Association between wrist-worn free-living accelerometry and hand grip strength in middle-aged and older adults.

INTRODUCTION: Wrist-worn activity monitors have seen widespread adoption in recent times, particularly in young and sport-oriented cohorts, while their usage among older adults has remained relatively low. The main limitations are in regards to the lack of medical insights that current mainstream activity trackers can provide to older subjects. One of the most important research areas under investigation currently is the possibility of extrapolating clinical information from these wearable devices. METHODS: The research question of this study is understanding whether accelerometry data collected for 7-days in free-living environments using a consumer-based wristband device, in conjunction with data-driven machine learning algorithms, is able to predict hand grip strength and possible conditions categorized by hand grip strength in a general population consisting of middle-aged and older adults. RESULTS: The results of the regression analysis reveal that the performance of the developed models is notably superior to a simple mean-predicting dummy regressor. While the improvement in absolute terms may appear modest, the mean absolute error (6.32 kg for males and 4.53 kg for females) falls within the range considered sufficiently accurate for grip strength estimation. The classification models, instead, excel in categorizing individuals as frail/pre-frail, or healthy, depending on the T-score levels applied for frailty/pre-frailty definition. While cut-off values for frailty vary, the results suggest that the models can moderately detect characteristics associated with frailty (AUC-ROC: 0.70 for males, and 0.76 for females) and viably detect characteristics associated with frailty/pre-frailty (AUC-ROC: 0.86 for males, and 0.87 for females). CONCLUSIONS: The results of this study can enable the adoption of wearable devices as an efficient tool for clinical assessment in older adults with multimorbidities, improving and advancing integrated care, diagnosis and early screening of a number of widespread diseases.

Development of a Personalized Multiclass Classification Model to Detect Blood Pressure Variations Associated with Physical or Cognitive Workload.

Comprehending the regulatory mechanisms influencing blood pressure control is pivotal for continuous monitoring of this parameter. Implementing a personalized machine learning model, utilizing data-driven features, presents an opportunity to facilitate tracking blood pressure fluctuations in various conditions. In this work, data-driven photoplethysmograph features extracted from the brachial and digital arteries of 28 healthy subjects were used to feed a random forest classifier in an attempt to develop a system capable of tracking blood pressure. We evaluated the behavior of this latter classifier according to the different sizes of the training set and degrees of personalization used. Aggregated accuracy, precision, recall, and F1-score were equal to 95.1%, 95.2%, 95%, and 95.4% when 30% of a target subject's pulse waveforms were combined with five randomly selected source subjects available in the dataset. Experimental findings illustrated that incorporating a pre-training stage with data from different subjects made it viable to discern morphological distinctions in beat-to-beat pulse waveforms under conditions of cognitive or physical workload.

A Comprehensive Survey on RF Energy Harvesting: Applications and Performance Determinants.

There has been an explosion in research focused on Internet of Things (IoT) devices in recent years, with a broad range of use cases in different domains ranging from industrial automation to business analytics. Being battery-powered, these small devices are expected to last for extended periods (i.e., in some instances up to tens of years) to ensure network longevity and data streams with the required temporal and spatial granularity. It becomes even more critical when IoT devices are installed within a harsh environment where battery replacement/charging is both costly and labour intensive. Recent developments in the energy harvesting paradigm have significantly contributed towards mitigating this critical energy issue by incorporating the renewable energy potentially available within any environment in which a sensor network is deployed. Radio Frequency (RF) energy harvesting is one of the promising approaches being investigated in the research community to address this challenge, conducted by harvesting energy from the incident radio waves from both ambient and dedicated radio sources. A limited number of studies are available covering the state of the art related to specific research topics in this space, but there is a gap in the consolidation of domain knowledge associated with the factors influencing the performance of RF power harvesting systems. Moreover, a number of topics and research challenges affecting the performance of RF harvesting systems are still unreported, which deserve special attention. To this end, this article starts by providing an overview of the different application domains of RF power harvesting outlining their performance requirements and summarizing the RF power harvesting techniques with their associated power densities. It then comprehensively surveys the available literature on the horizons that affect the performance of RF energy harvesting, taking into account the evaluation metrics, power propagation models, rectenna architectures, and MAC protocols for RF energy harvesting. Finally, it summarizes the available literature associated with RF powered networks and highlights the limitations, challenges, and future research directions by synthesizing the research efforts in the field of RF energy harvesting to progress research in this area.

