Abstract
Background: Poor balance has been cited as one of the key causal factors of falls. Timely detection of balance impairment can help identify the elderly prone to falls and also trigger early interventions to prevent them. The goal of this study was to develop a surrogate approach for assessing elderly’s functional balance based on Short Form Berg Balance Scale (SFBBS) score.
Methods: Data were collected from a waist-mounted tri-axial accelerometer while participants performed a timed up and go test. Clinically relevant variables were extracted from the segmented accelerometer signals for fitting SFBBS predictive models. Regularized regression together with random-shuffle-split cross-validation was used to facilitate the development of the predictive models for automatic balance estimation.
Results: Eighty-five community-dwelling older adults (72.12 ± 6.99 year) participated in our study. Our results demonstrated that combined clinical and sensor-based variables, together with regularized regression and cross-validation, achieved moderate-high predictive accuracy of SFBBS scores (mean MAE = 2.01 and mean RMSE = 2.55). Step length, gender, gait speed and linear acceleration variables describe the motor coordination were identified as significantly contributed variables of balance estimation. The predictive model also showed moderate-high discriminations in classifying the risk levels in the performance of three balance assessment motions in terms of AUC values of 0.72, 0.79 and 0.76 respectively.
Conclusions: The study presented a feasible option for quantitatively accurate, objectively measured, and unobtrusively collected functional balance assessment at the point-of-care or home environment. It also provided clinicians and elderly with stable and sensitive biomarkers for long-term monitoring of functional balance.
Original language | English |
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Article number | 108 |
Number of pages | 14 |
Journal | BMC Medical Informatics and Decision Making |
Volume | 21 |
Early online date | 25 Mar 2021 |
DOIs | |
Publication status | Published - Dec 2021 |
Externally published | Yes |
Funding
This work was supported in part by the National Natural Science Foundation of China (No. 71901188), the CityU Provost Project Grant (No. 9610406), and the Yale Program on Aging/Claude D. Pepper Older Americans Independence Center (P30AG021342). Any the design of the study, data collection, analysis, and interpretation of data expressed in this publication are those of the author(s) and do not necessarily reflect the views of the funding bodies.
Keywords
- Balance and mobility
- Data mining
- Elderly care
- Fall
- Sensor
- Timed up and go