Instrumentation of a cane to detect and prevent falls

Dissertação de mestrado integrado em Engenharia Biomédica (área de especialização em Eletrónica Médica)The number of falls is growing as the main cause of injuries and deaths in the geriatric community. As a result, the cost of treating the injuries associated with falls is also increasing. Thus, the development of fall-related strategies with the capability of real-time monitoring without user restriction is imperative. Due to their advantages, daily life accessories can be a solution to embed fall-related systems, and canes are no exception. Moreover, gait assessment might be capable of enhancing the capability of cane usage for older cane users. Therefore, reducing, even more, the possibility of possible falls amongst them. Summing up, it is crucial the development of strategies that recognize states of fall, the step before a fall (pre-fall step) and the different cane events continuously throughout a stride. This thesis aims to develop strategies capable of identifying these situations based on a cane system that collects both inertial and force information, the Assistive Smart Cane (ASCane). The strategy regarding the detection of falls consisted of testing the data acquired with the ASCane with three different fixed multi-threshold fall detection algorithms, one dynamic multi-threshold and machine learning methods from the literature. They were tested and modified to account the use of a cane. The best performance resulted in a sensitivity and specificity of 96.90% and 98.98%, respectively. For the detection of the different cane events in controlled and real-life situations, a state-of-the-art finite-state-machine gait event detector was modified to account the use of a cane and benchmarked against a ground truth system. Moreover, a machine learning study was completed involving eight feature selection methods and nine different machine learning classifiers. Results have shown that the accuracy of the classifiers was quite acceptable and presented the best results with 98.32% of overall accuracy for controlled situations and 94.82% in daily-life situations. Regarding pre-fall step detection, the same machine learning approach was accomplished. The models were very accurate (Accuracy = 98.15%) and with the implementation of an online post-processing filter, all the false positive detections were eliminated, and a fall was able to be detected 1.019s before the end of the corresponding pre-fall step and 2.009s before impact.O número de quedas tornou-se uma das principais causas de lesões e mortes na comunidade geriátrica. Como resultado, o custo do tratamento das lesões também aumenta. Portanto, é necessário o desenvolvimento de estratégias relacionadas com quedas e que exibam capacidade de monitorização em tempo real sem colocar restrições ao usuário. Devido às suas vantagens, os acessórios do dia-a-dia podem ser uma solução para incorporar sistemas relacionados com quedas, sendo que as bengalas não são exceção. Além disso, a avaliação da marcha pode ser capaz de aprimorar a capacidade de uso de uma bengala para usuários mais idosos. Desta forma, é crucial o desenvolvimento de estratégias que reconheçam estados de queda, do passo anterior a uma queda e dos diferentes eventos da marcha de uma bengala. Esta dissertação tem como objetivo desenvolver estratégias capazes de identificar as situações anteriormente descritas com base num sistema incorporado numa bengala que coleta informações inerciais e de força, a Assistive Smart Cane (ASCane). A estratégia referente à deteção de quedas consistiu em testar os dados adquiridos através da ASCane com três algoritmos de deteção de quedas (baseados em thresholds fixos), com um algoritmo de thresholds dinâmicos e diferentes classificadores de machine learning encontrados na literatura. Estes métodos foram testados e modificados para dar conta do uso de informação adquirida através de uma bengala. O melhor desempenho alcançado em termos de sensibilidade e especificidade foi de 96,90% e 98,98%, respetivamente. Relativamente à deteção dos diferentes eventos da ASCane em situações controladas e da vida real, um detetor de eventos da marcha foi e comparado com um sistema de ground truth. Além disso, foi também realizado um estudo de machine learning envolvendo oito métodos de seleção de features e nove classificadores diferentes de machine learning. Os resultados mostraram que a precisão dos classificadores foi bastante aceitável e apresentou, como melhores resultados, 98,32% de precisão para situações controladas e 94.82% para situações do dia-a-dia. No que concerne à deteção de passos pré-queda, a mesma abordagem de machine learning foi realizada. Os modelos foram precisos (precisão = 98,15%) e com a implementação de um filtro de pós-processamento, todas as deteções de falsos positivos foram eliminadas e uma queda foi passível de ser detetada 1,019s antes do final do respetivo passo de pré-queda e 2.009s antes do impacto

Southwest Research Institute assistance to NASA in biomedical areas of the technology utilization program

The activities are reported of the NASA Biomedical Applications Team at Southwest Research Institute between 25 August, 1972 and 15 November, 1973. The program background and methodology are discussed along with the technology applications, and biomedical community impacts

