Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Skip to main content
Springer Nature Link
Log in

Automated Detection of Repetitive Motor Behaviors as an Outcome Measurement in Intellectual and Developmental Disabilities

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Repetitive sensory motor behaviors are a direct target for clinical treatment and a potential treatment endpoint for individuals with intellectual or developmental disabilities. By removing the burden associated with video annotation or direct observation, automated detection of stereotypy would allow for longer term monitoring in ecologic settings. We report automated detection of common stereotypical motor movements using commercially available accelerometers affixed to the body and a generalizable detection algorithm. The method achieved a sensitivity of 80% for body rocking and 93% for hand flapping without individualized algorithm training or foreknowledge of subject’s specific movements. This approach is well-suited for implementation in a continuous monitoring system outside of a clinical setting.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  • Albinali, F., Goodwin, M. S., & Intille, S. (2012). Detecting stereotypical motor movements in the classroom using accelerometry and pattern recognition algorithms. Pervasive and Mobile Computing, 8(1), 103–114.

    Article  Google Scholar 

  • Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985). The aberrant behavior checklist: A behavior rating scale for the assessment of treatment effects. American Journal of Mental Deficiency, 89(5), 485–491.

    PubMed  Google Scholar 

  • Berry-Kravis, E., Hessl, D., Abbeduto, L., Reiss, A. L., Beckel-Mitchener, A., Urv, T. K., et al. (2013). Outcome measures for clinical trials in fragile X syndrome. Journal of Developmental and Behavioral Pediatrics, 34(7), 508–522. https://doi.org/10.1097/DBP.0b013e31829d1f20.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bishop, S. L., Richler, J., Cain, A. C., Lord, C., & Floyd, F. (2007). Predictors of perceived negative impact in mothers of children with autism spectrum disorder. American Journal on Mental Retardation, 112(6), 450–461.

    Article  PubMed  Google Scholar 

  • Bishop, S. L., Richler, J., & Lord, C. (2006). Association between restricted and repetitive behaviors and nonverbal IQ in children with autism spectrum disorders. Child Neuropsychology, 12(4–5), 247–267.

    Article  PubMed  Google Scholar 

  • Bodfish, J. W., Symons, F. J., Parker, D. E., & Lewis, M. H. (2000). Varieties of repetitive behavior in autism: Comparisons to mental retardation. Journal of Autism and Developmental Disorders, 30(3), 237–243.

    Article  PubMed  Google Scholar 

  • Boyd, B. A., Baranek, G. T., Sideris, J., Poe, M. D., Watson, L. R., Patten, E., et al. (2010). Sensory features and repetitive behaviors in children with autism and developmental delays. Autism Research, 3(2), 78–87.

    PubMed  PubMed Central  Google Scholar 

  • Boyd, B. A., McDonough, S. G., & Bodfish, J. W. (2012). Evidence-based behavioral interventions for repetitive behaviors in autism. Journal of Autism and Developmental Disorders, 42(6), 1236–1248.

    Article  PubMed  PubMed Central  Google Scholar 

  • Carrasco, M., Volkmar, F. R., & Bloch, M. H. (2012). Pharmacologic treatment of repetitive behaviors in autism spectrum disorders: Evidence of publication bias. Pediatrics, 129(5), e1301–e1310.

    Article  PubMed  PubMed Central  Google Scholar 

  • Devine, S. L., Rapp, J. T., Testa, J. R., Henrickson, M. L., & Schnerch, G. (2011). Detecting changes in simulated events using partial-interval recording and momentary time sampling III: Evaluating sensitivity as a function of session length. Behavioral Interventions, 26(2), 103–124.

    Article  Google Scholar 

  • Eilam, D., Zor, R., Szechtman, H., & Hermesh, H. (2006). Rituals, stereotypy and compulsive behavior in animals and humans. Neuroscience & Biobehavioral Reviews, 30(4), 456–471.

    Article  Google Scholar 

  • Goodwin, M. S., Intille, S. S., Albinali, F., & Velicer, W. F. (2011). Automated detection of stereotypical motor movements. Journal of Autism and Developmental Disorders, 41(6), 770–782. https://doi.org/10.1007/s10803-010-1102-z.

