{"id":26394,"date":"2021-05-05T07:59:12","date_gmt":"2021-05-05T06:59:12","guid":{"rendered":"https:\/\/wames.org.uk\/cms-english\/?p=26394"},"modified":"2021-05-05T07:59:12","modified_gmt":"2021-05-05T06:59:12","slug":"development-of-an-inertial-measurement-based-assessment-of-disease-severity-in-cfs","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/development-of-an-inertial-measurement-based-assessment-of-disease-severity-in-cfs\/","title":{"rendered":"Development of an inertial measurement-based assessment of disease severity in CFS"},"content":{"rendered":"<h3><a href=\"https:\/\/digitalcommons.usu.edu\/cgi\/viewcontent.cgi?article=1623&amp;context=spacegrant\" target=\"_blank\" rel=\"noopener\">Development of an inertial measurement-based assessment of disease severity in Chronic Fatigue Syndrome<\/a>, by Turner Palombo, Suzanne Vernon, Shad Roundy <span style=\"text-decoration: underline;\">in<\/span> <em>Digital Commons<\/em> (Utah Space Grant Consortium grant) 2020 Paper 11. Published May 2021<\/h3>\n<p>&nbsp;<\/p>\n<h3><strong>Research abstract:\u00a0<\/strong><\/h3>\n<p>While myalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS) is relatively new and poorly understood, a recent upsurge in research has identified the disease&#8217;s core symptoms, including post-exertional malaise and orthostatic intolerance. The FDA has yet to approve any treatments for ME\/CFS, partially due to a lack of validated efficacy<br \/>\nendpoints.<\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignright wp-image-30830 lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2021\/05\/Uprightness.jpg?resize=350%2C214&#038;ssl=1\" alt=\"\" width=\"350\" height=\"214\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2021\/05\/Uprightness.jpg?resize=300%2C184&amp;ssl=1 300w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2021\/05\/Uprightness.jpg?resize=150%2C92&amp;ssl=1 150w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2021\/05\/Uprightness.jpg?w=526&amp;ssl=1 526w\" data-sizes=\"(max-width: 350px) 100vw, 350px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 350px; --smush-placeholder-aspect-ratio: 350\/214;\" \/>The central focus of this research is to develop ME\/CFS efficacy endpoints using a non-invasive, <a href=\"https:\/\/en.wikipedia.org\/wiki\/Inertial_measurement_unit\" target=\"_blank\" rel=\"noopener noreferrer\">inertial measurement-based approach<\/a>. Accessible endpoints will provide a way to properly evaluate potential treatments for ME\/CFS. Using a <a href=\"https:\/\/www.bzarg.com\/p\/how-a-kalman-filter-works-in-pictures\/\" target=\"_blank\" rel=\"noopener noreferrer\">Kalman filter<\/a>, inertial measurement unit (IMU) data can be converted to optimized leg angle estimates. These<br \/>\nangle estimates can then be converted to personalized daily measurements of upright activity, referred to as uptime.<\/p>\n<p>In a six-day, case-control study conducted by the <a href=\"https:\/\/batemanhornecenter.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Bateman Horne Center<\/a>, uptime was measured for 15 subjects (five controls, five moderate-level ME\/CFS, and five severe-level ME\/CFS).\u00a0 Analysis of these uptime scores indicated that each group spends different proportions of their days upright and active. This result shows that uptime can accurately<br \/>\ndetermine disease severity and is, therefore, a reliable endpoint for evaluating ME\/CFS treatment efficacy.<\/p>\n<h3><strong>Conclusion<\/strong><\/h3>\n<p>This research proves the value of uptime as an objective replacement for HUA. Analysis of collected uptime data indicates that disease groups spend different proportions of the<br \/>\nday upright and active. Healthy individuals are expected to have weekly uptime scores above 30%, <strong>subjects with moderate ME\/CFS are expected to have weekly uptime scores between 20% and 30%<\/strong>, <strong>and subjects with severe ME\/CFS are expected to have weekly uptime scores below 20%.<\/strong><\/p>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignleft size-medium wp-image-30831 lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2021\/05\/10MinuteLeanTest.jpg?resize=300%2C204&#038;ssl=1\" alt=\"\" width=\"300\" height=\"204\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2021\/05\/10MinuteLeanTest.jpg?resize=300%2C204&amp;ssl=1 300w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2021\/05\/10MinuteLeanTest.jpg?resize=150%2C102&amp;ssl=1 150w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2021\/05\/10MinuteLeanTest.jpg?w=747&amp;ssl=1 747w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/204;\" \/>Another objective of our study was to evaluate the effects of PEM brought on by the <a href=\"https:\/\/batemanhornecenter.org\/wp-content\/uploads\/2016\/09\/NASA-Lean-Test-Instructions.pdf\" target=\"_blank\" rel=\"noopener\">NASA Lean Test<\/a>. Our results showed no change in uptime after the NASA Lean Test. Although this contradicts our expectations, we have confirmed that this test is humane; patients with ME\/CFS do what they can to avoid stress-causing exertion, but we have seen that this test does not cause a drastic decrease in uptime\u2014indicating that they aren\u2019t significantly hurt by the test. Future studies should incorporate home-visits to reduce the stress caused by participation, thereby ensuring that PEM is only induced by researchers during the<br \/>\nLean Test.<\/p>\n<p>Accurate uptime measurements will become invaluable for healthcare providers in assisting ME\/CFS patients. Furthermore, uptime provides a method for pharmaceutical companies and independent researchers to prove the efficacy of their treatments\u2014a critical step towards receiving FDA-approval. The BHC\u2019s data shows that patients with severe ME\/CFS are limited to a bed or reclining chair for all but five hours each day; increasing this number would be life-changing.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Development of an inertial measurement-based assessment of disease severity in Chronic Fatigue Syndrome, by Turner Palombo, Suzanne Vernon, Shad Roundy in Digital Commons (Utah Space Grant Consortium grant) 2020 Paper 11. Published May 2021 &nbsp; Research abstract:\u00a0 While myalgic encephalomyelitis\/chronic &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/development-of-an-inertial-measurement-based-assessment-of-disease-severity-in-cfs\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[35,6344,6764,6340,6338,6342],"class_list":["post-26394","post","type-post","status-publish","format-standard","hentry","category-news","tag-dr-suzanne-vernon","tag-inertial-measurement-unit","tag-nasa-lean-test","tag-shad-roundy","tag-turner-palombo","tag-uptime"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-6RI","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/26394","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=26394"}],"version-history":[{"count":5,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/26394\/revisions"}],"predecessor-version":[{"id":30832,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/26394\/revisions\/30832"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=26394"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=26394"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=26394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}