Insufficient physical activity is the 4th leading risk factor for mortality. Methods for assessing the individual daily life activity (DLA) are of major interest in order to monitor the current ...health status and to provide feedback about the individual quality of life. The conventional assessment of DLAs with self-reports induces problems like reliability, validity, and sensitivity. The assessment of DLAs with small and light-weight wearable sensors (e.g. inertial measurement units) provides a reliable and objective method. State-of-the-art human physical activity classification systems differ in e.g. the number and kind of sensors, the performed activities, and the sampling rate. Hence, it is difficult to compare newly proposed classification algorithms to existing approaches in literature and no commonly used dataset exists. We generated a publicly available benchmark dataset for the classification of DLAs. Inertial data were recorded with four sensor nodes, each consisting of a triaxial accelerometer and a triaxial gyroscope, placed on wrist, hip, chest, and ankle. Further, we developed a novel, hierarchical, multi-sensor based classification system for the distinction of a large set of DLAs. Our hierarchical classification system reached an overall mean classification rate of 89.6% and was diligently compared to existing state-of-the-art algorithms using our benchmark dataset. For future research, the dataset can be used in the evaluation process of new classification algorithms and could speed up the process of getting the best performing and most appropriate DLA classification system.
Distinct gait characteristics like short steps and shuffling gait are prototypical signs commonly observed in Parkinson's disease. Routinely assessed by observation through clinicians, gait is rated ...as part of categorical clinical scores. There is an increasing need to provide quantitative measurements of gait, e.g. to provide detailed information about disease progression. Recently, we developed a wearable sensor-based gait analysis system as diagnostic tool that objectively assesses gait parameter in Parkinson's disease without the need of having a specialized gait laboratory. This system consists of inertial sensor units attached laterally to both shoes. The computed target of measures are spatiotemporal gait parameters including stride length and time, stance phase time, heel-strike and toe-off angle, toe clearance, and inter-stride variation from gait sequences. To translate this prototype into medical care, we conducted a cross-sectional study including 190 Parkinson's disease patients and 101 age-matched controls and measured gait characteristics during a 4x10 meter walk at the subjects' preferred speed. To determine intraindividual changes in gait, we monitored the gait characteristics of 63 patients longitudinally. Cross-sectional analysis revealed distinct spatiotemporal gait parameter differences reflecting typical Parkinson's disease gait characteristics including short steps, shuffling gait, and postural instability specific for different disease stages and levels of motor impairment. The longitudinal analysis revealed that gait parameters were sensitive to changes by mirroring the progressive nature of Parkinson's disease and corresponded to physician ratings. Taken together, we successfully show that wearable sensor-based gait analysis reaches clinical applicability providing a high biomechanical resolution for gait impairment in Parkinson's disease. These data demonstrate the feasibility and applicability of objective wearable sensor-based gait measurement in Parkinson's disease reaching high technological readiness levels for both, large scale clinical studies and individual patient care.
Current challenges demand a profound restructuration of the global healthcare system. A more efficient system is required to cope with the growing world population and increased life expectancy, ...which is associated with a marked prevalence of chronic neurological disorders such as Parkinson's disease (PD). One possible approach to meet this demand is a laterally distributed platform such as the Internet of Things (IoT). Real-time motion metrics in PD could be obtained virtually in any scenario by placing lightweight wearable sensors in the patient's clothes and connecting them to a medical database through mobile devices such as cell phones or tablets. Technologies exist to collect huge amounts of patient data not only during regular medical visits but also at home during activities of daily life. These data could be fed into intelligent algorithms to first discriminate relevant threatening conditions, adjust medications based on online obtained physical deficits, and facilitate strategies to modify disease progression. A major impact of this approach lies in its efficiency, by maximizing resources and drastically improving the patient experience. The patient participates actively in disease management via combined objective device- and self-assessment and by sharing information within both medical and peer groups. Here, we review and discuss the existing wearable technologies and the Internet-of-Things concept applied to PD, with an emphasis on how this technological platform may lead to a shift in paradigm in terms of diagnostics and treatment.
Running has a positive impact on human health and is an accessible sport for most people. There is high demand for tracking running performance and progress for amateurs and professionals alike. The ...parameters velocity and distance are thereby of main interest. In this work, we evaluate the accuracy of four algorithms, which calculate the stride velocity and stride length during running using data of an inertial measurement unit (IMU) placed in the midsole of a running shoe. The four algorithms are based on stride time, foot acceleration, foot trajectory estimation, and deep learning, respectively. They are compared using two studies: a laboratory-based study comprising 2377 strides from 27 subjects with 3D motion tracking as a reference and a field study comprising 12 subjects performing a 3.2-km run in a real-world setup. The results show that the foot trajectory estimation algorithm performs best, achieving a mean error of 0.032 ± 0.274 m/s for the velocity estimation and 0.022 ± 0.157 m for the stride length. An interesting alternative for systems with a low energy budget is the acceleration-based approach. Our results support the implementation decision for running velocity and distance tracking using IMUs embedded in the sole of a running shoe.
•Gaussian RBF kernels are approximated to speed up SVM classifications.•An upper bound for the relative approximation error is given.•Error decreases with factorial growth if approximation quality is ...linearly increased.•Experiments showed an average 18-fold speed-up without losing accuracy.
