Estimation of human trunk movements by wearable strain sensors and improvement of sensor’s placement on intelligent biomedical clothes

BackgroundThe aim of this study was to evaluate the concept of a wearable device and, specifically: 1) to design and implement analysis procedures to extract clinically relevant information from data recorded using the wearable system; 2) to evaluate the design and placement of the strain sensors.MethodsDifferent kinds of trunk movements performed by a healthy subject were acquired as a comprehensive data set of 639 multivariate time series and off-line analyzed. The space of multivariate signals recorded by the strain sensors was reduced by means of Principal Components Analysis, and compared with the univariate angles contemporaneously measured by an inertial sensor.ResultsVery high correlation between the two kinds of signals showed the usefulness of the garment for the quantification of the movements’ range of motion that caused at least one strain sensor to lengthen or shorten accordingly. The repeatability of signals was also studied. The layout of a next garment prototype was designed, with additional strain sensors placed across the front and hips, able to monitor a wider set of trunk motor tasks.ConclusionsThe proposed technologies and methods would offer a low-cost and unobtrusive approach to trunk motor rehabilitation.

[1]  A Brennan,et al.  Quantification of inertial sensor-based 3D joint angle measurement accuracy using an instrumented gimbal. , 2011, Gait & posture.

[2]  Enzo Pasquale Scilingo,et al.  Wearable kinesthetic systems and emerging technologies in actuation for upperlimb neurorehabilitation , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[3]  P. Joseph,et al.  Rehabilitation of postural disturbances of hemiplegic patients by using trunk control retraining during exploratory exercises. , 2001, Archives of physical medicine and rehabilitation.

[4]  G. Kwakkel,et al.  Predicting disability in stroke--a critical review of the literature. , 1996, Age and ageing.

[5]  Danilo De Rossi,et al.  Wearable technology for biomechanics: e-textile or micromechanical sensors? [Conversations in BME] , 2010, IEEE Engineering in Medicine and Biology Magazine.

[6]  S. Quaglini,et al.  Posture Classification via Wearable Strain Sensors for Neurological Rehabilitation , 2006, 2006 International Conference of the IEEE Engineering in Medicine and Biology Society.

[7]  Fabrice Axisa,et al.  Flexible technologies and smart clothing for citizen medicine, home healthcare, and disease prevention , 2005, IEEE Transactions on Information Technology in Biomedicine.

[8]  Tilak Dias,et al.  Automatic identification of gait events using an instrumented sock , 2011, Journal of NeuroEngineering and Rehabilitation.

[9]  G. Courtine,et al.  Stance- and locomotion-dependent processing of vibration-induced proprioceptive inflow from multiple muscles in humans. , 2007, Journal of neurophysiology.

[10]  J. Allum,et al.  Trunk sway measurements during stance and gait tasks in Parkinson's disease. , 2005, Gait & posture.

[11]  S Quaglini,et al.  Assessment of sensorized garments as a flexible support to self-administered post-stroke physical rehabilitation. , 2009, European journal of physical and rehabilitation medicine.

[12]  R L Hewer,et al.  Predicting Barthel ADL score at 6 months after an acute stroke. , 1983, Archives of physical medicine and rehabilitation.

[13]  Toni Giorgino,et al.  Matching incomplete time series with dynamic time warping: an algorithm and an application to post-stroke rehabilitation , 2009, Artif. Intell. Medicine.

[14]  S. Quaglini,et al.  A Multivariate Time-Warping Based Classifier for Gesture Recognition with Wearable Strain Sensors , 2007, 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[15]  Lorenzo Chiari,et al.  Wearable systems with minimal set-up for monitoring and training of balance and mobility , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[16]  Sharon M. Henry,et al.  Low back pain associates with altered activity of the cerebral cortex prior to arm movements that require postural adjustment , 2010, Clinical Neurophysiology.

[17]  R. Dickstein,et al.  Anticipatory postural adjustment in selected trunk muscles in post stroke hemiparetic patients. , 2004, Archives of physical medicine and rehabilitation.

[18]  P. Bonato Clinical applications of wearable technology , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[19]  G Yavuzer Technology in rehabilitation. , 2009, European journal of physical and rehabilitation medicine.

[20]  Enzo Pasquale Scilingo,et al.  Strain sensing fabric for hand posture and gesture monitoring , 2005, IEEE Transactions on Information Technology in Biomedicine.

[21]  Marco Schieppati,et al.  Trunk muscle proprioceptive input assists steering of locomotion , 2005, Neuroscience Letters.

[22]  Mariano Serrao,et al.  Four‐week trunk‐specific rehabilitation treatment improves lateral trunk flexion in Parkinson's disease , 2010, Movement disorders : official journal of the Movement Disorder Society.

[23]  Mariano Serrao,et al.  Kinematic and neurophysiological models: future applications in neurorehabilitation. , 2009, Journal of rehabilitation medicine.