A smart cushion for real-time heart rate monitoring

10.1109/BioCAS.2012.64185122012 IEEE Biomedical Circuits and Systems Conference: Intelligent Biomedical Electronics and Systems for Better Life and Better Environment, BioCAS 2012 - Conference Publications53-5

Development of a Portable Seat Cushion for the Estimation of Heart Rate Using Ballistocardiography

Cardiovascular diseases are a leading contributor of health problems all over the world and are the second leading cause of death. They are also the cause of significant economic burden, costing billions of dollars in healthcare every year. With an aging population, the strain on the healthcare system, both in terms of costs and care provision, is expected to worsen. Frequent cardiac assessment can provide essential information towards diagnosis, monitoring, and treatment, which can mitigate symptoms and improve health outcomes for people with conditions such as heart failure. This has led to increasing interest in cardiac assessment at home. Additionally, for some populations like people with limited mobility and older adults, long term vitals monitoring at a clinical setting is not feasible, making at-home monitoring more viable and economical. Most devices available for cardiac monitoring at home are wearables. While wearable technology can be accurate, it requires compliance and maintenance, which is not an ideal solution for all populations. For example, people who are not comfortable using wearables or people with a cognitive impairment may not want or be able to use wearables, which could exclude these user types from at home monitoring. Keeping these factors under consideration, the past decade has seen an increased interest in the development of technologies for Ambient Assisted Living (i.e., smart technologies integrated into a user's environment). These technologies have the potential for ongoing health monitoring in an unobtrusive manner. This thesis presents research into the development of a smart seat cushion for heart rate monitoring. The cushion is able to calculate the heart rate of a person seated on it by acquiring their Ballistocardiogram (BCG). BCG is a cardiovascular signal corresponding to the displacement of the body in response to the heart pumping blood at every heartbeat. The prototype seat cushion has load cells embedded inside it that sense the micromovements of the body and translate it to an electrical signal. An analog signal conditioning circuit amplifies and filters this signal to enhance the components corresponding to BCG before it is converted to digital form. A pilot study was conducted with twenty participants to acquire BCG in real-world scenarios: 1) sitting still, 2) reading, 3) using a computer, 4) watching TV, and 5) having a conversation. Heart rate was calculated using a novel algorithm based on Continuous Wavelet Transform by detecting the largest peaks (referred to as the J-peaks) in the BCG. Excluding three outliers, the algorithm is able to achieve an overall accuracy of 94.6% compared to gold standard Electrocardiography (ECG). This accuracy is observed to be as good as or better than those of existing wearable heart rate monitors. The seat cushion developed in this thesis research can serve as a portable solution for cardiac monitoring and can integrate into an ambient health monitoring system, offering continued monitoring of heart rate while requiring no perceived effort to operate it. Future work includes exploring different sensor configurations, machine learning based approaches for improving J-peaks detection, and real-time monitoring of heart rate

Pametne uredske stolice sa senzorima za otkrivanje položaja i navika sjedenja – pregled literature