In theory, kernel support vector machines (SVMs) can be reformulated to linear SVMs. This reformulation can speed up SVM classifications considerably, in particular, if the number of support vectors is high. For the widely-used Gaussian radial basis function (RBF) kernel, however, this theoretical fact is impracticable because the reproducing kernel Hilbert space (RKHS) of this kernel has infinite dimensionality. Therefore, we derive a finite-dimensional approximative feature map, based on an orthonormal basis of the kernel’s RKHS, to enable the reformulation of Gaussian RBF SVMs to linear SVMs. We show that the error of this approximative feature map decreases with factorial growth if the approximation quality is linearly increased. Experimental evaluations demonstrated that the approximative feature map achieves considerable speed-ups (about 18-fold on average), mostly without losing classification accuracy. Therefore, the proposed approximative feature map provides an efficient SVM evaluation method with minimal loss of precision.
New smart technologies and the internet of things increasingly play a key role in healthcare and wellness, contributing to the development of novel healthcare concepts. These technologies enable a ...comprehensive view of an individual’s movement and mobility, potentially supporting healthy living as well as complementing medical diagnostics and the monitoring of therapeutic outcomes. This overview article specifically addresses smart shoes, which are becoming one such smart technology within the future internet of health things, since the ability to walk defines large aspects of quality of life in a wide range of health and disease conditions. Smart shoes offer the possibility to support prevention, diagnostic work-up, therapeutic decisions, and individual disease monitoring with a continuous assessment of gait and mobility. This overview article provides the technological as well as medical aspects of smart shoes within this rising area of digital health applications, and is designed especially for the novel reader in this specific field. It also stresses the need for closer interdisciplinary interactions between technological and medical experts to bridge the gap between research and practice. Smart shoes can be envisioned to serve as pervasive wearable computing systems that enable innovative solutions and services for the promotion of healthy living and the transformation of health care.
Inertial sensing enables field studies of human movement and ambulant assessment of patients. However, the challenge is to obtain a comprehensive analysis from low-quality data and sparse ...measurements. In this paper, we present a method to estimate gait kinematics and kinetics directly from raw inertial sensor data performing a single dynamic optimization. We formulated an optimal control problem to track accelerometer and gyroscope data with a planar musculoskeletal model. In addition, we minimized muscular effort to ensure a unique solution and to prevent the model from tracking noisy measurements too closely. For evaluation, we recorded data of ten subjects walking and running at six different speeds using seven inertial measurement units (IMUs). Results were compared to a conventional analysis using optical motion capture and a force plate. High correlations were achieved for gait kinematics (ρ⩾0.93) and kinetics (ρ⩾0.90). In contrast to existing IMU processing methods, a dynamically consistent simulation was obtained and we were able to estimate running kinetics. Besides kinematics and kinetics, further metrics such as muscle activations and metabolic cost can be directly obtained from simulated model movements. In summary, the method is insensitive to sensor noise and drift and provides a detailed analysis solely based on inertial sensor data.
The applicability of sensor-based human activity recognition in sports has been repeatedly shown for laboratory settings. However, the transferability to real-world scenarios cannot be granted due to ...limitations on data and evaluation methods. On the example of football shot and pass detection against a null class we explore the influence of those factors for real-world event classification in field sports. For this purpose we compare the performance of an established Support Vector Machine (SVM) for laboratory settings from literature to the performance in three evaluation scenarios gradually evolving from laboratory settings to real-world scenarios. In addition, three different types of neural networks, namely a convolutional neural net (CNN), a long short term memory net (LSTM) and a convolutional LSTM (convLSTM) are compared. Results indicate that the SVM is not able to reliably solve the investigated three-class problem. In contrast, all deep learning models reach high classification scores showing the general feasibility of event detection in real-world sports scenarios using deep learning. The maximum performance with a weighted f1-score of 0.93 was reported by the CNN. The study provides valuable insights for sports assessment under practically relevant conditions. In particular, it shows that (1) the discriminative power of established features needs to be reevaluated when real-world conditions are assessed, (2) the selection of an appropriate dataset and evaluation method are both required to evaluate real-world applicability and (3) deep learning-based methods yield promising results for real-world HAR in sports despite high variations in the execution of activities.
Artificial intelligence (AI) and machine learning (ML) methods are currently widely employed in medicine and healthcare. A PubMed search returns more than 100,000 articles on these topics published ...between 2018 and 2022 alone. Notwithstanding several recent reviews in various subfields of AI and ML in medicine, we have yet to see a comprehensive review around the methods' use in longitudinal analysis and prediction of an individual patient's health status within a personalized disease pathway. This review seeks to fill that gap. After an overview of the AI and ML methods employed in this field and of specific medical applications of models of this type, the review discusses the strengths and limitations of current studies and looks ahead to future strands of research in this field. We aim to enable interested readers to gain a detailed impression of the research currently available and accordingly plan future work around predictive models for deterioration in health status.
For sports scientists and coaches, its crucial to have reliable tracking systems to improve athletes. Therefore, this study aimed to examine the validity of a wearable real-time tracking system ...(WRRTS) for the quantification of ski jumping. The tracking system consists of wearable trackers attached to the ski bindings of the athletes and fixed antennas next to the jumping hill. To determine the accuracy and precision of the WRRTS, four athletes of the German A or B National Team performed 35 measured ski jumps. The WRRTS was used to measure the 3D positions and ski angles during the jump. The measurements are compared with camera measurements for the in-flight parameters and the official video distance for the jumping distance to assess their accuracy. We statistically evaluated the different methods using Bland–Altman plots. We thereby find a mean absolute error of 0.46 m for the jumping distance, 0.12 m for the in-flight positions, and 0.8°, and 3.4° for the camera projected pitch and V-style opening angle, respectively. We show the validity of the presented WRRTS to measure the investigated parameters. Thus, the system can be used as a tracking system during training and competitions for coaches and sports scientists. The real-time feature of the tracking system enables usage during live TV broadcasting.
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