Mechatronic Systems

Mechatronics, the synergistic blend of mechanics, electronics, and computer science, has evolved over the past twenty five years, leading to a novel stage of engineering design. By integrating the best design practices with the most advanced technologies, mechatronics aims at realizing high-quality products, guaranteeing at the same time a substantial reduction of time and costs of manufacturing. Mechatronic systems are manifold and range from machine components, motion generators, and power producing machines to more complex devices, such as robotic systems and transportation vehicles. With its twenty chapters, which collect contributions from many researchers worldwide, this book provides an excellent survey of recent work in the field of mechatronics with applications in various fields, like robotics, medical and assistive technology, human-machine interaction, unmanned vehicles, manufacturing, and education. We would like to thank all the authors who have invested a great deal of time to write such interesting chapters, which we are sure will be valuable to the readers. Chapters 1 to 6 deal with applications of mechatronics for the development of robotic systems. Medical and assistive technologies and human-machine interaction systems are the topic of chapters 7 to 13.Chapters 14 and 15 concern mechatronic systems for autonomous vehicles. Chapters 16-19 deal with mechatronics in manufacturing contexts. Chapter 20 concludes the book, describing a method for the installation of mechatronics education in schools

Instrumentation and validation of a robotic cane for transportation and fall prevention in patients with affected mobility

Dissertação de mestrado integrado em Engenharia Física, (especialização em Dispositivos, Microssistemas e Nanotecnologias)O ato de andar é conhecido por ser a forma primitiva de locomoção do ser humano, sendo que este traz muitos benefícios que motivam um estilo de vida saudável e ativo. No entanto, há condições de saúde que dificultam a realização da marcha, o que por consequência pode resultar num agravamento da saúde, e adicionalmente, levar a um maior risco de quedas. Nesse sentido, o desenvolvimento de um sistema de deteção e prevenção de quedas, integrado num dispositivo auxiliar de marcha, seria essencial para reduzir estes eventos de quedas e melhorar a qualidade de vida das pessoas. Para ultrapassar estas necessidades e limitações, esta dissertação tem como objetivo validar e instrumentar uma bengala robótica, denominada Anti-fall Robotic Cane (ARCane), concebida para incorporar um sistema de deteção de quedas e um mecanismo de atuação que possibilite a prevenção de quedas, ao mesmo tempo que assiste a marcha. Para esse fim, foi realizada uma revisão do estado da arte em bengalas robóticas para adquirir um conhecimento amplo e aprofundado dos componentes, mecanismos e estratégias utilizadas, bem como os protocolos experimentais, principais resultados, limitações e desafios em dispositivos existentes. Numa primeira fase, foi estipulado o objetivo de: (i) adaptar a missão do produto; (ii) estudar as necessidades do consumidor; e (iii) atualizar as especificações alvo da ARCane, continuação do trabalho de equipa, para obter um produto com design e engenharia compatível com o mercado. Foi depois estabelecida a arquitetura de hardware e discutidos os componentes a ser instrumentados na ARCane. Em seguida foram realizados testes de interoperabilidade a fim de validar o funcionamento singular e coletivo dos componentes. Relativamente ao controlo de movimento, foi desenvolvido um sistema inovador, de baixo custo e intuitivo, capaz de detetar a intenção do movimento e de reconhecer as fases da marcha do utilizador. Esta implementação foi validada com seis voluntários saudáveis que realizaram testes de marcha com a ARCane para testar sua operabilidade num ambiente de contexto real. Obteve-se uma precisão de 97% e de 90% em relação à deteção da intenção de movimento e ao reconhecimento da fase da marcha do utilizador. Por fim, foi projetado um método de deteção de quedas e mecanismo de prevenção de quedas para futura implementação na ARCane. Foi ainda proposta uma melhoria do método de deteção de quedas, de modo a superar as limitações associadas, bem como a proposta de dispositivos de deteção a serem implementados na ARCane para obter um sistema completo de deteção de quedas.The act of walking is known to be the primitive form of the human being, and it brings many benefits that motivate a healthy and active lifestyle. However, there are health conditions that make walking difficult, which, consequently, can result in worse health and, in addition, lead to a greater risk of falls. Thus, the development of a fall detection and prevention system integrated with a walking aid would be essential to reduce these fall events and improve people quality of life. To overcome these needs and limitations, this dissertation aims to validate and instrument a cane-type robot, called Anti-fall Robotic Cane (ARCane), designed to incorporate a fall detection system and an actuation mechanism that allow the prevention of falls, while assisting the gait. Therefore, a State-of-the-Art review concerning robotic canes was carried out to acquire a broad and in-depth knowledge of the used components, mechanisms and strategies, as well as the experimental protocols, main results, limitations and challenges on existing devices. On a first stage, it was set an objective to (i) enhance the product's mission statement; (ii) study the consumer needs; and (iii) update the target specifications of the ARCane, extending teamwork, to obtain a product with a market-compatible design and engineering that meets the needs and desires of the ARCane users. It was then established the hardware architecture of the ARCane and discussed the electronic components that will instrument the control, sensory, actuator and power units, being afterwards subjected to interoperability tests to validate the singular and collective functioning of cane components altogether. Regarding the motion control of robotic canes, an innovative, cost-effective and intuitive motion control system was developed, providing user movement intention recognition, and identification of the user's gait phases. This implementation was validated with six healthy volunteers who carried out gait trials with the ARCane, in order to test its operability in a real context environment. An accuracy of 97% was achieved for user motion intention recognition and 90% for user gait phase recognition, using the proposed motion control system. Finally, it was idealized a fall detection method and fall prevention mechanism for a future implementation in the ARCane, based on methods applied to robotic canes in the literature. It was also proposed an improvement of the fall detection method in order to overcome its associated limitations, as well as detection devices to be implemented into the ARCane to achieve a complete fall detection system