The health consequences of prolonged sitting in the office and other work chairs have recently been tried to be alleviated or prevented by the application of modern technologies. Smart technologies and sensors are installed in different parts of office chairs, which enables monitoring of seating patterns and prevents positions that potentially endanger the health of users. The aim of this paper is to provide an overview of previous research in the field of the application of smart technologies and sensors built into office and other types of chairs in order to prevent diseases. The articles published in the period 2010-2020 and indexed in WoS CC, Scopus, and IEEE Xplore databases, with the keywords “smart chair” and “sensor chair” were analysed. 15 articles were processed, with their research being based on the use of different types of sensors that determine the contact pressures between the user’s body and stool parts and recognise different body positions when sitting, which can prevent negative health consequences. Analysed papers prove that the use of smart technology and a better understanding of sitting, using various sensors and applications that read body pressure and determine the current body position, can act as preventive health care by detecting proper heart rate and beats per minute, the activity of individual muscle groups, proper breathing and estimates of blood oxygen levels. In the future research, it is necessary to compare different types of sensors, methods used and the results obtained in order to determine which of them are most suitable for the future development of seating furniture for work.Posljedice dugotrajnog sjedenja na uredskim i drugim radnim stolicama u posljednje se vrijeme pokušavaju ublažiti ili spriječiti primjenom suvremenih tehnologija. U različite dijelove uredskih stolica ugrađuju se pametne tehnologije i senzori, što omogućuje praćenje rasporeda sjedenja i izbjegavanje položaja koji potencijalno ugrožavaju zdravlje korisnika. Cilj ovog rada jest davanje pregleda dosadašnjih istraživanja u području primjene suvremenih pametnih tehnologija i senzora ugrađenih u uredske i ostale vrste stolica radi prevencije obolijevanja korisnika. Analizirani su članci objavljeni u razdoblju od 2010. do 2020. i indeksirani su u bazama podataka WoS CC, Scopus i IEEE Xplore, a izdvojeni su prema ključnim riječima pametna stolica i senzorska stolica. Obrađeno je 15 članaka u kojima su se istraživanja temeljila na primjeni različitih vrsta senzora koji određuju kontaktne tlakove između korisnikova tijela i dijelova stolice te raspoznaju različite položaje tijela pri sjedenju, čime se mogu prevenirati negativne posljedice za zdravlje. U analiziranim istraživanjima autori su dokazali da primjena pametne tehnologije i bolje razumijevanje sjedenja uporabom različitih senzora i aplikacija kojima se očitava pritisak tijela i određuje njegov trenutačni položaj može preventivno djelovati zahvaljujući praćenju rada srca i broja otkucaja u minuti, aktivnosti pojedinih mišićnih skupina, pravilnog disanja, procjene razine kisika u krvi i sl. U budućim istraživanjima potrebno je usporediti različite tipove senzora, primijenjene metode i dobivene rezultate kako bi se uočilo koji su od njih najprikladniji za budući razvoj radnog namještaja za sjedenje

Integrating Wearable Devices and Recommendation System: Towards a Next Generation Healthcare Service Delivery

Researchers have identified lifestyle diseases as a major threat to human civilization. These diseases gradually progress without giving any warning and result in a sudden health aggravation that leads to a medical emergency. As such, individuals can only avoid the life-threatening condition if they regularly monitor their health status. Health recommendation systems allow users to continuously monitor their health and deliver proper health advice to them. Also, continuous health monitoring depends on the real-time data exchange between health solution providers and users. In this regard, healthcare providers have begun to use wearable devices and recommendation systems to collect data in real time and to manage health conditions based on the generated data. However, we lack literature that has examined how individuals use wearable devices, what type of data the devices collect, and how providers use the data for delivering solutions to users. Thus, we decided to explore the available literature in this domain to understand how wearable devices can provide solutions to consumers. We also extended our focus to cover current health service delivery frameworks with the help of recommender systems. Thus, this study reviews health-monitoring services by conglomerating both wearable device and recommendation system to come up with personalized health and fitness solutions. Additionally, the paper elucidates key components of an advanced-level real-time monitoring service framework to guide future research and practice in this domain

Non-invasive monitoring of vital signs using recliner chair and respiratory pattern analysis

In-home monitoring has the potential to help track health changes for older adults with chronic health conditions, thereby making early treatment possible when exacerbations arise. A recliner chair is often used by older adults, even for sleeping at night, for those with breathing difficulty, neck and back problems, or other pain. Here, we present a sensor system for recliner chairs that can be used to monitor heart rate and respiration rate. The system uses two accelerometers placed strategically to capture these vital signs noninvasively and without direct contact with the body, while at same time being hidden from view. The system was tested with 45 subjects, with an average age of 78.8 years for both upright and reclined configurations of the chair. We also tested the system on 6 different types of recliner models. An accuracy of 99% for heart rate and 93% for respiratory rate was obtained. An analysis of the error distribution patterns according to age, gender and recliner configurations are considered. A validation study of a commercially available sensor, Murata SCA11H, which is primarily designed for use on the bed is tested on the chair and the results are presented in this thesis. We have also developed a measure known as the "Breathing Pattern Index" that can be useful in determining the respiratory health of the occupants on the chair. Initial studies of the effectiveness of this index and algorithm are evaluated and the results are presented. This new system and index have the potential to help in identifying very early health changes and improve health outcomes for older adults.Includes bibliographical reference

A Smart Pillow for Health Sensing System Based on Temperature and Humidity Sensors

