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1.
Clin Biomech (Bristol) ; 120: 106366, 2024 Oct 20.
Artículo en Inglés | MEDLINE | ID: mdl-39490051

RESUMEN

BACKGROUND: Individuals with unilateral hip osteoarthritis walk with kinematic and spatiotemporal compensations compared to healthy individuals. Our purpose was to determine associations between gait, pain, and functional performance during the six-minute walk test. METHODS: Trunk and hip kinematics and spatiotemporal gait outcomes were recorded from individuals with unilateral hip osteoarthritis using inertial sensors (Xsens Technologies). Pain was collected prior to and at the end of the six-minute walk test. Paired t-tests were conducted to evaluate gait between limbs and between the first and final minutes of walking. Correlations were conducted between gait, pain, and six-minute walk test performance. FINDINGS: Nineteen participants (8 females, age: 63 ± 5 yrs. , BMI: 29.0 ± 4.5 kg/m2) completed the study. Between-limb differences in hip flexion, hip extension, and trunk forward flexion peak angles were observed during the six-minute walk test (P < .05). Participants demonstrated an increase in trunk forward flexion of the osteoarthritis side (t = -2.34, P = .031) and a bilateral decrease in stride length (osteoarthritis limb: t = 2.98, P = .008, non- osteoarthritis limb: t = 3.17, P = .006) from the first to the final minute of walking. Greater pain was associated with greater osteoarthritis limb hip extension (first minute: r = -0.506, P = .027, final minute: r = -0.53, P = .020) and greater hip abduction (r = 0.46, P = .046) during the final minute of walking. INTERPRETATIONS: Gait compensations increase throughout the six-minute walk test, and pain associates with hip kinematics during the six-minute walk test. Wearable technology may allow for more accurate clinical movement assessments.

2.
Sensors (Basel) ; 24(19)2024 Sep 28.
Artículo en Inglés | MEDLINE | ID: mdl-39409319

RESUMEN

Existing methods to obtain position from inertial sensors typically use a combination of multiple sensors and orientation modeling; thus, obtaining position from a single inertial sensor is highly desirable given the decreased setup time and reduced complexity. The dead reckoning method is commonly chosen to obtain position from acceleration; however, when applied to upper limb tracking, the accuracy of position estimates are questionable, which limits feasibility. A new method of obtaining position estimates through the use of zero velocity updates is reported, using a commercial IMU, a push-to-make momentary switch, and a 3D printed object to house the sensors. The generated position estimates can subsequently be converted into sound through sonification to provide audio feedback on reaching movements for rehabilitation applications. An evaluation of the performance of the generated position estimates from a system labeled 'Soniccup' is presented through a comparison with the outputs from a Vicon Nexus system. The results indicate that for reaching movements below one second in duration, the Soniccup produces positional estimates with high similarity to the same movements captured through the Vicon system, corresponding to comparable audio output from the two systems. However, future work to improve the performance of longer-duration movements and reduce the system latency to produce real-time audio feedback is required to improve the acceptability of the system.

3.
Sensors (Basel) ; 24(19)2024 Sep 29.
Artículo en Inglés | MEDLINE | ID: mdl-39409347

RESUMEN

Manual wheelchair propulsion represents a repetitive and constraining task, which leads mainly to the development of joint injury in spinal cord-injured people. One of the main reasons is the load sustained by the shoulder joint during the propulsion cycle. Moreover, the load at the shoulder joint is highly correlated with the force and moment acting at the handrim level. The main objective of this study is related to the estimation of handrim reactions forces and moments during wheelchair propulsion using only a single inertial measurement unit per hand. Two approaches are proposed here: Firstly, a method of identification of a non-linear transfer function based on the Hammerstein-Wiener (HW) modeling approach was used. The latter represents a typical multi-input single output in a system engineering modeling approach. Secondly, a specific variant of recurrent neural network called BiLSTM is proposed to predict the time-series data of force and moments at the handrim level. Eleven subjects participated in this study in a linear propulsion protocol, while the forces and moments were measured by a dynamic platform. The two input signals were the linear acceleration as well the angular velocity of the wrist joint. The horizontal, vertical and sagittal moments were estimated by the two approaches. The mean average error (MAE) shows a value of 6.10 N and 4.30 N for the horizontal force for BiLSTM and HW, respectively. The results for the vertical direction show a MAE of 5.91 N and 7.59 N for BiLSTM and HW, respectively. Finally, the MAE for the sagittal moment varies from 0.96 Nm (BiLSTM) to 1.09 Nm for the HW model. The approaches seem similar with respect to the MAE and can be considered accurate knowing that the order of magnitude of the uncertainties of the dynamic platform was reported to be 2.2 N for the horizontal and vertical forces and 2.24 Nm for the sagittal moments. However, it should be noted that HW necessitates the knowledge of the average force and patterns of each subject, whereas the BiLSTM method do not involve the average patterns, which shows its superiority for time-series data prediction. The results provided in this study show the possibility of measuring dynamic forces acting at the handrim level during wheelchair manual propulsion in ecological environments.


