Application of Artificial Intelligence in Infant Movement Classification: A Reliability and Validity Study in Infants Who Were Full-Term and Preterm.

Objective Preterm infants are at high risk of neuromotor disorders. Recent advances in digital technology and machine learning algorithms have enabled the tracking and recognition of anatomical key points of the human body. It remains unclear whether the proposed pose estimation model and the skelet...

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Publicado en:PTJ: Physical Therapy & Rehabilitation Journal Vol. 104; no. 2; pp. 1 - 11
Autores principales: Lin, Shiang-Chin, Chandra, Erick, Tsao, Po Nien, Liao, Wei-Chih, Chen, Wei-J, Yen, Ting-An, Hsu, Jane Yung-Jen, Jeng, Suh-Fang
Formato: pictorial research tables/charts Journal Article
Publicado: Oxford University Press / USA Feb2024
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: PTJ: Physical Therapy & Rehabilitation Journal
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      dt: Feb2024
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      pub: Oxford University Press / USA
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        10.1093/ptj/pzad176
        176064843
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        atl: Application of Artificial Intelligence in Infant Movement Classification: A Reliability and Validity Study in Infants Who Were Full-Term and Preterm.
      aug:
        au:
          Lin, Shiang-Chin
          Chandra, Erick
          Tsao, Po Nien
          Liao, Wei-Chih
          Chen, Wei-J
          Yen, Ting-An
          Hsu, Jane Yung-Jen
          Jeng, Suh-Fang
        affil: School and Graduate Institute of Physical Therapy, National Taiwan University College of Medicine , Taipei , Taiwan
      sug:
        subj:
          Artificial Intelligence Utilization
          Human
          Reliability and Validity
          Infant
          Funding Source
          Conceptual Framework
          Nonexperimental Studies
          Prospective Studies
          Scales
          Intrarater Reliability
          Interrater Reliability
          Machine Learning
          Motor Activity
          Descriptive Statistics
          Infant: 1-23 months
      ab: Objective Preterm infants are at high risk of neuromotor disorders. Recent advances in digital technology and machine learning algorithms have enabled the tracking and recognition of anatomical key points of the human body. It remains unclear whether the proposed pose estimation model and the skeleton-based action recognition model for adult movement classification are applicable and accurate for infant motor assessment. Therefore, this study aimed to develop and validate an artificial intelligence (AI) model framework for movement recognition in full-term and preterm infants. Methods This observational study prospectively assessed 30 full-term infants and 54 preterm infants using the Alberta Infant Motor Scale (58 movements) from 4 to 18 months of age with their movements recorded by 5 video cameras simultaneously in a standardized clinical setup. The movement videos were annotated for the start/end times and presence of movements by 3 pediatric physical therapists. The annotated videos were used for the development and testing of an AI algorithm that consisted of a 17-point human pose estimation model and a skeleton-based action recognition model. Results The infants contributed 153 sessions of Alberta Infant Motor Scale assessment that yielded 13,139 videos of movements for data processing. The intra and interrater reliabilities for movement annotation of videos by the therapists showed high agreements (88%–100%). Thirty-one of the 58 movements were selected for machine learning because of sufficient data samples and developmental significance. Using the annotated results as the standards, the AI algorithm showed satisfactory agreement in classifying the 31 movements (accuracy = 0.91, recall = 0.91, precision = 0.91, and F1 score = 0.91). Conclusion The AI algorithm was accurate in classifying 31 movements in full-term and preterm infants from 4 to 18 months of age in a standardized clinical setup. Impact The findings provide the basis for future refinement and validation of the algorithm on home videos to be a remote infant movement assessment.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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