Test-Retest Reliability of Acoustic Emission Sensing of the Knee during Physical Tasks.

Acoustic emission (AE) sensing is an increasingly researched topic in the context of orthopedics and has a potentially high diagnostic value in the non-invasive assessment of joint disorders, such as osteoarthritis and implant loosening. However, a high level of reliability associated with the technology is necessary to make it appropriate for use as a clinical tool. This paper presents a test-retest and intrasession reliability evaluation of AE measurements of the knee during physical tasks: cycling, knee lifts and single-leg squats. Three sessions, each involving eight healthy volunteers were conducted. For the cycling activity, ICCs ranged from 0.538 to 0.901, while the knee lifts and single-leg squats showed poor reliability (ICC < 0.5). Intrasession ICCs ranged from 0.903 to 0.984 for cycling and from 0.600 to 0.901 for the other tasks. The results of this study show that movement consistency across multiple recordings and minimizing the influence of motion artifacts are essential for higher test reliability. It was shown that motion artifact resistant sensor mounting and the use of baseline movements to assess sensor attachment can improve the sensing reliability of AE techniques. Moreover, constrained movements, specifically cycling, show better inter- and intrasession reliability than unconstrained exercises.

Flexible and Transparent Circularly Polarized Patch Antenna for Reliable Unobtrusive Wearable Wireless Communications.

This paper presents a circularly polarized flexible and transparent circular patch antenna suitable for body-worn wireless-communications. Circular polarization is highly beneficial in wearable wireless communications, where antennas, as a key component of the RF front-end, operate in dynamic environments, such as the human body. The demonstrated antenna is realized with highly flexible, robust and transparent conductive-fabric-polymer composite. The performance of the explored flexible-transparent antenna is also compared with its non-transparent counterpart manufactured with non-transparent conductive fabric. This comparison further demonstrates the suitability of the proposed materials for the target unobtrusive wearable applications. Detailed numerical and experimental investigations are explored in this paper to verify the proposed design. Moreover, the compatibility of the antenna in wearable applications is evaluated by testing the performance on a forearm phantom and calculating the specific absorption rate (SAR).

Wireless Communications for Smart Manufacturing and Industrial IoT: Existing Technologies, 5G and Beyond.

Smart manufacturing is a vision and major driver for change in today's industry. The goal of smart manufacturing is to optimize manufacturing processes through constantly monitoring, controlling, and adapting processes towards more efficient and personalised manufacturing. This requires and relies on technologies for connected machines incorporating a variety of computation, sensing, actuation, and machine to machine communications modalities. As such, understanding the change towards smart manufacturing requires knowledge of the enabling technologies, their applications in real world scenarios and the communication protocols and their performance to meet application requirements. Particularly, wireless communication is becoming an integral part of modern smart manufacturing and is expected to play an important role in achieving the goals of smart manufacturing. This paper presents an extensive review of wireless communication protocols currently applied in manufacturing environments and provides a comprehensive review of the associated use cases whilst defining their expected impact on the future of smart manufacturing. Based on the review, we point out a number of open challenges and directions for future research in wireless communication technologies for smart manufacturing.

Development of a Low-Power Underwater NFC-Enabled Sensor Device for Seaweed Monitoring.

Aquaculture farming faces challenges to increase production while maintaining welfare of livestock, efficiently use of resources, and being environmentally sustainable. To help overcome these challenges, remote and real-time monitoring of the environmental and biological conditions of the aquaculture site is highly important. Multiple remote monitoring solutions for investigating the growth of seaweed are available, but no integrated solution that monitors different biotic and abiotic factors exists. A new integrated multi-sensing system would reduce the cost and time required to deploy the system and provide useful information on the dynamic forces affecting the plants and the associated biomass of the harvest. In this work, we present the development of a novel miniature low-power NFC-enabled data acquisition system to monitor seaweed growth parameters in an aquaculture context. It logs temperature, light intensity, depth, and motion, and these data can be transmitted or downloaded to enable informed decision making for the seaweed farmers. The device is fully customisable and designed to be attached to seaweed or associated mooring lines. The developed system was characterised in laboratory settings to validate and calibrate the embedded sensors. It performs comparably to commercial environmental sensors, enabling the use of the device to be deployed in commercial and research settings.

