Using accelerometry for measurement of motor behavior in children: Relationship of real-world movement to standardized evaluation.

Using accelerometry for measurement of motor behavior in children: Relationship of real-world movement to standardized evaluation.
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DOI:
10.1016/j.ridd.2019.103546
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发表时间:
2020-01
影响因子:
3.1
通讯作者:
Dosenbach NUF
Dosenbach NUF
中科院分区:
医学2区
文献类型:
--
作者:
Hoyt CR;Brown SK;Sherman SK;Wood-Smith M;Van AN;Ortega M;Nguyen AL;Lang CE;Schlaggar BL;Dosenbach NUF

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发现有不对称运动障碍的儿童后,将转诊接受治疗干预,以最大限度地提高儿童实现其健康和发展潜力的能力。参考依赖于标准化评估,其很少在现实世界活动的背景下检查上肢(UE)功能。加速度计提供了一种有效的方法来客观地测量儿童的运动。本研究的目的是比较加速度计与临床评估,特别是单侧上肢功能的墨尔本评估-2(MA-2)。共有52名1-17岁的不对称运动缺陷儿童和年龄匹配的对照组参加了这项研究。参与者佩戴双侧加速度计4 x 25 h。计算使用比率(UR)和单臂使用指数(MAUI)来量化不对称损害。进行单侧上肢功能墨尔本评估-2(MA-2),并与加速度计变量进行比较。有缺陷和无缺陷儿童的UR和MAUI差异显著。MAUI与MA-2的所有领域显著相关:准确性(r = 0.44,p = 0.026);流畅性(r = 0.52,p = 0.006);灵活性(r = 0.53,p = 0.005);和活动范围(r = 0.49,p = 0.011)。我们的研究结果表明,现实世界的运动和临床评价之间的关系。
When detected, children with asymmetrical motor impairment are referred for therapeutic interventions to maximize the child’s ability to reach their health and developmental potential. Referal is dependent on standardized evaluation, which rarely examines upper extremity (UE) function within the context of real-world activity. Accelerometry provides an efficient method to objectively measure movement in children. The purpose of this study was to compare accelerometry to clinical assessment, specifically the Melbourne Assessment of Unilateral Upper Limb Function-2 (MA-2). A total of 52 children between 1–17 years of age with asymmetrical motor deficits and age matched controls participated in this study. Participants wore bilateral accelerometers for 4 x 25 h. The use ratio (UR) and mono-arm use index (MAUI) were calculated to quantify asymmetrical impairment. The Melbourne Assessment of Unilateral Upper Limb Function-2 (MA-2) was administered and compared to accelerometry variables. The UR and MAUI were significantly different in children with and without deficits. The MAUI was significantly correlated with all domains of the MA-2: accuracy (r = 0.44, p = 0.026); fluency (r = 0.52, p = 0.006); dexterity (r = 0.53, p = 0.005); and range of motion (r = 0.49, p = 0.011). Our findings suggest a relationship between real-world movement and clinical evaluation.
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