Enhancement of the SPPB with Mobile Accelerometry
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1 Enhancement of the SPPB with Mobile Accelerometry Accepted for the FNN Conference Agnes Köhler, Florian Winter and Steffen Schlapak
2 Content Introduction The SPPB Goal Methods and Results 4 Meter Walk Test Chair Rise Test d Up and Go Test Future Work Discussion
3 Short Physical Performance Battery (SPPB) Objective assessment tool for evaluating lower extremity functioning in older persons Contains: 4 Meter Walk Test Chair Rise Test Balance Test In addition: d Up And Go Test (TUG) Tests used in research fields e.g. Parkinson: Haruko Tanji et. al. A comparative study of physical Performance. Measures in Parkinson's disease Movement Disorders. Volume 23, Issue 13, pages , 15 October
4 The Goal enhancement of clinical tests with accelerometry more precise results cheaper methods additional data user-friendly application for clinicial trials
5 The 4 Meter Walk Test Extracted information: - Number of Steps - Average Step Length in cm/step - Step Frequency in steps/min - Speed in m/s
6 The 4 Meter Walk Test
7 Methods of the 4 Meter Walk Test
8 Preliminary Results 21, male 75, female # Trial (meters walked) Average step length actibelt (m) Average step length measurement (m) Age, Sex 1 (4 meter walk) Female, 23 2 (10 meter walk) Female, 38 3 (4 meter walk) Female, 38
9 Result of the 4 Meter Walk Test Male, 21 # Trial Average step length actibelt (m) Average step length measurement (m)
10 Chair Rise Test
11 Chair Rise Test 5x - Duration - Amplitude - Stand/sit events [1] Longitudinal Falls-Risk Estimation Using Triaxial Accelerometry
12 Methods of the Chair Rise Test Male, 26 Female, 68 17:31:21 CEST 17:31:24 CEST 17:31:27 CEST 17:31:30 CEST 21:22:27 CEST 21:22:30 CEST 21:22:33 CEST 21:22:36 CEST 21:22:39 CEST
13 Experimental Subjects of the Chair Rise Test 26, male 18, female 46, female 23, female 17:31:21 CEST 17:31:24 CEST 17:31:27 CEST 17:31:30 CEST 15:42:00 CEST 15:42:06 CEST 15:42:12 CEST 68, female 15, male 23, female 16:00:21 CEST 16:00:27 CEST 16:00:33 CEST 21:25:21 CEST 21:25:24 CEST 21:25:27 CEST 21:25:30 CEST 21:25:33 CEST 21:22:27 CEST 21:22:30 CEST 21:22:33 CEST 21:22:36 CEST 21:22:39 CEST 15:51:21 CEST 15:51:24 CEST 15:51:27 CEST 15:51:30 CEST 15:51:33 CEST 16:04:06 CEST 16:04:12 CEST 16:04:18 CEST
14 Results of the Chair Rise Test Male, 26 # Sex, age Number of rises by algorithm 1 Female, Male, Female, Male, Female, Female, Female, Mean 2, Actual number of rise up events
15 d Up and Go Test (TUG) - Duration - Amplitudes - Number of steps - Step length - Stand up/sit down events [1] Longitudinal Falls-Risk Estimation Using Triaxial Accelerometry
16 Methods of the TUG Male, 26 Female, 68
17 Experimental Subjects of the TUG 26, male 18, female 46, female 23, female 68, female 15, male 23, female 16:01:39 CEST 16:01:45 CEST 16:01:51 CEST 16:05:21 CEST 16:05:24 CEST 16:05:27 CEST 16:05:30 CEST 16:05:33 CEST 15:47:19 CEST 15:47:21 CEST 15:47:24 CEST 15:47:26 CEST 15:43:21 CEST 15:43:24 CEST 15:43:27 CEST 15:43:30 CEST 21:23:18 CEST 21:23:21 CEST 21:23:24 CEST 21:23:27 CEST 15:52:37 CEST 15:52:39 CEST 15:52:42 CEST 15:52:44 CEST 21:26:24 CEST 21:26:26 CEST 21:26:28 CEST 21:26:31 CEST
18 Results of the TUG Female, 68 # Sex, age Number of steps counted by algorithm 1 Female, Male, Female, Male, Female, Female, Female, Mean Variance Actual number of steps (counted from video)
19 Future Work concept verification (more data needed) video analysis extend application with instructions for clinician development of android cloud computing platform to be used in clinical trials & clinical practice find more points of interest evaluation of the points of interest: thresholds correlation with reference signal linear least square model arfiticial neural networks (e.g. multi-layer perceptron)
20 Literature [1] Longitudinal Falls-Risk Estimation Using Triaxial Accelerometry. Michael R. Narayanan, Student Member, IEEE, Stephen J. Redmond, Member, IEEE, Maria Elena Scalzi, Stephen R. Lord, Branko G. Celler, Member, IEEE, and Nigel H. Lovell, Senior Member, IEEE [2] The Key to Fighting Physical Decline: the Short Physical Performance Battery (SPPB) [3] Centers for Disease Control and Prevention The d Up and Go (TUG) Test. up_ and_go_test.pdf [4] C. Soaz, A. Neuhaus, K. Diepold, M. Daumer Normal Ranges for novel Measures for Balance Quality in Healthy Individuals and Patients based on Mobile Accelerometry. ICAMPAM_Slide_Poster_Composite_6.6.pdf (2013)
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