scholarly journals Gait Disorder Detection and Classification Method Using Inertia Measurement Unit for Augmented Feedback Training in Wearable Devices

Sensors ◽  
2021 ◽  
Vol 21 (22) ◽  
pp. 7676
Author(s):  
Hyeonjong Kim ◽  
Ji-Won Kim ◽  
Junghyuk Ko

Parkinson’s disease (PD) is a common neurodegenerative disease, one of the symptoms of which is a gait disorder, which decreases gait speed and cadence. Recently, augmented feedback training has been considered to achieve effective physical rehabilitation. Therefore, we have devised a numerical modeling process and algorithm for gait detection and classification (GDC) that actively utilizes augmented feedback training. The numerical model converted each joint angle into a magnitude of acceleration (MoA) and a Z-axis angular velocity (ZAV) parameter. Subsequently, we confirmed the validity of both the GDC numerical modeling and algorithm. As a result, a higher gait detection and classification rate (GDCR) could be observed at a higher gait speed and lower acceleration threshold (AT) and gyroscopic threshold (GT). However, the pattern of the GDCR was ambiguous if the patient was affected by a gait disorder compared to a normal user. To utilize the relationships between the GDCR, AT, GT, and gait speed, we controlled the GDCR by using AT and GT as inputs, which we found to be a reasonable methodology. Moreover, the GDC algorithm could distinguish between normal people and people who suffered from gait disorders. Consequently, the GDC method could be used for rehabilitation and gait evaluation.

Sensors ◽  
2021 ◽  
Vol 21 (9) ◽  
pp. 2896
Author(s):  
Pratham Singh ◽  
Michael Esposito ◽  
Zach Barrons ◽  
Christian A. Clermont ◽  
John Wannop ◽  
...  

One possible modality to profile gait speed and stride length includes using wearable technologies. Wearable technology using global positioning system (GPS) receivers may not be a feasible means to measure gait speed. An alternative may include a local positioning system (LPS). Considering that LPS wearables are not good at determining gait events such as heel strikes, applying sensor fusion with an inertial measurement unit (IMU) may be beneficial. Speed and stride length determined from an ultrawide bandwidth LPS equipped with an IMU were compared to video motion capture (i.e., the “gold standard”) as the criterion standard. Ninety participants performed trials at three self-selected walk, run and sprint speeds. After processing location, speed and acceleration data from the measurement systems, speed between the last five meters and stride length in the last stride of the trial were analyzed. Small biases and strong positive intraclass correlations (0.9–1.0) between the LPS and “the gold standard” were found. The significance of the study is that the LPS can be a valid method to determine speed and stride length. Variability of speed and stride length can be reduced when exploring data processing methods that can better extract speed and stride length measurements.


2019 ◽  
Vol 6 ◽  
pp. 205566831986854 ◽  
Author(s):  
Rob Argent ◽  
Sean Drummond ◽  
Alexandria Remus ◽  
Martin O’Reilly ◽  
Brian Caulfield

Introduction Joint angle measurement is an important objective marker in rehabilitation. Inertial measurement units may provide an accurate and reliable method of joint angle assessment. The objective of this study was to assess whether a single sensor with the application of machine learning algorithms could accurately measure hip and knee joint angle, and investigate the effect of inertial measurement unit orientation algorithms and person-specific variables on accuracy. Methods Fourteen healthy participants completed eight rehabilitation exercises with kinematic data captured by a 3D motion capture system, used as the reference standard, and a wearable inertial measurement unit. Joint angle was calculated from the single inertial measurement unit using four machine learning models, and was compared to the reference standard to evaluate accuracy. Results Average root-mean-squared error for the best performing algorithms across all exercises was 4.81° (SD = 1.89). The use of an inertial measurement unit orientation algorithm as a pre-processing step improved accuracy; however, the addition of person-specific variables increased error with average RMSE 4.99° (SD = 1.83°). Conclusions Hip and knee joint angle can be measured with a good degree of accuracy from a single inertial measurement unit using machine learning. This offers the ability to monitor and record dynamic joint angle with a single sensor outside of the clinic.


PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e8820 ◽  
Author(s):  
Byungjoo Noh ◽  
Changhong Youm ◽  
Myeounggon Lee ◽  
Hwayoung Park

Background Several studies have reported the association between gait and global cognitive function; however, there is no study explaining the age-specific gait characteristics of older women and association between those characteristics and global cognitive function by age-specific differences and gait speed modification. The aim of this study was to examine age-specific differences in gait characteristics and global cognitive function in older women as well as identify gait domains strongly associated with global cognitive function in older women based on gait speed modification. Methods One hundred sixty-four female participants aged 65–85 years were examined. Participants were assessed for global cognitive function through the mini-mental state examination. They also performed three trials of the overground walking test along a straight 20 m walkway. Inertial measurement unit sensors with shoe-type data loggers on both the left and right outsoles were used to measure gait characteristics. Results The pace at all speeds and the variability and phase at faster speeds were altered in women aged >75 years (all pace domain parameters, p < 0.05); variability and phase highly depended on age (all p < 0.05). Variability at slower speeds (β = −0.568 and p = 0.006) and the phase at the preferred (β = −0.471 and p = 0.005) and faster speeds (β = −0.494 and p = 0.005) were associated with global cognitive function in women aged >75 years. Discussion The variability and phase domains at faster speeds were considered to identify gait changes that accompany aging. In addition, the decreases in global cognitive function are associated with increased variability and phase domains caused by changes in gait speed in older women. Conclusion Our results are considered useful for understanding age-related gait characteristics with global cognitive function in old women.


Sensors ◽  
2021 ◽  
Vol 22 (1) ◽  
pp. 53
Author(s):  
Joohwan Sung ◽  
Sungmin Han ◽  
Heesu Park ◽  
Hyun-Myung Cho ◽  
Soree Hwang ◽  
...  

The joint angle during gait is an important indicator, such as injury risk index, rehabilitation status evaluation, etc. To analyze gait, inertial measurement unit (IMU) sensors have been used in studies and continuously developed; however, they are difficult to utilize in daily life because of the inconvenience of having to attach multiple sensors together and the difficulty of long-term use due to the battery consumption required for high data sampling rates. To overcome these problems, this study propose a multi-joint angle estimation method based on a long short-term memory (LSTM) recurrent neural network with a single low-frequency (23 Hz) IMU sensor. IMU sensor data attached to the lateral shank were measured during overground walking at a self-selected speed for 30 healthy young persons. The results show a comparatively good accuracy level, similar to previous studies using high-frequency IMU sensors. Compared to the reference results obtained from the motion capture system, the estimated angle coefficient of determination (R2) is greater than 0.74, and the root mean square error and normalized root mean square error (NRMSE) are less than 7° and 9.87%, respectively. The knee joint showed the best estimation performance in terms of the NRMSE and R2 among the hip, knee, and ankle joints.


PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e9463
Author(s):  
Byungjoo Noh ◽  
Changhong Youm ◽  
Myeounggon Lee ◽  
Sang-Myung Cheon

