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Updated: Jun 16, 2026

Video Movement Analysis Using Smartphones ViMAS: A Pilot Study
Published on: March 14, 2017
Evaluating the diagnostic accuracy of smartphone video clips against polysomnography for paediatric obstructive sleep
Cal McLean1, Zachary Jones2, Joseph Eliahoo3
1Paediatric Sleep and Respiratory, Imperial College Healthcare NHS Trust, London, UK cal.mclean1@nhs.net.
Insights
A new video analysis tool, VAPS, shows promise for diagnosing paediatric obstructive sleep apnoea syndrome (OSAS). This method may help triage children for further sleep studies, improving early detection and management of OSAS.
Area of Science:
- Pediatric Sleep Medicine
- Diagnostic Accuracy Studies
- Respiratory Medicine
Background:
- Overnight polysomnography (PSG) is the gold standard for diagnosing paediatric obstructive sleep apnoea syndrome (OSAS).
- Validated screening tools for paediatric OSAS are limited.
- Parent-recorded videos offer a potential avenue for capturing OSAS-indicative behaviours.
Purpose of the Study:
- To compare the diagnostic accuracy of a standardized sleep video analysis tool, Videosomnography Analysis for Paediatric Sleep Apnoea (VAPS), against PSG for paediatric OSAS.
- To evaluate VAPS as a potential screening and triage tool for paediatric OSAS.
Main Methods:
- Children aged 2-12 years with suspected OSAS underwent PSG.
- Parents recorded 1-minute videos of their child during sleep (in-hospital and at home).
- Videos were scored using VAPS for nine OSAS-indicative behaviours and compared with PSG results.
Main Results:
- The VAPS Score demonstrated good discriminatory ability (AUC=81.99%) between clinically significant and non-significant OSAS.
- A VAPS Score of ≥3 showed high sensitivity (92%) for detecting OSAS.
- When parents captured worst breathing, AUC increased to 85.45%, with a VAPS Score of ≥3 achieving 96% sensitivity.
Conclusions:
- The VAPS Score shows potential as a useful tool for triaging children with suspected paediatric OSAS.
- VAPS can help direct patients towards appropriate sleep investigations or treatment.
- A VAPS score of ≤2 (low risk), 3-6 (medium risk), and ≥7 (high risk) may guide clinical decisions.
Background:
The gold standard of paediatric obstructive sleep apnoea syndrome (OSAS) diagnosis is overnight polysomnography (PSG). Validated screening methods for paediatric OSAS are limited. Increasingly, concerned parents record videos that capture behaviours indicative of OSAS. We aimed to compare the diagnostic accuracy of a standardised sleep video analysis tool (Videosomnography Analysis for Paediatric Sleep Apnoea (VAPS)) against PSG for paediatric OSAS.
Methods:
Children aged 2-12 years consecutively referred for suspected OSAS underwent PSG. Parents recorded two 1 min videos of their child's sleep during PSG, and for two nights at home post-PSG. Videos were scored for the presence of nine behaviours indicative of OSAS. PSG was scored independently and compared with VAPS scores.
Results:
Total VAPS Score had good discriminatory ability between PSG-diagnosed clinically non-significant (n=63) and clinically significant (n=48) OSAS, with an area under the receiver operating characteristic (ROC) curve of 81.99%. Scores of ≥3 had a sensitivity of 92% (specificity=49%) and scores of ≥7 had a specificity of 89% (sensitivity=40%). The area under the ROC curve rose to 85.45% when parents confirmed they were able to capture their child's worst breathing. For this subset, VAPS Score of ≥3 had a sensitivity of 96% (specificity=44%) and scores≥7 had a specificity of 89% (sensitivity=50%).
Discussion:
VAPS Score may be useful in triaging patients suspected of paediatric OSAS to the appropriate physiological sleep investigations or treatment options, where a score of ≤2 is considered low risk, 3-6 medium risk and ≥7 high risk, for paediatric OSAS.
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