Smart Sensors for Healthcare and Medical Applications

This book focuses on new sensing technologies, measurement techniques, and their applications in medicine and healthcare. Specifically, the book briefly describes the potential of smart sensors in the aforementioned applications, collecting 24 articles selected and published in the Special Issue “Smart Sensors for Healthcare and Medical Applications”. We proposed this topic, being aware of the pivotal role that smart sensors can play in the improvement of healthcare services in both acute and chronic conditions as well as in prevention for a healthy life and active aging. The articles selected in this book cover a variety of topics related to the design, validation, and application of smart sensors to healthcare

Towards observable haptics: Novel sensors for capturing tactile interaction patterns

Kõiva R. Towards observable haptics: Novel sensors for capturing tactile interaction patterns. Bielefeld: Bielefeld University; 2014.Touch is one of the primary senses humans use when performing coordinated interaction, but the lack of a sense of touch in the majority of contemporary interactive technical systems, such as robots, which operate in non-deterministic environments, results in interactions that can at best be described as clumsy. Observing human haptics and extracting the salient information from the gathered data is not only relevant if we are to try to understand the involved underlying cognitive processes, but should also provide us with significant clues to design future intelligent interactive systems. Such systems could one day help to take the burden of tedious tasks off our hands in a similar fashion to how industrial robots revolutionized manufacturing. The aim of the work in this thesis was to provide significant advancements in tactile sensing technology, and thus move us a step closer to realizing this goal. The contributions contained herein can be broken into two major parts. The first part investigates capturing interaction patterns in humans with the goals of better understanding manual intelligence and improving the lives of hand amputees, while the second part is focused on augmenting technical systems with a sense of touch. tacTiles, a wireless tactile sensitive surface element attached to a deformable textile, was developed to capture human full-body interactions with large surfaces we come into contact with in our daily lives, such as floors, chairs, sofas or other furniture. The Tactile Dataglove, iObject and the Tactile Pen were developed especially to observe human manual intelligence. Whereas iObject allows motion sensing and a higher definition tactile signal to be captured than the Tactile Dataglove (220 tactile cells in the first iObject prototype versus 54 cells in the glove), the wearable glove makes haptic interactions with arbitrary objects observable. The Tactile Pen was designed to measure grip force during handwriting in order to better facilitate therapeutic treatment assessments. These sensors have already been extensively used by various research groups, including our own, to gain a better understanding of human manual intelligence. The Finger-Force-Linear-Sensor and the Tactile Bracelet are two novel sensors that were developed to facilitate more natural control of dexterous multi Degree-of-Freedom (DOF) hand prostheses. The Finger-Force-Linear-Sensor is a very accurate bidirectional single finger force ground-truth measurement device that was designed to enable testing and development of single finger forces and muscle activations mapping algorithms. The Tactile Bracelet was designed with the goal to provide a more robust and intuitive means of control for multi-DOF hand prostheses by measuring the muscle bulgings of the remnant muscles of lower arm amputees. It is currently in development and will eventually cover the complete forearm circumference with high spatial resolution tactile sensitive surfaces. An experiment involving a large number of lower arm amputees has already been planned. The Modular flat tactile sensor system, the Fabric-based touch sensitive artificial skin and the 3D shaped tactile sensor were developed to cover and to add touch sensing capabilities to the surfaces of technical systems. The rapid augmentation of systems with a sense of touch was the main goal of the modular flat tactile sensor system. The developed sensor modules can be used alone or in an array to form larger tactile sensitive surfaces such as tactile sensitive tabletops. As many robots have curved surfaces, using flat rigid modules severely limits the areas that can be covered with tactile sensors. The Fabric-based tactile sensor, originally developed to form a tactile dataglove for human hands, can with minor modifications also function as an artificial skin for technical systems. Finally, the 3D shaped tactile sensor based on Laser-Direct-Structuring technology is a novel tactile sensor that has a true 3D shape and provides high sensitivity and a high spatial resolution. These sensors take us further along the path towards creating general purpose technical systems that in time can be of great help to us in our daily lives. The desired tactile sensor characteristics differ significantly according to which haptic interaction patterns we wish to measure. Large tactile sensor arrays that are used to capture full body haptic interactions with floors and upholstered furniture, or that are designed to cover large areas of technical system surfaces, need to be scalable, have low power consumption and should ideally have a low material cost. Two examples of such sensors are tacTiles and the Fabric-based sensor for curved surfaces. At the other end of the tactile sensor development spectrum, if we want to observe manual interactions, high spatial and temporal resolution are crucial to enable the measurement of fine grasping and manipulation actions. Our fingertips contain the highest density area of mechanoreceptors, the organs that sense mechanical pressure and distortions. Thus, to construct biologically inspired anthropomorphic robotic hands, the artificial tactile sensors for the fingertips require similar high-fidelity sensors with surfaces that are curved under small bending radii in 2 dimensions, have high spatial densities, while simultaneously providing high sensitivity. With the fingertip tactile sensor, designed to fit the Shadow Robot Hands' fingers, I show that such sensors can indeed be constructed in the 3D-shaped high spatial resolution tactile sensor section of my thesis. With my work I have made a significant contribution towards making haptics more observable. I achieved this by developing a high number of novel tactile sensors that are usable, give a deeper insight into human haptic interactions, have great potential to help amputees and that make technical systems, such as robots, more capable

