HeadUp: A Low-Cost Solution for Tracking Head Movement of Children with Cerebral Palsy Using IMU
Sana Sabah Al-Azzawi1,2, Siavash Khaksar3, Emad Khdhair Hadi4
1SRT Department, EISLAB, Luleå University of Technology, 97187 Luleå, Sweden.
Insights
This study introduces the HeadUp system, using an inertial measurement unit (IMU) to accurately assess head control in children with cerebral palsy (CP). The system offers a reliable, engaging method for tracking cervical range of motion (CROM) and improving head control.
Area of Science:
- Biomedical Engineering
- Rehabilitation Technology
- Pediatric Neurology
Background:
- Cerebral palsy (CP) significantly impacts motor abilities, with poor head control being a major challenge for children in Levels IV and V.
- Current visual assessments for head control and cervical range of motion (CROM) lack precision and consistency.
- Objective measurement is crucial for effective intervention in pediatric motor disorders.
Purpose of the Study:
- To develop and evaluate the HeadUp system, a novel, low-cost solution for accurately measuring head control in children with CP.
- To assess the system's ability to wirelessly capture CROM in multiple planes during daily activities.
- To provide a reliable tool for tracking head control and aiding rehabilitation.
Main Methods:
- A 9-axis inertial measurement unit (IMU) integrated into the HeadUp system captures head orientation data.
- An Euler-based sensor fusion algorithm (SFA) processes data for real-time head orientation estimation and control tracking.
- Wireless transmission enables CROM measurement in frontal, sagittal, and transverse planes during natural movements.
Main Results:
- The proposed SFA demonstrated high accuracy in noise reduction and a faster system response.
- Clinical testing on children with and without CP (ages 2-5) validated the system's feasibility.
- The HeadUp system successfully measured CROM and tracked head control during everyday activities.
Conclusions:
- The HeadUp system provides an accurate and reliable method for assessing head control and CROM in children with CP.
- This technology can serve as an engaging, head control trainer, motivating children through gamified rehabilitation.
- The system offers a promising advancement in objective assessment and therapeutic intervention for pediatric CP.
Abstract:
Cerebral palsy (CP) is a common reason for human motor ability limitations caused before birth, through infancy or early childhood. Poor head control is one of the most important problems in children with level IV CP and level V CP, which can affect many aspects of children's lives. The current visual assessment method for measuring head control ability and cervical range of motion (CROM) lacks accuracy and reliability. In this paper, a HeadUp system that is based on a low-cost, 9-axis, inertial measurement unit (IMU) is proposed to capture and evaluate the head control ability for children with CP. The proposed system wirelessly measures CROM in frontal, sagittal, and transverse planes during ordinary life activities. The system is designed to provide real-time, bidirectional communication with an Euler-based, sensor fusion algorithm (SFA) to estimate the head orientation and its control ability tracking. The experimental results for the proposed SFA show high accuracy in noise reduction with faster system response. The system is clinically tested on five typically developing children and five children with CP (age range: 2-5 years). The proposed HeadUp system can be implemented as a head control trainer in an entertaining way to motivate the child with CP to keep their head up.
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