Wearable Device to Monitor Back Movements Using an Inductive Textile Sensor

Low back pain (LBP) is the most common work-related musculoskeletal disorder among healthcare workers and is directly related to long hours of working in twisted/bent postures or with awkward trunk movements. It has already been established that providing relevant feedback helps individuals to maintain better body posture during the activities of daily living. With the goal of preventing LBP through objective monitoring of back posture, this paper proposes a wireless, comfortable, and compact textile-based wearable platform to track trunk movements when the user bends forward. The smart garment developed for this purpose was prototyped with an inductive sensor formed by sewing a copper wire into an elastic fabric in a zigzag pattern. The results of an extensive simulation study showed that this unique design increases the inductance value of the sensor, and, consequently, improves its resolution. Furthermore, experimental evaluation on a healthy participant confirmed that the proposed wearable system with the suggested sensor design can easily detect forward bending movements. The evaluation scenario was then extended to also include twisting and lateral bending of the trunk, and it was observed that the proposed design can successfully discriminate such movements from forward bending of the trunk. Results of the magnetic interference test showed that, most notably, moving a cellphone towards the unworn prototype affects sensor readings, however, manipulating a cellphone, when wearing the prototype, did not affect the capability of the sensor in detecting forward bends. The proposed platform is a promising step toward developing wearable systems to monitor back posture in order to prevent or treat LBP.

[1]  Audrey Nelson,et al.  Preventing Nursing Back Injuries: Redesigning Patient Handling Tasks , 2003, AAOHN journal : official journal of the American Association of Occupational Health Nurses.

[2]  J W van der Gulden,et al.  Work related risk factors for musculoskeletal complaints in the nursing profession: results of a questionnaire survey. , 1996, Occupational and environmental medicine.

[3]  João Gomes,et al.  Wearable E-Textile Technologies: A Review on Sensors, Actuators and Control Elements , 2018 .

[4]  Paolo Bifulco,et al.  A Contactless Sensor for Pacemaker Pulse Detection: Design Hints and Performance Assessment , 2018, Sensors.

[5]  Maria Romano,et al.  A continuous description of intervertebral motion by means of spline interpolation of kinematic data extracted by videofluoroscopy. , 2012, Journal of biomechanics.

[6]  Behzad Moshiri,et al.  Trunk Motion System (TMS) Using Printed Body Worn Sensor (BWS) via Data Fusion Approach , 2017, Sensors.

[7]  S. Milosavljevic,et al.  Dose-response relationship between work-related cumulative postural exposure and low back pain: a systematic review. , 2012, The Annals of occupational hygiene.

[8]  Sophie Skach,et al.  Initial Investigations into Characterizing DIY E-Textile Stretch Sensors , 2017, MOCO.

[9]  M. Ruch,et al.  Multilayer planar rectangular coils for eddy current testing: Design considerations , 2009 .

[10]  Mauro Serpelloni,et al.  Autonomous Wearable System for Vital Signs Measurement With Energy-Harvesting Module , 2016, IEEE Transactions on Instrumentation and Measurement.

[11]  Ben Trovato,et al.  Initial Investigations into Characterizing DIY E-Textile Stretch Sensors , 2017 .

[12]  Robert Puers,et al.  Towards the integration of textile sensors in a wireless monitoring suit , 2004 .

[13]  Ozgur Atalay,et al.  Textile-Based, Interdigital, Capacitive, Soft-Strain Sensor for Wearable Applications , 2018, Materials.

[14]  Corinne Mattmann Body posture detection using strain sensitive clothing , 2008 .

[15]  T. Chou,et al.  Highly Sensitive Wearable Textile-Based Humidity Sensor Made of High-Strength, Single-Walled Carbon Nanotube/Poly(vinyl alcohol) Filaments. , 2017, ACS applied materials & interfaces.

[16]  R. Wijesiriwardana,et al.  Inductive fiber-meshed strain and displacement transducers for respiratory measuring systems and motion capturing systems , 2006, IEEE Sensors Journal.

[17]  T. Friede,et al.  Back schools for the treatment of chronic low back pain: possibility of benefit but no convincing evidence after 47 years of research—systematic review and meta-analysis , 2016, Pain.

[18]  Jae-Ho Lee,et al.  The Effect of Textile-Based Inductive Coil Sensor Positions for Heart Rate Monitoring , 2014, Journal of Medical Systems.

[19]  J D G Troup,et al.  Low Back Pain Among Nurses: A Follow-up Beginning at Entry to the Nursing School , 2005, Spine.

[20]  I. Dianat,et al.  Awkward trunk postures and their relationship with low back pain in hospital nurses. , 2018, Work.

[21]  Tom Chau,et al.  E-textiles in Clinical Rehabilitation: A Scoping Review , 2015 .

[22]  Chris G Maher,et al.  Prevention of Low Back Pain: A Systematic Review and Meta-analysis. , 2016, JAMA internal medicine.

[23]  John L. Volakis,et al.  Conformal Load-Bearing Spiral Antenna on Conductive Textile Threads , 2017, IEEE Antennas and Wireless Propagation Letters.

[24]  R. Sartène,et al.  What does inductance plethysmography really measure? , 1988, Journal of applied physiology.

[25]  Juan M. Cortell-Tormo,et al.  Lumbatex: A Wearable Monitoring System Based on Inertial Sensors to Measure and Control the Lumbar Spine Motion , 2019, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[26]  J. Betlehem,et al.  Treatment and ergonomics training of work-related lower back pain and body posture problems for nurses. , 2012, Journal of clinical nursing.

[27]  B. Hermans,et al.  Integrating wireless ECG monitoring in textiles , 2005, The 13th International Conference on Solid-State Sensors, Actuators and Microsystems, 2005. Digest of Technical Papers. TRANSDUCERS '05..

[28]  Pascal Madeleine,et al.  The variability of the trunk forward bending in standing activities during work vs. leisure time. , 2017, Applied ergonomics.

[29]  Alison H. McGregor,et al.  Wearable technology for spine movement assessment: A systematic review , 2017, Journal of biomechanics.

[30]  Silvana Quaglini,et al.  Estimation of human trunk movements by wearable strain sensors and improvement of sensor’s placement on intelligent biomedical clothes , 2012, Biomedical engineering online.

[31]  Giovanni Puccetti,et al.  ANALYTICAL CALCULATION OF THE INDUCTANCE OF PLANAR ZIG-ZAG SPIRAL INDUCTORS , 2013 .

[32]  P. Czerski,et al.  Guidelines on limits of exposure to radiofrequency electromagnetic fields in the frequency range from 100 kHz to 300 GHz. International Non-Ionizing Radiation Committee of the International Radiation Protection Association. , 1988, Health physics.

[33]  Mary O'Keeffe,et al.  The efficacy of interventions for low back pain in nurses: A systematic review. , 2018, International journal of nursing studies.

[34]  Mohsen Gholami,et al.  Application-Based Production and Testing of a Core–Sheath Fiber Strain Sensor for Wearable Electronics: Feasibility Study of Using the Sensors in Measuring Tri-Axial Trunk Motion Angles , 2019, Sensors.