Accelerometric Gait Analysis Devices in Children—Will They Accept Them? Results From the AVAPed Study
Aims: To assess children's acceptance to wear a 3D-accelerometer which is attached to the waist under real-world conditions, and also to compare gait speed during supervised testing with the non-supervised gait speed in every-day life.Methods: In a controlled observational, cross sectional stud...
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doaj-98a3995781604037866965e5506282982021-01-28T16:47:24ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602021-01-01810.3389/fped.2020.574443574443Accelerometric Gait Analysis Devices in Children—Will They Accept Them? Results From the AVAPed StudyIsabella Wiedmann0Isabella Wiedmann1Isabella Wiedmann2Marcello Grassi3Marcello Grassi4Ibrahim Duran5Ricardo Lavrador6Evelyn Alberg7Martin Daumer8Martin Daumer9Martin Daumer10Eckhard Schoenau11Jörn Rittweger12Jörn Rittweger13Center of Prevention and Rehabilitation, University of Cologne, Cologne, GermanyDepartment of Muscle and Bone Metabolism, German Aerospace Center, Institute of Aerospace Medicine, Cologne, GermanyDepartment of Applied Health Science, European University of Applied Science, Brühl, GermanySylvia Lawry Center for Multiple Sclerosis, The Human Motion Institute, Munich, GermanyTrium Analysis Online, Munich, GermanyCenter of Prevention and Rehabilitation, University of Cologne, Cologne, GermanyCenter of Prevention and Rehabilitation, University of Cologne, Cologne, GermanyCenter of Prevention and Rehabilitation, University of Cologne, Cologne, GermanySylvia Lawry Center for Multiple Sclerosis, The Human Motion Institute, Munich, GermanyTrium Analysis Online, Munich, GermanyTechnical University of Munich, Munich, GermanyDepartment of Pediatric and Adolescent Medicine, University of Cologne, Cologne, GermanyDepartment of Muscle and Bone Metabolism, German Aerospace Center, Institute of Aerospace Medicine, Cologne, GermanyDepartment of Pediatric and Adolescent Medicine, University of Cologne, Cologne, GermanyAims: To assess children's acceptance to wear a 3D-accelerometer which is attached to the waist under real-world conditions, and also to compare gait speed during supervised testing with the non-supervised gait speed in every-day life.Methods: In a controlled observational, cross sectional study thirty subjects with cerebral palsy (CP), with level I&II of the Gross Motor Function Classification System (GMFCS) and 30 healthy control children (Ctrl), aged 3–12 years, were asked to perform a 1-min-walking test (1 mwt) under laboratory conditions, and to wear an accelerometric device for a 1-week wearing home measurement (1 WHM). Acceptance was measured via wearing time, and by a questionnaire in which subjects rated restrictions in their daily living and wearing comfort. In addition, validity of 3D-accelerometric gait speed was checked through gold standard assessment of gait speed with a mobile perambulator.Results: Wearing time amounted to 10.3 (SD 3.4) hours per day, which was comparable between groups (T = 1.10, P = 0.3). Mode for wearing comfort [CP 1, Range (1,4), Ctrl 1, Range (1,6)] and restriction of daily living [CP 1, Range (1,3), Ctrl 1, Range (1,4)] was comparable between groups. Under laboratory conditions, Ctrl walked faster in the 1 mwt than CP (Ctrl 1.72 ± 0.29 m/s, CP 1.48 ± 0.41 m/s, P = 0.018). Similarly, a statistically significant difference was found when comparing real-world walking speed and laboratory walking speed (CP: 1 mwt 1.48 ± 0.41 m/s, 1 WHM 0.89 ± 0.09 m/s, P = 0.012; Ctrl: 1mwt 1.72 ± 0.29, 1 WHM 0.97 ± 0.06, P < 0.001).Conclusion: 3D-accelerometry is well-enough accepted in a pediatric population of patients with CP and a Ctrl group to allow valid assessments. Assessment outside the laboratory environment yields information about real world activity that was not captured by routine clinical tests. This suggests that assessment of habitual activities by wearable devices reflects the functioning of children in their home environment. This novel information constitutes an important goal for rehabilitation medicine. The study is registered at the German Register of Clinical Trials with the title “Acceptance and Validity of 3D Accelerometric Gait Analysis in Pediatric Patients” (AVAPed; DRKS00011919).https://www.frontiersin.org/articles/10.3389/fped.2020.574443/fullwearablescerebral palsygait speedlaboratory conditionsreal-world conditions |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Isabella Wiedmann Isabella Wiedmann Isabella Wiedmann Marcello Grassi Marcello Grassi Ibrahim Duran Ricardo Lavrador Evelyn Alberg Martin Daumer Martin Daumer Martin Daumer Eckhard Schoenau Jörn Rittweger Jörn Rittweger |
