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Meyer BM, Cohen JG, DePetrillo P, Ceruolo M, Jangraw D, Cheney N, Solomon AJ, McGinnis RS. Assessing Free-Living Postural Sway in Persons With Multiple Sclerosis. IEEE Trans Neural Syst Rehabil Eng 2024; 32:967-973. [PMID: 38373134 DOI: 10.1109/tnsre.2024.3366903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2024]
Abstract
Postural instability is associated with disease status and fall risk in Persons with Multiple Sclerosis (PwMS). However, assessments of postural instability, known as postural sway, leverage force platforms or wearable accelerometers, and are most often conducted in laboratory environments and are thus not broadly accessible. Remote measures of postural sway captured during daily life may provide a more accessible alterative, but their ability to capture disease status and fall risk has not yet been established. We explored the utility of remote measures of postural sway in a sample of 33 PwMS. Remote measures of sway differed significantly from lab-based measures, but still demonstrated moderately strong associations with patient-reported measures of balance and mobility impairment. Machine learning models for predicting fall risk trained on lab data provided an Area Under Curve (AUC) of 0.79, while remote data only achieved an AUC of 0.51. Remote model performance improved to an AUC of 0.74 after a new, subject-specific k-means clustering approach was applied for identifying the remote data most appropriate for modelling. This cluster-based approach for analyzing remote data also strengthened associations with patient-reported measures, increasing their strength above those observed in the lab. This work introduces a new framework for analyzing data from remote patient monitoring technologies and demonstrates the promise of remote postural sway assessment for assessing fall risk and characterizing balance impairment in PwMS.
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Naim R, Goodwin MS, Dombek K, Revzina O, Agorsor C, Lee K, Zapp C, Freitag GF, Haller SP, Cardinale E, Jangraw D, Brotman MA. Cardiovascular reactivity as a measure of irritability in a transdiagnostic sample of youth: Preliminary associations. Int J Methods Psychiatr Res 2021; 30:e1890. [PMID: 34390050 PMCID: PMC8633925 DOI: 10.1002/mpr.1890] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Revised: 06/22/2021] [Accepted: 07/23/2021] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVES Irritability is a transdiagnostic symptom in developmental psychopathology, conceptualized as a low threshold for frustration and increased proneness to anger. While central to emotion regulation, there is a vital need for empirical studies to explore the relationship between irritability and underlying physiological mechanisms of cardiovascular arousal. METHODS We examined the relationship between irritability and cardiovascular arousal (i.e., heart rate [HR] and heart rate variability [HRV]) in a transdiagnostic sample of 51 youth (M = 12.63 years, SD = 2.25; 62.7% male). Data was collected using the Empatica E4 during a laboratory stop-signal task. In addition, the impact of motion activity, age, medication, and sleep on cardiovascular responses was explored. RESULTS Main findings showed that irritability was associated with increased HR and decreased HRV during task performance. CONCLUSIONS Findings support the role of peripheral physiological dysregulation in youth with emotion regulation problems and suggest the potential use of available wearable consumer electronics as an objective measure of irritability and physiological arousal in a transdiagnostic sample of youth.
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Affiliation(s)
- Reut Naim
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA
| | - Matthew S Goodwin
- Department of Health Sciences, Khoury College of Computer Sciences, Northeastern University, Boston, Massachusetts, USA
| | - Kelly Dombek
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA
| | - Olga Revzina
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA
| | - Courtney Agorsor
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA
| | - Kyunghun Lee
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA
| | - Christian Zapp
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA
| | - Gabrielle F Freitag
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA
| | - Simone P Haller
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA
| | - Elise Cardinale
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA
| | - David Jangraw
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA
| | - Melissa A Brotman
- Emotion and Development Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, Maryland, USA
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Marathe AR, Metcalfe JS, Lance BJ, Lukos JR, Jangraw D, Lai KT, Touryan J, Stump E, Sadler BM, Nothwang W, McDowell K. The privileged sensing framework: A principled approach to improved human-autonomy integration. Theoretical Issues in Ergonomics Science 2018. [DOI: 10.1080/1463922x.2017.1297865] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Amar R. Marathe
- Human Research and Engineering Directorate, United States Army Research Laboratory, Aberdeen Proving Ground, MD, USA
| | - Jason S. Metcalfe
- Human Research and Engineering Directorate, United States Army Research Laboratory, Aberdeen Proving Ground, MD, USA
| | - Brent J. Lance
- Human Research and Engineering Directorate, United States Army Research Laboratory, Aberdeen Proving Ground, MD, USA
| | - Jamie R. Lukos
- Advanced Concepts and Applied Research Branch, Space and Naval Warfare Systems Center Pacific, San Diego, CA, USA
| | - David Jangraw
- Department of Biomedical Engineering, Columbia University, New York, NY, USA
| | - Kuan-Ting Lai
- Graduate Institute of Electrical Engineering, National Taiwan University, Taipei, Taiwan
- Research Center for IT Innovation, Academia Sinica, Taipei, Taiwan
| | - Jonathan Touryan
- Human Research and Engineering Directorate, United States Army Research Laboratory, Aberdeen Proving Ground, MD, USA
| | - Ethan Stump
- Computational and Information Sciences Directorate, United States Army Research Laboratory, Adelphi, MD, USA
| | - Brian M. Sadler
- Computational and Information Sciences Directorate, United States Army Research Laboratory, Adelphi, MD, USA
| | - William Nothwang
- Sensors and Electron Devices Directorate, United States Army Research Laboratory, Adelphi, MD, USA
| | - Kaleb McDowell
- Human Research and Engineering Directorate, United States Army Research Laboratory, Aberdeen Proving Ground, MD, USA
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Gottlieb J, Peck C, Jangraw D. How reward shapes attention and the search for information. J Vis 2010. [DOI: 10.1167/10.7.35] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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