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Automatic Extraction and Detection of Characteristic Movement Patterns in Children with ADHD Based on a Convolutional
Mario Muñoz-Organero1, Lauren Powell2, Ben Heller3
1Telematics Engineering Department, Universidad Carlos III de Madrid, Av. Universidad, 30, 28911 Leganes, Spain. munozm@it.uc3m.es.
Insights
Children with Attention Deficit and Hyperactivity Disorder (ADHD) show distinct movement patterns compared to controls. Accelerometer data and Convolutional Neural Networks (CNNs) can objectively differentiate these movements, aiding in ADHD diagnosis.
Area of Science:
- Neuroscience
- Biomedical Engineering
- Pediatrics
Background:
- Attention Deficit and Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity.
- Children with ADHD often exhibit difficulties with motor control and restlessness, impacting daily activities.
- Objective diagnostic measures for ADHD are crucial for timely and accurate intervention.
Purpose of the Study:
- To analyze movement patterns in children with ADHD using wearable accelerometers.
- To investigate the efficacy of Convolutional Neural Networks (CNNs) in distinguishing ADHD-related movements from controls.
- To explore the potential of accelerometry as an objective tool for ADHD diagnosis.
Main Methods:
- 22 children (11 with ADHD, 11 controls) wore tri-axial accelerometers on their wrist and ankle during school hours.
- Acceleration data was converted into 2D images for analysis.
- A CNN was trained to classify movement patterns between non-medicated ADHD children and controls.
Main Results:
- Statistically significant differences in movement were observed for the wrist accelerometer (p<0.05).
- Significant differences were found for the ankle accelerometer between non-medicated ADHD children and controls.
- The CNN achieved high diagnostic accuracy: 0.875 for the wrist and 0.9375 for the ankle sensor.
Conclusions:
- Wearable accelerometers can capture distinct motor patterns in children with ADHD.
- CNNs demonstrate strong potential for objective ADHD diagnosis based on movement data.
- This approach offers a promising, non-invasive method to aid in the clinical assessment of ADHD.
Abstract:
Attention deficit and hyperactivity disorder (ADHD) is a neurodevelopmental disorder, which is characterized by inattention, hyperactivity and impulsive behaviors. In particular, children have difficulty keeping still exhibiting increased fine and gross motor activity. This paper focuses on analyzing the data obtained from two tri-axial accelerometers (one on the wrist of the dominant arm and the other on the ankle of the dominant leg) worn during school hours by a group of 22 children (11 children with ADHD and 11 paired controls). Five of the 11 ADHD diagnosed children were not on medication during the study. The children were not explicitly instructed to perform any particular activity but followed a normal session at school alternating classes of little or moderate physical activity with intermediate breaks of more prominent physical activity. The tri-axial acceleration signals were converted into 2D acceleration images and a Convolutional Neural Network (CNN) was trained to recognize the differences between non-medicated ADHD children and their paired controls. The results show that there were statistically significant differences in the way the two groups moved for the wrist accelerometer (t-test p-value <0.05). For the ankle accelerometer statistical significance was only achieved between data from the non-medicated children in the experimental group and the control group. Using a Convolutional Neural Network (CNN) to automatically extract embedded acceleration patterns and provide an objective measure to help in the diagnosis of ADHD, an accuracy of 0.875 for the wrist sensor and an accuracy of 0.9375 for the ankle sensor was achieved.
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