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A Personalized Approach to Improve Walking Detection in Real-Life Settings: Application to Children with Cerebral Palsy.

Sensors (Basel, Switzerland)
January 1, 1970
Lena Carcreff et al. (6 authors)
Journal ArticleObservational StudyHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate if fine-tuning an existing walking detection algorithm with individualized or group-based thresholds could improve walking bout detection in children with cerebral palsy (CP) and typical development (TD).

Results Summary

Individual-based (Indiv) and population-based (Pop) customization improved walking bout detection (higher sensitivity, accuracy, and precision), with Indiv showing the best results. The Indiv method also corrected misclassification of non-walking activities as extremely slow walking.

Population

20 children (10 with CP, 10 with TD).

Effective Dosage

Not applicable

Duration

Not specified

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
individual-based personalization (Indiv) of walking bouts detection algorithm thresholds
increase
walking bouts detection
children with cerebral palsy (CP) and typical development (TD)
-
improved
#1
population-based customization (Pop) of walking bouts detection algorithm thresholds
increase
walking bouts detection
children with cerebral palsy (CP) and typical development (TD)
-
improved
#2
individual-based personalization (Indiv) of walking bouts detection algorithm thresholds
increase
walking bouts detection
children with cerebral palsy (CP) and typical development (TD)
-
showed the best results
#3
individual-based personalization (Indiv) of walking bouts detection algorithm thresholds
increase
detection of non-walking activities
children with cerebral palsy (CP) and typical development (TD)
-
excluded non-walking activities that were initially wrongly interpreted as extremely slow walking
#4
best of the two customized methods (Indiv or Pop)
neutral
walking speed distribution
8 out of 20 participants
-
showed a significant difference
#5
Abstract

Although many methods have been developed to detect walking by using body-worn inertial sensors, their performances decline when gait patterns become abnormal, as seen in children with cerebral palsy (CP). The aim of this study was to evaluate if fine-tuning an existing walking bouts (WB) detection algorithm by various thresholds, customized at the individual or group level, could improve WB detection in children with CP and typical development (TD). Twenty children (10 CP, 10 TD) wore 4 inertial sensors on their lower limbs during laboratory and out-laboratory assessments. Features extracted from the gyroscope signals recorded in the laboratory were used to tune thresholds of an existing walking detection algorithm for each participant (individual-based personalization: Indiv) or for each group (population-based customization: Pop). Out-of-laboratory recordings were analyzed for WB detection with three versions of the algorithm (i.e., original fixed thresholds and adapted thresholds based on the Indiv and Pop methods), and the results were compared against video reference data. The clinical impact was assessed by quantifying the effect of WB detection error on the estimated walking speed distribution. The two customized Indiv and Pop methods both improved WB detection (higher, sensitivity, accuracy and precision), with the individual-based personalization showing the best results. Comparison of walking speed distribution obtained with the best of the two methods showed a significant difference for 8 out of 20 participants. The personalized Indiv method excluded non-walking activities that were initially wrongly interpreted as extremely slow walking with the initial method using fixed thresholds. Customized methods, particularly individual-based personalization, appear more efficient to detect WB in daily-life settings.

Medical Subject Headings (MeSH)
AdolescentAlgorithmsBiomechanical PhenomenaCerebral PalsyChildCross-Sectional StudiesFemaleGaitGait Disorders, NeurologicHumansMaleMonitoring, AmbulatoryReproducibility of ResultsWalkingWalking SpeedYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations5
Citations/Year0.8
Relative Citation Ratio0.59
NIH Percentile32.1%
Research Impact Scores
APT Score0.50
Weight Score1.51
Normalized Score0.69
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