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Eine fr\u00fche Diagnosestellung in der kinder\u00e4rztlichen Vorsorge (U2\u2013U5) kann durch ein automatisiertes Screening verbessert werden. Bisherige Ans\u00e4tze einer automatisierten Bewegungsanalyse sind jedoch teuer und aufwendig und nicht in der Breite anwendbar. In diesem Beitrag soll ein neues System zur Videoanalyse, das Kinematic Motion Analysis Tool (KineMAT) vorgestellt werden. Es kann bei S\u00e4uglingen angewendet werden und kommt ohne K\u00f6rpermarker aus. Die Methode wird anhand von 7\u00a0Patienten mit unterschiedlichen Diagnosen demonstriert.<\/jats:p><jats:p>Mit einer kommerziell erh\u00e4ltlichen Tiefenbildkamera (RGB-D[Red-Green-Blue-Depth]-Kamera) werden 3\u2011min\u00fctige Videosequenzen von sich spontan bewegenden S\u00e4uglingen aufgenommen und mit einem virtuellen S\u00e4uglingsk\u00f6rpermodell (SMIL[Skinned Multi-infant Linear]-Modell) in \u00dcbereinstimmung gebracht. Das so erzeugte virtuelle Abbild erlaubt es, beliebige Messungen in 3\u2011D mit hoher Pr\u00e4zision durchzuf\u00fchren. Eine Auswahl m\u00f6glicher Bewegungsparameter wird mit diagnosespezifischen Bewegungsauff\u00e4lligkeiten zusammengef\u00fchrt.<\/jats:p><jats:p>Der KineMAT und das SMIL-Modell erlauben eine zuverl\u00e4ssige, dreidimensionale Messung der Spontanaktivit\u00e4t bei S\u00e4uglingen mit einer sehr niedrigen Fehlerrate. Basierend auf maschinellen Lernalgorithmen kann der KineMAT trainiert werden, pathologische Spontanmotorik automatisiert zu erkennen. Er ist kosteng\u00fcnstig und einfach anzuwenden und soll als Screeninginstrument f\u00fcr die kinder\u00e4rztliche Vorsorge weiterentwickelt werden.<\/jats:p>","DOI":"10.1007\/s00103-020-03163-2","type":"journal-article","created":{"date-parts":[[2020,6,22]],"date-time":"2020-06-22T06:02:26Z","timestamp":1592805746000},"page":"881-890","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Analyse der Spontanmotorik im 1.\u00a0Lebensjahr: Markerlose 3-D-Bewegungserfassung zur Fr\u00fcherkennung von Entwicklungsst\u00f6rungen"],"prefix":"10.1007","volume":"63","author":[{"given":"Carmen","family":"Parisi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolas","family":"Hesse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uta","family":"Tacke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergi","family":"Pujades Rocamora","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Astrid","family":"Blaschek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mijna","family":"Hadders-Algra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Black","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Heinen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"M\u00fcller-Felber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. 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M.\u00a0J.\u00a0Black ist Mitgr\u00fcnder und Investor bei Meshcapade GmbH, die eine Kommerzialisierung der Bewegungsanalyse im S\u00e4uglingsalter betreibt.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Alle beschriebenen Untersuchungen am Menschen oder an menschlichem Gewebe wurden mit Zustimmung der zust\u00e4ndigen Ethikkommission, im Einklang mit nationalem Recht sowie gem\u00e4\u00df der Deklaration von Helsinki von 1975 (in der aktuellen, \u00fcberarbeiteten Fassung) durchgef\u00fchrt. Vor Beginn der Datenerhebung hat die Ethikkommission der Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen der Studie ein positives Votum erteilt (Projekt Nr.\u00a0454-16). Vor Beginn der Videoaufzeichnung wurde das schriftliche Einverst\u00e4ndnis der Eltern eingeholt.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}