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1.
Sensors (Basel) ; 22(8)2022 Apr 08.
Artículo en Inglés | MEDLINE | ID: mdl-35458844

RESUMEN

Even though practicing sports has great health benefits, it also entails a risk of developing overuse injuries, which can elicit a negative impact on physical, mental, and financial health. Being able to predict the risk of an overuse injury arising is of widespread interest because this may play a vital role in preventing its occurrence. In this paper, we present a machine learning model trained to predict the occurrence of a lower-limb overuse injury (LLOI). This model was trained and evaluated using data from a three-dimensional accelerometer on the lower back, collected during a Cooper test performed by 161 first-year undergraduate students of a movement science program. In this study, gender-specific models performed better than mixed-gender models. The estimated area under the receiving operating characteristic curve of the best-performing male- and female-specific models, trained according to the presented approach, was, respectively, 0.615 and 0.645. In addition, the best-performing models were achieved by combining statistical and sports-specific features. Overall, the results demonstrated that a machine learning injury prediction model is a promising, yet challenging approach.


Asunto(s)
Trastornos de Traumas Acumulados , Aprendizaje Automático , Acelerometría/métodos , Trastornos de Traumas Acumulados/diagnóstico , Femenino , Humanos , Masculino
2.
Sensors (Basel) ; 22(10)2022 May 12.
Artículo en Inglés | MEDLINE | ID: mdl-35632107

RESUMEN

Osteoarthritis is a common musculoskeletal disorder. Classification models can discriminate an osteoarthritic gait pattern from that of control subjects. However, whether the output of learned models (probability of belonging to a class) is usable for monitoring a person's functional recovery status post-total knee arthroplasty (TKA) is largely unexplored. The research question is two-fold: (I) Can a learned classification model's output be used to monitor a person's recovery status post-TKA? (II) Is the output related to patient-reported functioning? We constructed a logistic regression model based on (1) pre-operative IMU-data of level walking, ascending, and descending stairs and (2) 6-week post-operative data of walking, ascending-, and descending stairs. Trained models were deployed on subjects at three, six, and 12 months post-TKA. Patient-reported functioning was assessed by the KOOS-ADL section. We found that the model trained on 6-weeks post-TKA walking data showed a decrease in the probability of belonging to the TKA class over time, with moderate to strong correlations between the model's output and patient-reported functioning. Thus, the LR-model's output can be used as a screening tool to follow-up a person's recovery status post-TKA. Person-specific relationships between the probabilities and patient-reported functioning show that the recovery process varies, favouring individual approaches in rehabilitation.


Asunto(s)
Artroplastia de Reemplazo de Rodilla , Osteoartritis de la Rodilla , Artroplastia de Reemplazo de Rodilla/rehabilitación , Marcha , Humanos , Osteoartritis de la Rodilla/cirugía , Recuperación de la Función , Caminata
3.
Sensors (Basel) ; 21(18)2021 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-34577295

RESUMEN

The aging population has resulted in interest in remote monitoring of elderly individuals' health and well being. This paper describes a simple unsupervised monitoring system that can automatically detect if an elderly individual's pattern of presence deviates substantially from the recent past. The proposed system uses a small set of low-cost motion sensors and analyzes the produced data to establish an individual's typical presence pattern. Then, the algorithm uses a distance function to determine whether the individual's observed presence for each day significantly deviates from their typical pattern. Empirically, the algorithm is validated on both synthetic data and data collected by installing our system in the residences of three older individuals. In the real-world setting, the system detected, respectively, five, four, and one deviating days in the three locations. The deviating days detected by the system could result from a health issue that requires attention. The information from the system can aid caregivers in assessing the subject's health status and allows for a targeted intervention. Although the system can be refined, we show that otherwise hidden but relevant events (e.g., fall incident and irregular sleep patterns) are detected and reported to the caregiver.