    Article  PubMed  Google Scholar 

  • Gross, C., Hoffmann, A., Bassell, G. J., & Berry-Kravis, E. M. (2015). Therapeutic strategies in fragile X syndrome: From bench to bedside and back. Neurotherapeutics, 12(3), 584–608.

    Article  PubMed  PubMed Central  Google Scholar 

  • Harrop, C., McConachie, H., Emsley, R., Leadbitter, K., Green, J., & Consortium, P. (2014). Restricted and repetitive behaviors in autism spectrum disorders and typical development: Cross-sectional and longitudinal comparisons. Journal of Autism and Developmental Disorders, 44(5), 1207–1219.

    Article  PubMed  Google Scholar 

  • Hoch, J., Spofford, L., Dimian, A., Tervo, R., MacLean, W. E., & Symons, F. J. (2016). A direct comparison of self-injurious and stereotyped motor behavior between preschool-aged children with and without developmental delays. Journal of Pediatric Psychology, 41(5), 566–572.

    Article  PubMed  Google Scholar 

  • Homberg, J. R., Kyzar, E. J., Scattoni, M. L., Norton, W. H., Pittman, J., Gaikwad, S., et al. (2016). Genetic and environmental modulation of neurodevelopmental disorders: Translational insights from labs to beds. Brain Research Bulletin, 125, 79–91.

    Article  PubMed  Google Scholar 

  • Kolt, L. D., & Rapp, J. T. (2014). Assessment of therapists’ preferences for discontinuous measurement systems. Behavioral Interventions, 29(4), 304–314.

    Article  Google Scholar 

  • Lewis, M. H. (2004). Environmental complexity and central nervous system development and function. Mental Retardation and Developmental Disabilities Research Reviews, 10(2), 91–95.

    Article  PubMed  Google Scholar 

  • Loftin, R. L., Odom, S. L., & Lantz, J. F. (2008). Social interaction and repetitive motor behaviors. Journal of Autism and Developmental Disorders, 38(6), 1124–1135.

    Article  PubMed  Google Scholar 

  • Lounds, J., Seltzer, M. M., Greenberg, J. S., Shattuck, P. T., & MacLean, J., & William, E. (2007). Transition and change in adolescents and young adults with autism: Longitudinal effects on maternal well-being. American Journal on Mental Retardation, 112(6), 401–417.

    Article  PubMed  Google Scholar 

  • Matson, J. L., & Minshawi, N. F. (2007). Functional assessment of challenging behavior: Toward a strategy for applied settings. Research in Developmental Disabilities, 28(4), 353–361. https://doi.org/10.1016/j.ridd.2006.01.005.

    Article  PubMed  Google Scholar 

  • Matson, J. L., Terlonge, C., Gonzalez, M. L., & Rivet, T. (2006). An evaluation of social and adaptive skills in adults with bipolar disorder and severe/profound intellectual disability. Research in Developmental Disabilities, 27(6), 681–687. https://doi.org/10.1016/j.ridd.2005.10.001.

    Article  PubMed  Google Scholar 

  • McCracken, J. T., Aman, M. G., McDougle, C. J., Tierney, E., Shiraga, S., Whelan, F., et al. (2010). Possible influence of variant of the P-glycoprotein gene (MDR1/ABCB1) on clinical response to guanfacine in children with pervasive developmental disorders and hyperactivity. Journal of Child and Adolescent Psychopharmacology, 20(1), 1–5. https://doi.org/10.1089/cap.2009.0059.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nadig, A., Lee, I., Singh, L., Bosshart, K., & Ozonoff, S. (2010). How does the topic of conversation affect verbal exchange and eye gaze? A comparison between typical development and high-functioning autism. Neuropsychologia, 48(9), 2730–2739.

    Article  PubMed  PubMed Central  Google Scholar 

  • Oliver, C., Petty, J., Ruddick, L., & Bacarese-Hamilton, M. (2012). The association between repetitive, self-injurious and aggressive behavior in children with severe intellectual disability. Journal of Autism and Developmental Disorders, 42(6), 910–919. https://doi.org/10.1007/s10803-011-1320-z.

