Latest research trends in gait analysis using wearable sensors and machine learning: a systematic review

Gait is the locomotion attained through the movement of limbs and gait analysis examines the patterns (normal/abnormal) depending on the gait cycle. It contributes to the development of various applications in the medical, security, sports, and fitness domains to improve the overall outcome. Among many available technologies, two emerging technologies that play a central role in modern day gait analysis are: A) wearable sensors which provide a convenient, efficient, and inexpensive way to collect data and B) Machine Learning Methods (MLMs) which enable high accuracy gait feature extraction for analysis. Given their prominent roles, this paper presents a review of the latest trends in gait analysis using wearable sensors and Machine Learning (ML). It explores the recent papers along with the publication details and key parameters such as sampling rates, MLMs, wearable sensors, number of sensors, and their locations. Furthermore, the paper provides recommendations for selecting a MLM, wearable sensor and its location for a specific application. Finally, it suggests some future directions for gait analysis and its applications

Gait-based identification for elderly users in wearable healthcare systems

Abstract The increasing scope of sensitive personal information that is collected and stored in wearable healthcare devices includes physical, physiological, and daily activities, which makes the security of these devices very essential. Gait-based identity recognition is an emerging technology, which is increasingly used for the access control of wearable devices, due to its outstanding performance. However, gait-based identity recognition of elderly users is more challenging than that of young adults, due to significant intra-subject gait fluctuation, which becomes more pronounced with user age. This study introduces a gait-based identity recognition method used for the access control of elderly people-centred wearable healthcare devices, which alleviates the intra-subject gait fluctuation problem and provides a significant recognition rate improvement, as compared to available methods. Firstly, a gait template synthesis method is proposed to reduce the intra-subject gait fluctuation of elderly users. Then, an arbitration-based score level fusion method is defined to improve the recognition accuracy. Finally, the proposed method feasibility is verified using a public dataset containing acceleration signals from three IMUs worn by 64 elderly users with the age range from 50 to 79 years. The experimental results obtained prove that the average recognition rate of the proposed method reaches 96.7%. This makes the proposed method quite lucrative for the robust gait-based identification of elderly users of wearable healthcare devices

Smart aging : utilisation of machine learning and the Internet of Things for independent living

Smart aging utilises innovative approaches and technology to improve older adults’ quality of life, increasing their prospects of living independently. One of the major concerns the older adults to live independently is “serious fall”, as almost a third of people aged over 65 having a fall each year. Dementia, affecting nearly 9% of the same age group, poses another significant issue that needs to be identified as early as possible. Existing fall detection systems from the wearable sensors generate many false alarms; hence, a more accurate and secure system is necessary. Furthermore, there is a considerable gap to identify the onset of cognitive impairment using remote monitoring for self-assisted seniors living in their residences. Applying biometric security improves older adults’ confidence in using IoT and makes it easier for them to benefit from smart aging. Several publicly available datasets are pre-processed to extract distinctive features to address fall detection shortcomings, identify the onset of dementia system, and enable biometric security to wearable sensors. These key features are used with novel machine learning algorithms to train models for the fall detection system, identifying the onset of dementia system, and biometric authentication system. Applying a quantitative approach, these models are tested and analysed from the test dataset. The fall detection approach proposed in this work, in multimodal mode, can achieve an accuracy of 99% to detect a fall. Additionally, using 13 selected features, a system for detecting early signs of dementia is developed. This system has achieved an accuracy rate of 93% to identify a cognitive decline in the older adult, using only some selected aspects of their daily activities. Furthermore, the ML-based biometric authentication system uses physiological signals, such as ECG and Photoplethysmogram, in a fusion mode to identify and authenticate a person, resulting in enhancement of their privacy and security in a smart aging environment. The benefits offered by the fall detection system, early detection and identifying the signs of dementia, and the biometric authentication system, can improve the quality of life for the seniors who prefer to live independently or by themselves

