scholarly journals Design, Validity, and Reliability of a New Test, Based on an Inertial Measurement Unit System, for Measuring Cervical Posture and Motor Control in Children with Cerebral Palsy

Diagnostics ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. 661
Author(s):  
Cristina Carmona-Pérez ◽  
Alberto Pérez-Ruiz ◽  
Juan L. Garrido-Castro ◽  
Francisco Torres Vidal ◽  
Sandra Alcaraz-Clariana ◽  
...  

Objective: The aim of this study was to design and propose a new test based on inertial measurement unit (IMU) technology, for measuring cervical posture and motor control in children with cerebral palsy (CP) and to evaluate its validity and reliability. Methods: Twenty-four individuals with CP (4–14 years) and 24 gender- and age-matched controls were evaluated with a new test based on IMU technology to identify and measure any movement in the three spatial planes while the individual is seated watching a two-minute video. An ellipse was obtained encompassing 95% of the flexion/extension and rotation movements in the sagittal and transversal planes. The protocol was repeated on two occasions separated by 3 to 5 days. Construct and concurrent validity were assessed by determining the discriminant capacity of the new test and by identifying associations between functional measures and the new test outcomes. Relative reliability was determined using the intraclass correlation coefficient (ICC) for test–retest data. Absolute reliability was obtained by the standard error of measurement (SEM) and the Minimum Detectable Change at a 90% confidence level (MDC90). Results: The discriminant capacity of the area and both dimensions of the new test was high (Area Under the Curve ≈ 0.8), and consistent multiple regression models were identified to explain functional measures with new test results and sociodemographic data. A consistent trend of ICCs higher than 0.8 was identified for CP individuals. Finally, the SEM can be considered low in both groups, although the high variability among individuals determined some high MDC90 values, mainly in the CP group. Conclusions: The new test, based on IMU data, is valid and reliable for evaluating posture and motor control in children with CP.

Diagnostics ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 80 ◽  
Author(s):  
Cristina Carmona-Pérez ◽  
Juan Luis Garrido-Castro ◽  
Francisco Torres Vidal ◽  
Sandra Alcaraz-Clariana ◽  
Lourdes García-Luque ◽  
...  

Objective: This study aimed to determine the validity and reliability of Inertial Measurement Units (IMUs) for the assessment of craniocervical range of motion (ROM) in patients with cerebral palsy (CP). Methods: twenty-three subjects with CP and 23 controls, aged between 4 and 14 years, were evaluated on two occasions, separated by 3 to 5 days. An IMU and a Cervical Range of Motion device (CROM) were used to assess craniocervical ROM in the three spatial planes. Validity was assessed by comparing IMU and CROM data using the Pearson correlation coefficient, the paired t-test and Bland–Altman plots. Intra-day and inter-day relative reliability were determined using the Intraclass Correlation Coefficient (ICC). The Standard Error of Measurement (SEM) and the Minimum Detectable Change at a 90% confidence level (MDC90) were obtained for absolute reliability. Results: High correlations were detected between methods in both groups on the sagittal and frontal planes (r > 0.9), although this was reduced in the case of the transverse plane. Bland–Altman plots indicated bias below 5º, although for the range of cervical rotation in the CP group, this was 8.2º. The distance between the limits of agreement was over 23.5º in both groups, except for the range of flexion-extension in the control group. ICCs were higher than 0.8 for both comparisons and groups, except for inter-day comparisons of rotational range in the CP group. Absolute reliability showed high variability, with most SEM below 8.5º, although with worse inter-day results, mainly in CP subjects, with the MDC90 of rotational range achieving more than 20º. Conclusions: IMU application is highly correlated with CROM for the assessment of craniocervical movement in CP and healthy subjects; however, both methods are not interchangeable. The IMU error of measurement can be considered clinically acceptable; however, caution should be taken when this is used as a reference measure for interventions.