spellingShingle |
Isabella Wiedmann Isabella Wiedmann Isabella Wiedmann Marcello Grassi Marcello Grassi Ibrahim Duran Ricardo Lavrador Evelyn Alberg Martin Daumer Martin Daumer Martin Daumer Eckhard Schoenau Jörn Rittweger Jörn Rittweger Accelerometric Gait Analysis Devices in Children—Will They Accept Them? Results From the AVAPed Study Frontiers in Pediatrics wearables cerebral palsy gait speed laboratory conditions real-world conditions |
author_facet |
Isabella Wiedmann Isabella Wiedmann Isabella Wiedmann Marcello Grassi Marcello Grassi Ibrahim Duran Ricardo Lavrador Evelyn Alberg Martin Daumer Martin Daumer Martin Daumer Eckhard Schoenau Jörn Rittweger Jörn Rittweger |
author_sort |
Isabella Wiedmann |
title |
Accelerometric Gait Analysis Devices in Children—Will They Accept Them? Results From the AVAPed Study |
title_short |
Accelerometric Gait Analysis Devices in Children—Will They Accept Them? Results From the AVAPed Study |
title_full |
Accelerometric Gait Analysis Devices in Children—Will They Accept Them? Results From the AVAPed Study |
title_fullStr |
Accelerometric Gait Analysis Devices in Children—Will They Accept Them? Results From the AVAPed Study |
title_full_unstemmed |
Accelerometric Gait Analysis Devices in Children—Will They Accept Them? Results From the AVAPed Study |
title_sort |
accelerometric gait analysis devices in children—will they accept them? results from the avaped study |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Pediatrics |
issn |
2296-2360 |
publishDate |
2021-01-01 |
description |
Aims: To assess children's acceptance to wear a 3D-accelerometer which is attached to the waist under real-world conditions, and also to compare gait speed during supervised testing with the non-supervised gait speed in every-day life.Methods: In a controlled observational, cross sectional study thirty subjects with cerebral palsy (CP), with level I&II of the Gross Motor Function Classification System (GMFCS) and 30 healthy control children (Ctrl), aged 3–12 years, were asked to perform a 1-min-walking test (1 mwt) under laboratory conditions, and to wear an accelerometric device for a 1-week wearing home measurement (1 WHM). Acceptance was measured via wearing time, and by a questionnaire in which subjects rated restrictions in their daily living and wearing comfort. In addition, validity of 3D-accelerometric gait speed was checked through gold standard assessment of gait speed with a mobile perambulator.Results: Wearing time amounted to 10.3 (SD 3.4) hours per day, which was comparable between groups (T = 1.10, P = 0.3). Mode for wearing comfort [CP 1, Range (1,4), Ctrl 1, Range (1,6)] and restriction of daily living [CP 1, Range (1,3), Ctrl 1, Range (1,4)] was comparable between groups. Under laboratory conditions, Ctrl walked faster in the 1 mwt than CP (Ctrl 1.72 ± 0.29 m/s, CP 1.48 ± 0.41 m/s, P = 0.018). Similarly, a statistically significant difference was found when comparing real-world walking speed and laboratory walking speed (CP: 1 mwt 1.48 ± 0.41 m/s, 1 WHM 0.89 ± 0.09 m/s, P = 0.012; Ctrl: 1mwt 1.72 ± 0.29, 1 WHM 0.97 ± 0.06, P < 0.001).Conclusion: 3D-accelerometry is well-enough accepted in a pediatric population of patients with CP and a Ctrl group to allow valid assessments. Assessment outside the laboratory environment yields information about real world activity that was not captured by routine clinical tests. This suggests that assessment of habitual activities by wearable devices reflects the functioning of children in their home environment. This novel information constitutes an important goal for rehabilitation medicine. The study is registered at the German Register of Clinical Trials with the title “Acceptance and Validity of 3D Accelerometric Gait Analysis in Pediatric Patients” (AVAPed; DRKS00011919). |
topic |
wearables cerebral palsy gait speed laboratory conditions real-world conditions |
url |
https://www.frontiersin.org/articles/10.3389/fped.2020.574443/full |
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