Risk assessment tool for diabetic neuropathy.

Peripheral neuropathy is one of the serious complications of diabetes. Symptoms such as tingling and loss of touch sensation are commonly associated with the early stages of neuropathy causing numbness in the feet. Early detection of this condition is necessary in order to prevent the progression of the disease. Out of many detection techniques vibration perception is becoming the gold standard for neuropathy assessment. Devices like tuning fork, Biothesiometer and Neurothesiometer use this technology but require an operator to record and manually interpret the results. The results are user-dependent and are not consistent. To overcome these limitations, a platform-based device “VibraScan” was developed that can be self-operated and results displayed on a user interface. The development of the device is based on studying the effect of the vibration on the human subject by identifying the receptors responsible for sensation. The requirement of generating vibration was achieved by selecting a specific actuator that creates vibration perpendicular to the contact surface. The battery operated VibraScan is wirelessly controlled by software to generate vibration for determining the vibration perception threshold (VPT). Care has been taken while developing the user interface for human safety with the vibration intensity. The device can be operated without any assistance and results are automatically interpreted in terms of severity level indicated similar to the traffic-light classification. In order to provide consistent results with the existing devices a study was undertaken between Neurothesiometer and VibraScan with 20 healthy subjects. The results were compared using Bland-Altman plot and a close agreement was found between the two measurements. VibraScan accurately measures VPT based on the perceived vibration threshold, however, it does not predict any risk associated with neuropathy. In order to supplement this device with the progression of neuropathy a risk assessment tool was developed for automated prediction of neuropathy based on the clinical history of patients. The smart tool is based on the research related to the risk factors of diabetic neuropathy which was studied and analysed using summarised patient data. Box-Cox regression was used with the response variable (VPT) and a set of clinical variables as potential predictors. Significant predictors were: age, height, weight, urine albumin to creatinine ratio (ACR), HbA1c, cholesterol and duration of diabetes. Ordinary Least Squares Regression was then used with logarithmic (VPT) and the significant predictor set (Box-Cox transformed) to obtain additional fit estimates. With the aim to improving the precision of VPT prediction, a simulated patient data set (n = 4158) was also generated using the mean and the covariance of the original patient variables, but with reduced standard errors. For clinical or patient use, providing direct knowledge of VPT was considered less helpful than providing a simple risk category corresponding to a range of VPT values. To achieve this, the continuous scale VPT was recoded into three categories based on the following clinical thresholds in volts (V): low risk (0 to 20.99 V), medium risk (21 to 30.99 V) and high risk (≥ 31 V). Ordinal Logistic Regression was then used with this categorical outcome variable to confirm the original predictor set. Having established the effectiveness of this “classical” baseline, attention turned to Neural Network modelling. This showed that a carefully tuned Neural Network based Proportional Odds Model (NNPOM) could achieve a classification success >70%, somewhat higher than that obtained with the classical modelling. A version of this model was implemented in the VibraScan risk assessment tool. Integrating VibraScan and the risk assessment software has created a comprehensive diagnostic tool for diabetic neuropathy