A Smart Archive Box for Museum Artifact Monitoring Using Battery-Less Temperature and Humidity Sensing.

For the first time, this paper reports a smart museum archive box that features a fully integrated wireless powered temperature and humidity sensor. The smart archive box has been specifically developed for microclimate environmental monitoring of stored museum artifacts in cultural heritage applications. The developed sensor does not require a battery and is wirelessly powered using Near Field Communications (NFC). The proposed solution enables a convenient means for wireless sensing with the operator by simply placing a standard smartphone in close proximity to the cardboard archive box. Wireless sensing capability has the advantage of enabling long-term environmental monitoring of the contents of the archive box without having to move and open the box for reading or battery replacement. This contributes to a sustainable preventive conservation strategy and avoids the risk of exposing the contents to the external environment, which may result in degradation of the stored artifacts. In this work, a low-cost and fully integrated NFC sensor has been successfully developed and demonstrated. The developed sensor is capable of wirelessly measuring temperature and relative humidity with a mean error of 0.37 °C and ±0.35%, respectively. The design has also been optimized for low power operation with a measured peak DC power consumption of 900 µW while yielding a 4.5 cm wireless communication range. The power consumption of the NFC sensor is one of the lowest found in the literature. To the author's knowledge, the NFC sensor proposed in this paper is the first reporting of a smart archive box that is wirelessly powered and uniquely integrated within a cardboard archive box.

Motion Capture Technology in Industrial Applications: A Systematic Review.

The rapid technological advancements of Industry 4.0 have opened up new vectors for novel industrial processes that require advanced sensing solutions for their realization. Motion capture (MoCap) sensors, such as visual cameras and inertial measurement units (IMUs), are frequently adopted in industrial settings to support solutions in robotics, additive manufacturing, teleworking and human safety. This review synthesizes and evaluates studies investigating the use of MoCap technologies in industry-related research. A search was performed in the Embase, Scopus, Web of Science and Google Scholar. Only studies in English, from 2015 onwards, on primary and secondary industrial applications were considered. The quality of the articles was appraised with the AXIS tool. Studies were categorized based on type of used sensors, beneficiary industry sector, and type of application. Study characteristics, key methods and findings were also summarized. In total, 1682 records were identified, and 59 were included in this review. Twenty-one and 38 studies were assessed as being prone to medium and low risks of bias, respectively. Camera-based sensors and IMUs were used in 40% and 70% of the studies, respectively. Construction (30.5%), robotics (15.3%) and automotive (10.2%) were the most researched industry sectors, whilst health and safety (64.4%) and the improvement of industrial processes or products (17%) were the most targeted applications. Inertial sensors were the first choice for industrial MoCap applications. Camera-based MoCap systems performed better in robotic applications, but camera obstructions caused by workers and machinery was the most challenging issue. Advancements in machine learning algorithms have been shown to increase the capabilities of MoCap systems in applications such as activity and fatigue detection as well as tool condition monitoring and object recognition.

Using Domain Knowledge for Interpretable and Competitive Multi-Class Human Activity Recognition.

Human activity recognition (HAR) has become an increasingly popular application of machine learning across a range of domains. Typically the HAR task that a machine learning algorithm is trained for requires separating multiple activities such as walking, running, sitting, and falling from each other. Despite a large body of work on multi-class HAR, and the well-known fact that the performance on a multi-class problem can be significantly affected by how it is decomposed into a set of binary problems, there has been little research into how the choice of multi-class decomposition method affects the performance of HAR systems. This paper presents the first empirical comparison of multi-class decomposition methods in a HAR context by estimating the performance of five machine learning algorithms when used in their multi-class formulation, with four popular multi-class decomposition methods, five expert hierarchies-nested dichotomies constructed from domain knowledge-or an ensemble of expert hierarchies on a 17-class HAR data-set which consists of features extracted from tri-axial accelerometer and gyroscope signals. We further compare performance on two binary classification problems, each based on the topmost dichotomy of an expert hierarchy. The results show that expert hierarchies can indeed compete with one-vs-all, both on the original multi-class problem and on a more general binary classification problem, such as that induced by an expert hierarchy's topmost dichotomy. Finally, we show that an ensemble of expert hierarchies performs better than one-vs-all and comparably to one-vs-one, despite being of lower time and space complexity, on the multi-class problem, and outperforms all other multi-class decomposition methods on the two dichotomous problems.

