PTOTOtherFrontiers in rehabilitation sciences2022

Acceptability of wearable inertial sensors, completeness of data, and day-to-day variability of everyday life motor activities in children and adolescents with neuromotor impairments.

Fabian Marcel Rast, Silvia Herren, Rob Labruyère

PMID 36569637

WHAT IT FOUND

Most children with neuromotor impairments accepted wearing movement sensors for a week, though charging, showering, and slipping sensors caused missing days.

A full week is needed for dependable estimates.

Key findings

01Most participants rated wearing the sensors as not obtrusive, and all but one rated them as not or little obtrusive.

02Fourteen percent of measurement days were missing or invalid because of reasons concerning all sensors at once.

03Upper limb, standing, and walking measures would require one to two measurement days to obtain reliable outcomes, while the remaining measures would require 5 to 8 measurement days.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

Fourteen percent of measurement days were missing or invalid because of reasons affecting all sensors at once, and combined missing values ranged between 11% and 36%. Sample sizes were smaller than desired in the wheelchair group and in children who used walking aids, so the needed number of measurement days in those groups may be overestimated. The group had different diagnoses and levels of motor impairment, so findings may depend on age or diagnosis. Day-to-day variability includes both real changes in activity and measurement error from the sensors and algorithm, and the study could not separate them. Participants without any valid measurement day were excluded, so the analysed numbers were smaller than the recruited numbers.

The easy way to misread this

Do not conclude that wearable sensors improve motor performance or rehabilitation outcomes. This study tested whether children would wear them, how complete the data were, and how many days were needed for stable daily activity estimates. It did not compare a treatment group with a control group.

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The study

Participants
43 children and adolescents in the upper limb group; 11 in the wheelchair group and 31 in the walking group; one participant was only in the upper limb group
Certainty of evidence
Low

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Fabian Marcel Rast, Silvia Herren, Rob Labruyère Acceptability of wearable inertial sensors, completeness of data, and day-to-day variability of everyday life motor activities in children and adolescents with neuromotor impairments. Frontiers in rehabilitation sciences. 2022.

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