Automatic Assessment of the 2-Minute Walk Distance for Remote Monitoring of People with Multiple Sclerosis.

accelerometer sensor disability level fatigue severity walk tests wearable device

Journal

Sensors (Basel, Switzerland)
ISSN: 1424-8220
Titre abrégé: Sensors (Basel)
Pays: Switzerland
ID NLM: 101204366

Informations de publication

Date de publication:
29 Jun 2023
Historique:
received: 01 05 2023
revised: 29 05 2023
accepted: 10 06 2023
medline: 17 7 2023
pubmed: 14 7 2023
entrez: 14 7 2023
Statut: epublish

Résumé

The aim of this study was to investigate the feasibility of automatically assessing the 2-Minute Walk Distance (2MWD) for monitoring people with multiple sclerosis (pwMS). For 154 pwMS, MS-related clinical outcomes as well as the 2MWDs as evaluated by clinicians and derived from accelerometer data were collected from a total of 323 periodic clinical visits. Accelerometer data from a wearable device during 100 home-based 2MWD assessments were also acquired. The error in estimating the 2MWD was validated for walk tests performed at hospital, and then the correlation (r) between clinical outcomes and home-based 2MWD assessments was evaluated. Robust performance in estimating the 2MWD from the wearable device was obtained, yielding an error of less than 10% in about two-thirds of clinical visits. Correlation analysis showed that there is a strong association between the actual and the estimated 2MWD obtained either at hospital (r = 0.71) or at home (r = 0.58). Furthermore, the estimated 2MWD exhibits moderate-to-strong correlation with various MS-related clinical outcomes, including disability and fatigue severity scores. Automatic assessment of the 2MWD in pwMS is feasible with the usage of a consumer-friendly wearable device in clinical and non-clinical settings. Wearable devices can also enhance the assessment of MS-related clinical outcomes.

Identifiants

pubmed: 37447866
pii: s23136017
doi: 10.3390/s23136017
pmc: PMC10346544
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Spyridon Kontaxis (S)

Laboratory of Biomedical Signal Interpretation and Computational Simulation (BSICoS), University of Zaragoza, 50018 Zaragoza, Spain.
Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), 28006 Barcelona, Spain.

Estela Laporta (E)

Laboratory of Biomedical Signal Interpretation and Computational Simulation (BSICoS), University of Zaragoza, 50018 Zaragoza, Spain.
Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), 28006 Barcelona, Spain.

Esther Garcia (E)

Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), 28006 Barcelona, Spain.
Department of Microelectronics and Electronic Systems, Autonomous University of Barcelona, 08193 Bellaterra, Spain.

Matteo Martinis (M)

Department of Medicine and Surgery, University Vita-Salute and Hospital San Raffaele, 20132 Milan, Italy.

Letizia Leocani (L)

Department of Medicine and Surgery, University Vita-Salute and Hospital San Raffaele, 20132 Milan, Italy.

Lucia Roselli (L)

Department of Medicine and Surgery, University Vita-Salute and Hospital San Raffaele, 20132 Milan, Italy.

Mathias Due Buron (MD)

Danish Multiple Sclerosis Center, Department of Neurology, Copenhagen University Hospital Rigshospitalet, 2100 Copenhagen, Denmark.

Ana Isabel Guerrero (AI)

Multiple Sclerosis Center of Catalonia (CEMCAT), Department of Neurology/Neuroimmunology, Hospital Universitari Vall d'Hebron, Universitat Autonoma de Barcelona, 08035 Barcelona, Spain.

Ana Zabala (A)

Multiple Sclerosis Center of Catalonia (CEMCAT), Department of Neurology/Neuroimmunology, Hospital Universitari Vall d'Hebron, Universitat Autonoma de Barcelona, 08035 Barcelona, Spain.

Nicholas Cummins (N)

Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, UK.

Srinivasan Vairavan (S)

Janssen Research and Development, LLC, Titusville, NJ 08560, USA.

Matthew Hotopf (M)

Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, UK.

Richard J B Dobson (RJB)

Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, UK.
Institute of Health Informatics, University College London, London NW1 2DA, UK.

Vaibhav A Narayan (VA)

Davos Alzheimer's Collaborative, Wayne, PA 19087, USA.

Maria Libera La Porta (ML)

Department of Medicine and Surgery, University Vita-Salute and Hospital San Raffaele, 20132 Milan, Italy.

Gloria Dalla Costa (GD)

Department of Medicine and Surgery, University Vita-Salute and Hospital San Raffaele, 20132 Milan, Italy.

Melinda Magyari (M)

Danish Multiple Sclerosis Center, Department of Neurology, Copenhagen University Hospital Rigshospitalet, 2100 Copenhagen, Denmark.

Per Soelberg Sørensen (PS)

Danish Multiple Sclerosis Center, Department of Neurology, Copenhagen University Hospital Rigshospitalet, 2100 Copenhagen, Denmark.

Carlos Nos (C)

Multiple Sclerosis Center of Catalonia (CEMCAT), Department of Neurology/Neuroimmunology, Hospital Universitari Vall d'Hebron, Universitat Autonoma de Barcelona, 08035 Barcelona, Spain.

Raquel Bailon (R)

Laboratory of Biomedical Signal Interpretation and Computational Simulation (BSICoS), University of Zaragoza, 50018 Zaragoza, Spain.
Biomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), 28006 Barcelona, Spain.

Giancarlo Comi (G)

Department of Medicine and Surgery, University Vita-Salute and Hospital San Raffaele, 20132 Milan, Italy.
Casa di Cura del Policlinico, 20144 Milan, Italy.

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Classifications MeSH