Comparing Person-Specific and Independent Models on Subject-Dependent and Independent Human Activity Recognition Performance.

The distinction between subject-dependent and subject-independent performance is ubiquitous in the human activity recognition (HAR) literature. We assess whether HAR models really do achieve better subject-dependent performance than subject-independent performance, whether a model trained with data from many users achieves better subject-independent performance than one trained with data from a single person, and whether one trained with data from a single specific target user performs better for that user than one trained with data from many. To those ends, we compare four popular machine learning algorithms' subject-dependent and subject-independent performances across eight datasets using three different personalisation-generalisation approaches, which we term person-independent models (PIMs), person-specific models (PSMs), and ensembles of PSMs (EPSMs). We further consider three different ways to construct such an ensemble: unweighted, κ -weighted, and baseline-feature-weighted. Our analysis shows that PSMs outperform PIMs by 43.5% in terms of their subject-dependent performances, whereas PIMs outperform PSMs by 55.9% and κ -weighted EPSMs-the best-performing EPSM type-by 16.4% in terms of the subject-independent performance.

Motion Sensors-Based Machine Learning Approach for the Identification of Anterior Cruciate Ligament Gait Patterns in On-the-Field Activities in Rugby Players.

Anterior cruciate ligament (ACL) injuries are common among athletes. Despite a successful return to sport (RTS) for most of the injured athletes, a significant proportion do not return to competitive levels, and thus RTS post ACL reconstruction still represents a challenge for clinicians. Wearable sensors, owing to their small size and low cost, can represent an opportunity for the management of athletes on-the-field after RTS by providing guidance to associated clinicians. In particular, this study aims to investigate the ability of a set of inertial sensors worn on the lower-limbs by rugby players involved in a change-of-direction (COD) activity to differentiate between healthy and post-ACL groups via the use of machine learning. Twelve male participants (six healthy and six post-ACL athletes who were deemed to have successfully returned to competitive rugby and tested in the 5-10 year period following the injury) were recruited for the study. Time- and frequency-domain features were extracted from the raw inertial data collected. Several machine learning models were tested, such as k-nearest neighbors, naïve Bayes, support vector machine, gradient boosting tree, multi-layer perceptron, and stacking. Feature selection was implemented in the learning model, and leave-one-subject-out cross-validation (LOSO-CV) was adopted to estimate training and test errors. Results obtained show that it is possible to correctly discriminate between healthy and post-ACL injury subjects with an accuracy of 73.07% (multi-layer perceptron) and sensitivity of 81.8% (gradient boosting). The results of this study demonstrate the feasibility of using body-worn motion sensors and machine learning approaches for the identification of post-ACL gait patterns in athletes performing sport tasks on-the-field even a number of years after the injury occurred.

A Wristwatch-Based Wireless Sensor Platform for IoT Health Monitoring Applications.

A wristwatch-based wireless sensor platform for IoT wearable health monitoring applications is presented. The paper describes the platform in detail, with a particular focus given to the design of a novel and compact wireless sub-system for 868 MHz wristwatch applications. An example application using the developed platform is discussed for arterial oxygen saturation (SpO2) and heart rate measurement using optical photoplethysmography (PPG). A comparison of the wireless performance in the 868 MHz and the 2.45 GHz bands is performed. Another contribution of this work is the development of a highly integrated 868 MHz antenna. The antenna structure is printed on the surface of a wristwatch enclosure using laser direct structuring (LDS) technology. At 868 MHz, a low specific absorption rate (SAR) of less than 0.1% of the maximum permissible limit in the simulation is demonstrated. The measured on-body prototype antenna exhibits a -10 dB impedance bandwidth of 36 MHz, a peak realized gain of -4.86 dBi and a radiation efficiency of 14.53% at 868 MHz. To evaluate the performance of the developed 868 MHz sensor platform, the wireless communication range measurements are performed in an indoor environment and compared with a commercial Bluetooth wristwatch device.

