Kinect-based choice reaching and stepping reaction time tests for clinical and in-home assessment of fall risk in older people: a prospective study.

Background: Quick protective reactions such as reaching or stepping are important to avoid a fall or minimize injuries. We developed Kinect-based choice reaching and stepping reaction time tests (Kinect-based CRTs) and evaluated their ability to differentiate between older fallers and non-fallers an...

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Publicado en:European Review of Aging & Physical Activity Vol. 13; no. 1; pp. 1 - 8
Autores principales: Ejupi, Andreas, Gschwind, Yves, Brodie, Matthew, Zagler, Wolfgang, Lord, Stephen, Delbaere, Kim
Formato: Artículo
Publicado: BioMed Central 1/30/2016
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1/30/2016
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      pub: BioMed Central
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        10.1186/s11556-016-0162-2
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        atl: Kinect-based choice reaching and stepping reaction time tests for clinical and in-home assessment of fall risk in older people: a prospective study.
      aug:
        au:
          Ejupi, Andreas
          Gschwind, Yves
          Brodie, Matthew
          Zagler, Wolfgang
          Lord, Stephen
          Delbaere, Kim
        affil:
          Neuroscience Research Australia, University of New South Wales, Sydney Australia
          Vienna University of Technology, Vienna Austria
      su:
        Older people
        Risk factors of falling down
        Accidental fall prevention
      sug:
        subj:
          Older people
          Risk factors of falling down
          Accidental fall prevention
      keyword:
        Accidental falls
        Fall risk assessments
        Microsoft kinect
        Older adults
        Reaching
        Reaction time
        Sensors
        Stepping
        Accidental falls
        Fall risk assessments
        Microsoft kinect
        Older adults
        Reaching
        Reaction time
        Sensors
        Stepping
      ab: Background: Quick protective reactions such as reaching or stepping are important to avoid a fall or minimize injuries. We developed Kinect-based choice reaching and stepping reaction time tests (Kinect-based CRTs) and evaluated their ability to differentiate between older fallers and non-fallers and the feasibility of administering them at home. Methods: A total of 94 community-dwelling older people were assessed on the Kinect-based CRTs in the laboratory and were followed-up for falls for 6 months. Additionally, a subgroup ( n = 20) conducted the Kinect-based CRTs at home. Signal processing algorithms were developed to extract features for reaction, movement and the total time from the Kinect skeleton data. Results: Nineteen participants (20.2 %) reported a fall in the 6 months following the assessment. The reaction time ( fallers: 797 ± 136 ms, non-fallers: 714 ± 89 ms), movement time ( fallers: 392 ± 50 ms, non-fallers: 358 ± 51 ms) and total time ( fallers: 1189 ± 170 ms, non-fallers: 1072 ± 109 ms) of the reaching reaction time test differentiated well between the fallers and non-fallers. The stepping reaction time test did not significantly discriminate between the two groups in the prospective study. The correlations between the laboratory and in-home assessments were 0.689 for the reaching reaction time and 0.860 for stepping reaction time. Conclusion: The study findings indicate that the Kinect-based CRT tests are feasible to administer in clinical and in-home settings, and thus represents an important step towards the development of sensor-based fall risk self-assessments. With further validation, the assessments may prove useful as a fall risk screen and home-based assessment measures for monitoring changes over time and effects of fall prevention interventions.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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