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Pilot feasibility study of a semi-automated three-dimensional scoring system for cervical dystonia

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  • Takuto Nakamura
  • Satoko Sekimoto
  • Genko Oyama
  • Yasushi Shimo
  • Nobutaka Hattori
  • Hiroyuki Kajimoto

Abstract

The objective of this study is to test the feasibility of a semi-automated scoring system for the Toronto Western Spasmodic Torticollis Scale (TWSTRS) severity scale in patients with cervical dystonia. The TWSTRS requires training and experience. We previously developed a system to measure neck angle by analyzing three-dimensional position, obtained using Kinect, a marker-less three-dimensional depth sensor. The system can track patients’ faces and bodies, automatically analyze neck angles, and semi-automatically calculate the TWSTRS severity scale score. We compared the TWSTRS severity scale scores calculated by the system with the video-based scores calculated by a neurologist trained in movement disorders. A correlation coefficient analysis was then conducted. Absolute accuracy was measured using intra-class correlation (ICC) (3,1), with 95% limits of agreement. To analyze the subscales, Cohen's kappa coefficient (κ) was calculated. A p-value of

Suggested Citation

  • Takuto Nakamura & Satoko Sekimoto & Genko Oyama & Yasushi Shimo & Nobutaka Hattori & Hiroyuki Kajimoto, 2019. "Pilot feasibility study of a semi-automated three-dimensional scoring system for cervical dystonia," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-11, August.
  • Handle: RePEc:plo:pone00:0219758
    DOI: 10.1371/journal.pone.0219758
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