Correlations between Social Isolation and Functional Decline in Older Adults after Lower Limb Fractures Using Multimodal Sensors: A Pilot Study
Bibliographic record
Abstract
Older adults (OAs) recovering from lower limb fractures experience social isolation (SI) and functional decline (FD) after they are discharged from inpatient rehabilitation due to reduced physical mobility. Our research used MAISON (Multimodal AI-based Sensor platform for Older iNdividuals), a multimodal sensor system comprising various smart devices collecting acceleration, heart rate, step count, frequency of indoor motion, GPS, and sleep metrics. This study aimed to investigate the correlations between SI and FD with multimodal sensor data from OAs following lower limb fractures. Multimodal sensor data from eight OAs (8 weeks per person) living at home were collected. Five clinical metrics were obtained via biweekly video calls, including three clinical questionnaires (Social Isolation Scale (SIS), Oxford Hip Score, Oxford Knee score) and two physical mobility assessments (Timed Up and Go, 30 s chair stand). From the sensor data collected, 53 statistical and domain features were extracted. Spearman correlation coefficients were calculated between the extracted features and clinical data. The results indicated strong correlations between various items of SIS and sleep metrics in OAs and various items of Oxford Knee Score with GPS and acceleration data. Strong correlations between the questions of the Oxford scores and sensor data highlight the direct impact of physical health status on measurable daily physical activities.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".