Asunto(s)
Silla de Ruedas , Humanos , Adulto , Masculino , Fenómenos Biomecánicos/fisiología , Mano/fisiología , Dinámicas no Lineales , Redes Neurales de la Computación , Femenino , Traumatismos de la Médula Espinal/fisiopatología , Articulación de la Muñeca/fisiología , Articulación del Hombro/fisiología
4.
Sensors (Basel) ; 24(19)2024 Oct 04.
Artículo en Inglés | MEDLINE | ID: mdl-39409462

RESUMEN

The aim of this current work is to identify three different gears of cross-country skiing utilizing embedded inertial measurement units and a suitable deep learning model. The cross-country style studied was the skating style during the uphill, which involved three different gears: symmetric gear pushing with poles on both sides (G3) and two asymmetric gears pushing with poles on the right side (G2R) or to the left side (G2L). To monitor the technique, inertial measurement units (IMUs) were affixed to the skis, recording acceleration and Euler angle data during the uphill tests performed by two experienced skiers using the gears under study. The initiation and termination points of the tests were controlled via Bluetooth by a smartphone using a custom application developed with Android Studio. Data were collected on the smartphone and stored on the SD memory cards included in each IMU. Convolutional neural networks combined with long short-term memory were utilized to classify and extract spatio-temporal features. The performance of the model in cross-user evaluations demonstrated an overall accuracy of 90%, and it achieved an accuracy of 98% in the cross-scene evaluations for individual users. These results indicate a promising performance of the developed system in distinguishing between different ski gears within skating styles, providing a valuable tool to enhance ski training and analysis.


Asunto(s)
Aprendizaje Profundo , Esquí , Teléfono Inteligente , Esquí/fisiología , Humanos , Redes Neurales de la Computación , Patinación/fisiología , Aceleración
5.
J Neuroeng Rehabil ; 21(1): 183, 2024 Oct 17.
Artículo en Inglés | MEDLINE | ID: mdl-39415296

RESUMEN

BACKGROUND: Onasemnogene abeparvovec gene replacement therapy (GT) has changed the prognosis of patients with spinal muscular atrophy (SMA) with variable outcome regarding motor development in symptomatic patients. This pilot study evaluates acceptability, validity and clinical relevance of Inertial Measurement Units (IMU) to monitor spontaneous movement recovery in early onset SMA patients after GT. METHODS: Clinical assessments including CHOPINTEND score (the gold standard motor score for infants with SMA) and IMU measurements were performed before (M0) and repeatedly after GT. Inertial data was recorded during a 25-min spontaneous movement task, the child lying on the back, without (10 min) and with a playset (15 min) wearing IMUs. Two commonly used parameters, norm acceleration 95th centile (||A||_95) and counts per minute (||A||_CPM) were computed for each wrist, elbow and foot sensors. RESULTS: 23 SMA-patients were included (mean age at diagnosis 8 months [min 2, max 20], 19 SMA type 1, three type 2 and one presymptomatic) and 104 IMU-measurements were performed, all well accepted by families and 84/104 with a good child participation (evaluated with Brazelton scale). ||A||_95 and ||A||_CPM showed high internal consistency (without versus with a playset) with interclass correlation coefficient for the wrist sensors of 0.88 and 0.85 respectively and for the foot sensors of 0.93 and 0.91 respectively. ||A||_95 and ||A||_CPM were strongly correlated with CHOPINTEND (r for wrist sensors 0.74 and 0.67 respectively and for foot sensors 0.61 and 0.68 respectively, p-values < 0.001). ||A||_95 for the foot, the wrist, the elbow sensors and ||A||_CPM for the foot, the wrist, the elbow sensors increased significantly between baseline and the 12 months follow-up visit (respective p-values: 0.004, < 0.001, < 0.001, 0.006, < 0.001, < 0.001). CONCLUSION: IMUs were well accepted, consistent, concurrently valid, responsive and associated with unaided sitting acquisition especially for the elbow sensors. This study is the first reporting a large set of inertial sensor derived data after GT in SMA patients and paves the way for IMU-based follow-up of SMA patients after treatment.


