Motor Development, Muscle Tone, Neuromuscular Disorders
Conditions
Keywords
Early Detection, Wearable Sensors
Brief summary
The purpose of this study is to see if wearable sensor technology can be used to evaluate muscle activity and/or identify atypical muscle tone in infants up to 48 weeks postmenstrual age (8 weeks corrected age). These sensors are placed on the surface of the skin and record data about a child's body movements and muscle activity.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* For Infants with low tone: * Hospitalized in the NICU * AND \>38 weeks post-menstrual age * AND abnormal normal brain imaging OR Apgar score \<7 at five minutes with umbilical cord pH (if obtained) \<7.15 * AND 2 or more warning signs for muscle tone or posture using the HNNE short form * AND legal guardian able and willing to give written consent and comply with study procedures * For Infants with typical tone: * Born at 38-41 weeks of gestation * AND hospitalized after birth in the NICU OR well newborn nursery * AND infants with appropriate for gestational age birth weight * AND HNNE exam (short proforma) normal with no warning signs for any parameter * AND legal guardian able and willing to give written consent and comply with study procedures.
Exclusion criteria
* Infants of Both Low Tone and Typical Tone Cohorts: * Missing or incomplete limbs (such as from amputation or congenital limb defects). * Open wounds or skin breakdown on the limbs or torso. * Presence of known genetic syndrome or congenital anomalies requiring surgery or affecting function * Use of sedative medications (may include phenobarbital if level stable and therapeutic) * Legal guardian unable to give written consent and comply with study procedures. * Does not receive medical clearance from a physician to participate in the study if the individual is receiving inpatient care.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Correlation Between EMG Data and Observed Muscle Tone Before 8 Weeks Corrected Age | Before 8 weeks corrected age | Correlation of EMG sensor data and Hammersmith Neonatal Neurological Exam (HNNE) short form score, assessed before 8 weeks corrected age. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Estimation of Clinical Scores Performed Before 8 Weeks Corrected Age Using EMG Data | Before 8 weeks corrected age | Error between true clinical test scores and estimated scores using EMG sensor data, assessed before 8 weeks corrected age. |
Countries
United States
Contacts
Shirley Ryan AbilityLab