An Automated Approach for General Movement Assessment: A Pilot Study.

An Automated Approach for General Movement Assessment: A Pilot Study.
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DOI:
10.3389/fped.2021.720502
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发表时间:
2021
影响因子:
2.6
通讯作者:
Dellacà RL
Dellacà RL
中科院分区:
医学3区
文献类型:
--
作者:
Fontana C;Ottaviani V;Veneroni C;Sforza SE;Pesenti N;Mosca F;Picciolini O;Fumagalli M;Dellacà RL

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目的:本研究的目的是开发一种自动定量的方法来识别异常运动的婴儿在足月等效年龄(TEA)相比,一般运动评估(GMA)的四肢。方法:GMA是在TEA由受过训练的操作员在新生儿神经系统的风险。GM分为正常(N)或异常(Ab),其中包括不良的剧目和痉挛的同步运动。将4个微加速度计置于所有肢体上,同时记录10 min的信号。通过将加速度信号第一主分量分布的归一化峰度与上下肢急动度的互相关相加,得到了一个量化个体肢体运动特征和肢体间协调性的整体指标(KC_index)。结果:研究了68名婴儿。KC_index临界值为201.5(95%CI:199.9-205.0),特异性为0.86,敏感性为0.88。结论:KC_index提供了一种自动和定量的测量方法,可以识别需要进一步神经学评估的婴儿。
Objective: The objective of the study was to develop an automatic quantitative approach to identify infants with abnormal movements of the limbs at term equivalent age (TEA) compared with general movement assessment (GMA). Methods: GMA was performed at TEA by a trained operator in neonates with neurological risk. GMs were classified as normal (N) or abnormal (Ab), which included poor repertoire and cramped synchronized movements. The signals from four micro-accelerometers placed on all limbs were recorded for 10 min simultaneously. A global index (KC_index), quantifying the characteristics of individual limb movements and the coordination among the limbs, was obtained by adding normalized kurtosis of the distribution of the first principal component of the acceleration signals to the cross-correlation of the jerk for the upper and lower limbs. Results: Sixty-eight infants were studied. A KC_index cut-off of 201.5 (95% CI: 199.9–205.0) provided specificity = 0.86 and sensitivity = 0.88 in identifying infants with Ab movements. Conclusions: KC_index provides an automatic and quantitative measure that may allow the identification of infants who require further neurological evaluation.
DOI: 10.3390/s20215986
发表时间: 2020-10-22
期刊: Sensors (Basel, Switzerland)
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一般运动评估有助于我们确定有认知功能障碍风险的早产儿。
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发表时间: 2016
影响因子: 3.8
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