Design and Development of Biofeedback Stick Technology (BfT) to Improve the Quality of Life of Walking Stick Users

Biomedical engineering has seen a rapid growth in recent times, where the aim to facilitate and equip humans with the latest technology has become widespread globally. From high-tech equipment ranging from CT scanners, MRI equipment, and laser treatments, to the design, creation, and implementation of artificial body parts, the field of biomedical engineering has significantly contributed to mankind. Biomedical engineering has facilitated many of the latest developments surrounding human mobility, with advancement in mobility aids improving human movement for people with compromised mobility either caused by an injury or health condition. A review of the literature indicated that mobility aids, especially walking sticks, and appropriate training for their use, are generally prescribed by allied health professionals (AHP) to walking stick users for rehabilitation and activities of daily living (ADL). However, feedback from AHP is limited to the clinical environment, leaving walking stick users vulnerable to falls and injuries due to incorrect usage. Hence, to mitigate the risk of falls and injuries, and to facilitate a routine appraisal of individual patient’s usage, a simple, portable, robust, and reliable tool was developed which provides the walking stick users with real-time feedback upon incorrect usage during their activities of daily living (ADL). This thesis aimed to design and develop a smart walking stick technology: Biofeedback stick technology (BfT). The design incorporates the approach of patient and public involvement (PPI) in the development of BfT to ensure that BfT was developed as per the requirements of walking stick users and AHP recommendations. The newly developed system was tested quantitatively for; validity, reliability, and reproducibility against gold standard equipment such as the 3D motion capture system, force plates, optical measurement system for orientation, weight bearing, and step count. The system was also tested qualitatively for its usability by conducting semi-informal interviews with AHPs and walking stick users. The results of these studies showed that the newly developed system has good accuracy, reported above 95% with a maximum inaccuracy of 1°. The data reported indicates good reproducibility. The angles, weight, and steps recorded by the system during experiments are within the values published in the literature. From these studies, it was concluded that, BfT has the potential to improve the lives of walking stick users and that, with few additional improvements, appropriate approval from relevant regulatory bodies, and robust clinical testing, the technology has a huge potential to carve its way to a commercial market

NASA Tech Briefs Index, 1978

Approximately 601 announcements of new technology derived from the research and development activities of the National Aeronautics and Space Administration are presented. Emphasis is placed on information considered likely to be transferrable across industrial, regional, or disciplinary lines. Subject matter covered includes: electronic components and circuits; electron systems; physical sciences; materials; life sciences; mechanics; machinery; fabrication technology; and mathematics and information sciences

State-of-the-Art Sensors Technology in Spain 2015: Volume 1

This book provides a comprehensive overview of state-of-the-art sensors technology in specific leading areas. Industrial researchers, engineers and professionals can find information on the most advanced technologies and developments, together with data processing. Further research covers specific devices and technologies that capture and distribute data to be processed by applying dedicated techniques or procedures, which is where sensors play the most important role. The book provides insights and solutions for different problems covering a broad spectrum of possibilities, thanks to a set of applications and solutions based on sensory technologies. Topics include: • Signal analysis for spectral power • 3D precise measurements • Electromagnetic propagation • Drugs detection • e-health environments based on social sensor networks • Robots in wireless environments, navigation, teleoperation, object grasping, demining • Wireless sensor networks • Industrial IoT • Insights in smart cities • Voice recognition • FPGA interfaces • Flight mill device for measurements on insects • Optical systems: UV, LEDs, lasers, fiber optics • Machine vision • Power dissipation • Liquid level in fuel tanks • Parabolic solar tracker • Force sensors • Control for a twin roto