A Review of Wearable Solutions for Physiological and Emotional Monitoring for Use by People with Autism Spectrum Disorder and Their Caregivers.

The goal of real-time feedback on physiological changes, stress monitoring and even emotion detection is becoming a technological reality. People in their daily life experience varying emotional states, some of which are negative and which can lead to decreased attention, decreased productivity and ultimately, reduced quality of life. Therefore, having a solution that continuously monitors the physiological signals of the person and assesses his or her emotional well-being could be a very valuable tool. This paper aims to review existing physiological and motional monitoring devices, highlight their features and compare their sensing capabilities. Such technology would be particularly useful for certain populations who experience rapidly changing emotional states such as people with autism spectrum disorder and people with intellectual disabilities. Wearable sensing devices present a potential solution that can support and complement existing behavioral interventions. This paper presents a review of existing and emerging products in the market. It reviews the literature on state-of-the-art prototypes and analyzes their usefulness, clinical validity, and discusses clinical perspectives. A small number of products offer reliable physiological internal state monitoring and may be suitable for people with Autism Spectrum Disorder (ASD). It is likely that more promising solutions will be available in the near future. Therefore, caregivers should be careful in their selection of devices that meet the care-receiver's personal needs and have strong research support for reliability and validity.

Indirect Measurement of Ground Reaction Forces and Moments by Means of Wearable Inertial Sensors: A Systematic Review.

In the last few years, estimating ground reaction forces by means of wearable sensors has come to be a challenging research topic paving the way to kinetic analysis and sport performance testing outside of labs. One possible approach involves estimating the ground reaction forces from kinematic data obtained by inertial measurement units (IMUs) worn by the subject. As estimating kinetic quantities from kinematic data is not an easy task, several models and protocols have been developed over the years. Non-wearable sensors, such as optoelectronic systems along with force platforms, remain the most accurate systems to record motion. In this review, we identified, selected and categorized the methodologies for estimating the ground reaction forces from IMUs as proposed across the years. Scopus, Google Scholar, IEEE Xplore, and PubMed databases were interrogated on the topic of Ground Reaction Forces estimation based on kinematic data obtained by IMUs. The identified papers were classified according to the methodology proposed: (i) methods based on direct modelling; (ii) methods based on machine learning. The methods based on direct modelling were further classified according to the task studied (walking, running, jumping, etc.). Finally, we comparatively examined the methods in order to identify the most reliable approaches for the implementation of a ground reaction force estimator based on IMU data.

Hand Tracking and Gesture Recognition Using Lensless Smart Sensors.

The Lensless Smart Sensor (LSS) developed by Rambus, Inc. is a low-power, low-cost visual sensing technology that captures information-rich optical data in a tiny form factor using a novel approach to optical sensing. The spiral gratings of LSS diffractive grating, coupled with sophisticated computational algorithms, allow point tracking down to millimeter-level accuracy. This work is focused on developing novel algorithms for the detection of multiple points and thereby enabling hand tracking and gesture recognition using the LSS. The algorithms are formulated based on geometrical and mathematical constraints around the placement of infrared light-emitting diodes (LEDs) on the hand. The developed techniques dynamically adapt the recognition and orientation of the hand and associated gestures. A detailed accuracy analysis for both hand tracking and gesture classification as a function of LED positions is conducted to validate the performance of the system. Our results indicate that the technology is a promising approach, as the current state-of-the-art focuses on human motion tracking that requires highly complex and expensive systems. A wearable, low-power, low-cost system could make a significant impact in this field, as it does not require complex hardware or additional sensors on the tracked segments.

A Review of Activity Trackers for Senior Citizens: Research Perspectives, Commercial Landscape and the Role of the Insurance Industry.