Asunto(s)
Terapia Genética , Humanos , Lactante , Masculino , Femenino , Estudios Prospectivos , Terapia Genética/métodos , Proyectos Piloto , Atrofia Muscular Espinal/diagnóstico , Atrofia Muscular Espinal/fisiopatología , Reproducibilidad de los Resultados , Recuperación de la Función , Estudios de Cohortes , Atrofias Musculares Espinales de la Infancia/diagnóstico , Atrofias Musculares Espinales de la Infancia/rehabilitación , Atrofias Musculares Espinales de la Infancia/terapia , Atrofias Musculares Espinales de la Infancia/fisiopatología , Acelerometría/instrumentación
6.
Wearable Technol ; 5: e11, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39464639

RESUMEN

Inertial measurement units (IMUs) have proven to be valuable tools in measuring the range of motion (RoM) of human upper limb joints. Although several studies have reported on the validity of IMUs compared to the gold standard (optical motion capture system, OMC), a quantitative summary of the accuracy of IMUs in measuring RoM of upper limb joints is still lacking. Thus, the primary objective of this systematic review and meta-analysis was to determine the concurrent validity of IMUs for measuring RoM of the upper extremity in adults. Fifty-one articles were included in the systematic review, and data from 16 were pooled for meta-analysis. Concurrent validity is excellent for shoulder flexion-extension (Pearson's r = 0.969 [0.935, 0.986], ICC = 0.935 [0.749, 0.984], mean difference = -3.19 (p = 0.55)), elbow flexion-extension (Pearson's r = 0.954 [0.929, 0.970], ICC = 0.929 [0.814, 0.974], mean difference = 10.61 (p = 0.36)), wrist flexion-extension (Pearson's r = 0.974 [0.945, 0.988], mean difference = -4.20 (p = 0.58)), good to excellent for shoulder abduction-adduction (Pearson's r = 0.919 [0.848, 0.957], ICC = 0.840 [0.430, 0.963], mean difference = -7.10 (p = 0.50)), and elbow pronation-supination (Pearson's r = 0.966 [0.939, 0.981], ICC = 0.821 [0.696, 0.900]). There are some inconsistent results for shoulder internal-external rotation (Pearson's r = 0.939 [0.894, 0.965], mean difference = -9.13 (p < 0.0001)). In conclusion, the results support IMU as a viable instrument for measuring RoM of upper extremity, but for some specific joint movements, such as shoulder rotation and wrist ulnar-radial deviation, IMU measurements need to be used with caution.

7.
Clin Biomech (Bristol, Avon) ; 120: 106358, 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-39378649

RESUMEN

BACKGROUND: The calcaneofibular ligament, a component of the lateral ligament complex of the ankle joint, plays an essential role in ankle-joint stability. To understand the mechanism of sprain-induced calcaneofibular ligament injury, the effect of ankle positions on calcaneofibular ligament tension needs to be ascertained. METHODS: We propose a convenient method that combines stretchable strain sensors and an inertial measurement unit for simulative tension analysis of the calcaneofibular ligament in formalin-fixed cadavers. The stretchable strain sensor was pre-stretched approximately 1.3 times and, then set along the direction of the calcaneofibular ligament; a capacitance value from the sensor was used as a parameter to reflect the tension generated. Accurate three-axial inertial measurement unit-based monitoring of joint angles was undertaken for ten cadaveric ankles in measurements at 10° intervals from 30° plantarflexion to 20° dorsiflexion, followed by the investigation of additional effects with 10° inversion and eversion. FINDINGS: Two-way repeated-measures ANOVA revealed a significant interactive effect for plantar/dorsiflexion × inversion/eversion and main effects for plantar/dorsiflexion and inversion/eversion. Post hoc pairwise analysis confirmed that 20° dorsiflexion or 10° inversion induces tension, whereas 10° eversion causes relaxation. Moreover, a promotional interactive effect by 20° dorsiflexion and 10° inversion and an offsetting effect by 10° eversion to 20° dorsiflexion were revealed. The measured values showed high levels of reliability and reproducibility (intraclass correlation coefficient [1,1] = 0.89). INTERPRETATION: These results appropriately demonstrate the tensile action of calcaneofibular ligament. The novel approach investigated herein potentially opens new avenues for precise ligament-function evaluation.

