Physiological and behavior monitoring systems for smart healthcare environments: a review

Healthcare optimization has become increasingly important in the current era, where numerous challenges are posed by population ageing phenomena and the demand for higher quality of the healthcare services. The implementation of Internet of Things (IoT) in the healthcare ecosystem has been one of the best solutions to address these challenges and therefore to prevent and diagnose possible health impairments in people. The remote monitoring of environmental parameters and how they can cause or mediate any disease, and the monitoring of human daily activities and physiological parameters are among the vast applications of IoT in healthcare, which has brought extensive attention of academia and industry. Assisted and smart tailored environments are possible with the implementation of such technologies that bring personal healthcare to any individual, while living in their preferred environments. In this paper we address several requirements for the development of such environments, namely the deployment of physiological signs monitoring systems, daily activity recognition techniques, as well as indoor air quality monitoring solutions. The machine learning methods that are most used in the literature for activity recognition and body motion analysis are also referred. Furthermore, the importance of physical and cognitive training of the elderly population through the implementation of exergames and immersive environments is also addressedinfo:eu-repo/semantics/publishedVersio

Classification of sporting activities using smartphone accelerometers

In this paper we present a framework that allows for the automatic identification of sporting activities using commonly available smartphones. We extract discriminative informational features from smartphone accelerometers using the Discrete Wavelet Transform (DWT). Despite the poor quality of their accelerometers, smartphones were used as capture devices due to their prevalence in today’s society. Successful classification on this basis potentially makes the technology accessible to both elite and non-elite athletes. Extracted features are used to train different categories of classifiers. No one classifier family has a reportable direct advantage in activity classification problems to date; thus we examine classifiers from each of the most widely used classifier families. We investigate three classification approaches; a commonly used SVM-based approach, an optimized classification model and a fusion of classifiers. We also investigate the effect of changing several of the DWT input parameters, including mother wavelets, window lengths and DWT decomposition levels. During the course of this work we created a challenging sports activity analysis dataset, comprised of soccer and field-hockey activities. The average maximum F-measure accuracy of 87% was achieved using a fusion of classifiers, which was 6% better than a single classifier model and 23% better than a standard SVM approach

Automatic identification of gait events using an instrumented sock

Background: textile-based transducers are an emerging technology in which piezo-resistive properties of materials are used to measure an applied strain. By incorporating these sensors into a sock, this technology offers the potential to detect critical events during the stance phase of the gait cycle. This could prove useful in several applications, such as functional electrical stimulation (FES) systems to assist gait. Methods: we investigated the output of a knitted resistive strain sensor during walking and sought to determine the degree of similarity between the sensor output and the ankle angle in the sagittal plane. In addition, we investigated whether it would be possible to predict three key gait events, heel strike, heel lift and toe off, with a relatively straight-forward algorithm. This worked by predicting gait events to occur at fixed time offsets from specific peaks in the sensor signal. Results: our results showed that, for all subjects, the sensor output exhibited the same general characteristics as the ankle joint angle. However, there were large between-subjects differences in the degree of similarity between the two curves. Despite this variability, it was possible to accurately predict gait events using a simple algorithm. This algorithm displayed high levels of trial-to-trial repeatability. Conclusions: this study demonstrates the potential of using textile-based transducers in future devices that provide active gait assistance

A Weft Knit Data Glove

Rehabilitation of stoke survivors can be expedited by employing an exoskeleton. The exercises are designed such that both hands move in synergy. In this regard often motion capture data from the healthy hand is used to derive control behaviour for the exoskeleton. Therefore, data gloves can provide a low-cost solution for the motion capture of the joints in the hand. However, current data gloves are bulky, inaccurate or inconsistent. These disadvantages are inherited because the conventional design of a glove involves an external attachment that degrades overtime and causes inaccuracies. This paper presents a weft knit data glove whose sensors and support structure are manufactured in the same fabrication process thus removing the need for an external attachment. The glove is made by knitting multifilament conductive yarn and an elastomeric yarn using WholeGarment technology. Furthermore, we present a detailed electromechanical model of the sensors alongside its experimental validation. Additionally, the reliability of the glove is verified experimentally. Lastly, machine learning algorithms are implemented for classifying the posture of hand on the basis of sensor data histograms

