The Emerging Wearable Solutions in mHealth

The marriage of wearable sensors and smartphones have fashioned a foundation for mobile health technologies that enable healthcare to be unimpeded by geographical boundaries. Sweeping efforts are under way to develop a wide variety of smartphone-linked wearable biometric sensors and systems. This chapter reviews recent progress in the field of wearable technologies with a focus on key solutions for fall detection and prevention, Parkinson’s disease assessment and cardiac disease, blood pressure and blood glucose management. In particular, the smartphone-based systems, without any external wearables, are summarized and discussed

From data acquisition to data fusion : a comprehensive review and a roadmap for the identification of activities of daily living using mobile devices

This paper focuses on the research on the state of the art for sensor fusion techniques, applied to the sensors embedded in mobile devices, as a means to help identify the mobile device user’s daily activities. Sensor data fusion techniques are used to consolidate the data collected from several sensors, increasing the reliability of the algorithms for the identification of the different activities. However, mobile devices have several constraints, e.g., low memory, low battery life and low processing power, and some data fusion techniques are not suited to this scenario. The main purpose of this paper is to present an overview of the state of the art to identify examples of sensor data fusion techniques that can be applied to the sensors available in mobile devices aiming to identify activities of daily living (ADLs)

Design and evaluation of a person-centric heart monitoring system over fog computing infrastructure

Heart disease and stroke are becoming the leading cause of death worldwide. Electrocardiography monitoring devices (ECG) are the only tool that helps physicians diagnose cardiac abnormalities. Although the design of ECGs has followed closely the electronics miniaturization evolution over the years, existing wearable ECG have limited accuracy and rely on external resources to analyze the signal and evaluate heart activity. In this paper, we work towards empowering the wearable device with processing capabilities to locally analyze the signal and identify abnormal behavior. The ability to differentiate between normal and abnormal heart activity significantly reduces (a) the need to store the signals, (b) the data transmitted to the cloud and (c) the overall power consumption. Based on this concept, the HEART platform is presented that combines wearable embedded devices, mobile edge devices, and cloud services to provide on-the-spot, reliable, accurate and instant monitoring of the heart. The performance of the system is evaluated concerning the accuracy of detecting abnormal events and the power consumption of the wearable device. Results indicate that a very high percentage of success can be achieved in terms of event detection ratio and the device being operative up to a several days without the need for a recharge

Comparison and Characterization of Android-Based Fall Detection Systems

Falls are a foremost source of injuries and hospitalization for seniors. The adoption of automatic fall detection mechanisms can noticeably reduce the response time of the medical staff or caregivers when a fall takes place. Smartphones are being increasingly proposed as wearable, cost-effective and not-intrusive systems for fall detection. The exploitation of smartphones’ potential (and in particular, the Android Operating System) can benefit from the wide implantation, the growing computational capabilities and the diversity of communication interfaces and embedded sensors of these personal devices. After revising the state-of-the-art on this matter, this study develops an experimental testbed to assess the performance of different fall detection algorithms that ground their decisions on the analysis of the inertial data registered by the accelerometer of the smartphone. Results obtained in a real testbed with diverse individuals indicate that the accuracy of the accelerometry-based techniques to identify the falls depends strongly on the fall pattern. The performed tests also show the difficulty to set detection acceleration thresholds that allow achieving a good trade-off between false negatives (falls that remain unnoticed) and false positives (conventional movements that are erroneously classified as falls). In any case, the study of the evolution of the battery drain reveals that the extra power consumption introduced by the Android monitoring applications cannot be neglected when evaluating the autonomy and even the viability of fall detection systems.Ministerio de Economía y Competitividad TEC2009-13763-C02-0

Analysis of Android Device-Based Solutions for Fall Detection

Falls are a major cause of health and psychological problems as well as hospitalization costs among older adults. Thus, the investigation on automatic Fall Detection Systems (FDSs) has received special attention from the research community during the last decade. In this area, the widespread popularity, decreasing price, computing capabilities, built-in sensors and multiplicity of wireless interfaces of Android-based devices (especially smartphones) have fostered the adoption of this technology to deploy wearable and inexpensive architectures for fall detection. This paper presents a critical and thorough analysis of those existing fall detection systems that are based on Android devices. The review systematically classifies and compares the proposals of the literature taking into account different criteria such as the system architecture, the employed sensors, the detection algorithm or the response in case of a fall alarms. The study emphasizes the analysis of the evaluation methods that are employed to assess the effectiveness of the detection process. The review reveals the complete lack of a reference framework to validate and compare the proposals. In addition, the study also shows that most research works do not evaluate the actual applicability of the Android devices (with limited battery and computing resources) to fall detection solutions.Ministerio de Economía y Competitividad TEC2013-42711-

