Reliability and Discriminative Validity of Wearable Sensors for the Quantification of Upper Limb Movement Disorders in Individuals with Dyskinetic Cerebral Palsy
<b>Background</b>—Movement patterns in dyskinetic cerebral palsy (DCP) are characterized by abnormal postures and involuntary movements. Current evaluation tools in DCP are subjective and time-consuming. Sensors could yield objective information on pathological patterns in DCP, but their...
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MDPI AG
2023-02-01
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| Online Access: | https://www.mdpi.com/1424-8220/23/3/1574 |
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| author | Inti Vanmechelen Saranda Bekteshi Helga Haberfehlner Hilde Feys Kaat Desloovere Jean-Marie Aerts Elegast Monbaliu |
| author_facet | Inti Vanmechelen Saranda Bekteshi Helga Haberfehlner Hilde Feys Kaat Desloovere Jean-Marie Aerts Elegast Monbaliu |
| author_sort | Inti Vanmechelen |
| collection | DOAJ |
| description | <b>Background</b>—Movement patterns in dyskinetic cerebral palsy (DCP) are characterized by abnormal postures and involuntary movements. Current evaluation tools in DCP are subjective and time-consuming. Sensors could yield objective information on pathological patterns in DCP, but their reliability has not yet been evaluated. The objectives of this study were to evaluate (i) reliability and (ii) discriminative ability of sensor parameters. <b>Methods</b>—Inertial measurement units were placed on the arm, forearm, and hand of individuals with and without DCP while performing reach-forward, reach-and-grasp-vertical, and reach-sideways tasks. Intra-class correlation coefficients (ICC) were calculated for reliability, and Mann–Whitney U-tests for between-group differences. <b>Results</b>—Twenty-two extremities of individuals with DCP (mean age 16.7 y) and twenty individuals without DCP (mean age 17.2 y) were evaluated. ICC values for all sensor parameters except jerk and sample entropy ranged from 0.50 to 0.98 during reach forwards/sideways and from 0.40 to 0.95 during reach-and-grasp vertical. Jerk and maximal acceleration/angular velocity were significantly higher for the DCP group in comparison with peers. <b>Conclusions</b>—This study was the first to assess the reliability of sensor parameters in individuals with DCP, reporting high between- and within-session reliability for the majority of the sensor parameters. These findings suggest that pathological movements of individuals with DCP can be reliably captured using a selection of sensor parameters. |
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| language | English |
| last_indexed | 2024-03-11T09:25:40Z |
| publishDate | 2023-02-01 |
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| series | Sensors |
| spelling | doaj.art-dbec8feaa6bc4c15b86bf9b6f9475d7f2023-11-16T18:03:04ZengMDPI AGSensors1424-82202023-02-01233157410.3390/s23031574Reliability and Discriminative Validity of Wearable Sensors for the Quantification of Upper Limb Movement Disorders in Individuals with Dyskinetic Cerebral PalsyInti Vanmechelen0Saranda Bekteshi1Helga Haberfehlner2Hilde Feys3Kaat Desloovere4Jean-Marie Aerts5Elegast Monbaliu6Research Group for Neurorehabilitation (eNRGy), Department of Rehabilitation Sciences, KU Leuven, 8200 Bruges, BelgiumResearch Group for Neurorehabilitation (eNRGy), Department of Rehabilitation Sciences, KU Leuven, 8200 Bruges, BelgiumResearch Group for Neurorehabilitation (eNRGy), Department of Rehabilitation Sciences, KU Leuven, 8200 Bruges, BelgiumResearch Group for Neurorehabilitation (eNRGy), Department of Rehabilitation Sciences, KU Leuven, 3000 Leuven, BelgiumResearch Group for Neurorehabilitation (eNRGy), Department of Rehabilitation Sciences, KU Leuven, 3212 Pellenberg, BelgiumDepartment of Biosystems, Measure, Model & Manage Bioresponses (M3-BIORES), Division of Animal and Human Health Engineering, KU Leuven, 3000 Leuven, BelgiumResearch Group for Neurorehabilitation (eNRGy), Department of Rehabilitation Sciences, KU Leuven, 8200 Bruges, Belgium<b>Background</b>—Movement patterns in dyskinetic cerebral palsy (DCP) are characterized by abnormal postures and involuntary movements. Current evaluation tools in DCP are subjective and time-consuming. Sensors could yield objective information on pathological patterns in DCP, but their reliability has not yet been evaluated. The objectives of this study were to evaluate (i) reliability and (ii) discriminative ability of sensor parameters. <b>Methods</b>—Inertial measurement units were placed on the arm, forearm, and hand of individuals with and without DCP while performing reach-forward, reach-and-grasp-vertical, and reach-sideways tasks. Intra-class correlation coefficients (ICC) were calculated for reliability, and Mann–Whitney U-tests for between-group differences. <b>Results</b>—Twenty-two extremities of individuals with DCP (mean age 16.7 y) and twenty individuals without DCP (mean age 17.2 y) were evaluated. ICC values for all sensor parameters except jerk and sample entropy ranged from 0.50 to 0.98 during reach forwards/sideways and from 0.40 to 0.95 during reach-and-grasp vertical. Jerk and maximal acceleration/angular velocity were significantly higher for the DCP group in comparison with peers. <b>Conclusions</b>—This study was the first to assess the reliability of sensor parameters in individuals with DCP, reporting high between- and within-session reliability for the majority of the sensor parameters. These findings suggest that pathological movements of individuals with DCP can be reliably captured using a selection of sensor parameters.https://www.mdpi.com/1424-8220/23/3/1574dyskinetic cerebral palsyinertial measurement unitupper limbdystoniachoreoathetosis |
| spellingShingle | Inti Vanmechelen Saranda Bekteshi Helga Haberfehlner Hilde Feys Kaat Desloovere Jean-Marie Aerts Elegast Monbaliu Reliability and Discriminative Validity of Wearable Sensors for the Quantification of Upper Limb Movement Disorders in Individuals with Dyskinetic Cerebral Palsy Sensors dyskinetic cerebral palsy inertial measurement unit upper limb dystonia choreoathetosis |
| title | Reliability and Discriminative Validity of Wearable Sensors for the Quantification of Upper Limb Movement Disorders in Individuals with Dyskinetic Cerebral Palsy |
| title_full | Reliability and Discriminative Validity of Wearable Sensors for the Quantification of Upper Limb Movement Disorders in Individuals with Dyskinetic Cerebral Palsy |
| title_fullStr | Reliability and Discriminative Validity of Wearable Sensors for the Quantification of Upper Limb Movement Disorders in Individuals with Dyskinetic Cerebral Palsy |
| title_full_unstemmed | Reliability and Discriminative Validity of Wearable Sensors for the Quantification of Upper Limb Movement Disorders in Individuals with Dyskinetic Cerebral Palsy |
| title_short | Reliability and Discriminative Validity of Wearable Sensors for the Quantification of Upper Limb Movement Disorders in Individuals with Dyskinetic Cerebral Palsy |
| title_sort | reliability and discriminative validity of wearable sensors for the quantification of upper limb movement disorders in individuals with dyskinetic cerebral palsy |
| topic | dyskinetic cerebral palsy inertial measurement unit upper limb dystonia choreoathetosis |
| url | https://www.mdpi.com/1424-8220/23/3/1574 |
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