The objective assessment of physical activity levels through wearable inertial-based motion detectors for the automatic, continuous and long-term monitoring of people in free-living environments is a well-known research area in the literature. However, their application to older adults can present particular constraints. This paper reviews the adoption of wearable devices in senior citizens by describing various researches for monitoring physical activity indicators, such as energy expenditure, posture transitions, activity classification, fall detection and prediction, gait and balance analysis, also by adopting consumer-grade fitness trackers with the associated limitations regarding acceptability. This review also describes and compares existing commercial products encompassing activity trackers tailored for older adults, thus providing a comprehensive outlook of the status of commercially available motion tracking systems. Finally, the impact of wearable devices on life and health insurance companies, with a description of the potential benefits for the industry and the wearables market, was analyzed as an example of the potential emerging market drivers for such technology in the future.

Potential of Sub-GHz Wireless for Future IoT Wearables and Design of Compact 915 MHz Antenna.

Internet of Things (IoT) technology is rapidly emerging in medical applications as it offers the possibility of lower-cost personalized healthcare monitoring. At the present time, the 2.45 GHz band is in widespread use for these applications but in this paper, the authors investigate the potential of the 915 MHz ISM band in implementing future, wearable IoT devices. The target sensor is a wrist-worn wireless heart rate and arterial oxygen saturation (SpO2) monitor with the goal of providing efficient wireless functionality and long battery lifetime using a commercial Sub-GHz low-power radio transceiver. A detailed analysis of current consumption for various wireless protocols is also presented and analyzed. A novel 915 MHz antenna design of compact size is reported that has good resilience to detuning by the human body. The antenna also incorporates a matching network to meet the challenging bandwidth requirements and is fabricated using standard, low-cost FR-4 material. Full-Wave EM simulations are presented for the antenna placed in both free-space and on-body cases. A prototype antenna is demonstrated and has dimensions of 44 mm × 28 mm × 1.6 mm. The measured results at 915 MHz show a 10 dB return loss bandwidth of 55 MHz, a peak realized gain of - 2.37 dBi in free-space and - 6.1 dBi on-body. The paper concludes by highlighting the potential benefits of 915 MHz operation for future IoT devices.

Utilising dynamic motor control index to identify age-related differences in neuromuscular control.

PURPOSE: Considering the relationship between aging and neuromuscular control decline, early detection of age-related changes can ensure that timely interventions are implemented to attenuate or restore neuromuscular deficits. The dynamic motor control index (DMCI), a measure based on variance accounted for (VAF) by one muscle synergy (MS), is a metric used to assess age-related changes in neuromuscular control. The aim of the study was to investigate the use of one-synergy VAF, and consecutively DMCI, in assessing age-related changes in neuromuscular control over a range of exercises with varying difficulty. METHODS: Thirty-one subjects walked on a flat and inclined treadmill, as well as performed forward and lateral stepping up tasks. Motion and muscular activity were recorded, and muscle synergy analysis was conducted using one-synergy VAF, DMCI, and number of synergies. RESULTS: Difference between older and younger group was observed for one-synergy VAF, DMCI for forward stepping up task (one-synergy VAF difference of 2.45 (0.22, 4.68) and DMCI of 9.21 (0.81, 17.61), p = 0.033), but not for lateral stepping up or walking. CONCLUSION: The use of VAF based metrics and specifically DMCI, rather than number of MS, in combination with stepping forward exercise can provide a low-cost and easy to implement approach for assessing neuromuscular control in clinical settings.

A dataset for fatigue estimation during shoulder internal and external rotation movements using wearables.

Wearable sensors have recently been extensively used in sports science, physical rehabilitation, and industry providing feedback on physical fatigue. Information obtained from wearable sensors can be analyzed by predictive analytics methods, such as machine learning algorithms, to determine fatigue during shoulder joint movements, which have complex biomechanics. The presented dataset aims to provide data collected via wearable sensors during a fatigue protocol involving dynamic shoulder internal rotation (IR) and external rotation (ER) movements. Thirty-four healthy subjects performed shoulder IR and ER movements with different percentages of maximal voluntary isometric contraction (MVIC) force until they reached the maximal exertion. The dataset includes demographic information, anthropometric measurements, MVIC force measurements, and digital data captured via surface electromyography, inertial measurement unit, and photoplethysmography, as well as self-reported assessments using the Borg rating scale of perceived exertion and the Karolinska sleepiness scale. This comprehensive dataset provides valuable insights into physical fatigue assessment, allowing the development of fatigue detection/prediction algorithms and the study of human biomechanical characteristics during shoulder movements within a fatigue protocol.