Automatic Assessment of the 2-Minute Walk Distance for Remote Monitoring of People with Multiple Sclerosis
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Automatic Assessment of the 2-Minute Walk Distance for Remote Monitoring of People with Multiple Sclerosis. / Kontaxis, Spyridon; Laporta, Estela; Garcia, Esther; Martinis, Matteo; Leocani, Letizia; Roselli, Lucia; Buron, Mathias Due; Guerrero, Ana Isabel; Zabala, Ana; Cummins, Nicholas; Vairavan, Srinivasan; Hotopf, Matthew; Dobson, Richard J.B.; Narayan, Vaibhav A.; La Porta, Maria Libera; Costa, Gloria Dalla; Magyari, Melinda; Sørensen, Per Soelberg; Nos, Carlos; Bailon, Raquel; Comi, Giancarlo; on behalf of the RADAR-CNS consortium.
In: Sensors, Vol. 23, No. 13, 6017, 2023.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Automatic Assessment of the 2-Minute Walk Distance for Remote Monitoring of People with Multiple Sclerosis
AU - Kontaxis, Spyridon
AU - Laporta, Estela
AU - Garcia, Esther
AU - Martinis, Matteo
AU - Leocani, Letizia
AU - Roselli, Lucia
AU - Buron, Mathias Due
AU - Guerrero, Ana Isabel
AU - Zabala, Ana
AU - Cummins, Nicholas
AU - Vairavan, Srinivasan
AU - Hotopf, Matthew
AU - Dobson, Richard J.B.
AU - Narayan, Vaibhav A.
AU - La Porta, Maria Libera
AU - Costa, Gloria Dalla
AU - Magyari, Melinda
AU - Sørensen, Per Soelberg
AU - Nos, Carlos
AU - Bailon, Raquel
AU - Comi, Giancarlo
AU - on behalf of the RADAR-CNS consortium
N1 - Publisher Copyright: © 2023 by the authors.
PY - 2023
Y1 - 2023
N2 - 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.
AB - 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.
KW - accelerometer sensor
KW - disability level
KW - fatigue severity
KW - walk tests
KW - wearable device
U2 - 10.3390/s23136017
DO - 10.3390/s23136017
M3 - Journal article
C2 - 37447866
AN - SCOPUS:85164845151
VL - 23
JO - Sensors
JF - Sensors
SN - 1424-3210
IS - 13
M1 - 6017
ER -
ID: 396928718