A heel-strike real-time auditory feedback device to promote motor learning in children who have cerebral palsy: a pilot study to test device accuracy and feasibility to use a music and dance-based learning paradigm.
Identifieur interne : 000897 ( Main/Exploration ); précédent : 000896; suivant : 000898A heel-strike real-time auditory feedback device to promote motor learning in children who have cerebral palsy: a pilot study to test device accuracy and feasibility to use a music and dance-based learning paradigm.
Auteurs : Jaswandi Tushar Pitale [États-Unis] ; John H. Bolte [États-Unis]Source :
- Pilot and feasibility studies [ 2055-5784 ] ; 2018.
Abstract
Background
Cerebral palsy (CP) is a developmental disorder of movement and posture that occurs due to damage to the developing nervous system. As part of therapy, wearable sensors that trigger interactive feedback may provide multi-sensory guidance and motivation. A prototype of a heel-strike real-time feedback system has been developed which records the number of heel strikes during gait and indicates successful heel contact through real-time auditory feedback. The first aim of this feasibility study was to test the prototype accuracy.Since the end user for this device is a child, the device should be esthetically appealing and sufficiently motivating for children to perform repetitive challenging therapeutic movements. The second aim of this study was to collect feedback from the subjects with regard to the device usability and understand if the bell sound used as feedback used was motivating enough for children to continue using the prototype. This would help us in developing the next generation of the device.
Methods
The prototype was tested with typically developing children and children who have CP. The accuracy in detecting heel strikes was calculated. As part of the study, the subjects were also asked questions to test the device compliance and acceptability of the musical beats with the pediatric population.
Results
The device accuracy in identifying heel strikes is 97.44% (95% CI 96.31, 98.88%). The subjects did not show any hesitation to put on the device and the sound feedback motivated them to move. Based on this pilot study, a minimum age limit of 5 years is appropriate and the intervention study should be conducted for no more than 30 min per week.
Conclusions
The pilot study showed that a main study can be conducted to test auditory feedback as an intervention to promote motor learning in children who have cerebral palsy. No adverse event or safety issues were reported in the feasibility study.
DOI: 10.1186/s40814-018-0229-0
PubMed: 29423260
PubMed Central: PMC5789741
Affiliations:
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Bolte</name><affiliation wicri:level="2"><nlm:affiliation>1The Ohio State University, Columbus, OH 43210 USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Ohio</region></placeName><wicri:cityArea>1The Ohio State University, Columbus</wicri:cityArea></affiliation></author></analytic><series><title level="j">Pilot and feasibility studies</title><idno type="ISSN">2055-5784</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Background</b></p><p>Cerebral palsy (CP) is a developmental disorder of movement and posture that occurs due to damage to the developing nervous system. As part of therapy, wearable sensors that trigger interactive feedback may provide multi-sensory guidance and motivation. A prototype of a heel-strike real-time feedback system has been developed which records the number of heel strikes during gait and indicates successful heel contact through real-time auditory feedback. The first aim of this feasibility study was to test the prototype accuracy.Since the end user for this device is a child, the device should be esthetically appealing and sufficiently motivating for children to perform repetitive challenging therapeutic movements. The second aim of this study was to collect feedback from the subjects with regard to the device usability and understand if the bell sound used as feedback used was motivating enough for children to continue using the prototype. This would help us in developing the next generation of the device.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>The prototype was tested with typically developing children and children who have CP. The accuracy in detecting heel strikes was calculated. As part of the study, the subjects were also asked questions to test the device compliance and acceptability of the musical beats with the pediatric population.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>The device accuracy in identifying heel strikes is 97.44% (95% CI 96.31, 98.88%). The subjects did not show any hesitation to put on the device and the sound feedback motivated them to move. Based on this pilot study, a minimum age limit of 5 years is appropriate and the intervention study should be conducted for no more than 30 min per week.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusions</b></p><p>The pilot study showed that a main study can be conducted to test auditory feedback as an intervention to promote motor learning in children who have cerebral palsy. No adverse event or safety issues were reported in the feasibility study.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">29423260</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>01</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2055-5784</ISSN><JournalIssue CitedMedium="Print"><Volume>4</Volume><PubDate><Year>2018</Year></PubDate></JournalIssue><Title>Pilot and feasibility studies</Title><ISOAbbreviation>Pilot Feasibility Stud</ISOAbbreviation></Journal><ArticleTitle>A heel-strike real-time auditory feedback device to promote motor learning in children who have cerebral palsy: a pilot study to test device accuracy and feasibility to use a music and dance-based learning paradigm.