Asunto(s)
Accidentes por Caídas , Algoritmos , Anciano , Humanos , Monitoreo Fisiológico , Movimiento (Física)
4.
Sensors (Basel) ; 20(23)2020 Dec 05.
Artículo en Inglés | MEDLINE | ID: mdl-33291517

RESUMEN

(1) Background: Joint loading is an important parameter in patients with osteoarthritis (OA). However, calculating joint loading relies on the performance of an extensive biomechanical analysis, which is not possible to do in a free-living situation. We propose the concept and design of a novel blended-care app called JOLO (Joint Load) that combines free-living information on activity with lab-based measures of joint loading in order to estimate a subject's functional status. (2) Method: We used an iterative design process to evaluate the usability of the JOLO app through questionnaires. The user interfaces that resulted from the iterations are described and provide a concept for feedback on functional status. (3) Results: In total, 44 people (20 people with OA and 24 health-care providers) participated in the testing of the JOLO app. OA patients rated the latest version of the JOLO app as moderately useful. Therapists were predominantly positive; however, their intention to use JOLO was low due to technological issues. (4) Conclusion: We can conclude that JOLO is promising, but further technological improvements concerning activity recognition, the development of personalized joint loading predictions and a more comfortable means to carry the device are needed to facilitate its integration as a blended-care program.


Asunto(s)
Aplicaciones Móviles , Osteoartritis de la Cadera , Osteoartritis de la Rodilla , Estado Funcional , Humanos , Osteoartritis de la Cadera/diagnóstico , Osteoartritis de la Rodilla/diagnóstico , Encuestas y Cuestionarios
5.
Nucleic Acids Res ; 44(2): e18, 2016 Jan 29.
Artículo en Inglés | MEDLINE | ID: mdl-26384564

RESUMEN

Disease-gene identification is a challenging process that has multiple applications within functional genomics and personalized medicine. Typically, this process involves both finding genes known to be associated with the disease (through literature search) and carrying out preliminary experiments or screens (e.g. linkage or association studies, copy number analyses, expression profiling) to determine a set of promising candidates for experimental validation. This requires extensive time and monetary resources. We describe Beegle, an online search and discovery engine that attempts to simplify this process by automating the typical approaches. It starts by mining the literature to quickly extract a set of genes known to be linked with a given query, then it integrates the learning methodology of Endeavour (a gene prioritization tool) to train a genomic model and rank a set of candidate genes to generate novel hypotheses. In a realistic evaluation setup, Beegle has an average recall of 84% in the top 100 returned genes as a search engine, which improves the discovery engine by 12.6% in the top 5% prioritized genes. Beegle is publicly available at http://beegle.esat.kuleuven.be/.


Asunto(s)
Biología Computacional/métodos , Motor de Búsqueda , Programas Informáticos , Algoritmos , Minería de Datos , Estudios de Asociación Genética/estadística & datos numéricos , Humanos , Probabilidad
6.
BMC Bioinformatics ; 16 Suppl 4: S2, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25734591

RESUMEN

BACKGROUND: Data from biomedical domains often have an inherit hierarchical structure. As this structure is usually implicit, its existence can be overlooked by practitioners interested in constructing and evaluating predictive models from such data. Ignoring these constructs leads to potentially problematic and the routinely unrecognized bias in the models and results. In this work, we discuss this bias in detail and propose a simple, sampling-based solution for it. Next, we explore its sources and extent on synthetic data. Finally, we demonstrate how the state-of-the-art variant prioritization framework, eXtasy, benefits from using the described approach in its Random forest-based core classification model. RESULTS AND CONCLUSIONS: The conducted simulations clearly indicate that the heterogeneous granularity of feature domains poses significant problems for both the standard Random forest classifier and a modification that relies on stratified bootstrapping. Conversely, using the proposed sampling scheme when training the classifier mitigates the described bias. Furthermore, when applied to the eXtasy data under a realistic class distribution scenario, a Random forest learned using the proposed sampling scheme displays much better precision that its standard version, without degrading recall. Moreover, the largest performance gains are achieved in the most important part of the operating range: the top of prioritized gene list.


Asunto(s)
Algoritmos , Biología Computacional/métodos , Modelos Teóricos , Proteínas/análisis , Simulación por Computador , Bases de Datos Factuales , Humanos , Mutación/genética , Proteínas/genética
7.
Soft Matter ; 11(32): 6509-19, 2015 Aug 28.
Artículo en Inglés | MEDLINE | ID: mdl-26186404

