Gait rehabilitation monitor

This work presents a simple wearable, non-intrusive affordable mobile framework that allows remote patient monitoring during gait rehabilitation, by doctors and physiotherapists. The system includes a set of 2 Shimmer3 9DoF Inertial Measurement Units (IMUs), Bluetooth compatible from Shimmer, an Android smartphone for collecting and primary processing of data and persistence in a local database. Low computational load algorithms based on Euler angles and accelerometer, gyroscope and magnetometer signals were developed and used for the classification and identification of several gait disturbances. These algorithms include the alignment of IMUs sensors data by means of a common temporal reference as well as heel strike and stride detection algorithms to help segmentation of the remotely collected signals by the System app to identify gait strides and extract relevant features to feed, train and test a classifier to predict gait abnormalities in gait sessions. A set of drivers from Shimmer manufacturer is used to make the connection between the app and the set of IMUs using Bluetooth. The developed app allows users to collect data and train a classification model for identifying abnormal and normal gait types. The system provides a REST API available in a backend server along with Java and Python libraries and a PostgreSQL database. The machine-learning type is Supervised using Extremely Randomized Trees method. Frequency, time and time-frequency domain features were extracted from the collected and processed signals to train the classifier. To test the framework a set of gait abnormalities and normal gait were used to train a model and test the classifier.Este trabalho apresenta uma estrutura móvel acessível, simples e não intrusiva, que permite a monitorização e a assistência remota de pacientes durante a reabilitação da marcha, por médicos e fisioterapeutas que monitorizam a reabilitação da marcha do paciente. O sistema inclui um conjunto de 2 IMUs (Inertial Mesaurement Units) Shimmer3 da marca Shimmer, compatíveís com Bluetooth, um smartphone Android para recolha, e pré-processamento de dados e armazenamento numa base de dados local. Algoritmos de baixa carga computacional baseados em ângulos Euler e sinais de acelerómetros, giroscópios e magnetómetros foram desenvolvidos e utilizados para a classificação e identificação de diversas perturbações da marcha. Estes algoritmos incluem o alinhamento e sincronização dos dados dos sensores IMUs usando uma referência temporal comum, além de algoritmos de detecção de passos e strides para auxiliar a segmentação dos sinais recolhidos remotamente pelaappdestaframeworke identificar os passos da marcha extraindo as características relevantes para treinar e testar um classificador que faça a predição de deficiências na marcha durante as sessões de monitorização. Um conjunto de drivers do fabricante Shimmer é usado para fazer a conexão entre a app e o conjunto de IMUs através de Bluetooth. A app desenvolvida permite aos utilizadores recolher dados e treinar um modelo de classificação para identificar os tipos de marcha normais e patológicos. O sistema fornece uma REST API disponível num servidor backend recorrendo a bibliotecas Java e Python e a uma base de dados PostgreSQL. O tipo de machine-learning é Supervisionado usando Extremely Randomized Trees. Features no domínio do tempo, da frequência e do tempo-frequência foram extraídas dos sinais recolhidos e processados para treinar o classificador. Para testar a estrutura, um conjunto de marchas patológicas e normais foram utilizadas para treinar um modelo e testar o classificador

Gait Recognition based on Inverse Fast Fourier Transform Gaussian and Enhancement Histogram Oriented of Gradient

Gait recognition using the energy image representation of the average silhouette image in one complete cycle becomes a baseline in model-free approaches research. Nevertheless, gait is sensitive to any changes. Up to date in the area of feature extraction, image feature representation method based on the spatial gradient is still lacking in efficiency especially for the covariate case like carrying bag and wearing a coat. Although the use of Histogram of orientation Gradient (HOG) in pedestrian detection is the most effective method, its accuracy is still considered low after testing on covariate dataset. Thus this research proposed a combination of frequency and spatial features based on Inverse Fast Fourier Transform and Histogram of Oriented Gradient (IFFTG-HoG) for gait recognition. It consists of three phases, namely image processing phase, feature extraction phase in the production of a new image representation and the classification. The first phase comprises image binarization process and energy image generation using gait average image in one cycle. In the second phase, the IFFTG-HoG method is used as a features gait extraction after generating energy image. Here, the IFFTG-HoG method has also been improved by using Chebyshev distance to calculate the magnitude of the gradient to increase the rate of recognition accuracy. Lastly, K-Nearest Neighbour (k=NN) classifier with K=1 is employed for individual classification in the third phase. A total of 124 people from CASIA B dataset were tested using the proposed IFTG-HoG method. It performed better in gait individual classification as the value of average accuracy for the standard dataset 96.7%, 93.1% and 99.6%compared to HoG method by 94.1%, 85.9% and 96.2% in order. With similar motivation, we tested on Rempit datasets to recognize motorcycle rider anomaly event and our proposed method also outperforms Dalal Method