Online Human Activity Recognition using Low-Power Wearable Devices

Human activity recognition~(HAR) has attracted significant research interest due to its applications in health monitoring and patient rehabilitation. Recent research on HAR focuses on using smartphones due to their widespread use. However, this leads to inconvenient use, limited choice of sensors and inefficient use of resources, since smartphones are not designed for HAR. This paper presents the first HAR framework that can perform both online training and inference. The proposed framework starts with a novel technique that generates features using the fast Fourier and discrete wavelet transforms of a textile-based stretch sensor and accelerometer. Using these features, we design an artificial neural network classifier which is trained online using the policy gradient algorithm. Experiments on a low power IoT device (TI-CC2650 MCU) with nine users show 97.7% accuracy in identifying six activities and their transitions with less than 12.5 mW power consumption.Comment: This is in proceedings of ICCAD 2018. The datasets are available at https://github.com/gmbhat/human-activity-recognitio

Human activity detection based on mobile devices

Aquesta tesi se centra en la detecció d'activitat humana a partir de dispositius mòbils i portàtils. Escollim Hexiwear com el nostre dispositiu portàtil per recollir les dades de l'activitat humana diària, com ara l'acceleració de tres eixos, l'orientació de tres eixos, la velocitat angular i la posició de tres eixos. Aquest projecte consisteix en el desenvolupament d'una aplicació per a telèfon intel·ligent per a l'usuari en l'anàlisi de dades, la visualització de dades i la generació de resultats. L'objectiu és construir un prototip obert i modular que pugui servir d'exemple o plantilla per al desenvolupament d'altres projectes. L'aplicació està desenvolupada amb JAVA per Android Studio. L'aplicació permet a l'usuari connectar-se amb el dispositiu portàtil i reconèixer la seva activitat diària. Per a l'algorisme de classificació de l'activitat diària, hem utilitzat dos mètodes diferents, el primer és mitjançant l'establiment de diferents llindars, el segon és mitjançant l'aprenentatge automàtic. L'aplicació es va provar i els resultats van ser satisfactoris, ja que l'aplicació generada va funcionar correctament. Malgrat les òbvies limitacions, la feina feta és un punt de partida per a desenvolupaments futurs。Esta tesis se centra en la detección de actividad humana basada en dispositivos móviles y portátiles. Elegimos Hexiwear como nuestro dispositivo portátil para recopilar los datos de la actividad humana diaria, como la aceleración de tres ejes, la orientación de tres ejes, la velocidad angular de tres ejes y la posición. Este proyecto implica la creación de una aplicación de teléfono para usuarios de análisis de datos, visualización de datos y generación de resultados. El objetivo es construir un prototipo abierto y modular que pueda servir como ejemplo o plantilla para el desarrollo de otros proyectos. La aplicación está desarrollada usando JAVA por Android Studio. La aplicación permite al usuario conectarse con el dispositivo portátil y reconocer su actividad diaria. Para el algoritmo de clasificación de la actividad diaria, usamos dos métodos diferentes, el primero es establecer umbrales diferentes, el segundo es usar el aprendizaje automático. La aplicación fue probada y los resultados fueron satisfactorios, ya que la aplicación generada funcionó correctamente. A pesar de las limitaciones evidentes, el trabajo realizado es un punto de partida para futuros desarrollos.  This thesis focuses on human activity detection based on mobile and wearable devices. We choose Hexiwear as our wearable device to collect the human daily activity data, like tri-axis acceleration, tri-axis orientation, tri-axis angular velocity and position. This project consists in the development of a smartphone application for the user in data analysis， data visualization and generates results. The objective is to build an open and modular prototype that can serve as an example or template for the development of other projects. The application is developed using JAVA by Android Studio. The application allows the user to connect with the wearable device, and recognize their daily activity. For the daily activity classify algorithm, we used two different methods, the first one is by set different thresholds, the second is by using the machine learning. The application was tested and the results were satisfactory, as the generated application worked properly. Despite the obvious limitations, the work done is a starting point for future developments