</ArticleTitle><Pagination><MedlinePgn>42</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s40814-018-0229-0</ELocationID><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">Cerebral palsy (CP) is a developmental disorder of movement and posture that occurs due to damage to the developing nervous system. As part of therapy, wearable sensors that trigger interactive feedback may provide multi-sensory guidance and motivation. A prototype of a heel-strike real-time feedback system has been developed which records the number of heel strikes during gait and indicates successful heel contact through real-time auditory feedback. The first aim of this feasibility study was to test the prototype accuracy.Since the end user for this device is a child, the device should be esthetically appealing and sufficiently motivating for children to perform repetitive challenging therapeutic movements. The second aim of this study was to collect feedback from the subjects with regard to the device usability and understand if the bell sound used as feedback used was motivating enough for children to continue using the prototype. This would help us in developing the next generation of the device.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">The prototype was tested with typically developing children and children who have CP. The accuracy in detecting heel strikes was calculated. As part of the study, the subjects were also asked questions to test the device compliance and acceptability of the musical beats with the pediatric population.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">The device accuracy in identifying heel strikes is 97.44% (95% CI 96.31, 98.88%). The subjects did not show any hesitation to put on the device and the sound feedback motivated them to move. Based on this pilot study, a minimum age limit of 5 years is appropriate and the intervention study should be conducted for no more than 30 min per week.</AbstractText><AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">The pilot study showed that a main study can be conducted to test auditory feedback as an intervention to promote motor learning in children who have cerebral palsy. No adverse event or safety issues were reported in the feasibility study.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pitale</LastName><ForeName>Jaswandi Tushar</ForeName><Initials>JT</Initials><AffiliationInfo><Affiliation>1The Ohio State University, Columbus, OH 43210 USA.</Affiliation><Identifier Source="ISNI">0000 0001 2285 7943</Identifier><Identifier Source="GRID">grid.261331.4</Identifier></AffiliationInfo><AffiliationInfo><Affiliation>2Bertec Corporation, Columbus, OH 43229 USA.</Affiliation><Identifier Source="GRID">grid.432757.0</Identifier></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bolte</LastName><ForeName>John H</ForeName><Initials>JH</Initials><Suffix>4th</Suffix><AffiliationInfo><Affiliation>1The Ohio State University, Columbus, OH 43210 USA.</Affiliation><Identifier Source="ISNI">0000 0001 2285 7943</Identifier><Identifier Source="GRID">grid.261331.4</Identifier></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>01</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Pilot Feasibility Stud</MedlineTA><NlmUniqueID>101676536</NlmUniqueID><ISSNLinking>2055-5784</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Auditory feedback</Keyword><Keyword MajorTopicYN="N">Motor learning</Keyword><Keyword MajorTopicYN="N">Music and dance</Keyword><Keyword MajorTopicYN="N">Pediatric cerebral palsy</Keyword><Keyword MajorTopicYN="N">Promoting heel strike</Keyword><Keyword MajorTopicYN="N">Rehabilitation</Keyword><Keyword MajorTopicYN="N">Toe walking</Keyword></KeywordList><CoiStatement>All the subjects were assented, and consent was obtained from at least one parent. The study was approved by the Office of Responsible Research Practices, OSU (IRB 2009B0396).Consent for publication was included as part of the IRB consent form and has been obtained from all the subjects.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>05</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>01</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>2</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>2</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>2</Month><Day>10</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29423260</ArticleId><ArticleId IdType="doi">10.1186/s40814-018-0229-0</ArticleId><ArticleId IdType="pii">229</ArticleId><ArticleId IdType="pmc">PMC5789741</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Dev Med Child Neurol. 2005 Aug;47(8):571-6</Citation><ArticleIdList><ArticleId IdType="pubmed">16108461</ArticleId></ArticleIdList></Reference><Reference><Citation>J Neuroeng Rehabil. 2009 Jun 16;6:19</Citation><ArticleIdList><ArticleId IdType="pubmed">19527526</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA. 2002 Sep 18;288(11):1357-63</Citation><ArticleIdList><ArticleId IdType="pubmed">12234229</ArticleId></ArticleIdList></Reference><Reference><Citation>Gait Posture. 2012 Mar;35(3):478-82</Citation><ArticleIdList><ArticleId IdType="pubmed">22300731</ArticleId></ArticleIdList></Reference><Reference><Citation>J Neurol Phys Ther. 2007 Dec;31(4):173-9</Citation><ArticleIdList><ArticleId IdType="pubmed">18172414</ArticleId></ArticleIdList></Reference><Reference><Citation>J Child Neurol. 1996 Nov;11 Suppl 1:S51-60</Citation><ArticleIdList><ArticleId IdType="pubmed">8959462</ArticleId></ArticleIdList></Reference><Reference><Citation>Clin Rehabil. 2010 Nov;24(11):963-78</Citation><ArticleIdList><ArticleId IdType="pubmed">20685722</ArticleId></ArticleIdList></Reference><Reference><Citation>Curr Neurol Neurosci Rep. 2007 Mar;7(2):147-55</Citation><ArticleIdList><ArticleId IdType="pubmed">17324366</ArticleId></ArticleIdList></Reference><Reference><Citation>Neuromodulation. 2012 Jan-Feb;15(1):48-52; 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Bolte</name><name sortKey="Pitale, Jaswandi Tushar" sort="Pitale, Jaswandi Tushar" uniqKey="Pitale J" first="Jaswandi Tushar" last="Pitale">Jaswandi Tushar Pitale</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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