ENABLE Project

Title	ENABLE: EvaluatioN of motor cApacities and telerehaBilitation in chiLdren with neuromotor disordErs
Dates	April 2025 – April 2028
Principal investigator	Dr. Mathieu GUEUGNON (PhD, University Hospital of Dijon - CHUD)
Other project members	For HUG / UNIGE: Pr. Stephane Armand – professor assistant Dr. Nathalie De Beukelaer – biomechanical doctor Dr. Marine Cacioppo – MD, PhD, pediatric neurorehabilitation doctor Dr. Alice Bonnefoy – biomechanical doctor For CHUD / University Bourgogne Europe: Dr. Nawale Hadouiri - MD, PhD, Neurorehabilitation doctor and Postdoc at UNIGE/HUG Dr. Angélique Hamamie-Chaar - MD, PhD, Pediatric Rehabilitation doctor Pr. Paul Ornetti – Professor in Rheumatology Pr. Davy Laroche – Professor in Rehabilitation sciences Dr. Pauline Hilt – PhD at Inserm Dr. Nicolas Meunier-Beillard – PhD, sociologist Dr. Isabelle Fournel – MD PhD, specialist in public health and clinical methodology Dr. Sébastien Krumm – osteopath at CHU Dijon Bourgogne Dr. Colin Fromion – physiotherapist at CHU Dijon Bourgogne For MoveAhead partner industry: Dr. Johann Issartel (PhD), Co-founder of MoveAhead and CEO Dr. Michael Scriney (PhD), Insight Centre for Data Analytics
Institutional collaborations	Plateforme d’Investigation Technologique in the CHUD MoveAhead
Funding	THCS 2025
Keywords	Neuromotor disorders, children, motor skills, motion assessment, smartphone
Website	In progress
Related articles	Coming soon!

Abstract
Neurological diseases in childhood, such as cerebral palsy and neuromuscular disorders, often cause significant motor impairments, deeply affecting children’s quality of life. Preserving or restoring mobility and providing accurate functional diagnoses are urgent priorities to guide clinical decisions. Functional assessments, such as grasping or walking tasks, are currently conducted in standardized healthcare settings according to the International Classification of Functioning, focusing on individual capability or capacity. However, these assessments often overlook the individual’s functional mobility in their daily environment, which is known to substantially influence motor behavior, and are also very timely and costly, making them sparse. Conducting longitudinal assessments of children's functional disabilities remains crucial, as growth and maturation significantly influence motor capacities and performances over time. The ENABLE project is initiated with the dual purpose of regularly investigating and assessing the capabilities and performances in children with neuromotor disorders in their daily environment, and reeducating their functional disabilities caused by these disorders. The cornerstone of this initiative is a user-friendly mobile application designed specifically for the evaluation and telerehabilitation of motion in children, developed in collaboration with MoveAhead. This innovative tool, implemented with AI assistance, will allow parents and practitioners to conduct motor behavior assessments directly at home using their smart devices, significantly increasing the frequency of evaluations. This will allow for a comprehensive exploration of the impact of neurological diseases on movement, connecting specific outcomes such as motor signatures to pathologies, and studying how these impact various movements in daily life. The children’s motor signatures will also serve as valuable markers to monitor the effectiveness of rehabilitation. Overall, the tool developed in the ENABLE project will allow for personalized, intelligent, and adaptive telerehabilitation programs for children with neuromotor disorders. This project holds significant promise as a simplified and cost-effective tool to address functional motor disabilities with greater frequency and accessibility. Its potential integration into both clinical practice and home settings empowers parents to participate actively in their children's care. Evaluating motor performance in daily living contexts enhances assessment processes and promotes more frequent monitoring of children's motor abilities. For physiotherapists and physicians, this solution will streamline the identification of neurological diseases through motor signatures, facilitating accurate recognition, diagnosis, and monitoring. Furthermore, this application enables remote supervision by quantifying relevant outcomes, allowing for ongoing progress monitoring and feedback. It also facilitates personalized home-based rehabilitation programs, reducing the need for frequent clinic visits and increasing accessibility to rehabilitation for children with neuromotor disorders.