Body-Worn Sensors Are a Valid Alternative to Forceplates for Measuring Balance in Children

in Journal for the Measurement of Physical Behaviour

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Vincent ShiehNational Institutes of Health

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Ashwini SansareNational Institutes of Health

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Minal JainNational Institutes of Health

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Thomas BuleaNational Institutes of Health

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Martina ManciniOregon Health & Science University

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Cris ZampieriNational Institutes of Health

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DOI:
https://doi.org/10.1123/jmpb.2019-0029
Keywords:
pediatrics; sensors; validation; wearable technology
First Published Online:
04 Jun 2020
In Print:
Volume 3: Issue 3
Page Range:
228–233
Restricted access

Aims: Clinical evaluation of balance has relied on forceplate systems as the gold standard for postural sway measures. Recently, systems based on wireless inertial sensors have been explored, mostly in the adult population, as an alternative given their practicality and lower cost. Our goal was to validate body-worn sensors against forceplate balance measures in typically developing children during tests of quiet stance. Methods: 18 participants (8 males) 7 to 17 years old performed a quiet stance test standing on a forceplate while wearing 3 inertial sensors. Three 30-second trials were performed under 4 conditions: firm surface with eyes open and closed, and foam surface with eyes open and closed. Sway area, path length, and sway velocity were calculated. Results: We found 20 significant and 8 non-significant correlations. Variables found to be significant were represented across all conditions, except for the foam eyes closed condition. Conclusions: These results support the validity of wearable sensors in measuring postural sway in children. Inertial sensors may represent a viable alternative to the gold standard forceplate to test static balance in children.

Shieh, Sansare, Jain, Bulea, and Zampieri are with the Rehabilitation Medicine Department, National Institutes of Health, Bethesda, MD. Mancini is with the Department of Neurology, Oregon Health & Science University, Portland, OR.

Jain (mjain@nih.gov) is corresponding author.
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