Sensing via signal analysis, analytics, and cyberbiometric patterns

Includes bibliographical references.2022 Fall.Internet-connected, or Internet of Things (IoT), sensor technologies have been increasingly incorporated into everyday technology and processes. Their functions are situationally dependent and have been used for vital recordings such as electrocardiograms, gait analysis and step counting, fall detection, and environmental analysis. For instance, environmental sensors, which exist through various technologies, are used to monitor numerous domains, including but not limited to pollution, water quality, and the presence of biota, among others. Past research into IoT sensors has varied depending on the technology. For instance, previous environmental gas sensor IoT research has focused on (i) the development of these sensors for increased sensitivity and increased lifetimes, (ii) integration of these sensors into sensor arrays to combat cross-sensitivity and background interferences, and (iii) sensor network development, including communication between widely dispersed sensors in a large-scale environment. IoT inertial measurement units (IMU's), such as accelerometers and gyroscopes, have been previously researched for gait analysis, movement detection, and gesture recognition, which are often related to human-computer interface (HCI). Methods of IoT Device feature-based pattern recognition for machine learning (ML) and artificial intelligence (AI) are frequently investigated as well, including primitive classification methods and deep learning techniques. The result of this research gives insight into each of these topics individually, i.e., using a specific sensor technology to detect carbon monoxide in an indoor environment, or using accelerometer readings for gesture recognition. Less research has been performed on analyzing the systems aspects of the IoT sensors themselves. However, an important part of attaining overall situational awareness is authenticating the surroundings, which in the case of IoT means the individual sensors, humans interacting with the sensors, and other elements of the surroundings. There is a clear opportunity for the systematic evaluation of the identity and performance of an IoT sensor/sensor array within a system that is to be utilized for "full situational awareness". This awareness may include (i) non-invasive diagnostics (i.e., what is occurring inside the body), (ii) exposure analysis (i.e., what has gone into the body through both respiratory and eating/drinking pathways), and (iii) potential risk of exposure (i.e., what the body is exposed to environmentally). Simultaneously, the system has the capability to harbor security measures through the same situational assessment in the form of multiple levels of biometrics. Through the interconnective abilities of the IoT sensors, it is possible to integrate these capabilities into one portable, hand-held system. The system will exist within a "magic wand", which will be used to collect the various data needed to assess the environment of the user, both inside and outside of their bodies. The device can also be used to authenticate the user, as well as the system components, to discover potential deception within the system. This research introduces levels of biometrics for various scenarios through the investigation of challenge-based biometrics; that is, biometrics based upon how the sensor, user, or subject of study responds to a challenge. These will be applied to multiple facets surrounding "situational awareness" for living beings, non-human beings, and non-living items or objects (which we have termed "abiometrics"). Gesture recognition for intent of sensing was first investigated as a means of deliberate activation of sensors/sensor arrays for situational awareness while providing a level of user authentication through biometrics. Equine gait analysis was examined next, and the level of injury in the lame limbs of the horse was quantitatively measured and classified using data from IoT sensors. Finally, a method of evaluating the identity and health of a sensor/sensory array was examined through different challenges to their environments

One-Class Subject Identification From Smartphone-Acquired Walking Data

In this work, a novel type of human identification system is proposed, which has the aim to recognize a user from his biometric traits of his way of walk. A smartphone is utilized to acquire motion data from the built-in sensors. Data from accelerometer and gyroscope are processed through a cycle extraction phase, a Convolutional Neural Network for feature extraction and a One-Class SVM classifier for identification. From quantitave results the system achieves an Equal Error Rate close to 1

Wearable and BAN Sensors for Physical Rehabilitation and eHealth Architectures

The demographic shift of the population towards an increase in the number of elderly citizens, together with the sedentary lifestyle we are adopting, is reflected in the increasingly debilitated physical health of the population. The resulting physical impairments require rehabilitation therapies which may be assisted by the use of wearable sensors or body area network sensors (BANs). The use of novel technology for medical therapies can also contribute to reducing the costs in healthcare systems and decrease patient overflow in medical centers. Sensors are the primary enablers of any wearable medical device, with a central role in eHealth architectures. The accuracy of the acquired data depends on the sensors; hence, when considering wearable and BAN sensing integration, they must be proven to be accurate and reliable solutions. This book is a collection of works focusing on the current state-of-the-art of BANs and wearable sensing devices for physical rehabilitation of impaired or debilitated citizens. The manuscripts that compose this book report on the advances in the research related to different sensing technologies (optical or electronic) and body area network sensors (BANs), their design and implementation, advanced signal processing techniques, and the application of these technologies in areas such as physical rehabilitation, robotics, medical diagnostics, and therapy

Cybersecurity and the Digital Health: An Investigation on the State of the Art and the Position of the Actors

Cybercrime is increasingly exposing the health domain to growing risk. The push towards a strong connection of citizens to health services, through digitalization, has undisputed advantages. Digital health allows remote care, the use of medical devices with a high mechatronic and IT content with strong automation, and a large interconnection of hospital networks with an increasingly effective exchange of data. However, all this requires a great cybersecurity commitment—a commitment that must start with scholars in research and then reach the stakeholders. New devices and technological solutions are increasingly breaking into healthcare, and are able to change the processes of interaction in the health domain. This requires cybersecurity to become a vital part of patient safety through changes in human behaviour, technology, and processes, as part of a complete solution. All professionals involved in cybersecurity in the health domain were invited to contribute with their experiences. This book contains contributions from various experts and different fields. Aspects of cybersecurity in healthcare relating to technological advance and emerging risks were addressed. The new boundaries of this field and the impact of COVID-19 on some sectors, such as mhealth, have also been addressed. We dedicate the book to all those with different roles involved in cybersecurity in the health domain

Privacy-Protecting Techniques for Behavioral Data: A Survey

Our behavior (the way we talk, walk, or think) is unique and can be used as a biometric trait. It also correlates with sensitive attributes like emotions. Hence, techniques to protect individuals privacy against unwanted inferences are required. To consolidate knowledge in this area, we systematically reviewed applicable anonymization techniques. We taxonomize and compare existing solutions regarding privacy goals, conceptual operation, advantages, and limitations. Our analysis shows that some behavioral traits (e.g., voice) have received much attention, while others (e.g., eye-gaze, brainwaves) are mostly neglected. We also find that the evaluation methodology of behavioral anonymization techniques can be further improved