A Review of EMG Techniques for Detection of Gait Disorders

Electromyography (EMG) is a commonly used technique to record myoelectric signals, i.e., motor neuron signals that originate from the central nervous system (CNS) and synergistically activate groups of muscles resulting in movement. EMG patterns underlying movement, recorded using surface or needle electrodes, can be used to detect movement and gait abnormalities. In this review article, we examine EMG signal processing techniques that have been applied for diagnosing gait disorders. These techniques span from traditional statistical tests to complex machine learning algorithms. We particularly emphasize those techniques are promising for clinical applications. This study is pertinent to both medical and engineering research communities and is potentially helpful in advancing diagnostics and designing rehabilitation devices

Gait Rehabilitation Monitor

This paper presents a simple wearable, non-intrusive affordable mobile framework that allows remote patient monitoring during gait rehabilitation by doctors and physiotherapists. The system includes a set of 2 Shimmer3 9DoF Inertial Measurement Units (IMUs), an Android smartphone and a developed app for collecting, primary processing of data and for persistence of data in a remote PostgreSQL database, which is available in a remote server and where further data processing is performed. This framework provides gait features classifier by invoking an implemented REST API available in the remote server. Low computational load algorithms based on Euler angles and filtered signals were developed and used for the classification and identification of several gait disturbances. These algorithms include the alignment of IMUs sensors data by means of a common temporal reference as well as heel strike and stride detection algorithms. After segmentation of the remotely collected signals for gait strides identification relevant features were extracted to feed, train and test a classifier for prediction of gait abnormalities using supervised machine learning type and Extremely Randomized Trees method.info:eu-repo/semantics/publishedVersio

Toward Unobtrusive In-home Gait Analysis Based on Radar Micro-Doppler Signatures

Objective: In this paper, we demonstrate the applicability of radar for gait classification with application to home security, medical diagnosis, rehabilitation and assisted living. Aiming at identifying changes in gait patterns based on radar micro-Doppler signatures, this work is concerned with solving the intra motion category classification problem of gait recognition. Methods: New gait classification approaches utilizing physical features, subspace features and sum-of-harmonics modeling are presented and their performances are evaluated using experimental K-band radar data of four test subjects. Five different gait classes are considered for each person, including normal, pathological and assisted walks. Results: The proposed approaches are shown to outperform existing methods for radar-based gait recognition which utilize physical features from the cadence-velocity data representation domain as in this paper. The analyzed gait classes are correctly identified with an average accuracy of 93.8%, where a classification rate of 98.5% is achieved for a single gait class. When applied to new data of another individual a classification accuracy on the order of 80% can be expected. Conclusion: Radar micro-Doppler signatures and their Fourier transforms are well suited to capture changes in gait. Five different walking styles are recognized with high accuracy. Significance: Radar-based sensing of human gait is an emerging technology with multi-faceted applications in security and health care industries. We show that radar, as a contact-less sensing technology, can supplement existing gait diagnostic tools with respect to long-term monitoring and reproducibility of the examinations.Comment: 11 pages, 6 figure

Intelligent signal processing for digital healthcare monitoring

Ein gesunder Gang ist ein komplexer Prozess und erfordert ein Gleichgewicht zwischen verschiedenen neurophysiologischen Systemen im Körper und gilt als wesentlicher Indikator für den physischen und kognitiven Gesundheitszustand einer Person. Folglich würden Anwendungen im Bereich der Bioinformatik und des Gesundheitswesens erheblich von den Informationen profitieren, die sich aus einer längeren oder ständigen Überwachung des Gangs, der Gewohnheiten und des Verhaltens von Personen unter ihren natürlichen Lebensbedingungen und bei ihren täglichen Aktivitäten mit Hilfe intelligenter Geräte ergeben. Vergleicht man Trägheitsmess- und stationäre Sensorsysteme, so bieten erstere hervorragende Möglichkeiten für Ganganalyseanwendungen und bieten mehrere Vorteile wie geringe Größe, niedriger Preis, Mobilität und sind leicht in tragbare Systeme zu integrieren. Die zweiten gelten als der Goldstandard, sind aber teuer und für Messungen im Freien ungeeignet. Diese Arbeit konzentriert sich auf die Verbesserung der Zeit und Qualität der Gangrehabilitation nach einer Operation unter Verwendung von Inertialmessgeräten, indem sie eine neuartige Metrik zur objektiven Bewertung des Fortschritts der Gangrehabilitation in realen Umgebungen liefert und die Anzahl der verwendeten Sensoren für praktische, reale Szenarien reduziert. Daher wurden die experimentellen Messungen für eine solche Analyse in einer stark kontrollierten Umgebung durchgeführt, um die Datenqualität zu gewährleisten. In dieser Arbeit wird eine neue Gangmetrik vorgestellt, die den Rehabilitationsfortschritt anhand kinematischer Gangdaten von Aktivitäten in Innen- und Außenbereichen quantifiziert und verfolgt. In dieser Arbeit wird untersucht, wie Signalverarbeitung und maschinelles Lernen formuliert und genutzt werden können, um robuste Methoden zur Bewältigung von Herausforderungen im realen Leben zu entwickeln. Es wird gezeigt, dass der vorgeschlagene Ansatz personalisiert werden kann, um den Fortschritt der Gangrehabilitation zu verfolgen. Ein weiteres Thema dieser Arbeit ist die erfolgreiche Anwendung von Methoden des maschinellen Lernens auf die Ganganalyse aufgrund der großen Datenmenge, die von den tragbaren Sensorsystemen erzeugt wird. In dieser Arbeit wird das neuartige Konzept des ``digitalen Zwillings'' vorgestellt, das die Anzahl der verwendeten Wearable-Sensoren in einem System oder im Falle eines Sensorausfalls reduziert. Die Evaluierung der vorgeschlagenen Metrik mit gesunden Teilnehmern und Patienten unter Verwendung statistischer Signalverarbeitungs- und maschineller Lernmethoden hat gezeigt, dass die Einbeziehung der extrahierten Signalmerkmale in realen Szenarien robust ist, insbesondere für das Szenario mit Rehabilitations-Gehübungen in Innenräumen. Die Methodik wurde auch in einer klinischen Studie evaluiert und lieferte eine gute Leistung bei der Überwachung des Rehabilitationsfortschritts verschiedener Patienten. In dieser Arbeit wird ein Prototyp einer mobilen Anwendung zur objektiven Bewertung des Rehabilitationsfortschritts in realen Umgebungen vorgestellt

