting the proposal for multi-oriented data analysis to objectively verify the sensor results.
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spelling doaj.art-db75b0a868124427a4ca8973ac1c27ec2023-11-20T15:57:56ZengMDPI AGApplied Sciences2076-34172020-10-011019693110.3390/app10196931Exploration of Fall-Evaluation Scores Using Clinical Tools with the Short-Form Berg Balance Scale and Timed Up and Go and Motion Detection SensorsChia-Hsuan Lee0Chi-Han Wu1Bernard C. Jiang2Tien-Lung Sun3Department of Industrial Management, National Taiwan University of Science and Technology, Taipei 106, TaiwanDepartment of Industrial Engineering and Management, Yuan Ze University, Taoyuan 320, TaiwanDepartment of Industrial Management, National Taiwan University of Science and Technology, Taipei 106, TaiwanDepartment of Industrial Engineering and Management, Yuan Ze University, Taoyuan 320, TaiwanThe results obtained by medical experts and inertial sensors via clinical tests to determine fall risks are compared. A clinical test is used to perform the whole timed up and go (TUG) test and segment-based TUG (sTUG) tests, considering various cutoff points. In this paper, (a) t-tests are used to verify fall-risk categorization; and (b) a logistic regression with 100 stepwise iterations is used to divide features into training (80%) and testing sets (20%). The features of (a) and (b) are compared, measuring the similarity of each approach’s decisive features to those of the clinical-test results. In (a), the most significant features are the Y and Z axes, regardless of the segmentation, whereas sTUG outperforms TUG in (b). Comparing the results of (a) and (b) based on the overall TUG test, the <i>Z</i> axis multiscale entropy (MSE) features show significance regardless of the approach: expert opinion or logistic prediction. Among various clinical test combinations, the only commonalities between (a) and (b) are the Y-axis MSE features when walking. Thus, machine learning should be based on both expert domain knowledge and a preliminary analysis with objective screening. Finally, the clinical test results are compared with the inertial sensor results, prompting the proposal for multi-oriented data analysis to objectively verify the sensor results.https://www.mdpi.com/2076-3417/10/19/6931fall riskcommunity serviceinertial sensormultiple fall risk assessment
spellingShingle Chia-Hsuan Lee
Chi-Han Wu
Bernard C. Jiang
Tien-Lung Sun
Exploration of Fall-Evaluation Scores Using Clinical Tools with the Short-Form Berg Balance Scale and Timed Up and Go and Motion Detection Sensors
Applied Sciences
fall risk
community service
inertial sensor
multiple fall risk assessment
title Exploration of Fall-Evaluation Scores Using Clinical Tools with the Short-Form Berg Balance Scale and Timed Up and Go and Motion Detection Sensors
title_full Exploration of Fall-Evaluation Scores Using Clinical Tools with the Short-Form Berg Balance Scale and Timed Up and Go and Motion Detection Sensors
title_fullStr Exploration of Fall-Evaluation Scores Using Clinical Tools with the Short-Form Berg Balance Scale and Timed Up and Go and Motion Detection Sensors
title_full_unstemmed Exploration of Fall-Evaluation Scores Using Clinical Tools with the Short-Form Berg Balance Scale and Timed Up and Go and Motion Detection Sensors
title_short Exploration of Fall-Evaluation Scores Using Clinical Tools with the Short-Form Berg Balance Scale and Timed Up and Go and Motion Detection Sensors
title_sort exploration of fall evaluation scores using clinical tools with the short form berg balance scale and timed up and go and motion detection sensors
topic fall risk
community service
inertial sensor
multiple fall risk assessment
url https://www.mdpi.com/2076-3417/10/19/6931
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AT bernardcjiang explorationoffallevaluationscoresusingclinicaltoolswiththeshortformbergbalancescaleandtimedupandgoandmotiondetectionsensors
AT tienlungsun explorationoffallevaluationscoresusingclinicaltoolswiththeshortformbergbalancescaleandtimedupandgoandmotiondetectionsensors