Evidence map›Paper›PMID 37877622›Full record

ArticleAnnals of clinical and translational neurology2023

"Self-care selfies": Patient-uploaded videos capture meaningful changes in dexterity over 6 months.

Arpita Gopal, Wilson O Torres, Ilana Winawer, Shane Poole, Ayushi Balan, Hannah S Stuart, Nora E Fritz, Jeffrey M Gelfand, Diane D Allen, Riley Bove

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07222618 ("Selfie" Videos), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07222618 recruitingnot on this mapstarted 2025, after this paper: background citation

"Selfie" Videos: A Novel, Patient-centered, Comprehensive Approach to Measuring Function in MS

TypeobservationalSponsorUniversity of California, San FranciscoRan2025 to 2028Enrolled300ConditionsMultiple Sclerosis, Multiple Sclerosis (MS) - Relapsing-remitting, Multiple Sclerosis (MS) Primary Progressive, MS (Multiple Sclerosis)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Arpita GopalDepartment of Neurology, University of California, San Francisco, California, USA.ORCID 0000-0002-0866-3584
Wilson O TorresDepartment of Mechanical Engineering, University of California, Berkeley, California, USA.
Ilana WinawerDepartment of Physical Therapy and Rehabilitation Sciences, University of California, San Francisco, California, USA.
Shane PooleDepartment of Neurology, University of California, San Francisco, California, USA.
Ayushi BalanDepartment of Neurology, University of California, San Francisco, California, USA.
Hannah S StuartDepartment of Mechanical Engineering, University of California, Berkeley, California, USA.
Nora E FritzDepartment of Neurology and Program of Physical Therapy, Wayne State University, Detroit, Michigan, USA.ORCID 0000-0002-4548-1077
Jeffrey M GelfandDepartment of Neurology, University of California, San Francisco, California, USA.
Diane D AllenDepartment of Physical Therapy and Rehabilitation Sciences, University of California, San Francisco, California, USA.
Riley BoveDepartment of Neurology, University of California, San Francisco, California, USA.
University of California, San Francisco · USUniversity of California, Berkeley · USWayne State University · US

Funding

National Multiple Sclerosis Society
6 · The paper itself

Abstract

objectiveUpper extremity function reflects disease progression in multiple sclerosis (MS). This study evaluated the feasibility, validity, and sensitivity to change of remote dexterity assessments applying human pose estimation to patient-uploaded videos.

methodsA discovery cohort of 50 adults with MS recorded "selfie" videos of self-care tasks at home: buttoning, brushing teeth, and eating. Kinematic data were extracted using MediaPipe Hand pose estimation software. Clinical comparison tests were grip and pinch strength, 9 hole peg test (9HPT), and vibration, and patient-reported dexterity assessments (ABILHAND). Feasibility and acceptability were evaluated (Health-ITUES framework). A validation cohort (N = 35) completed 9HPT and videos.

resultsThe modality was feasible: 88% of the 50 enrolled participants uploaded ≥3 videos, and 74% completed the study. It was also usable: assessments easy to access (95%), platform easy to use (97%), and tasks representative of daily activities (86%). The buttoning task revealed four metrics with strong correlations with 9HPT (nondominant: r = 0.60-0.69, dominant: r = 0.51-0.57, P < 0.05) and ABILHAND (r = -0.48, P = 0.05). Retest validity at 1 week was stable (r > 0.8). Cross-sectional correlations between video metrics and 9HPT were similar at 6 months, and in the validation cohort (nondominant: r = 0.46, dominant: r = 0.45, P < 0.05). Over 6 months, pinch strength (5.8-5.0 kg/cm

interpretationPatient-uploaded videos represent a novel, patient-centered modality for capturing dexterity that appears valid and sensitive to change, enhancing its potential to be disseminated for neurological disease monitoring and treatment.

Indexed as

Multiple SclerosisSelf CareAdultCross-Sectional StudiesHandHumansUpper Extremity

Identifiers

PMID37877622
PMCPMC10723247
OpenAlexW4387931162

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.