Language
English
Publication Date
11-1-2024
Journal
Biomedical Engineering Letters
DOI
10.1007/s13534-024-00410-2
PMID
39465102
PMCID
PMC11502621
PubMedCentral® Posted Date
7-27-2024
PubMedCentral® Full Text Version
Post-print
Abstract
Assessing physical frailty (PF) is vital for early risk detection, tailored interventions, preventive care, and efficient healthcare planning. However, traditional PF assessments are often impractical, requiring clinic visits and significant resources. We introduce a video-based frailty meter (vFM) that utilizes machine learning (ML) to assess PF indicators from a 20 s exercise, facilitating remote and efficient healthcare planning. This study validates the vFM against a sensor-based frailty meter (sFM) through elbow flexion and extension exercises recorded via webcam and video conferencing app. We developed the vFM using Google's MediaPipe ML model to track elbow motion during a 20 s elbow flexion and extension exercise, recorded via a standard webcam. To validate vFM, 65 participants aged 20-85 performed the exercise under single-task and dual-task conditions, the latter including counting backward from a random two-digit number. We analyzed elbow angular velocity to extract frailty indicators-slowness, weakness, rigidity, exhaustion, and unsteadiness-and compared these with sFM results using intraclass correlation coefficient analysis and Bland-Altman plots. The vFM results demonstrated high precision (0.00-7.14%) and low bias (0.00-0.09%), showing excellent agreement with sFM outcomes (ICC(2,1): 0.973-0.999), unaffected by clothing color or environmental factors. The vFM offers a quick, accurate method for remote PF assessment, surpassing previous video-based frailty assessments in accuracy and environmental robustness, particularly in estimating elbow motion as a surrogate for the 'rigidity' phenotype. This innovation simplifies PF assessments for telehealth applications, promising advancements in preventive care and healthcare planning without the need for sensors or specialized infrastructure.
Keywords
Markerless motion capture, Remote patient monitoring, Frailty phenotype, Deep learning, Dual-task
Published Open-Access
yes
Recommended Citation
Dehghan Rouzi, Mohammad; Lee, Myeounggon; Beom, Jaewon; et al., "Quantitative Biomechanical Analysis in Validating a Video-Based Model To Remotely Assess Physical Frailty: A Potential Solution to Telehealth and Globalized Remote-Patient Monitoring" (2024). Huffington Center on Aging Staff Publications. 59.
https://digitalcommons.library.tmc.edu/aging_research/59