RESUMEN

Self-assembly of semi-flexible/flexible block copolymers in a selective solvent is examined using a set of diblock copolymers where the chain microstructure of the semi-flexible block is manipulated in order to tune chain stiffness. Conceptually, the reduced conformational space of the semi-flexible block is anticipated to alter the way the chains pack, potentially changing the structure of self-assembled aggregates in comparison to flexible diblock copolymer analogs. Semi-flexible/flexible diblock copolymers comprised of poly(styrene)-block-poly(1,3-cyclohexadiene) (PS-b-PCHD) having systematic changes in chain microstructure, as captured by the ratio of 1,4/1,2-linkages between cyclohexenyl repeat units, and molecular weight of the PCHD blocks were synthesized using anionic polymerization. These diblocks were dissolved in tetrahydrofuran (THF), which is a preferential solvent for PS, and the structures formed were examined using laser light scattering and complementary imaging techniques. Results show that PS-b-PCHD copolymers with a chain microstructure of 90% 1,4/10% 1,2 linkages between cyclohexenyl repeat units (referred to simply as 90/10) are able to micellize, forming spherical structures, while diblocks of 70/30 and 50/50 1,4-to-1,2 ratios remain as single chains and ill-defined aggregates, respectively, when dissolved in THF. With inferences drawn from simple structural models, we speculate that this self-assembly behavior arises due to the change in the chain configuration with increasing content of 1,2-links in the backbone. This renders the chain with higher 1,2 content incapable of swelling in response to solvent and unable to pack into well-defined self-assembled structures.

8.
IEEE Trans Biomed Eng ; 71(1): 318-325, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37506013

RESUMEN

Epileptic seizure detection aims to replace unreliable seizure diaries by a model that automatically detects seizures based on electroencephalography (EEG) sensors. However, developing such a model is difficult and time consuming as it requires manually searching for relevant features from complex EEG data. Domain experts may have a partial understanding of the EEG characteristics that indicate seizures, but this knowledge is often not sufficient to exhaustively enumerate all relevant features. To address this challenge, we investigate how automated feature construction may complement hand-crafted features for epileptic seizure detection. By means of an empirical comparison on a real-world seizure detection dataset, we evaluate the ability of automated feature construction to come up with new relevant features. We show that combining hand-crafted and automated features results in more accurate models compared to using hand-crafted features alone. Our findings suggest that future studies on developing EEG-based seizure detection models may benefit from features constructed using a combination of hand-crafted and automated feature engineering.


Asunto(s)
Epilepsia , Convulsiones , Humanos , Convulsiones/diagnóstico , Epilepsia/diagnóstico , Electroencefalografía/métodos , Extremidad Superior , Algoritmos , Procesamiento de Señales Asistido por Computador
9.
Hum Mov Sci ; 87: 103042, 2023 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-36493569

RESUMEN

Recent advances in wearable sensing and machine learning have created ample opportunities for "in the wild" movement analysis in sports, since the combination of both enables real-time feedback to be provided to athletes and coaches, as well as long-term monitoring of movements. The potential for real-time feedback is useful for performance enhancement or technique analysis, and can be achieved by training efficient models and implementing them on dedicated hardware. Long-term monitoring of movement can be used for injury prevention, among others. Such applications are often enabled by training a machine learned model from large datasets that have been collected using wearable sensors. Therefore, in this perspective paper, we provide an overview of approaches for studies that aim to analyze sports movement "in the wild" using wearable sensors and machine learning. First, we discuss how a measurement protocol can be set up by answering six questions. Then, we discuss the benefits and pitfalls and provide recommendations for effective training of machine learning models from movement data, focusing on data pre-processing, feature calculation, and model selection and tuning. Finally, we highlight two application domains where "in the wild" data recording was combined with machine learning for injury prevention and technique analysis, respectively.


Asunto(s)
Movimiento , Deportes , Humanos , Aprendizaje Automático , Atletas
10.
J Appl Physiol (1985) ; 134(5): 1188-1206, 2023 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-36892890