8.
PeerJ ; 12: e18102, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39351374

RESUMEN

Background: Precise identification of motion phases in long-track speed skating is critical to characterize and optimize performance. This study aimed to estimate the intra- and inter-rater reliability of movement phase identification using inertial measurement units (IMUs) in long-track speed skating. Methods: We analyzed 15 skaters using IMUs attached to specific body locations during a 500m skate, focusing on the stance phase, and identifying three movement events: Onset, Edge-flip, and Push-off. Reliability was assessed using intraclass correlation coefficients (ICC) and Bland-Altman analysis. Results: Results showed high intra- and inter-rater reliability (ICC [1,1]: 0.86 to 0.99; ICC [2,1]: 0.81 to 0.99) across all events. Absolute error ranged from 0.56 to 6.15 ms and from 0.92 to 26.29 ms for intra- and inter-rater reliability, respectively. Minimally detectable change (MDC) ranged from 17.56 to 62.22 ms and from 33.23 to 131.25 ms for intra- and inter-rater reliability, respectively. Discussion: Despite some additive and proportional errors, the overall error range was within acceptable limits, indicating negligible systematic errors. The measurement error range was small, demonstrating the accuracy of IMUs. IMUs demonstrate high reliability in movement phase identification during speed skating, endorsing their application in sports science for enhanced kinematic studies and training.


Asunto(s)
Patinación , Humanos , Reproducibilidad de los Resultados , Masculino , Patinación/fisiología , Femenino , Adulto , Movimiento/fisiología , Fenómenos Biomecánicos/fisiología , Adulto Joven , Rendimiento Atlético/fisiología , Acelerometría/métodos , Acelerometría/instrumentación , Variaciones Dependientes del Observador
9.
Sensors (Basel) ; 24(19)2024 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-39409401

RESUMEN

This review reports on the use of sensors in wheelchair sports to monitor and analyze performance during match and training time. With rapid advancements in electronics and related technologies, understanding performance metrics in wheelchair sports is essential. We reviewed nine studies using various sensor types, including electric motors, inertial measurement units, miniaturized data loggers with magnetic reed switches, and smartphones with inbuilt accelerometers and gyroscopes, operating at frequencies from 8 Hz to 1200 Hz. These studies measured parameters such as angular and translational velocities, distance, number of starts/pushes, and other performance indicators in sports such as basketball, rugby, tennis, and racing. Despite differences in sport types and methodologies, most studies found sensor-derived data effective for assessment of performance. Future developments and research in this field should focus on multi-sensor systems that could provide real-time match analysis and deeper insights into performance metrics. Overall, sensor technologies show significant potential for improving wheelchair sport performance diagnostics, contributing to better athlete training and future wheelchair design, and enhancing competitive outcomes. This review emphasizes the need for continued innovation and standardization in applying sensor technologies in wheelchair sports.


Asunto(s)
Técnicas Biosensibles , Deportes , Silla de Ruedas , Humanos , Acelerometría/instrumentación , Acelerometría/tendencias , Rendimiento Atlético/fisiología , Técnicas Biosensibles/instrumentación , Técnicas Biosensibles/métodos , Técnicas Biosensibles/tendencias , Recolección de Datos , Teléfono Inteligente
10.
Front Bioeng Biotechnol ; 12: 1440033, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39439554

RESUMEN

Running poses a high risk of developing running-related injuries (RRIs). The majority of RRIs are the result of an imbalance between cumulative musculoskeletal load and load capacity. A general estimate of whole-body biomechanical load can be inferred from ground reaction forces (GRFs). Unfortunately, GRFs typically can only be measured in a controlled environment, which hinders its wider applicability. The advent of portable sensors has enabled training machine-learned models that are able to monitor GRF characteristics associated with RRIs in a broader range of contexts. Our study presents and evaluates a machine-learning method to predict the contact time, active peak, impact peak, and impulse of the vertical GRF during running from three-dimensional sacral acceleration. The developed models for predicting active peak, impact peak, impulse, and contact time demonstrated a root-mean-squared error of 0.080 body weight (BW), 0.198 BW, 0.0073 BW ⋅ seconds, and 0.0101 seconds, respectively. Our proposed method outperformed a mean-prediction baseline and two established methods from the literature. The results indicate the potential utility of this approach as a valuable tool for monitoring selected factors related to running-related injuries.

