Ambulatory balance monitoring using a wireless attachable three-axis accelerometer.

BACKGROUND AND OBJECTIVES The ability of conventional diagnostic equipment to monitor feelings of dizziness experienced during daily activities is limited. Our goal is to develop an ambulatory multipurpose device for monitoring balance to prevent falling in daily life. MATERIALS AND METHODS A three-axis accelerometers and gyroscope sensors were attached to the head, pelvis, and legs of vestibular neuritis (VN) patients or age-, height-, and body weight-matched healthy volunteers. The sum of the deviations for the scalar value of acceleration [signal vector magnitude, SVM (g)] and angular velocity (°/s) was measured using the modified Romberg test. RESULTS The repeated measure ANOVA model with acceleration showed a greater group difference (p < 0.001) than that with angular velocity (p < 0.01). There was no significant interaction effect within-subjects factor between replication and groups (p < 0.178). SVM within the VN group significantly increased for all sensor locations compared to the control group (p < 0.01). Strong correlations between measurements taken at head and pelvis as sensor location were observed for both groups (VN/control, r=0.68/r=072). CONCLUS ION The SVM appears to accurately assess balance while standing, even repetitive measurement or any location in body.

[1]  Roman Kamnik,et al.  An inertial and magnetic sensor based technique for joint angle measurement. , 2007, Journal of biomechanics.

[2]  Mary Ganguli,et al.  Simple balance and mobility tests can assess falls risk when cognition is impaired. , 2008, Geriatric nursing.

[3]  I. Curthoys,et al.  The interpretation of clinical tests of peripheral vestibular function , 2012, The Laryngoscope.

[4]  J. Lumio,et al.  XXV Vestibular Neuronitis , 1965 .

[5]  Angelo M. Sabatini,et al.  Assessment of walking features from foot inertial sensing , 2005, IEEE Transactions on Biomedical Engineering.

[6]  A. Khasnis,et al.  Romberg's test. , 2003, Journal of postgraduate medicine.

[7]  H. El-Kashlan,et al.  Evaluation of Clinical Measures of Equilibrium , 1998, The Laryngoscope.

[8]  F. Horak,et al.  The Balance Evaluation Systems Test (BESTest) to Differentiate Balance Deficits , 2009, Physical Therapy.

[9]  J. Furman,et al.  Posturography: uses and limitations. , 1994, Bailliere's clinical neurology.

[10]  Ayodele A Fabunmi,et al.  Relationship between balance performance in the elderly and some anthropometric variables. , 2008, African journal of medicine and medical sciences.

[11]  J. Allum,et al.  Age‐dependent variations in the directional sensitivity of balance corrections and compensatory arm movements in man , 2002, The Journal of physiology.

[12]  J. Allum,et al.  Improvements in Trunk Sway Observed for Stance and Gait Tasks during Recovery from an Acute Unilateral Peripheral Vestibular Deficit , 2003, Audiology and Neurotology.

[13]  J. Wyman,et al.  Test-retest reliability of the sensory organization test in noninstitutionalized older adults. , 1995, Archives of physical medicine and rehabilitation.

[14]  Peter H. Veltink,et al.  Measuring orientation of human body segments using miniature gyroscopes and accelerometers , 2005, Medical and Biological Engineering and Computing.

[15]  J. Allum,et al.  Trunk sway measures of postural stability during clinical balance tests: effects of age. , 2001, The journals of gerontology. Series A, Biological sciences and medical sciences.

[16]  Marco Parvis,et al.  Procedure for effortless in-field calibration of three-axial rate gyro and accelerometers , 1995 .

[17]  F. O. Black,et al.  Effects of Vestibular Rehabilitation on Dizziness and Imbalance , 1992, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[18]  Kamiar Aminian,et al.  Measurement of stand-sit and sit-stand transitions using a miniature gyroscope and its application in fall risk evaluation in the elderly , 2002, IEEE Transactions on Biomedical Engineering.

[19]  Angelo Maria Sabatini,et al.  In-use calibration of body-mounted gyroscopes for applications in gait analysis , 2005 .

[20]  Nigel H. Lovell,et al.  Implementation of a real-time human movement classifier using a triaxial accelerometer for ambulatory monitoring , 2006, IEEE Transactions on Information Technology in Biomedicine.

[21]  Alberto Olivares,et al.  Wagyromag: Wireless sensor network for monitoring and processing human body movement in healthcare applications , 2011, J. Syst. Archit..

[22]  J. Furman,et al.  Role of Posturography in the Management of Vestibular Patients , 1995, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[23]  M. Gossman,et al.  Balance performance, force production, and activity levels in noninstitutionalized men 60 to 90 years of age. , 1990, Physical therapy.

[24]  Vestibular function testing , 2010, Irish journal of medical science.

[25]  Sun Kook Yoo,et al.  Integrated Solution for Physical Activity Monitoring Based on Mobile Phone and PC , 2011, Healthcare informatics research.

[26]  J. Staab Chronic Subjective Dizziness , 2012, Continuum.

[27]  Balance Control Analysis as a Method for Screening and Identifying Balance Deficits , 2001, Annals of the New York Academy of Sciences.

[28]  F Honegger,et al.  Differential diagnosis of proprioceptive and vestibular deficits using dynamic support-surface posturography. , 2001, Gait & posture.

[29]  L. Nashner,et al.  Dynamic posturography in the diagnosis and management of dizziness and balance disorders. , 1990, Neurologic clinics.

[30]  Marianne Dieterich,et al.  Central vestibular disorders , 2007, Journal of Neurology.