Physiotherapy Exercises Evaluation using a Combined Approach based on sEMG and Wearable Inertial Sensors

The efficacy of home-based physiotherapy depends on the correct and systematic execution of prescribed exercises. Biofeedback systems enable to accurately track exercise execution and prevent patients from unconsciously introduce incorrect postures or improper muscular loads on the prescribed exercises. This is often achieved using inertial and surface electromyography (sEMG) sensors, as they can be used to monitor human motion variables and muscular activation. In this work, we propose to use machine learning techniques to automatically assess if a given exercise was properly executed. We present two major contributions: (1) a novel sEMG segmentation algorithm based on a syntactic approach and (2) a feature extraction and classification pipeline. The proposed methodology was applied to a controlled laboratory trial, for a set of 3 different exercises often prescribe by physiotherapists. The findings of this study support it is possible to automatically segment and classify exercise repetitions according to a given set of common deviations.

[1]  Hassan Ghasemzadeh,et al.  A Body Sensor Network With Electromyogram and Inertial Sensors: Multimodal Interpretation of Muscular Activities , 2010, IEEE Transactions on Information Technology in Biomedicine.

[2]  M. Tahar Kechadi,et al.  The limb movement analysis of rehabilitation exercises using wearable inertial sensors , 2016, 2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[3]  R. Kahn,et al.  Detecting Neuroimaging Biomarkers for Psychiatric Disorders: Sample Size Matters , 2016, Front. Psychiatry.

[4]  Brian Caulfield,et al.  Rehabilitation exercise assessment using inertial sensors: a cross-sectional analytical study , 2014, Journal of NeuroEngineering and Rehabilitation.

[5]  M. Barandasa,et al.  A real time biofeedback system using visual user interface for physical rehabilitation , 2016 .

[6]  Vânia Guimarães,et al.  Joint angles tracking for rehabilitation at home using inertial sensors: a feasibility study , 2017, PervasiveHealth.

[7]  P. Hodges,et al.  A comparison of computer-based methods for the determination of onset of muscle contraction using electromyography. , 1996, Electroencephalography and clinical neurophysiology.

[8]  C.J. De Luca,et al.  A Combined sEMG and Accelerometer System for Monitoring Functional Activity in Stroke , 2009, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[9]  Oonagh M. Giggins,et al.  Biofeedback in rehabilitation , 2013, Journal of NeuroEngineering and Rehabilitation.

[10]  M. Tahar Kechadi,et al.  Automatic classification of knee rehabilitation exercises using a single inertial sensor: A case study , 2018, 2018 IEEE 15th International Conference on Wearable and Implantable Body Sensor Networks (BSN).

[11]  Carlo J. De Luca,et al.  The Use of Surface Electromyography in Biomechanics , 1997 .

[12]  Sandra Bassett,et al.  The assessment of patient adherence to physiotherapy rehabilitation , 2003 .

[13]  Sang Hyuk Son,et al.  Wireless Sensor Networks for In-Home Healthcare: Potential and Challenges , 2005 .

[14]  Octavian Postolache,et al.  Wearable and IoT Technologies Application for Physical Rehabilitation , 2018, 2018 International Symposium in Sensing and Instrumentation in IoT Era (ISSI).

[15]  Diana Prichard,et al.  Physiotherapy exercise programmes: Are instructional exercise sheets effective? , 2005, Physiotherapy theory and practice.

[16]  Hugo Gamboa,et al.  SSTS: A syntactic tool for pattern search on time series , 2019, Inf. Process. Manag..

[17]  Hugo Gamboa,et al.  Body Location Independent Activity Monitoring , 2016, BIOSIGNALS.

[18]  Qingquan Sun,et al.  A wearable sensor based hand movement rehabilitation and evaluation system , 2017, 2017 Eleventh International Conference on Sensing Technology (ICST).

[19]  Vânia Guimarães,et al.  Gamification of stroke rehabilitation exercises using a smartphone , 2014, PervasiveHealth.