11.
Sensors (Basel) ; 24(20)2024 Oct 16.
Artículo en Inglés | MEDLINE | ID: mdl-39460136

RESUMEN

Frozen shoulder (FS) is a common shoulder condition accompanied by shoulder pain and a loss of shoulder range of motion (ROM). The typical clinical assessment tools such as questionnaires and ROM measurement are susceptible to subjectivity and individual bias. To provide an objective evaluation for clinical assessment, this study proposes an inertial measurement unit (IMU)-based identification system to automatically identify shoulder tasks whether performed by healthy subjects or FS patients. Two groups of features (time-domain statistical features and kinematic features), seven machine learning (ML) techniques, and two deep learning (DL) models are applied in the proposed identification system. For the experiments, 24 FS patients and 20 healthy subjects were recruited to perform five daily shoulder tasks with two IMUs attached to the arm and the wrist. The results demonstrate that the proposed system using deep learning presented the best identification performance using all features. The convolutional neural network achieved the best identification accuracy of 88.26%, and the multilayer perceptron obtained the best F1 score of 89.23%. Further analysis revealed that the identification performance based on wrist features had a higher accuracy compared to that based on arm features. The system's performance using time-domain statistical features has better discriminability in terms of identifying FS compared to using kinematic features. We demonstrate that the implementation of the IMU-based identification system using ML is feasible for FS assessment in clinical practice.


Asunto(s)
Bursitis , Aprendizaje Automático , Rango del Movimiento Articular , Hombro , Humanos , Masculino , Femenino , Rango del Movimiento Articular/fisiología , Bursitis/fisiopatología , Bursitis/diagnóstico , Persona de Mediana Edad , Fenómenos Biomecánicos/fisiología , Hombro/fisiología , Adulto , Aprendizaje Profundo , Redes Neurales de la Computación , Anciano
12.
Sensors (Basel) ; 24(20)2024 Oct 16.
Artículo en Inglés | MEDLINE | ID: mdl-39460146

RESUMEN

The purpose of this paper is to introduce a method of measuring spatiotemporal gait patterns, tibial accelerations, and heart rate that are matched with high resolution geographical terrain features using publicly available data. These methods were demonstrated using data from 218 Marines, who completed loaded outdoor ruck hikes between 5-20 km over varying terrain. Each participant was instrumented with two inertial measurement units (IMUs) and a GPS watch. Custom code synchronized accelerometer and positional data without a priori sensor synchronization, calibrated orientation of the IMUs in the tibial reference frame, detected and separated only periods of walking or running, and computed acceleration and spatiotemporal outcomes. GPS positional data were georeferenced with geographic information system (GIS) maps to extract terrain features such as slope, altitude, and surface conditions. This paper reveals the ease at which similar data can be gathered among relatively large groups of people with minimal setup and automated data processing. The methods described here can be adapted to other populations and similar ground-based activities such as skiing or trail running.


Asunto(s)
Acelerometría , Marcha , Sistemas de Información Geográfica , Carrera , Tibia , Caminata , Humanos , Marcha/fisiología , Acelerometría/métodos , Acelerometría/instrumentación , Carrera/fisiología , Tibia/fisiología , Caminata/fisiología , Aceleración , Masculino , Movimiento/fisiología , Frecuencia Cardíaca/fisiología , Adulto , Femenino
13.
Gait Posture ; 115: 21-33, 2024 Oct 28.
Artículo en Inglés | MEDLINE | ID: mdl-39471649

