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Recent therapeutic advances for DMD and SMA highlight the need for accurate clinical evaluation. Traditionally, motor function of the upper limbs is assessed using motor function scales. However, these scales are influenced by clinician\u2019s interpretation and may lack accuracy. For this reason, clinicians are becoming interested in finding alternative solutions. In this context, Inertial Measurement Units (IMUs) have gained popularity, offering the possibility to quantitatively and objectively analyze motor function of patients to support clinicians\u2019 assessments. We analyzed upper limb kinematics of two groups of children with neuromuscular diseases, seventeen DMD patients and fifteen SMA patients, while performing the corresponding clinical assessment. These two groups were further subdivided into two categories (Category A and Category B), according to disease severity (Brooke scores\n \n \n $$\\le 2$$<\/jats:tex-math>\n \n \n \u2264<\/mml:mo>\n 2<\/mml:mn>\n <\/mml:mrow>\n <\/mml:math>\n <\/jats:alternatives>\n <\/jats:inline-formula>\n and Brooke scores\n \n \n $$>2$$<\/jats:tex-math>\n \n \n ><\/mml:mo>\n 2<\/mml:mn>\n <\/mml:mrow>\n <\/mml:math>\n <\/jats:alternatives>\n <\/jats:inline-formula>\n , respectively). The results were compared against a group of ten healthy children. The metrics showing the strongest correlation with the clinical score were the workspace area in the frontal and transverse plane (DMD:\n \n \n $$\\rho$$<\/jats:tex-math>\n \n \u03c1<\/mml:mi>\n <\/mml:math>\n <\/jats:alternatives>\n <\/jats:inline-formula>\n = 0.94 and\n \n \n $$\\rho$$<\/jats:tex-math>\n \n \u03c1<\/mml:mi>\n <\/mml:math>\n <\/jats:alternatives>\n <\/jats:inline-formula>\n = 0.90; SMA:\n \n \n $$\\rho$$<\/jats:tex-math>\n \n \u03c1<\/mml:mi>\n <\/mml:math>\n <\/jats:alternatives>\n <\/jats:inline-formula>\n = 0.78 and\n \n \n $$\\rho$$<\/jats:tex-math>\n \n \u03c1<\/mml:mi>\n <\/mml:math>\n <\/jats:alternatives>\n <\/jats:inline-formula>\n = 0.81) and the workspace volume (DMD:\n \n \n $$\\rho$$<\/jats:tex-math>\n \n \u03c1<\/mml:mi>\n <\/mml:math>\n <\/jats:alternatives>\n <\/jats:inline-formula>\n = 0.92; SMA\n \n \n $$\\rho$$<\/jats:tex-math>\n \n \u03c1<\/mml:mi>\n <\/mml:math>\n <\/jats:alternatives>\n <\/jats:inline-formula>\n = 0.81). Additionally, statistically significant differences were found not only between healthy children and those with neuromuscular disease, but also across severity levels within the patient group. These results represent a first step toward validating IMU-based systems to helping clinicians to accurately quantify the motor status of children with neuromuscular diseases. Furthermore, data collected with inertial sensors can provide clinicians with additional information not available through subjective observation.\n <\/jats:p>","DOI":"10.1186\/s12984-025-01602-2","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T14:08:56Z","timestamp":1742306936000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Imu-based kinematic analysis to enhance upper limb motor function assessment in neuromuscular diseases"],"prefix":"10.1186","volume":"22","author":[{"given":"Alessandra","family":"Favata","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger","family":"Gallart-Agut","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc","family":"van Noort","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesica","family":"Exposito-Escudero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julita","family":"Medina-Cantillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carme","family":"Torras","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Natera-de Benito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josep M.","family":"Font-Llagunes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"P\u00e0mies-Vil\u00e0","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"issue":"1","key":"1602_CR1","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/j.otsr.2017.04.019","volume":"104","author":"P Mary","year":"2018","unstructured":"Mary P, Servais L, Vialle R. 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Informed written consent was obtained from all participants and, in the cases where the participants were under 16 years of age, from their parents as well.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent for publication of their clinical details and\/or clinical images was obtained from the patient\/parent\/guardian\/ relative of the patient. A copy of the consent form is available for review by the Editor of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"There are no potential Conflict of interest related to this manuscript. All authors have been listed in the submission, and each author has approved the manuscript for submission.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"63"}}