Author(s):  
Steffen Held ◽  
Ludwig Rappelt ◽  
Jan-Philip Deutsch ◽  
Lars Donath

The accurate assessment of the mean concentric barbell velocity (MCV) and its displacement are crucial aspects of resistance training. Therefore, the validity and reliability indicators of an easy-to-use inertial measurement unit (VmaxPro®) were examined. Nineteen trained males (23.1 ± 3.2 years, 1.78 ± 0.08 m, 75.8 ± 9.8 kg; Squat 1-Repetition maximum (1RM): 114.8 ± 24.5 kg) performed squats and hip thrusts (3–5 sets, 30 repetitions total, 75% 1RM) on two separate days. The MCV and displacement were simultaneously measured using VmaxPro® and a linear position transducer (Speed4Lift®). Good to excellent intraclass correlation coefficients (0.91 < ICC < 0.96) with a small systematic bias (p < 0.001; ηp2 < 0.50) for squats (0.01 ± 0.04 m·s−1) and hip thrusts (0.01 ± 0.05 m·s−1) and a low limit of agreement (LoA < 0.12 m·s−1) indicated an acceptable validity. The within- and between-day reliability of the MCV revealed good ICCs (0.55 < ICC < 0.91) and a low LoA (<0.16 m·s−1). Although the displacement revealed a systematic bias during squats (p < 0.001; ηp2 < 0.10; 3.4 ± 3.4 cm), no bias was detectable during hip thrusts (p = 0.784; ηp2 < 0.001; 0.3 ± 3.3 cm). The displacement showed moderate to good ICCs (0.43 to 0.95) but a high LoA (7.8 to 10.7 cm) for the validity and (within- and between-day) reliability of squats and hip thrusts. The VmaxPro® is considered to be a valid and reliable tool for the MCV assessment.


2018 ◽  
Vol 42 (6) ◽  
pp. 872-883 ◽  
Author(s):  
Young-Shin Cho ◽  
Seong-Ho Jang ◽  
Jae-Sung Cho ◽  
Mi-Jung Kim ◽  
Hyeok Dong Lee ◽  
...  

Sensors ◽  
2021 ◽  
Vol 21 (7) ◽  
pp. 2511
Author(s):  
Filipe Manuel Clemente ◽  
Zeki Akyildiz ◽  
José Pino-Ortega ◽  
Markel Rico-González

The use of inertial measurement unit (IMU) has become popular in sports assessment. In the case of velocity-based training (VBT), there is a need to measure barbell velocity in each repetition. The use of IMUs may make the monitoring process easier; however, its validity and reliability should be established. Thus, this systematic review aimed to (1) identify and summarize studies that have examined the validity of wearable wireless IMUs for measuring barbell velocity and (2) identify and summarize studies that have examined the reliability of IMUs for measuring barbell velocity. A systematic review of Cochrane Library, EBSCO, PubMed, Scielo, Scopus, SPORTDiscus, and Web of Science databases was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. From the 161 studies initially identified, 22 were fully reviewed, and their outcome measures were extracted and analyzed. Among the eight different IMU models, seven can be considered valid and reliable for measuring barbell velocity. The great majority of IMUs used for measuring barbell velocity in linear trajectories are valid and reliable, and thus can be used by coaches for external load monitoring.


2020 ◽  
Vol 68 (11) ◽  
pp. 967-977
Author(s):  
Christina Mittag ◽  
Regina Leiss ◽  
Katharina Lorenz ◽  
Thomas Seel

AbstractThis paper presents the proof-of-concept of a home-based gamified wrist rehabilitation training system for children with cerebral palsy (CCP). We describe the user-centered design process of this system, which is composed of a wrist-worn inertial measurement unit (IMU) and a tangible device with an embedded IMU. The system employs a quaternion-based algorithm for automatic real-time estimation of the range of motion (RoM) covered by adduction/abduction and flexion/extension motions of the wrist. Experimental validation shows that the RoM can be determined with sufficient accuracy to control a game and that the algorithm is applicable in CCP. A serious game, which uses the presented algorithm and enables feedback as well as motivating stimuli, is implemented and evaluated by physiotherapists.


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