Development of a wearable motion detector for telemonitoring and real-time identification of physical activity.

Characteristics of physical activity are indicative of one's mobility level, latent chronic diseases, and aging process. Current research has been oriented to provide quantitative assessment of physical activity with ambulatory monitoring approaches. This study presents the design of a portable microprocessor-based accelerometry measuring device to implement real-time physical activity identification. An algorithm was developed to process real-time tri-axial acceleration signals produced by human movement to identify targeted still postures, postural transitions, and dynamic movements. Fall detection was also featured in this algorithm to meet the increasing needs of elderly care in free-living environments. High identification accuracy was obtained in performance evaluation. This device is technically viable for telemonitoring and real-time identification of physical activity, while providing sufficient information to evaluate a person's activity of daily living and her/his status of physical mobility. Limitations regarding real-time processing and implementation of the system for telemonitoring in the home environment were also observed.

[1]  Kamiar Aminian,et al.  Capturing human motion using body‐fixed sensors: outdoor measurement and clinical applications , 2004, Comput. Animat. Virtual Worlds.

[2]  E. D. Ilsar,et al.  Remote monitoring of health status of the elderly at home. A multidisciplinary project on aging at the University of New South Wales. , 1995, International journal of bio-medical computing.

[3]  C. M. Cheng,et al.  Development of a Decentralized Home Telehealth Monitoring System , 2007 .

[4]  S. Finkelstein,et al.  Home telehealth improves clinical outcomes at lower cost for home healthcare. , 2006, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[5]  T Togawa,et al.  Classification of waist-acceleration signals in a continuous walking record. , 2000, Medical engineering & physics.

[6]  Yeh-Liang Hsu,et al.  Developing a telepresence robot for interpersonal communication with the elderly in a home environment. , 2007, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[7]  C. N. Scanaill,et al.  A Review of Approaches to Mobility Telemonitoring of the Elderly in Their Living Environment , 2006, Annals of Biomedical Engineering.

[8]  Yeh-Liang Hsu,et al.  Development of a portable device for telemonitoring of snoring and obstructive sleep apnea syndrome symptoms. , 2008, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[9]  M. N. Nyan,et al.  Classification of gait patterns in the time-frequency domain. , 2006, Journal of biomechanics.

[10]  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.

[11]  Kamiar Aminian,et al.  Spatio-temporal parameters of gait measured by an ambulatory system using miniature gyroscopes. , 2002, Journal of biomechanics.

[12]  J. D. Janssen,et al.  A triaxial accelerometer and portable data processing unit for the assessment of daily physical activity , 1997, IEEE Transactions on Biomedical Engineering.

[13]  G.A.L. Meijer,et al.  Methods to assess physical activity with special reference to motion sensors and accelerometers , 1991, IEEE Transactions on Biomedical Engineering.

[14]  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.

[15]  R. Wootton,et al.  A systematic review of successes and failures in home telehealth: preliminary results , 2006 .

[16]  Yeh-Liang Hsu,et al.  Development of a portable device for telemonitoring of physical activities during sleep. , 2008, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[17]  M. Mathie,et al.  Detection of daily physical activities using a triaxial accelerometer , 2003, Medical and Biological Engineering and Computing.

[18]  G M Lyons,et al.  A description of an accelerometer-based mobility monitoring technique. , 2005, Medical engineering & physics.

[19]  Kamiar Aminian,et al.  Ambulatory system for human motion analysis using a kinematic sensor: monitoring of daily physical activity in the elderly , 2003, IEEE Transactions on Biomedical Engineering.

[20]  R. Elble Gravitational artifact in accelerometric measurements of tremor , 2005, Clinical Neurophysiology.

[21]  Arunkumar Pennathur,et al.  Daily living activities in older adults: Part I—a review of physical activity and dietary intake assessment methods , 2003 .

[22]  C. Caspersen,et al.  Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. , 1985, Public health reports.