A Novel Video-Based Methodology for Automated Classification of Dystonia and Choreoathetosis in Dyskinetic Cerebral Palsy During a Lower Extremity Task.

Background: Movement disorders in children and adolescents with dyskinetic cerebral palsy (CP) are commonly assessed from video recordings, however scoring is time-consuming and expert knowledge is required for an appropriate assessment. Objective: To explore a machine learning approach for automate...

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Publicado en:Neurorehabilitation & Neural Repair Vol. 38; no. 7; pp. 479 - 493
Autores principales: Haberfehlner, Helga, Roth, Zachary, Vanmechelen, Inti, Buizer, Annemieke I., Jeroen Vermeulen, Roland, Koy, Anne, Aerts, Jean-Marie, Hallez, Hans, Monbaliu, Elegast
Formato: algorithm equations & formulas pictorial research tables/charts Journal Article
Publicado: Sage Publications Inc. Jul2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2024
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        atl: A Novel Video-Based Methodology for Automated Classification of Dystonia and Choreoathetosis in Dyskinetic Cerebral Palsy During a Lower Extremity Task.
      aug:
        au:
          Haberfehlner, Helga
          Roth, Zachary
          Vanmechelen, Inti
          Buizer, Annemieke I.
          Jeroen Vermeulen, Roland
          Koy, Anne
          Aerts, Jean-Marie
          Hallez, Hans
          Monbaliu, Elegast
        affil: Department of Rehabilitation Sciences, KU Leuven Bruges, Bruges, Belgium
      sug:
        subj:
          Videorecording
          Automation
          Dystonia Classification
          Chorea Classification
          Dyskinesias
          Cerebral Palsy
          Lower Extremity
          Task Performance and Analysis
          Machine Learning
          Human
          Motion Analysis Systems
          Time Series
          Algorithms
          Scales
          Child
          Adolescence
          Descriptive Statistics
          Funding Source
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Background: Movement disorders in children and adolescents with dyskinetic cerebral palsy (CP) are commonly assessed from video recordings, however scoring is time-consuming and expert knowledge is required for an appropriate assessment. Objective: To explore a machine learning approach for automated classification of amplitude and duration of distal leg dystonia and choreoathetosis within short video sequences. Methods: Available videos of a heel-toe tapping task were preprocessed to optimize key point extraction using markerless motion analysis. Postprocessed key point data were passed to a time series classification ensemble algorithm to classify dystonia and choreoathetosis duration and amplitude classes (scores 0, 1, 2, 3, and 4), respectively. As ground truth clinical scoring of dystonia and choreoathetosis by the Dyskinesia Impairment Scale was used. Multiclass performance metrics as well as metrics for summarized scores: absence (score 0) and presence (score 1-4) were determined. Results: Thirty-three participants were included: 29 with dyskinetic CP and 4 typically developing, age 14 years:6 months ± 5 years:15 months. The multiclass accuracy results for dystonia were 77% for duration and 68% for amplitude; for choreoathetosis 30% for duration and 38% for amplitude. The metrics for score 0 versus score 1 to 4 revealed an accuracy of 81% for dystonia duration, 77% for dystonia amplitude, 53% for choreoathetosis duration and amplitude. Conclusions: This methodology study yielded encouraging results in distinguishing between presence and absence of dystonia, but not for choreoathetosis. A larger dataset is required for models to accurately represent distinct classes/scores. This study presents a novel methodology of automated assessment of movement disorders solely from video data.
      pubtype: Academic Journal
      doctype:
        algorithm
        equations & formulas
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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