RESUMEN

Interactions between hypoxic and hypercapnic signaling pathways, expressed as ventilatory changes occurring during and following a simultaneous hypoxic-hypercapnic gas challenge (HH-C) have not been determined systematically in mice. This study in unanesthetized male C57BL6 mice addressed the hypothesis that hypoxic (HX) and hypercapnic (HC) signaling events display an array of interactions indicative of coordination by peripheral and central respiratory mechanisms. We evaluated the ventilatory responses elicited by hypoxic (HX-C, 10%, O2, 90% N2), hypercapnic (HC-C, 5% CO2, 21%, O2, 90% N2), and HH-C (10% O2, 5%, CO2, 85% N2) challenges to determine whether ventilatory responses elicited by HH-C were simply additive of responses elicited by HX-C and HC-C, or whether other patterns of interactions existed. Responses elicited by HH-C were additive for tidal volume, minute ventilation and expiratory time, among others. Responses elicited by HH-C were hypoadditive of the HX-C and HC-C responses (i.e., HH-C responses were less than expected by simple addition of HX-C and HC-C responses) for frequency of breathing, inspiratory time and relaxation time, among others. In addition, end-expiratory pause increased during HX-C, but decreased during HC-C and HH-C, therefore showing that HC-C responses influenced the HX-C responses when given simultaneously. Return to room-air responses was additive for tidal volume and minute ventilation, among others, whereas they were hypoadditive for frequency of breathing, inspiratory time, peak inspiratory flow, apneic pause, inspiratory and expiratory drives, and rejection index. These data show that HX-C and HH-C signaling pathways interact with one another in additive and often hypoadditive processes.NEW & NOTEWORTHY We present data showing that the ventilatory responses elicited by a hypoxic gas challenge in male C57BL6 mice are markedly altered by coexposure to hypercapnic gas challenge with hypercapnic responses often dominating the hypoxic responses. These data suggest that hypercapnic signaling processes activated within brainstem regions, such as the retrotrapezoid nuclei, may directly modulate the signaling processes within the nuclei tractus solitarius resulting from hypoxic-induced increase in carotid body chemoreceptor input to these nuclei.


Asunto(s)
Dióxido de Carbono , Respiración , Animales , Masculino , Ratones , Dióxido de Carbono/farmacología , Ratones Endogámicos C57BL , Hipercapnia , Hipoxia
11.
Heart Lung ; 55: 42-48, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35468360

RESUMEN

BACKGROUND: Pneumonia (PNA) may complicate the Severe Alcohol Withdrawal Syndrome (SAWS), with ICU admission, mechanical ventilation (MV), prolonged length of stay (LOS), and adverse events. OBJECTIVES: To examine the onset, features and courses of PNA in patients with SAWS to aid management. METHODS: A 33 month contiguous review of SAWS and PNA was conducted at an urban public hospital. RESULTS: There were 279 episodes of Alcohol Withdrawal Syndrome (AWS) among 255 patients. Males predominated (91%) with a mean age of 45.8 years (range 23-73), of whom 31% (87/279) developed SAWS with ICU management. Direct ICU admission occurred for 62 patients; 25 were transferred for delirium, seizures, escalating sedation, PNA or other complications. PNA was identified for 34 ICU direct admissions and 13 ward patients. Ten transfers to the ICU also developed PNA for an ICU total of 44/87 (51%), of whom 82% (36/44) required MV. Another 10 ICU patients without PNA received MV for high dose sedation or respiratory failure. Most ICU patients (72/87 (83%)), including all with MV, required IV infusion of sedation. MV prolonged LOS, but LOS for PNA with MV was similar to all MV. ICU transfers had longer LOS with greater use of MV than direct admits (p<0.05). PNA was identified before ICU admission or transfer for 73% (32/44 (p<0.05)), and usually before intubation. Most PNA was Community Acquired Pneumonia (CAP) with P. Pneumoniae frequently cultured. CONCLUSIONS: PNA with SAWS is predominately CAP and occurs early. Focused ICU admission with respiratory support are priorities of initial management.


Asunto(s)
Alcoholismo , Neumonía , Síndrome de Abstinencia a Sustancias , Adulto , Anciano , Alcoholismo/complicaciones , Humanos , Unidades de Cuidados Intensivos , Tiempo de Internación , Masculino , Persona de Mediana Edad , Respiración Artificial , Estudios Retrospectivos , Adulto Joven
12.
Am J Crit Care ; 31(3): 212-219, 2022 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-35466349

RESUMEN

BACKGROUND: Studies of alcohol withdrawal syndrome indicate a higher prevalence in men than in women. However, it is unknown how the condition differs between the sexes. OBJECTIVE: To assess alcohol withdrawal syndrome in women versus men at a single site. METHODS: All cases of alcohol withdrawal syndrome at a public hospital from 2010 to 2014 were reviewed retrospectively. For all 1496 episodes, age, sex, and admission to a general care unit (ward) versus the medical intensive care unit were ascertained, along with patient survival. A detailed analysis was performed of 437 cases: all 239 patients admitted to the medical intensive care unit, all 99 female patients admitted to the ward, and 99 randomly selected male patients admitted to the ward. Also analyzed were administration of benzodiazepines, disease course, length of stay, and complications. RESULTS: Men accounted for 92% of all cases (1378 of 1496; P < .001) and medical intensive care unit admissions (220 of 239; P < .05). Sixteen percent of both men and women were admitted to the medical intensive care unit. Men were older (mean age, 45.6 vs 43.9 years; P < .01), and women required more benzodiazepines. Similar rates of complications occurred in both sexes, although women had a higher rate of pancreatitis and men had higher rates of pneumonia, higher rates of sepsis, and longer stays. CONCLUSIONS: Men and women with alcohol withdrawal syndrome have similar complications, courses, and intensive care unit admission rates, although men are more prone to pneumonia and have longer stays.


