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  4. Variables influencing wearable sensor outcome estimates in individuals with stroke and incomplete spinal cord injury: a pilot investigation validating two research grade sensors

Variables influencing wearable sensor outcome estimates in individuals with stroke and incomplete spinal cord injury: a pilot investigation validating two research grade sensors

Journal of NeuroEngineering and Rehabilitation, 2018 · DOI: https://doi.org/10.1186/s12984-018-0358-y · Published: February 19, 2018

Assistive TechnologyNeurologyRehabilitation

Simple Explanation

This study looked at how well wearable sensors measure physical activity in people with stroke and incomplete spinal cord injury (iSCI). It checked if the standard calculations used by these sensors work accurately for these individuals, comparing the sensor data to gold standard measures. The study also examined whether the location of the sensor on the body, the type of sensor, and the kind of activity being done affect how accurate the measurements are. The goal was to see if these factors influence the reliability of physical activity readings from wearable sensors in people with neurological conditions. The findings suggest that sensor location, type, and activity characteristics, along with the specific condition of the person, all play a role in how accurately wearable sensors measure physical activity. Using customized calculations that consider these factors could improve the accuracy of these measurements in people with stroke and iSCI.

Study Duration
Not specified
Participants
28 (Healthy (n = 10); incomplete SCI (n = 8); stroke (n = 10))
Evidence Level
Pilot cross-sectional investigation

Key Findings

  • 1
    The sensor type, sensor location, activity characteristics and the population specific condition influences the validity of estimation of physical activity metrics using standard proprietary algorithms.
  • 2
    Implementing population specific customized algorithms accounting for the influences of sensor location, type and activity characteristics for estimating physical activity metrics in individuals with stroke and iSCI could be beneficial.
  • 3
    The physical activity metrics (EE, MET and step count) estimated by SPAs could be influenced significantly by these factors across the spectrum of activity levels studied.

Research Summary

This study systematically analyzed the influence of four factors, namely, (i) choice of sensor type ((ActiGraph wG3TX-BT using ActiLife SPA) and Metria-IH1 -Sense-ware fusion based SPA), (ii) sensor location (ActiGraph wG3TX-BT at arm, waist and ankle and Metria-IH1 at arm) (iii) the activity characteristics and (iv) population effects (healthy, iSCI(ambulatory), Stroke) on the validity of three physical activity outcome metrics estimated by SPAs. Overall it was found that the physical activity metrics (EE, MET and step count) estimated by SPAs could be influenced significantly by these factors across the spectrum of activity levels studied. We maintain that, incorporating the combined effect of choice of sensor type used, location of placement, and the activity intensity being studied, to algorithms estimating outcome metrics from wearable devices may yield reliable physical activity metrics both in in-patient and out-patient environments.

Practical Implications

Customized Algorithms

Implementing advanced techniques like machine learning and data fusion to create customized population-specific algorithms to estimate physical activity metrics in individuals with neurologic impairments has the potential to improve reliability and accuracy.

Comprehensive Validations

Comprehensive validations including all outcome metrics (EE, MET and step counts) at different activity intensity level is recommended for validation of wearable sensors used in rehabilitation.

Cautious Decision Making

Highlights the need to practice cautious decision making while choosing wearable sensor types and mounting locations for activity measurement in neurologic rehabilitation.

Study Limitations

  • 1
    The small sample size limits the extent of generalizability of our findings.
  • 2
    The sedentary activities were recorded only for bouts of 2 min each.
  • 3
    Future studies with a larger sample size and includes other types of neurological impairments is recommended to explore the individual influence of each of the factors for population specific conditions on the outcome variables in laboratory as well as free living conditions.

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