Development of a mobile technology system to measure shoulder range of motion

In patients with shoulder movement impairment, assessing and monitoring shoulder range of motion is important for determining the severity of impairments due to disease or injury and evaluating the effects of interventions. Current clinical methods of goniometry and visual estimation require an experienced user and suffer from low inter-rater reliability. More sophisticated techniques such as optical or electromagnetic motion capture exist but are expensive and restricted to a specialised laboratory environment.;Inertial measurement units (IMU), such as those within smartphones and smartwatches, show promise as tools bridge the gap between laboratory and clinical techniques and accurately measure shoulder range of motion during both clinic assessments and in daily life.;This study aims to develop an Android mobile application for both a smartphone and a smartwatch to assess shoulder range of motion. Initial performance characterisation of the inertial sensing capabilities of both a smartwatch and smartphone running the application was conducted against an industrial inclinometer, free-swinging pendulum and custom-built servo-powered gimbal.;An initial validation study comparing the smartwatch application with a universal goniometer for shoulder ROM assessment was conducted with twenty healthy participants. An impaired condition was simulated by applying kinesiology tape across the participants shoulder girdle. Agreement, intra and inter-day reliability were assessed in both the healthy and impaired states.;Both the phone and watch performed with acceptable accuracy and repeatability during static (within ±1.1°) and dynamic conditions where it was strongly correlated to the pendulum and gimbal data (ICC > 0.9). Both devices could perform accurately within optimal responsiveness range of angular velocities compliant with humerus movement during activities of daily living (frequency response of 377°/s and 358°/s for the phone and watch respectively).;The concurrent agreement between the watch and the goniometer was high in both healthy and impaired states (ICC > 0.8) and between measurement days (ICC > 0.8). The mean absolute difference between the watch and the goniometer were within the accepted minimal clinically important difference for shoulder movement (5.11° to 10.58°).;The results show promise for the use of the developed Android application to be used as a goniometry tool for assessment of shoulder ROM. However, the limits of agreement across all the tests fell out with the acceptable margin and further investigation is required to determine validity. Evaluation of validity in clinical impairment patients is also required to assess the feasibility of the use of the application in clinical practice.In patients with shoulder movement impairment, assessing and monitoring shoulder range of motion is important for determining the severity of impairments due to disease or injury and evaluating the effects of interventions. Current clinical methods of goniometry and visual estimation require an experienced user and suffer from low inter-rater reliability. More sophisticated techniques such as optical or electromagnetic motion capture exist but are expensive and restricted to a specialised laboratory environment.;Inertial measurement units (IMU), such as those within smartphones and smartwatches, show promise as tools bridge the gap between laboratory and clinical techniques and accurately measure shoulder range of motion during both clinic assessments and in daily life.;This study aims to develop an Android mobile application for both a smartphone and a smartwatch to assess shoulder range of motion. Initial performance characterisation of the inertial sensing capabilities of both a smartwatch and smartphone running the application was conducted against an industrial inclinometer, free-swinging pendulum and custom-built servo-powered gimbal.;An initial validation study comparing the smartwatch application with a universal goniometer for shoulder ROM assessment was conducted with twenty healthy participants. An impaired condition was simulated by applying kinesiology tape across the participants shoulder girdle. Agreement, intra and inter-day reliability were assessed in both the healthy and impaired states.;Both the phone and watch performed with acceptable accuracy and repeatability during static (within ±1.1°) and dynamic conditions where it was strongly correlated to the pendulum and gimbal data (ICC > 0.9). Both devices could perform accurately within optimal responsiveness range of angular velocities compliant with humerus movement during activities of daily living (frequency response of 377°/s and 358°/s for the phone and watch respectively).;The concurrent agreement between the watch and the goniometer was high in both healthy and impaired states (ICC > 0.8) and between measurement days (ICC > 0.8). The mean absolute difference between the watch and the goniometer were within the accepted minimal clinically important difference for shoulder movement (5.11° to 10.58°).;The results show promise for the use of the developed Android application to be used as a goniometry tool for assessment of shoulder ROM. However, the limits of agreement across all the tests fell out with the acceptable margin and further investigation is required to determine validity. Evaluation of validity in clinical impairment patients is also required to assess the feasibility of the use of the application in clinical practice