Observational studyJournal of neuroengineering and rehabilitation2025
Wearable sensors for measuring spontaneous upper limb use in children with unilateral cerebral palsy and typical development.
Observational study in Journal of neuroengineering and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03054441 (Detection of Asymmetries in Upper Limb Use Through Actigraphs), which is not on this map. Cited by 2 papers.
What it found
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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.
Detection of Asymmetries in Upper Limb Use Through Actigraphs
Who cites it
2 citing papers in PubMed.
- Body position classification using wearable sensors in infants with cerebral palsy.Infant behavior & development · 2026Article
- Upper Limb Capacity, Performance, and Leisure Participation in Children with Unilateral Cerebral Palsy.Sensors (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundUnilateral Cerebral Palsy (UCP) is a clinical condition which mainly involves the movement and muscle tone of one side of the body, often impacting the general manual function. While there are some clinical assessment tools aimed to quantify the Upper Limbs (UpLs) use and the manual abilities, acquiring information regarding the motor abilities outside the clinical environment, such as the UpLs use and their asymmetry during daily life, could provide a more complete evaluation of the child and open a new clinical reasoning. For this purpose, wearable sensors are one of the newest approaches for continuously monitoring UpLs functions without being invasive. The aim of this study was to use wearable sensors to compare spontaneous/daily UpLs usage and asymmetry with the Assisting Hand Assessment (AHA) test, as well as comparing the daily UpLs usage behavior of children with UCP with respect to Typical Developing (TD) peers.
methodsEighty children (54 with UCP and 26 TD) wore an Actigraph sensor on each wrist during the AHA test and then at least for the following week of daily life. The amount of use of each hand and the asymmetry were analyzed during both the AHA and the following week of daily life using linear regression analysis and ANOVA models.
resultsSignificant relationships were found between the asymmetry detected during the week and both the AHA scores and the asymmetry detected during the test. UCP and TD children week asymmetry distributions were significantly different; moreover, some differences were found when grouping them by MACS levels.
conclusionThis paper proposes a new and easy technological methodology for monitoring UpLs behavior in daily life. Through wearable sensor data analysis, we demonstrate a linear correlation between asymmetry measured during smi-structured assessments and daily life. Additionally, we provide evidence of distinct patterns of UpLs usage between typically developing children and children with UCP in daily life.
trial registrationClinical Trials.gov (NCT03054441).
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Registered trials
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