RESUMEN

BACKGROUND: Fatigue manifests as a decline in performance during high-intensity and prolonged exercise. With technological advancements and the increasing adoption of inertial measurement units (IMUs) in sports biomechanics, there is an opportunity to enhance our understanding of running-related fatigue beyond controlled laboratory environments. RESEARCH QUESTION: How have IMUs have been used to assess running biomechanics under fatiguing conditions? METHODS: Following the PRISMA-ScR guidelines, our literature search covered six databases without date restrictions until September 2024. The Population, Concept, and Context criteria were used: Population (distance runners ranging from novice to competitive), Concept (fatigue induced by running a distance over 400 m), Context (assessment of fatigue using accelerometer, gyroscope, and/or magnetometer wearable devices). Biomechanical outcomes were extracted and synthesised, and interpreted in the context of three main study characteristics (cohort ability, testing environment, and the inclusion of physiological outcomes) to explore their potential role in influencing outcomes. RESULTS: A total of 88 articles were included in the review. There was a high prevalence of treadmill-based studies (n=46, 52%), utilising only 1-2 sensors (n=69, 78%), and cohorts ranged in experience, from sedentary to elite-level runners, and were largely comprised of males (69% of all participants). The majority of biomechanical outcomes assessed showed varying responses to fatigue across studies, likely attributable to individual variability, exercise intensity, and differences in fatigue protocol settings and prescriptions. Spatiotemporal outcomes such as stride time and frequency (n=37, 42 %) and impact accelerations (n=55, 62%) were more widely assessed, with a fatigue response that appeared population and environment specific. SIGNIFICANCE: There was notable heterogeneity in the IMU-based biomechanical outcomes and methods evaluated in this review. The review findings emphasise the need for standardisation of IMU-based outcomes and fatigue protocols to promote interpretable metrics and facilitate inter-study comparisons.

14.
Sci Rep ; 14(1): 20850, 2024 09 06.
Artículo en Inglés | MEDLINE | ID: mdl-39242692

RESUMEN

Studies reported the existence of instability catch (IC) during trunk flexion in patients with chronic low back pain (CLBP). However, different movement speeds can cause different neuromuscular demands resulting in altered kinematic patterns. In addition, kinematic characterization corresponding to clinical observation of IC is still limited. Therefore, this study aimed to determine (1) the association between movement speed and kinematic parameters representing IC during trunk flexion and (2) the differences in kinematic parameters between individuals with and without CLBP. Fifteen no low back pain (NoLBP) and 15 CLBP individuals were recruited. Inertial measurement units (IMU) were attached to T3, L1, and S2 spinous processes. Participants performed active trunk flexion while IMU data were simultaneously collected. Total trunk, lumbar, and pelvic mean angular velocity (T_MV, L_MV, and P_MV), as well as number of zero-crossings, peak-to-peak, and area of sudden deceleration and acceleration (Num, P2P, and Area), were derived. Pearson's correlation tests were used to determine the association between T_MV and L_MV, P_MV, Num, P2P, and Area. An ANCOVA was performed to determine the difference in kinematic parameters between groups using movement speed as a covariate. Significant associations (P < 0.05) were found between movement speed and other kinematic parameters, except for Area. Results showed that L_MV significantly differed from the P_MV (P = 0.002) in the CLBP group, while a significant between-group difference (P = 0.037) was found in the P_MV. Additionally, significant between-group differences (P < 0.05) in P2P and Area were observed. The associations between movement speed and kinematic parameters suggest that movement speed changes can alter kinematic patterns. Therefore, clinicians may challenge lumbopelvic neuromuscular control by modifying movement speed to elicit greater change in kinematic patterns. In addition, the NoLBP group used shared lumbar and pelvic contributions, while the CLBP group used less pelvic contribution. Finally, P2P and Area appeared to offer the greatest sensitivity to differentiate between the groups. Overall, these findings may enhance the understanding of the mechanism underlying IC in CLBP.


Asunto(s)
Dolor de la Región Lumbar , Movimiento , Humanos , Dolor de la Región Lumbar/fisiopatología , Fenómenos Biomecánicos , Masculino , Femenino , Adulto , Movimiento/fisiología , Adulto Joven , Dolor Crónico/fisiopatología , Rango del Movimiento Articular/fisiología
15.
Sensors (Basel) ; 24(18)2024 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-39338619

RESUMEN

Utilizing reliable and accurate positioning and navigation systems is crucial for saving the lives of rescue personnel and accelerating rescue operations. However, Global Navigation Satellite Systems (GNSSs), such as GPS, may not provide stable signals in dense forests. Therefore, integrating multiple sensors like GPS and Inertial Measurement Units (IMUs) becomes essential to enhance the availability and accuracy of positioning systems. To accurately estimate rescuers' positions, this paper employs the Adaptive Unscented Kalman Filter (AUKF) algorithm with measurement noise variance matrix adaptation, integrating IMU and GPS data alongside barometric altitude measurements for precise three-dimensional positioning in complex environments. The AUKF enhances estimation robustness through the adaptive adjustment of the measurement noise variance matrix, particularly excelling when GPS signals are interrupted. This study conducted tests on two-dimensional and three-dimensional road scenarios in forest environments, confirming that the AUKF-algorithm-based integrated navigation system outperforms the traditional Extended Kalman Filter (EKF), Unscented Kalman Filter (UKF), and Adaptive Extended Kalman Filter (AEKF) in emergency rescue applications. The tests further evaluated the system's navigation performance on rugged roads and during GPS signal interruptions. The results demonstrate that the system achieves higher positioning accuracy on rugged forest roads, notably reducing errors by 18.32% in the north direction, 8.51% in the up direction, and 3.85% in the east direction compared to the EKF. Furthermore, the system exhibits good adaptability during GPS signal interruptions, ensuring continuous and accurate personnel positioning during rescue operations.

16.
Heliyon ; 10(17): e36825, 2024 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-39281497

RESUMEN

Background: Hip and knee osteoarthritis (OA) patients demonstrate distinct gait patterns, yet detecting subtle abnormalities with wearable sensors remains uncertain. This study aimed to assess a predictive model's efficacy in distinguishing between hip and knee OA gait patterns using accelerometer data. Method: Participants with hip or knee OA underwent overground walking assessments, recording lower limb accelerations for subsequent time and frequency domain analyses. Logistic regression with regularization identified associations between frequency domain features of acceleration signals and OA, and k-nearest neighbor classification distinguished knee and hip OA based on selected acceleration signal features. Findings: We included 57 knee OA patients (30 females, median age 68 [range 49-89], median BMI 29.7 [range 21.0-45.9]) and 42 hip OA patients (19 females, median age 70 [range 47-89], median BMI 28.3 [range 20.4-37.2]). No significant difference could be found in the time domain's averaged shape of acceleration signals. However, in the frequency domain, five selected features showed a diagnostic ability to differentiate between knee and hip OA. Using these features, a model achieved a 77 % accuracy in classifying gait cycles into hip or knee OA groups, with average precision, recall, and F1 score of 77 %, 76 %, and 78 %, respectively. Interpretation: The study demonstrates the effectiveness of wearable sensors in differentiating gait patterns between individuals with hip and knee OA, specifically in the frequency domain. The results highlights the promising potential of wearable sensors and advanced signal processing techniques for objective assessment of OA in clinical settings.

17.
Sensors (Basel) ; 24(17)2024 Aug 23.
Artículo en Inglés | MEDLINE | ID: mdl-39275378

RESUMEN

Most balance assessment studies using inertial measurement units (IMUs) in smartphones use a body strap and assume the alignment of the smartphone with the anatomical axes. To replace the need for a body strap, we have used an anatomical alignment method that employs a calibration maneuver and Principal Component Analysis (PCA) so that the smartphone can be held by the user in a comfortable position. The objectives of this study were to determine if correlations existed between angular velocity scores derived from a handheld smartphone with PCA functional alignment vs. a smartphone placed in a strap with assumed alignment, and to analyze acceleration score differences across balance poses of increasing difficulty. The handheld and body strap smartphones exhibited moderately to strongly correlated angular velocity scores in the calibration maneuver (r = 0.487-0.983, p < 0.001). Additionally, the handheld smartphone with PCA functional calibration successfully detected significant variance between pose type scores for anteroposterior, mediolateral, and superoinferior acceleration data (p < 0.001).


