PTOTOtherPediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association2025

Tummy Time Tracking: Concurrent-Validity of Wearable Sensors in Home Settings for Term and Preterm Infants.

Ketaki Inamdar, Stacey C Dusing, Leroy R Thacker and 4 others

PMID 40845311

WHAT IT FOUND

Two wearable sensors accurately tracked tummy time at home in infants, including those born preterm.

The GENEActiv sensor was more precise and had far less data loss than the MonBaby, which struggled with Bluetooth disconnections and timing errors during longer recordings.

Key findings

01Both sensors showed strong correlations with video observation in home settings, with GENEActiv demonstrating excellent second-by-second agreement and MonBaby showing substantial agreement.

02Cumulative tummy time estimates from both sensors remained within clinically acceptable limits (±10%) compared to video, with no significant difference in overall accuracy between the two devices.

03The MonBaby sensor exhibited significant systematic bias and data loss issues due to Bluetooth disconnections and charging failures, whereas the GENEActiv sensor had minimal drift and higher precision.

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

The study included only infants who were already tolerant of tummy time, so results may not apply to infants who cry or refuse prone positioning. No infants used prone-supported positions (like lying on a parent's chest), limiting validation to independent prone play. The sample size was small (32 infants), which may have reduced the ability to detect subtle differences in accuracy between the sensors or between preterm and full-term groups. Caregivers preferred floor-based play for video recording, which may not reflect typical home positioning practices involving pillows or inclined surfaces.

The easy way to misread this

Do not assume these sensors are ready for immediate clinical use without support. The MonBaby sensor lost data in nearly half of the caregiver-led sessions due to Bluetooth and charging failures, and neither sensor has been validated for infants who are prone-intolerant or who use positioning devices like Boppy pillows.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →