Incidence and risk factors for care-related pain in children with physical disabilities.

Background: The daily life of children with a physical disability is organized around interventions and care, which is coordinated by a multidisciplinary team. Little is known about the incidence of care-related pain in pediatric rehabilitation centers and health facilities for children.

Aim: To determine the incidence and intensity of care-related pain in children with physical disabilities, identify risk factors for pain and practices used to prevent care-related pain in pediatric rehabilitation centers and health facilities for children in France.

Identifying Fall Risk Predictors by Monitoring Daily Activities at Home Using a Depth Sensor Coupled to Machine Learning Algorithms.

Because of population ageing, fall prevention represents a human, economic, and social issue. Currently, fall-risk is assessed infrequently, and usually only after the first fall occurrence. Home monitoring could improve fall prevention.

No pain, no gain? Children with cerebral palsy and their experience with physiotherapy.

Objectives: Recent studies have shown that physiotherapy can induce pain in children and young adults with cerebral palsy (CP). There is a lack of knowledge of children's pain experiences during therapy sessions and the specific causes of pain. The main objective of this study was to better understand the experience of children and young adults with CP during physiotherapy sessions and to analyse the coping strategies used by children and therapists.

Regular physical activity modulates perceived visual speed when running in treadmill-mediated virtual environments.

In virtual reality, visual speed is usually underestimated relative to locomotor speed. Here we investigated how physical activity and fitness affect perceived visual speed when running in a treadmill-mediated virtual environment. Thirty healthy participants (ten sedentary individuals, ten team sport players and ten expert runners) ran on a treadmill at two different speeds (8, 12km/h) in front of a moving virtual scene.

Fast and automatic assessment of fall risk by coupling machine learning algorithms with a depth camera to monitor simple balance tasks.

Background: Falls in the elderly constitute a major health issue associated to population ageing. Current clinical tests evaluating fall risk mostly consist in assessing balance abilities. The devices used for these tests can be expensive or inconvenient to set up.

Do clowns attenuate pain and anxiety undergoing botulinum toxin injections in children?

Objective: Botulinum toxin injection (BTI) is the primary treatment for spasticity in children. Anxiety and pain are important concerns to address to attenuate the discomfort of BTI. The aim of this study was to compare the effectiveness of medical clowns and usual distractions, both added to nitrous oxide (NO) and analgesic cream, on pain and anxiety during BTI sessions in children.

Automatic measurement of fall risk indicators in timed up and go test.

Fall risk assessment is usually conducted in specialized centers using clinical tests. Most of the time, these tests are performed only after the occurrence of health problems potentially affecting gait and posture stability. Our aim is to define fall risk indicators that could routinely be used at home to automatically monitor the evolution of fall risk over time.

Matching optical flow to motor speed in virtual reality while running on a treadmill.

We investigated how visual and kinaesthetic/efferent information is integrated for speed perception in running. Twelve moderately trained to trained subjects ran on a treadmill at three different speeds (8, 10, 12 km/h) in front of a moving virtual scene. They were asked to match the visual speed of the scene to their running speed-i.

Validation of an ambient system for the measurement of gait parameters.

Fall risk in elderly people is usually assessed using clinical tests. These tests consist in a subjective evaluation of gait performed by healthcare professionals, most of the time shortly after the first fall occurrence. We propose to complement this one-time, subjective evaluation, by a more quantitative analysis of the gait pattern using a Microsoft Kinect.

Automating the Timed Up and Go Test Using a Depth Camera.

Fall prevention is a human, economic and social issue. The Timed Up and Go (TUG) test is widely used to identify individuals with a high fall risk. However, this test has been criticized because its "diagnostic" is too dependent on the conditions in which it is performed and on the healthcare professionals running it.

Care-related pain and discomfort in children with motor disabilities in rehabilitation centres.

Background: Pain is one of the symptoms reported most by children with motor disabilities particularly during daily living activities in institutions and during rehabilitation. Despite the care and consideration of professionals, a wide range of motor and cognitive disabilities, limited communication skills, the presence of chronic pain and frequent care interventions place such children at high risk of experiencing induced pain.

Objectives: We aimed to identify care-related pain and discomfort in children with motor disabilities in rehabilitation centres and the characteristics of children at risk of induced pain.

Person identification from gait analysis with a depth camera at home.

The aim of our project is to develop a markerless system to detect falls and evaluate the frailty of elderly people at home. In previous work, we developed an algorithm detecting falls and daily life activities based on depth images provided by Microsoft's Kinect sensor. We also developed another algorithm based on the same features for gait analysis.

A gait analysis method based on a depth camera for fall prevention.

This paper proposes a markerless system whose purpose is to help preventing falls of elderly people at home. To track human movements, the Microsoft Kinect camera is used which allows to acquire at the same time a RGB image and a depth image. Several articles show that the analysis of some gait parameters could allow fall risk assessment.

Human activities recognition with RGB-Depth camera using HMM.

Fall detection remains today an open issue for improving elderly people security. It is all the more pertinent today when more and more elderly people stay longer and longer at home. In this paper, we propose a method to detect fall using a system made up of RGB-Depth cameras.

How do children with autism spectrum disorders express pain? A comparison with developmentally delayed and typically developing children.

There is a lack of knowledge about pain reactions in children with autism spectrum disorders (ASD), who have often been considered as insensitive to pain. The objective of this study was to describe the facial, behavioral and physiological reactions of children with ASD during venipuncture and to compare them to the reactions of children with an intellectual disability and nonimpaired control children. We also examined the relation between developmental age and pain reactions.

[Autism and pain - a literature review].

The purpose of the present article was to assess the available literature concerning pain and autism. First, authors summarized the published articles on pain reactivity in people with autism. Second, the hypotheses envisaged to explain the presence of expressive particularities in people with autism spectrum disorders were reviewed; these included endogenous opioid excess theory, sensorial abnormalities and sociocommunicative deficit.

Pain expression in children with an intellectual disability.

Background: Children with an intellectual disability (ID) are sometimes unable to verbalize and describe their painful experience; therefore family members and health carers can assess the intensity of the pain only from the behaviour exhibited by the children.

Aim And Method: The purpose of this descriptive and exploratory study was to examine the behavioural pain expression in 30 children with ID aged from 5 to 18 years in a surgical context. Children were matched with 30 typically developing children of the same chronological age and 30 typically developing children of the same developmental age.

The perioperative validity of the visual analog anxiety scale in children: a discriminant and useful instrument in routine clinical practice to optimize postoperative pain management.

Background: Because children's anxiety influences pain perception, perioperative anxiety should be evaluated in clinical practice with a unique, useful, and valid tool to optimize pain management. In this study, we evaluated psychometric properties of the visual analog scale (VAS)-anxiety for children and to study its perioperative relevance in clinical practice.

Methods: One hundred children scheduled for elective surgery and general anesthesia were included.

Vocal and verbal expression of postoperative pain in preschoolers.

The purpose of this study was to examine the development and construction of vocal and verbal expression of postoperative pain in young children with limited linguistic abilities. The main objective was to highlight specific pain vocalizations, which may lead to easy and quick detection and assessment of postoperative pain relative to the age of the suffering child. Forty-seven children aged 1 to 6 years were observed during two periods of surgical hospitalization: a preoperative and a postoperative period.