Asunto(s)
Equilibrio Postural , Análisis de Componente Principal , Teléfono Inteligente , Humanos , Calibración , Equilibrio Postural/fisiología , Masculino , Femenino , Adulto , Adulto Joven , Acelerometría/instrumentación , Acelerometría/métodos
18.
Sensors (Basel) ; 24(17)2024 Aug 27.
Artículo en Inglés | MEDLINE | ID: mdl-39275448

RESUMEN

Integrating running gait coordination assessment into athlete monitoring systems could provide unique insight into training tolerance and fatigue-related gait alterations. This study investigated the impact of an overload training intervention and recovery on running gait coordination assessed by field-based self-testing. Fifteen trained distance runners were recruited to perform 1-week of light training (baseline), 2 weeks of heavy training (high intensity, duration, and frequency) designed to overload participants, and a 10-day light taper to allow recovery and adaptation. Field-based running assessments using ankle accelerometry and online short recovery and stress scale (SRSS) surveys were completed daily. Running performance was assessed after each training phase using a maximal effort multi-stage running test-to-exhaustion (RTE). Gait coordination was assessed using detrended fluctuation analysis (DFA) of a stride interval time series. Two participants withdrew during baseline training due to changed personal circumstances. Four participants withdrew during heavy training due to injury. The remaining nine participants completed heavy training and were included in the final analysis. Heavy training reduced DFA values (standardised mean difference (SMD) = -1.44 ± 0.90; p = 0.004), recovery (SMD = -1.83 ± 0.82; p less than 0.001), performance (SMD = -0.36 ± 0.32; p = 0.03), and increased stress (SMD = 1.78 ± 0.94; p = 0.001) compared to baseline. DFA values (p = 0.73), recovery (p = 0.77), and stress (p = 0.73) returned to baseline levels after tapering while performance trended towards improvement from baseline (SMD = 0.28 ± 0.37; p = 0.13). Reduced DFA values were associated with reduced performance (r2 = 0.55) and recovery (r2 = 0.55) and increased stress (r2 = 0.62). Field-based testing of running gait coordination is a promising method of monitoring training tolerance in running athletes during overload training.


Asunto(s)
Fatiga , Marcha , Carrera , Humanos , Carrera/fisiología , Masculino , Marcha/fisiología , Adulto , Fatiga/fisiopatología , Femenino , Adulto Joven , Acelerometría/métodos , Monitoreo Fisiológico/métodos , Atletas
19.
Sensors (Basel) ; 24(17)2024 Sep 04.
Artículo en Inglés | MEDLINE | ID: mdl-39275650

RESUMEN

While interest in using wearable sensors to measure infant leg movement is increasing, attention should be paid to the characteristics of the sensors. Specifically, offset error in the measurement of gravitational acceleration (g) is common among commercially available sensors. In this brief report, we demonstrate how we measured the offset and other errors in three different off-the-shelf wearable sensors available to professionals and how they affected a threshold-based movement detection algorithm for the quantification of infant leg movement. We describe how to calibrate and correct for these offsets and how conducting this improves the reproducibility of results across sensors.


Asunto(s)
Algoritmos , Pierna , Movimiento , Dispositivos Electrónicos Vestibles , Humanos , Movimiento/fisiología , Lactante , Pierna/fisiología , Calibración , Reproducibilidad de los Resultados , Monitoreo Fisiológico/instrumentación , Monitoreo Fisiológico/métodos , Aceleración
20.
Sensors (Basel) ; 24(17)2024 Sep 06.
Artículo en Inglés | MEDLINE | ID: mdl-39275706

RESUMEN

Accurately estimating single-axis rotational angle changes is crucial in many high-tech domains. However, traditional angle measurement techniques are often constrained by sensor limitations and environmental interferences, resulting in significant deficiencies in precision and stability. Moreover, current methodologies typically rely on fixed-axis rotation models, leading to substantial discrepancies between measured and actual angles due to axis misalignment. To address these issues, this paper proposes an innovative method for single-axis rotational angle estimation. It introduces a calibration technique for installation errors between inertial measurement units and the overall measurement system, effectively translating dynamic rotational inertial outputs to system enclosure outputs. Subsequently, the method employs triaxial accelerometers combined with zero-velocity detection technology to estimate the rotation axis position. Finally, it delves into analyzing the relationship between quaternion and axis-angle, aimed at reducing noise interference for precise rotational angle estimation. Based on this proposed methodology, a Low-Cost, a High Accuracy Measurement System (HAMS) integrating sensor fusion was designed and implemented. Experimental results demonstrate static measurement errors below ±0.15° and dynamic measurement errors below ±0.5° within a ±180° range.

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