Detecting clinical practice guideline-recommended wheelchair propulsion patterns with wearable devices following a wheelchair propulsion intervention.

Wheelchair propulsion interventions typically teach manual wheelchair users to perform wheelchair propulsion biomechanics as recommended by the Clinical Practice Guidelines (CPG). Outcome measures for these interventions are primarily laboratory based. Discrepancies remain between manual wheelchair...

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Publicado en:Assistive Technology Vol. 35; no. 2; pp. 193 - 202
Autores principales: Chen, Pin-Wei, Klaesner, Joe, Zwir, Igor, Morgan, Kerri A.
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2023
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/10400435.2021.2010146
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        atl: Detecting clinical practice guideline-recommended wheelchair propulsion patterns with wearable devices following a wheelchair propulsion intervention.
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          Chen, Pin-Wei
          Klaesner, Joe
          Zwir, Igor
          Morgan, Kerri A.
        affil: Program in Occupational Therapy, Washington University School of Medicine, St. Louis, Missouri, USA
      sug:
        subj:
          Practice Guidelines
          Machine Learning
          Algorithms
          Wheelchairs
          Biomechanics Evaluation
          Wearable Sensors
          Funding Source
          Human
          Male
          Female
          Adult
          Middle Age
          Descriptive Statistics
          Spinal Cord Injuries
          Multiple Sclerosis
          Motion Analysis Systems
          Actigraphy
          Prospective Studies
          Data Analysis Software
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Wheelchair propulsion interventions typically teach manual wheelchair users to perform wheelchair propulsion biomechanics as recommended by the Clinical Practice Guidelines (CPG). Outcome measures for these interventions are primarily laboratory based. Discrepancies remain between manual wheelchair propulsion (MWP) in laboratory-based examinations and propulsion in the real-world. Current developments in machine learning (ML) allow for monitoring of MWP in the real world. In this study, we collected data from participants enrolled in two wheelchair propulsion interventions, then built an ML algorithm to distinguish CPG recommended MWP patterns from non-CPG-recommended patterns. Eight primary manual wheelchair users did not initially follow CPG recommendations but learned and performed CPG propulsion after the interventions. Participants each wore two inertial measurement units as they propelled their wheelchairs on a roller system, indoors overground, and outdoors. ML models were trained to classify propulsion patterns as following the CPG or not following the CPG. Video recordings were used for reference. For indoor detection, we found that a subject-independent model was able to achieve 85% accuracy. For outdoor detection, we found that the subject-independent model achieved 75.4% accuracy. These results provide further evidence that CPG and non-CPG-recommended MWP patterns can be predicted with wearable sensors using an ML algorithm.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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