The Classification of Movement in Infants for the Autonomous Monitoring of Neurological Development

Sensors (Basel). 2023 May 16;23(10):4800. doi: 10.3390/s23104800.

Abstract

Neurodevelopmental delay following extremely preterm birth or birth asphyxia is common but diagnosis is often delayed as early milder signs are not recognised by parents or clinicians. Early interventions have been shown to improve outcomes. Automation of diagnosis and monitoring of neurological disorders using non-invasive, cost effective methods within a patient's home could improve accessibility to testing. Furthermore, said testing could be conducted over a longer period, enabling greater confidence in diagnoses, due to increased data availability. This work proposes a new method to assess the movements in children. Twelve parent and infant participants were recruited (children aged between 3 and 12 months). Approximately 25 min 2D video recordings of the infants organically playing with toys were captured. A combination of deep learning and 2D pose estimation algorithms were used to classify the movements in relation to the children's dexterity and position when interacting with a toy. The results demonstrate the possibility of capturing and classifying children's complexity of movements when interacting with toys as well as their posture. Such classifications and the movement features could assist practitioners to accurately diagnose impaired or delayed movement development in a timely fashion as well as facilitating treatment monitoring.

Keywords: autonomous monitoring; deep learning; infant development; movement assessment of infants; neurological development.

MeSH terms

  • Algorithms
  • Automation
  • Child
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Movement
  • Posture
  • Premature Birth*

Grants and funding

D.S. and A.T. were supported by the National Institute of Health Research (NIHR) Children and Young People MedTech Co-operative (CYP MedTech). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or of the Department of Health.