Development of an Ambulatory Device for Monitoring Posture Change and Walking Speed for Use in Rehabilitation

山越, 憲一金沢大学ベンチャー・ビジネス・ラボラトリー金沢大学大学院自然科学研究科知的システム創成Monitoring of posture change in sagittal plane and walking speed is important for evaluate the effectiveness of rehabilitation program or brace. We have developed a wearable device for monitoring human activity. However, in the previous system, there still remain several drawbacks for practical use such as accuracy in angle measurement, cumbersome cable arrangements, and so on. In order to improve these practical drawbacks, a new sensor system was designed, and its availability was evaluated. The results demonstrated that the accuracy of this system showed superior to that of the previous, and this system appears to be a significant means for quantitative assessment of the patient\u27s motion. ©2006 IEEE

Development of a new wearable monitoring system for posture changes and activities and its application to rehabilitation

金沢大学理工研究域機械工学系In order to evaluate the efficacy of rehabilitation for persons with hemiplegia, a therapist usually makes judgment by directly observing posture changes, walking speed, activities not only in hospital, but also during daily living. Therefore, quantitative assessment of activities is most desirable. From this viewpoint, we have developed a device for ambulatory monitoring of posture changes, walking speed and activity scenario and evaluated its measurement accuracy by simultaneous recordings of a digital video camera. In order to investigate its applicability to a patient\u27s activity monitoring, we have further developed a new monitoring system which can display static and dynamic motion pictures as well as detailed angle changes of the trunk, thigh and calf. This system makes a therapist to easily understand the patient\u27s motion during training in rehabilitation center and activities during daily living. By evaluation on 6 patients with hemiplegia, the patients\u27 motions were successfully monitored during walking in the rehabilitation center and daily living at their own home. The results clearly demonstrated that the system could detect detailed motion characteristics, indicating that the system appears useful for evaluating quantitatively the efficacy of rehabilitation. © 2009 Springer-Verlag

Reverse epidemiology: a spurious hypothesis or a hardcore reality?

In maintenance hemodialysis (MHD) patients, associations between demographic, clinical and laboratory values and mortality, including cardiovascular death, are significantly different and, in some cases, in the opposite direction of those derived from the general population. This phenomenon, termed 'reverse epidemiology', is not limited to MHD patients but is also observed in populations that encompass an estimated 20 million Americans including those with an advanced age, heart failure, malignancies, and AIDS. A significant portion of this reversal may be due to the overwhelming effect of the malnutrition-inflammation complex syndrome (MICS). Since two thirds of MHD patients die within 5 years of initiation of dialysis treatment, traditional cardiovascular risk factors such as obesity, hypercholesterolemia and hypertension cannot exert a long-term deleterious impact, and instead, their short-term beneficial effects on MICS provides a survival advantage. In order to improve survival and quality of life in MHD patients, extrapolated ideal norms derived from the general population should be substituted with novel norms obtained from outcome-oriented epidemiologic analyses while accounting for the differential effect of MICS in different case-mix subgroups

Development of a new wearable monitoring system for posture changes and activities and its application to rehabilitation

Abstract — In order to evaluate the efficacy of rehabilitation for persons with hemiplegia, a therapist usually makes judg-ment by directly observing posture changes, walking speed, activities not only in hospital, but also during daily living. Therefore, quantitative assessment of activities is most desir-able. From this viewpoint, we have developed a device for ambulatory monitoring of posture changes, walking speed and activity scenario and evaluated its measurement accuracy by simultaneous recordings of a digital video camera. In order to investigate its applicability to a patient’s activity monitoring, we have further developed a new monitoring system which can display static and dynamic motion pictures as well as detailed angle changes of the trunk, thigh and calf. This system makes a therapist to easily understand the patient’s motion during training in rehabilitation center and activities during dail