Asunto(s)
Alcoholismo , Neumonía , Síndrome de Abstinencia a Sustancias , Alcoholismo/epidemiología , Benzodiazepinas/efectos adversos , Femenino , Humanos , Unidades de Cuidados Intensivos , Tiempo de Internación , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Síndrome de Abstinencia a Sustancias/epidemiología
13.
Front Bioeng Biotechnol ; 10: 987118, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36118590

RESUMEN

Although running has many benefits for both the physical and mental health, it also involves the risk of injuries which results in negative physical, psychological and economical consequences. Those injuries are often linked to specific running biomechanical parameters such as the pressure pattern of the foot while running, and they could potentially be indicative for future injuries. Previous studies focus solely on some specific type of running injury and are often only applicable to a gender or running-experience specific population. The purpose of this study is, for both male and female, first-year students, (i) to predict the development of a lower extremity overuse injury in the next 6 months based on foot pressure measurements from a pressure plate and (ii) to identify the predictive loading features. For the first objective, we developed a machine learning pipeline that analyzes foot pressure measurements and predicts whether a lower extremity overuse injury is likely to occur with an AUC of 0.639 and a Brier score of 0.201. For the second objective, we found that the higher pressures exerted on the forefoot are the most predictive for lower extremity overuse injuries and that foot areas from both the lateral and the medial side are needed. Furthermore, there are two kinds of predictive features: the angle of the FFT coefficients and the coefficients of the autoregressive AR process. However, these features are not interpretable in terms of the running biomechanics, limiting its practical use for injury prevention.

14.
Front Chem ; 10: 833307, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35281559

RESUMEN

Chain exchange behaviors in self-assembled block copolymer (BCP) nanoparticles (NPs) at room temperature are investigated through observations of structural differences between parent and binary systems of BCP NPs with and without crosslinked domains. Pairs of linear diblock or triblock, and branched star-like polystyrene-poly(2-vinylpyridine) (PS-PVP) copolymers that self-assemble in a PVP-selective mixed solvent into BCP NPs with definite differences in size and self-assembled morphology are combined by diverse mixing protocols and at different crosslinking densities to reveal the impact of chain exchange between BCP NPs. Clear structural evolution is observed by dynamic light scattering and AFM and TEM imaging, especially in a blend of triblock + star copolymer BCP NPs. The changes are ascribed to the chain motion inherent in the dynamic equilibrium, which drives the system to a new structure, even at room temperature. Chemical crosslinking of PVP corona blocks suppresses chain exchange between the BCP NPs and freezes the nanostructures at a copolymer crosslinking density (CLD) of ∼9%. This investigation of chain exchange behaviors in BCP NPs having architectural and compositional complexity and the ability to moderate chain motion through tailoring the CLD is expected to be valuable for understanding the dynamic nature of BCP self-assemblies and diversifying the self-assembled structures adopted by these systems. These efforts may guide the rational construction of novel polymer NPs for potential use, for example, as drug delivery platforms and nanoreactors.

15.
Int J Sports Physiol Perform ; 17(9): 1415-1424, 2022 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-35661057

RESUMEN

PURPOSE: To examine the utility of differential ratings of perceived exertion (dRPE) for monitoring internal intensity and load in association football. METHODS: Data were collected from 2 elite senior male football teams during 1 season (N = 55). External intensity and load data (duration × intensity) were collected during each training and match session using electronic performance and tracking systems. After each session, players rated their perceived breathlessness and leg-muscle exertion. Descriptive statistics were calculated to quantify how often players rated the 2 types of rating of perceived exertion differently (dRPEDIFF). In addition, the association between dRPEDIFF and external intensity and load was examined. First, the associations between single external variables and dRPEDIFF were analyzed using a mixed-effects logistic regression model. Second, the link between dRPEDIFF and session types with distinctive external profiles was examined using the Pearson chi-square test of independence. RESULTS: On average, players rated their session perceived breathlessness and leg-muscle exertion differently in 22% of the sessions (range: 0%-64%). Confidence limits for the effect of single external variables on dRPEDIFF spanned across largely positive and negative values for all variables, indicating no conclusive findings. The analysis based on session type indicated that players differentiated more often in matches and intense training sessions, but there was no pattern in the direction of differentiation. CONCLUSIONS: The findings of this study provide no evidence supporting the utility of dRPE for monitoring internal intensity and load in football.