    Article  PubMed  Google Scholar 

  • Pierce, K., & Courchesne, E. (2001). Evidence for a cerebellar role in reduced exploration and stereotyped behavior in autism. Biological Psychiatry, 49(8), 655–664.

    Article  PubMed  Google Scholar 

  • Plotz, T., Hammerla, N. Y., Rozga, A., Reavis, A., Call, N., & Abowd, G. D. (2012). Automatic Assessment of Problem Behavior in Individuals with Developmental Disabilities. Paper presented at the UbiComp ‘12, Pittsburgh, USA.

  • Rapp, J. T., & Vollmer, T. R. (2005). Stereotypy I: A review of behavioral assessment and treatment. Research in Developmental Disabilities, 26(6), 527–547.

    Article  PubMed  Google Scholar 

  • Rodrigues, J. L., Gonçalves, N., Costa, S., & Soares, F. (2013). Stereotyped movement recognition in children with ASD. Sensors and Actuators A: Physical, 202, 162–169.

    Article  Google Scholar 

  • Scahill, L., Aman, M. G., Lecavalier, L., Halladay, A. K., Bishop, S. L., Bodfish, J. W., et al. (2015). Measuring repetitive behaviors as a treatment endpoint in youth with autism spectrum disorder. Autism, 19(1), 38–52.

    Article  PubMed  Google Scholar 

  • Shattuck, P. T., Seltzer, M. M., Greenberg, J. S., Orsmond, G. I., Bolt, D., Kring, S., et al. (2007). Change in autism symptoms and maladaptive behaviors in adolescents and adults with an autism spectrum disorder. Journal of Autism and Developmental Disorders, 37(9), 1735–1747.

    Article  PubMed  Google Scholar 

  • Wirth, O., Slaven, J., & Taylor, M. A. (2014). Interval sampling methods and measurement error: A computer simulation. Journal of Applied Behavior Analysis, 47(1), 83–100.

    Article  PubMed  Google Scholar 

  • Wittenburg, P., Brugman, H., Russel, A., Klassmann, A., & Sloetjes, H. Elan: a professional framework for multimodality research. In Proceedings of LREC, 2006 (Vol. 2006, p. 5).

Download references

Acknowledgments

The project described was supported by the National Center for Advancing Translational Sciences (NCATS), National Institutes of Health, through Grant Award Number UL1TR001111 to the NC TraCS Institute, UNC’s NIH Clinical and Translational Science Award (CTSA). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

Author Contributions

KHG and MHC contributed to analysis of sensor data, algorithm development, and preparation of the manuscript. RBC contributed to study conceptualization and design, participant recruitment, behavior annotation, and preparation of the manuscript. SG contributed to study conceptualization and design, sensor selection and preparation of the manuscript. ACK contributed to participant recruitment, performed the data collection sessions, and contributed to preparation of the manuscript. ACW contributed to study conceptualization and design, provided supervision for all data collection, and contributed to preparation of the manuscript. All authors read and approved the final manuscript.

Author information

Author notes

  1. Ashley C. Kies

    Present address: Child and Family Development, Inc., Charlotte, NC, USA

Authors and Affiliations

  1. RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC, 27709, USA

    Kristin H. Gilchrist, Meghan Hegarty-Craver, Sonia Grego & Anne C. Wheeler

  2. Carolina Institute for Developmental Disabilities, University of North Carolina, Chapel Hill, NC, USA

    Robert B. Christian & Ashley C. Kies

Authors
  1. Kristin H. Gilchrist
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Meghan Hegarty-Craver
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Robert B. Christian
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sonia Grego
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ashley C. Kies
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Anne C. Wheeler
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kristin H. Gilchrist.

Ethics declarations

Conflict of interest

All authors declare that they have no conflicts of interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gilchrist, K.H., Hegarty-Craver, M., Christian, R.B. et al. Automated Detection of Repetitive Motor Behaviors as an Outcome Measurement in Intellectual and Developmental Disabilities. J Autism Dev Disord 48, 1458–1466 (2018). https://doi.org/10.1007/s10803-017-3408-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-017-3408-6

Keywords

Search

Navigation