The quality of sleep affects the patient's health, along with the observation of vital life signs such as body temperature and sweat in sleep, is essential in the monitoring of sleep as well as clinical diagnosis. However, traditional methods in recording physiological change amidst sleep is difficult without being intrusive. The smart pillow is developed to provide a relatively easy way to observe one's sleep condition, employing temperature and humidity sensors by implanting them inside the pillow in strategic positions. With the patient's head on the pillow, the roles of sensors are identified as main, auxiliary or environmental temperature, based on the differences of value from three temperature sensors, thus the pattern of sleep can be extracted by statistical analysis, and the body temperature is inferred by a specially designed Fuzzy Logic System if the head-on position is stable for more than 15 min. Night sweat is reported on data from the humidity sensor. Therefore, a cloud-based health-sensing system is built in the smart pillow to collect and analyze data. Experiments from various individuals prove that statistical and inferred results reflect normal and abnormal conditions of sleep accurately. The daily sleeping information of patients from the pillow is helpful in the decision-making of diagnoses and treatment, and users can change their habits of sleep gradually by observing the data with their health professional

Unobtrusive Health Monitoring in Private Spaces: The Smart Vehicle

Unobtrusive in-vehicle health monitoring has the potential to use the driving time to perform regular medical check-ups. This work intends to provide a guide to currently proposed sensor systems for in-vehicle monitoring and to answer, in particular, the questions: (1) Which sensors are suitable for in-vehicle data collection? (2) Where should the sensors be placed? (3) Which biosignals or vital signs can be monitored in the vehicle? (4) Which purposes can be supported with the health data? We reviewed retrospective literature systematically and summarized the up-to-date research on leveraging sensor technology for unobtrusive in-vehicle health monitoring. PubMed, IEEE Xplore, and Scopus delivered 959 articles. We firstly screened titles and abstracts for relevance. Thereafter, we assessed the entire articles. Finally, 46 papers were included and analyzed. A guide is provided to the currently proposed sensor systems. Through this guide, potential sensor information can be derived from the biomedical data needed for respective purposes. The suggested locations for the corresponding sensors are also linked. Fifteen types of sensors were found. Driver-centered locations, such as steering wheel, car seat, and windscreen, are frequently used for mounting unobtrusive sensors, through which some typical biosignals like heart rate and respiration rate are measured. To date, most research focuses on sensor technology development, and most application-driven research aims at driving safety. Health-oriented research on the medical use of sensor-derived physiological parameters is still of interest

Unobtrusive Health Monitoring in Private Spaces: The Smart Home

With the advances in sensor technology, big data, and artificial intelligence, unobtrusive in-home health monitoring has been a research focus for decades. Following up our research on smart vehicles, within the framework of unobtrusive health monitoring in private spaces, this work attempts to provide a guide to current sensor technology for unobtrusive in-home monitoring by a literature review of the state of the art and to answer, in particular, the questions: (1) What types of sensors can be used for unobtrusive in-home health data acquisition? (2) Where should the sensors be placed? (3) What data can be monitored in a smart home? (4) How can the obtained data support the monitoring functions? We conducted a retrospective literature review and summarized the state-of-the-art research on leveraging sensor technology for unobtrusive in-home health monitoring. For structured analysis, we developed a four-category terminology (location, unobtrusive sensor, data, and monitoring functions). We acquired 912 unique articles from four relevant databases (ACM Digital Lib, IEEE Xplore, PubMed, and Scopus) and screened them for relevance, resulting in n=55 papers analyzed in a structured manner using the terminology. The results delivered 25 types of sensors (motion sensor, contact sensor, pressure sensor, electrical current sensor, etc.) that can be deployed within rooms, static facilities, or electric appliances in an ambient way. While behavioral data (e.g., presence (n=38), time spent on activities (n=18)) can be acquired effortlessly, physiological parameters (e.g., heart rate, respiratory rate) are measurable on a limited scale (n=5). Behavioral data contribute to functional monitoring. Emergency monitoring can be built up on behavioral and environmental data. Acquired physiological parameters allow reasonable monitoring of physiological functions to a limited extent. Environmental data and behavioral data also detect safety and security abnormalities. Social interaction monitoring relies mainly on direct monitoring of tools of communication (smartphone; computer). In summary, convincing proof of a clear effect of these monitoring functions on clinical outcome with a large sample size and long-term monitoring is still lacking