Assessment of Foot Signature Using Wearable Sensors for Clinical Gait Analysis and Real-Time Activity Recognition

Locomotion is one of the most important abilities of humans. Actually, gait locomotion provides mobility, and symbolizes freedom and independence. However, gait can be affected by several pathologies, due to aging, neurodegenerative disease, or trauma. The evaluation and treatment of mobility diseases thus requires clinical gait assessment, which is commonly done by using either qualitative analysis based on subjective observations and questionnaires, or expensive analysis established in complex motion laboratories settings. This thesis presents a new wearable system and algorithmic methods for gait assessment in natural conditions, addressing the limitations of existing methods. The proposed system provides quantitative assessment of gait performance through simple and precise outcome measures. The system includes wireless inertial sensors worn on the foot, that record data unobtrusively over long periods of time without interfering with subject's walking. Signal processing algorithms are presented for the automatic calibration and online virtual alignment of sensor signals, the detection of temporal parameters and gait phases, and the estimation of 3D foot kinematics during gait based on fusion methods and biomechanical assumptions. The resulting 3D foot trajectory during one gait cycle is defined as Foot Signature, by analogy with hand-written signature. Spatio-temporal parameters of interest in clinical assessment are derived from foot signature, including commonly parameters, such as stride velocity and gait cycle time, as well as original parameters describing inner-stance phases of gait, foot clearance, and turning. Algorithms based on expert and machine learning methods have been also adapted and implemented in real-time to provide input features to recognize locomotion activities including level walking, stairs, and ramp locomotion. Technical validation of the presented methods against gold standard systems was carried out using experimental protocols on subjects with normal and abnormal gait. Temporal aspects and quantitative estimation of foot-flat were evaluated against pressure insoles in subjects with ankle treatments during long-term gait. Furthermore, spatial parameters and foot clearance were compared in young and elderly persons to data obtained from an optical motion capture system during forward gait trials at various speeds. Finally, turning was evaluated in children with cerebral palsy and people with Parkinson's disease against optical motion capture data captured during timed up and go and figure-of-8 tests. Overall, the results demonstrated that the presently proposed system and methods were precise and accurate, and showed agreement with reference systems as well as with clinical evaluations of subjects' mobility disease using classical scores. Currently, no other methods based on wearable sensors have been validated with such precision to measure foot signature and subsequent parameters during unconstrained walking. Finally, we have used the proposed system in a large-scale clinical application involving more than 1800 subjects from age 7 to 77. This analysis provides reference data of common and original gait parameters, as well as their relationship with walking speed, and allows comparisons between different groups of subjects with normal and abnormal gait. Since the presented methods can be used with any foot-worn inertial sensors, or even combined with other systems, we believe our work to open the door to objective and quantitative routine gait evaluations in clinical settings for supporting diagnosis. Furthermore, the present studies have high potential for further research related to rehabilitation based on real-time devices, the investigation of new parameters' significance and their association with various mobility diseases, as well as for the evaluation of clinical interventions

Human gait identification and analysis

This thesis was submitted for the degree of Doctor of Philosophy and awarded by Brunel University.Human gait identification has become an active area of research due to increased security requirements. Human gait identification is a potential new tool for identifying individuals beyond traditional methods. The emergence of motion capture techniques provided a chance of high accuracy in identification because completely recorded gait information can be recorded compared with security cameras. The aim of this research was to build a practical method of gait identification and investigate the individual characteristics of gait. For this purpose, a gait identification approach was proposed, identification results were compared by different methods, and several studies about the individual characteristics of gait were performed. This research included the following: (1) a novel, effective set of gait features were proposed; (2) gait signatures were extracted by three different methods: statistical method, principal component analysis, and Fourier expansion method; (3) gait identification results were compared by these different methods; (4) two indicators were proposed to evaluate gait features for identification; (5) novel and clear definitions of gait phases and gait cycle were proposed; (6) gait features were investigated by gait phases; (7) principal component analysis and the fixing root method were used to elucidate which features were used to represent gait and why; (8) gait similarity was investigated; (9) gait attractiveness was investigated. This research proposed an efficient framework for identifying individuals from gait via a novel feature set based on 3D motion capture data. A novel evaluating method of gait signatures for identification was proposed. Three different gait signature extraction methods were applied and compared. The average identification rate was over 93%, with the best result close to 100%. This research also proposed a novel dividing method of gait phases, and the different appearances of gait features in eight gait phases were investigated. This research identified the similarities and asymmetric appearances between left body movement and right body movement in gait based on the proposed gait phase dividing method. This research also initiated an analysing method for gait features extraction by the fixing root method. A prediction model of gait attractiveness was built with reasonable accuracy by principal component analysis and linear regression of natural logarithm of parameters. A systematic relationship was observed between the motions of individual markers and the attractiveness ratings. The lower legs and feet were extracted as features of attractiveness by the fixing root method. As an extension of gait research, human seated motion was also investigated.This study is funded by the Dorothy Hodgkin Postgraduate Awards and Beijing East Gallery Co. Ltd