Investigative Ophthalmology & Visual Science Cover Image for Volume 65, Issue 7
June 2024
Volume 65, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2024
Comparative video gait analysis of assistance for children with cerebral visual impairment (CVI)
Author Affiliations & Notes
  • Grace Ambrose-Zaken
    Hunter College, New York, New York, United States
    Safe Toddles, New York, United States
  • Paul Chong
    Campbell University School of Osteopathic Medicine, Buies Creek, North Carolina, United States
  • Robert Enzenauer
    University of Colorado Anschutz Medical Campus, Aurora, Colorado, United States
  • Footnotes
    Commercial Relationships   Grace Ambrose-Zaken Safe Toddles, Code O (Owner); Paul Chong None; Robert Enzenauer None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2024, Vol.65, 2579. doi:
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    • Get Citation

      Grace Ambrose-Zaken, Paul Chong, Robert Enzenauer; Comparative video gait analysis of assistance for children with cerebral visual impairment (CVI). Invest. Ophthalmol. Vis. Sci. 2024;65(7):2579.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Cerebral visual impairment (CVI) is the leading cause of visual impairment in children in developed countries and is increasing in prevalence in developing nations. Visual impairment has been shown to negatively impact all aspects of life, including learning and development. Safe Toddles pediatric belt canes are essential mobility tools for pediatric patients because they give blind toddlers a head start to independence by combining independent walking ability and safety in addition to the potential for improved motor and cognitive development as well as long-term health benefits. This study sought to measure and quantify the mobility benefits of pediatric belt canes.

Methods : Videos of eleven pediatric patients with CVI walking without and with the assistance of Safe Toddles pediatric belt canes were analyzed using the MediaPipe platform to perform gait analysis. Subsequent analyses included linear regression analysis, data smoothing, peak-finding, and derivative analysis to calculate metrics for foot mobility, approximate speed, step frequency, and estimated step lengths. Paired t-testing was performed to compare the gait analysis metrics for patients with and without pediatric belt canes.

Results : Patients utilizing pediatric belt canes showed 61.5% increase in foot mobility (p < .001), 73.5% increase in approximate speed (p < .001), and 57.3% increase in step length (p < .02). No differences were observed in step frequency (p > .1).

Conclusions : Pediatric belt canes lead to marked, quantifiable improvements in mobility for mobility visually impaired children, supporting the beneficial effects of utilizing pediatric belt canes in the care and management of such patients.

This abstract was presented at the 2024 ARVO Annual Meeting, held in Seattle, WA, May 5-9, 2024.

 

Displayed is the methodology for gait analysis. A) Body landmark tracking analysis was performed utilizing MediaPipe. Landmark tracking results were used to calculate the gait analysis metrics of step frequency and step lengths by B) data smoothing (utilizing a Savitzky–Golay filter) and C) derivative analysis. Landmark tracking results were also used to calculate foot mobility and foot speed utilizing D) linear regression analysis.

Displayed is the methodology for gait analysis. A) Body landmark tracking analysis was performed utilizing MediaPipe. Landmark tracking results were used to calculate the gait analysis metrics of step frequency and step lengths by B) data smoothing (utilizing a Savitzky–Golay filter) and C) derivative analysis. Landmark tracking results were also used to calculate foot mobility and foot speed utilizing D) linear regression analysis.

 

Significant improvements in foot mobility, foot speed, and step lengths were observed in pediatric patients with the assistance of pediatric belt canes (p < .001, p < .001, and p < .02, respectively). No significant differences were observed in step frequency (p > .1).

Significant improvements in foot mobility, foot speed, and step lengths were observed in pediatric patients with the assistance of pediatric belt canes (p < .001, p < .001, and p < .02, respectively). No significant differences were observed in step frequency (p > .1).

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