Background No previous study has examined the age-dependent characteristics of gait in individuals between 50 and 79 years simultaneously in healthy individuals and individuals with Parkinson’s disease (PD) over continuous gait cycles. This study aimed to investigate age-related differences in gait characteristics on individuals age ranged 50–79 years, including individuals with PD, during a 1-minute treadmill walking session. Additionally, we aimed to investigate the differences associated with spatiotemporal gait parameters and PD compared in age-matched individuals. Methods This study included 26 individuals with PD and 90 participants age ranged 50–79 years. The treadmill walking test at a self-preferred speed was performed for 1 min. The embedded inertial measurement unit sensor in the left and right outsoles-based system was used to collect gait characteristics based on tri-axial acceleration and tri-axial angular velocities. Results Participants aged >60 years had a decreased gait speed and shortened stride and step, which may demonstrate a distinct shift in aging (all p < 0.005). Individuals with PD showed more of a decrease in variables with a loss of consistency, including gait asymmetry (GA), phase coordination index (PCI) and coefficient of variation (CV) of all variables, than age-matched individuals (all p < 0.001). Gait speed, stride and step length, stance phase, variability, GA and PCI were the variables that highly depended on age and PD. Discussion Older adults could be considered those older than 60 years of age when gait alterations begin, such as a decreased gait speed as well as shortened stride and step length. On the other hand, a loss of consistency in spatiotemporal parameters and a higher GA and PCI could be used to identify individuals with PD. Thus, the CV of all spatiotemporal parameters, GA and PCI during walking could play an important role and be useful in identifying individuals with PD. Conclusion This study provided the notable aging pattern characteristics of gait in individuals >50 years, including individuals with PD. Increasing age after 60 years is associated with deterioration in spatiotemporal parameters of gait during continuous 1-minute treadmill walking. Additionally, GA, PCI and the CV of all variables could be used to identify PD which would be placed after 70 years of age. It may be useful to determine the decline of gait performance in general and among individuals with PD.


Sensors ◽  
2020 ◽  
Vol 20 (21) ◽  
pp. 6010
Author(s):  
Carl Mikael Lind ◽  
Jose Antonio Diaz-Olivares ◽  
Kaj Lindecrantz ◽  
Jörgen Eklund

Work-related musculoskeletal disorders are a major concern globally affecting societies, companies, and individuals. To address this, a new sensor-based system is presented: the Smart Workwear System, aimed at facilitating preventive measures by supporting risk assessments, work design, and work technique training. The system has a module-based platform that enables flexibility of sensor-type utilization, depending on the specific application. A module of the Smart Workwear System that utilizes haptic feedback for work technique training is further presented and evaluated in simulated mail sorting on sixteen novice participants for its potential to reduce adverse arm movements and postures in repetitive manual handling. Upper-arm postures were recorded, using an inertial measurement unit (IMU), perceived pain/discomfort with the Borg CR10-scale, and user experience with a semi-structured interview. This study shows that the use of haptic feedback for work technique training has the potential to significantly reduce the time in adverse upper-arm postures after short periods of training. The haptic feedback was experienced positive and usable by the participants and was effective in supporting learning of how to improve postures and movements. It is concluded that this type of sensorized system, using haptic feedback training, is promising for the future, especially when organizations are introducing newly employed staff, when teaching ergonomics to employees in physically demanding jobs, and when performing ergonomics interventions.


Sensors ◽  
2018 ◽  
Vol 18 (12) ◽  
pp. 4293 ◽  
Author(s):  
Andressa Rezende ◽  
Camille Alves ◽  
Isabela Marques ◽  
Marco Silva ◽  
Eduardo Naves

The quantitative measurement of an articular motion is an important indicator of its functional state and for clinical and pathology diagnoses. Joint angle evaluation techniques can be applied to improve sports performance and provide feedback information for prostheses control. Polymer optical fiber (POF) sensors are presented as a novel method to evaluate joint angles, because they are compact, lightweight, flexible and immune to electromagnetic interference. This study aimed to characterize and implement a new portable and wearable system to measure angles based on a POF curvature sensor. This study also aimed to present the system performance in bench tests and in the measurement of the elbow joint in ten participants, comparing the results with a consolidated resistive goniometer. Results showed high repeatability of sensors between cycles and high similarity of behavior with the potentiometer, with the advantage of being more ergonomic. The proposed sensor presented errors comparable to the literature and showed some advantages over other goniometers, such as the inertial measurement unit (IMU) sensor and over other types of POF sensors. This demonstrates its applicability for joint angle evaluation.


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