Repeatability of Inertial Measurements of Spinal Posture in Daily Life

Posture, physical activity, and sleep have been shown to be linked to many health issues but are difficult to assess in laboratories, especially in terms of long-term patterns. Worn on the body, inertial measurement units (IMUs) measure motion and have shown promise for longitudinal measurements of these phenomena, but the repeatability of their measurements in daily life has not been extensively characterized. This study assessed the repeatability of measures of spine posture and movement in a set of standardized tasks in the lab versus those performed at home using IMUs. We also evaluated issues that impact data quality for real-world measurements. The results showed moderate repeatability in the range of spinal motion assessed during the tasks (ICC = 0.67). In contrast, the absolute angles of the spine (such as the starting posture) were more variable and more difficult to estimate. The estimation of the reference posture was identified as a key factor. Five methods to estimate the reference posture were compared, and the use of a composite set of standardized tasks performed best (ICC = 0.72 ± 0.17). Additional studies and cross-validation with other sensors are needed to draw stronger conclusions about the optimal methodology. For measurements of daily life over 2 days, magnetic interference had a major impact on the data quality, affecting 43% of all data analyzed. Metrics were developed to assess data quality and strategies are proposed to improve repeatability in future work.