BACKGROUND

A standardized fall risk assessment can guide targeted interventions. The widely used short physical performance battery (SPPB) for mobility assessment covers balance, gait speed, and lower limb strength, but is time-consuming and requires trained raters. The newly developed video-based smartphone application called MobiSPPB provides a rater-independent SPPB assessment. This study evaluated the technical validity and reliability of the MobiSPPB app compared to the standard rater-based SPPB. In addition, the ability to detect disease-related movement patterns was investigated.

METHODS

Using a standardized experimental setting, 10 healthy participants performed the SPPB with and without movement impairments simulated by an instant aging suit. Two experienced raters rated the SPPB performance, and a smartphone recorded at the same time. The MobiSPPB app analyzed videos via vision-based human motion capture techniques. Spearman's correlations, the intraclass correlation coefficient (ICC), and receiver operating characteristic curves were calculated.

RESULTS

There was a strong correlation between the app and standard SPPB (Spearman's Correlation of 0.869, 95% confidence interval (CI) of 0.79-0.92,  < 0.001). Compared with the standard assessment, the app presented a more significant ICC in the test-retest reliability analysis (0.936, 95% CI of 0.87-0.97,  < 0.001). Detecting disease-related movement patterns achieved high accuracy in capturing severe impairments such as hemiplegia (area under the curve (AUC) 93%). Inconsistencies between the raters indicated that the app provides more objective assessments.

CONCLUSIONS

The technical validation of the MobiSPPB app was successful in a standardized experimental setting and requires further testing in clinical practice.