Discrete wavelet transform based freezing of gait detection in Parkinson's disease

Wearable on body sensors have been employed in many applications including ambulatory monitoring and pervasive computing systems. In this work, a wearable assistant has been created for people suffering from Parkinson’s disease (PD), specifically with the Freezing of Gait (FoG) symptom. Wearable accelerometers were placed on the person’s body and used for movement measure. When FoG is detected, a rhythmic audio signal was given from the wearable assistant to motivate the wearer to continue walking. Long term monitoring results in collecting huge amounts of complex raw data; therefore, data analysis becomes impractical or infeasible resulting in the need for data reduction. In the present study, Discrete Wavelet Transform (DWT) has been used to extract the main features inherent in the key movement indicators for FoG detection. The discrimination capacities of these features were assessed using, i) Support Vector Machine (SVM) using a linear kernel function, and ii) Artificial Neural Network (ANN) with a two-layer feed-forward with hidden layer of 20 neurons that trained with conjugate gradient back- propagation. Using these two different machine learning techniques, we were capable of detecting FoG with an accuracy of 87.50% and 93.8%, respectively. Additionally, the comparison between the extracted features from DWT coefficients with those using Fast Fourier Transform (FFT) established accuracies of 93.8% and 81.3%, respectively. Finally, the discriminative features extracted from DWT yield to a robust multidimensional classification model compared to models in the literature based on a single feature. The work presented paves the way for reliable, real-time wearable sensors to aid people with PD

Acoustic analysis of the knee joint in the study of osteoarthritis detection during walking

This thesis investigates the potential of non-invasive detection of knee Osteoarthritis (OA) using the sounds emitted by the knee joint during walking and captured by a single microphone. This is a novel application since, until now, there are no other methods that considered this type of signals. Clinical detection of knee OA relies on imaging techniques such as X-radiology and Magnetic Resonance Imaging. Some of these methods are expensive and impractical while others pose health risks due to radiation. Knee sounds on the other hand may offer a quick, practical and cost-effective alternative for the detection of the disease. In this thesis, the knee sound signal structure is investigated using signal processing methods for information extraction from the time, frequency, cepstral and modulation domains. Feature representations are obtained and their discriminant properties are studied using statistical methods such as the Bhattacharyya distance and supervised learning techniques such as Support Vector Machine. From this work, a statistical feature parameterisation is proposed and its efficacy for the task of healthy vs OA knee condition classification is investigated using a comprehensive experimental framework proposed in this thesis. Feature-based representations that incorporate spatiotemporal information using gait pattern variables, were also investigated for classification. Using the waveform characteristics of the acoustic pulse events detected in the signal, such representations are proposed and evaluated. This approach utilised a novel stride detection and segmentation algorithm that is based on dynamic programming and is also proposed in the thesis. This algorithm opens up potential applications in other research fields such as gait analysis.Open Acces

A Review on Human Gait Detection

The human gait is the identification of human locomotive based on limbs position or action The tracking of human gait can help in various applications like normal and abnormal gait fall detection gender detection age detection biometrics and in some terrorist and criminal activity detection The present work carried out is a review of various methodologies employed in human gait detection The analysis describes that the different feature extraction and machine learning techniques to be adopted for the identification of human gait based on the purpose of the applicatio