Detection of Talking in Respiratory Signals: A Feasibility Study Using Machine Learning and Wearable Textile-Based Sensors

Social isolation and loneliness are major health concerns in young and older people. Traditional approaches to monitor the level of social interaction rely on self-reports. The goal of this study was to investigate if wearable textile-based sensors can be used to accurately detect if the user is talking as a future indicator of social interaction. In a laboratory study, fifteen healthy young participants were asked to talk while performing daily activities such as sitting, standing and walking. It is known that the breathing pattern differs significantly between normal and speech breathing (i.e., talking). We integrated resistive stretch sensors into wearable elastic bands, with a future integration into clothing in mind, to record the expansion and contraction of the chest and abdomen while breathing. We developed an algorithm incorporating machine learning and evaluated its performance in distinguishing between periods of talking and non-talking. In an intra-subject analysis, our algorithm detected talking with an average accuracy of 85%. The highest accuracy of 88% was achieved during sitting and the lowest accuracy of 80.6% during walking. Complete segments of talking were correctly identified with 96% accuracy. From the evaluated machine learning algorithms, the random forest classifier performed best on our dataset. We demonstrate that wearable textile-based sensors in combination with machine learning can be used to detect when the user is talking. In the future, this approach may be used as an indicator of social interaction to prevent social isolation and loneliness

Review of Wearable Devices and Data Collection Considerations for Connected Health

Wearable sensor technology has gradually extended its usability into a wide range of well-known applications. Wearable sensors can typically assess and quantify the wearer’s physiology and are commonly employed for human activity detection and quantified self-assessment. Wearable sensors are increasingly utilised to monitor patient health, rapidly assist with disease diagnosis, and help predict and often improve patient outcomes. Clinicians use various self-report questionnaires and well-known tests to report patient symptoms and assess their functional ability. These assessments are time consuming and costly and depend on subjective patient recall. Moreover, measurements may not accurately demonstrate the patient’s functional ability whilst at home. Wearable sensors can be used to detect and quantify specific movements in different applications. The volume of data collected by wearable sensors during long-term assessment of ambulatory movement can become immense in tuple size. This paper discusses current techniques used to track and record various human body movements, as well as techniques used to measure activity and sleep from long-term data collected by wearable technology devices

Supervised learning techniques for stress detection in car drivers

6noIn this paper we propose the application of supervised learning techniques to recognize stress situations in drivers by analyzing their Skin Potential Response (SPR) and the Electrocardiogram (ECG). A sensing device is used to acquire the SPR from both hands of the drivers, and the ECG from their chest. We also consider a motion artifact removal algorithm that allows the generation of a single cleaned SPR signal, starting from the two SPR signals, which could be characterized by artifacts due to vibrations or movements of the hands on the wheel. From both the cleaned SPR and the ECG signals we compute some statistical features that are used as input to six Machine Learning Algorithms for stress or non-stress episodes classification. The SPR and ECG signals are also used as input to Deep Learning Algorithms, thus allowing us to compare the performance of the different classifiers. The experiments have been carried out in a firm specialized in developing professional car driving simulators. In particular, a dynamic driving simulator has been used, with subjects driving along a straight road affected by some unanticipated stress-evoking events, located at different positions. We obtain an accuracy of 88.13% in stress recognition using a Long Short-Term Memory (LSTM) network.openopenZontone P.; Affanni A.; Bernardini R.; Del Linz L.; Piras A.; Rinaldo R.Zontone, P.; Affanni, A.; Bernardini, R.; Del Linz, L.; Piras, A.; Rinaldo, R