Thoracoabdominal motion in newborns: Reliability between two interactive computing environments

Pediatr Pulmonol. 2020 May;55(5):1184-1189. doi: 10.1002/ppul.24709. Epub 2020 Mar 13.

Abstract

Background: Quantifying the chest wall is useful in documenting thoracoabdominal synchrony during the neonatal period. Subjective measures are often used rather than gold-standard methods due to their practicality in clinical practice. The aim of the present study is to compare the reliability between a newly proposed method (video analysis in MATLAB) and image analysis using AutoCad tools, both applied to assess thoracoabdominal motion in newborns (NBs).

Materials and methods: This is an observational cross-sectional study of full-term NBs. A digital camera was used to film thoracoabdominal motion for 2 minutes in the supine position, with movements measured by the two aforementioned methodologies.

Results: A total of 139 images were used, showing agreement between AutoCAD and MATLAB (BIAS = -1.68; CI = -6.59:3.22, Bland-Altman plot).

Conclusion: The programs were interchangeable and the routine developed in MATLAB was simpler and faster, allowing dynamic analysis and suggesting its clinical utility in quantifying respiratory motion in NBs.

Keywords: abdominal wall; biophotogrammetry; breathing; breathing motion; chest wall; device; motion analysis; neonatology.

Publication types

  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cross-Sectional Studies
  • Female
  • Humans
  • Image Processing, Computer-Assisted*
  • Infant, Newborn
  • Male
  • Movement*
  • Reproducibility of Results
  • Respiratory Mechanics
  • Software
  • Thoracic Wall / physiology*