Real-time human ambulation, activity, and physiological monitoring:taxonomy of issues, techniques, applications, challenges and limitations

Automated methods of real-time, unobtrusive, human ambulation, activity, and wellness monitoring and data analysis using various algorithmic techniques have been subjects of intense research. The general aim is to devise effective means of addressing the demands of assisted living, rehabilitation, and clinical observation and assessment through sensor-based monitoring. The research studies have resulted in a large amount of literature. This paper presents a holistic articulation of the research studies and offers comprehensive insights along four main axes: distribution of existing studies; monitoring device framework and sensor types; data collection, processing and analysis; and applications, limitations and challenges. The aim is to present a systematic and most complete study of literature in the area in order to identify research gaps and prioritize future research directions

On using gait to enhance frontal face extraction

Visual surveillance finds increasing deployment formonitoring urban environments. Operators need to be able to determine identity from surveillance images and often use face recognition for this purpose. In surveillance environments, it is necessary to handle pose variation of the human head, low frame rate, and low resolution input images. We describe the first use of gait to enable face acquisition and recognition, by analysis of 3-D head motion and gait trajectory, with super-resolution analysis. We use region- and distance-based refinement of head pose estimation. We develop a direct mapping to relate the 2-D image with a 3-D model. In gait trajectory analysis, we model the looming effect so as to obtain the correct face region. Based on head position and the gait trajectory, we can reconstruct high-quality frontal face images which are demonstrated to be suitable for face recognition. The contributions of this research include the construction of a 3-D model for pose estimation from planar imagery and the first use of gait information to enhance the face extraction process allowing for deployment in surveillance scenario

Empowering and assisting natural human mobility: The simbiosis walker

This paper presents the complete development of the Simbiosis Smart Walker. The device is equipped with a set of sensor subsystems to acquire user-machine interaction forces and the temporal evolution of user's feet during gait. The authors present an adaptive filtering technique used for the identification and separation of different components found on the human-machine interaction forces. This technique allowed isolating the components related with the navigational commands and developing a Fuzzy logic controller to guide the device. The Smart Walker was clinically validated at the Spinal Cord Injury Hospital of Toledo - Spain, presenting great acceptability by spinal chord injury patients and clinical staf

Ambulatory Assessment of Ankle and Foot Dynamics

Ground reaction force (GRF) measurement is important in the analysis of human body movements. The main drawback of the existing measurement systems is the restriction to a laboratory environment. This paper proposes an ambulatory system for assessing the dynamics of ankle and foot, which integrates the measurement of the GRF with the measurement of human body movement. The GRF and the center of pressure (CoP) are measured using two six-degrees-of-freedom force sensors mounted beneath the shoe. The movement of foot and lower leg is measured using three miniature inertial sensors, two rigidly attached to the shoe and one on the lower leg. The proposed system is validated using a force plate and an optical position measurement system as a reference. The results show good correspondence between both measurement systems, except for the ankle power estimation. The root mean square (RMS) difference of the magnitude of the GRF over 10 evaluated trials was (0.012 plusmn 0.001) N/N (mean plusmn standard deviation), being (1.1 plusmn 0.1)% of the maximal GRF magnitude. It should be noted that the forces, moments, and powers are normalized with respect to body weight. The CoP estimation using both methods shows good correspondence, as indicated by the RMS difference of (5.1 plusmn 0.7) mm, corresponding to (1.7 plusmn 0.3)% of the length of the shoe. The RMS difference between the magnitudes of the heel position estimates was calculated as (18 plusmn 6) mm, being (1.4 plusmn 0.5)% of the maximal magnitude. The ankle moment RMS difference was (0.004 plusmn 0.001) Nm/N, being (2.3 plusmn 0.5)% of the maximal magnitude. Finally, the RMS difference of the estimated power at the ankle was (0.02 plusmn 0.005) W/N, being (14 plusmn 5)% of the maximal power. This power difference is caused by an inaccurate estimation of the angular velocities using the optical reference measurement system, which is due to considering the foot as a single segment. The ambulatory system considers separat- - e heel and forefoot segments, thus allowing an additional foot moment and power to be estimated. Based on the results of this research, it is concluded that the combination of the instrumented shoe and inertial sensing is a promising tool for the assessment of the dynamics of foot and ankle in an ambulatory setting

Mobile Quantification and Therapy Course Tracking for Gait Rehabilitation

This paper presents a novel autonomous quality metric to quantify the rehabilitations progress of subjects with knee/hip operations. The presented method supports digital analysis of human gait patterns using smartphones. The algorithm related to the autonomous metric utilizes calibrated acceleration, gyroscope and magnetometer signals from seven Inertial Measurement Unit attached on the lower body in order to classify and generate the grading system values. The developed Android application connects the seven Inertial Measurement Units via Bluetooth and performs the data acquisition and processing in real-time. In total nine features per acceleration direction and lower body joint angle are calculated and extracted in real-time to achieve a fast feedback to the user. We compare the classification accuracy and quantification capabilities of Linear Discriminant Analysis, Principal Component Analysis and Naive Bayes algorithms. The presented system is able to classify patients and control subjects with an accuracy of up to 100\%. The outcomes can be saved on the device or transmitted to treating physicians for later control of the subject's improvements and the efficiency of physiotherapy treatments in motor rehabilitation. The proposed autonomous quality metric solution bears great potential to be used and deployed to support digital healthcare and therapy.Comment: 5 Page