# Depth-Sensing-Based Algorithm for Chest Morphology Assessment in Children with Cerebral Palsy

## TL;DR

This study presents a depth-sensing algorithm to assess chest shape changes in children with cerebral palsy during breathing and physical therapy.

## Contribution

A novel depth-sensing-based algorithm for tracking chest morphology changes during breathing in cerebral palsy patients.

## Key findings

- The algorithm achieved high reliability with mean CV for CS depth values below 2% and CS area below 1%.
- Measurements were reproducible across two sessions with no significant differences observed.
- Chest mobility during quiet breathing showed no difference between sessions, confirming the method's consistency.

## Abstract

This study introduced a depth-sensing-based approach with robust algorithms for tracking relative morphological changes in the chests of patients undergoing physical therapy. The problem that was addressed was the periodic change in morphological parameters induced by breathing, and since the recording was continuous, the parameters were extracted for the moments of maximum and minimum volumes of the chest (inspiration and expiration moments), and analyzed. The parameters were derived from morphological transverse cross-sections (CSs), which were extracted for the moments of maximal and minimal depth variations, and the reliability of the results was expressed through the coefficient of variation (CV) of the resulting curves. Across all subjects and levels of observed anatomy, the mean CV for CS depth values was smaller than 2%, and the mean CV of the CS area was smaller than 1%. To prove the reproducibility of measurements (extraction of morphological parameters), 10 subjects were recorded in two consecutive sessions with a short interval (2 weeks) where no changes in the monitored parameters were expected and statistical methods show that there was no statistically significant difference between the sessions, which confirms the reproducibility hypothesis. Additionally, based on the representative CSs for inspiration and expirations moments, chest mobility in quiet breathing was examined, and the statistical test showed no difference between the two sessions. The findings justify the proposed algorithm as a valuable tool for evaluating the impact of rehabilitation exercises on chest morphology.