oSATCo App Development:
Data Collection
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Objectives
Data was collected for the purpose of:
SATCo
- Cross sectional study
- Objective: train neural network on a wide range of children
 
 - Longitudinal study
- Objective: check repeatability and reliability of oSATCo results
 
 
Functional assessments
- Objective: compare outcomes from SATCo and functional assessments
 
Project objectives:
1. Acquisition of a substantial cross-sectional dataset demonstrating the range of problems of trunk control in children with CP. 
2. Acquisition of a cross-sectional dataset demonstrating a sample of problems of trunk control in children with SMA1.
3. Acquisition of a longitudinal dataset of children quantifying trunk control status to provide sufficient data to plan appropriately powered clinical trials using the tool.
4.Acquisition of an exploratory cross-sectional dataset defining the range of problems of trunk control in children with neuromuscular disorders including congenital myopathy, congenital muscular dystrophy, SMA type 2 and Duchennemuscular dystrophy to aid understanding of the natural progression of these conditions and enhance management.
Eligibility criteria
Inclusion criteria
- Children with 
- clinical diagnosis of CP, 2-16 years old.
 - genetically confirmed SMA1 diagnosis, 3 months-16 years old.
 - genetically confirmed diagnosis of NMD, 2-16 years old
 
 - Parents/guardians with capacity to give consent.
 
Exclusion criteria
- SMA1 children who are on mechanical ventilation ≥16 hours per day or deemed clinically unfit to participate.
 - Both parents/guardians do not have sufficient understanding of English to give consent.
 - Children who pose a physical risk to themselves or the research team.
 

Patient Identification, Recruitment, and Consent
Participant identification by:
- CP: Community paediatric physiotherapists
 - SMA and NMD: Neuromuscular consultants and physiotherapists.
 
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Parent/Guardian contact with:
- Letter of invitation sent by the care team
 - Information packs given in routine clinical appointment
 
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Once parent/guardian demonstrated interested:
- Data collection date and room arrangement between parent/guardian, care team, and data collection team
 - Informed Consent signed before data collection
 
Baseline Data
We collected the following baseline data from the participants:
- Age
 - Body height or length
 - Body weight
 - Medical record
- Main diagnosis
 - Relevant medical history
 - Classification, for CP: GMFCS and clinical type
 
 - SATCo
 - Functional assessment
- CP
- GMFM-Research Item Set (carried out by research team on site)
 
 - SMA
- SMA Reach (provided by clinical staff from sites)
 
 - NMD
- CHOP-INTEND, NSAA, etc (provided by clinical staff from sites)
 
 
 - CP
 

What was involved in the data collection process?

- Location
- hospitals, clinics, schools, community centers, MMU
 
 - Travel
- rental cars, trains, and taxi
 
 - Equipment set up
- duration 30 mins
 - mobile set up: laptop, camera, tripods, bench, harnesses, toys
 - no markers are attached to the child
 
 - SATCo
- duration 10-50 mins
 
 - Functional assessment 
- CP only: GMFM, duration 10-30 mins
 
 
How far did we travel for the project?
We travelled across England’s Northwest, West Midlands, and Yorkshire and the Humber regions to collect data.
| External Data Collection Sessions: | > 100 | 
| Miles Travelled: | > 6000 miles | 
| Partnered Sites | 
| Manchester University NHS Foundation Trust | 
| Alder Hey Children’s NHS Foundation Trust | 
| Lancashire Teaching Hospitals NHS Foundation Trust | 
| The Leeds Teaching Hospitals NHS Foundation Trust | 
| The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust | 
| Sandwell and West Birmingham NHS Trust | 
| University Hospitals Birmingham NHS Foundation Trust | 
| Seashell | 

We recruited 179 participants for the cross-sectional study.

We recruited 32 participants for the longitudinal study. Each participant took part in two to five sessions.

What barriers were faced during the data collection process?
- Cancelled Appointments
 - Illnesses/hospital admissions
 - Space restraints (community)
 
Special Acknowledgements
- Family of participants
 - All involved staff members
 