Asunto(s)
Fútbol Americano , Fútbol , Disnea , Fútbol Americano/fisiología , Humanos , Masculino , Músculo Esquelético , Esfuerzo Físico/fisiología , Fútbol/fisiología
16.
J Orthop Res ; 40(10): 2229-2239, 2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-35043466

RESUMEN

Osteoarthritis (OA) is one of the leading musculoskeletal disabilities worldwide, and several interventions intend to change the gait pattern in OA patients to more healthy patterns. However, an accessible way to follow up the biomechanical changes in a clinical setting is still missing. Therefore, this study aims to evaluate whether we can use biomechanical data collected from a specific activity of daily living to help distinguish hip OA patients from controls and knee OA patients from controls using features that potentially could be measured in a clinical setting. To achieve this goal, we considered three different classes of statistical models with different levels of data complexity. Class 1 is kinematics based only (clinically applicable), class 2 includes joint kinetics (semi-applicable under the condition of access to a force plate or prediction models), and class 3 uses data from advanced musculoskeletal modeling (not clinically applicable). We used a machine learning pipeline to determine which classification model was best. We found 100% classification accuracy for KneeOA-vs-Asymptomatic and 93.9% for HipOA-vs-Asymptomatic using seven features derived from the lumbar spine and hip kinematics collected during ascending stairs. These results indicate that kinematical data alone can distinguish hip or knee OA patients from asymptomatic controls. However, to enable clinical use, we need to validate if the classifier also works with sensor-based kinematical data and whether the probabilistic outcome of the logistic regression model can be used in the follow-up of patients with OA.


Asunto(s)
Osteoartritis de la Cadera , Osteoartritis de la Rodilla , Fenómenos Biomecánicos , Marcha , Articulación de la Cadera , Humanos , Articulación de la Rodilla , Osteoartritis de la Cadera/diagnóstico , Osteoartritis de la Rodilla/diagnóstico
17.
Front Digit Health ; 3: 707589, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34713177

RESUMEN

A new method for automated sleep stage scoring of polysomnographies is proposed that uses a random forest approach to model feature interactions and temporal effects. The model mostly relies on features based on the rules from the American Academy of Sleep Medicine, which allows medical experts to gain insights into the model. A common way to evaluate automated approaches to constructing hypnograms is to compare the one produced by the algorithm to an expert's hypnogram. However, given the same data, two expert annotators will construct (slightly) different hypnograms due to differing interpretations of the data or individual mistakes. A thorough evaluation of our method is performed on a multi-labeled dataset in which both the inter-rater variability as well as the prediction uncertainties are taken into account, leading to a new standard for the evaluation of automated sleep stage scoring algorithms. On all epochs, our model achieves an accuracy of 82.7%, which is only slightly lower than the inter-rater disagreement. When only considering the 63.3% of the epochs where both the experts and algorithm are certain, the model achieves an accuracy of 97.8%. Transition periods between sleep stages are identified and studied for the first time. Scoring guidelines for medical experts are provided to complement the certain predictions by scoring only a few epochs manually. This makes the proposed method highly time-efficient while guaranteeing a highly accurate final hypnogram.

18.
Gait Posture ; 84: 87-92, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33285383

RESUMEN

BACKGROUND: Gait event detection of the initial contact and toe off is essential for running gait analysis, allowing the derivation of parameters such as stance time. Heuristic-based methods exist to estimate these key gait events from tibial accelerometry. However, these methods are tailored to very specific acceleration profiles, which may offer complications when dealing with larger data sets and inherent biological variability. RESEARCH QUESTION: Can a structured machine learning approach achieve a more accurate prediction of running gait event timings from tibial accelerometry, compared to the previously utilised heuristic approaches? METHODS: Force-based event detection acted as the criterion measure in order to assess the accuracy, repeatability and sensitivity of the predicted gait events. 3D tibial acceleration and ground reaction force data from 93 rearfoot runners were captured. A heuristic method and two structured machine learning methods were employed to derive initial contact, toe off and stance time from tibial acceleration signals. RESULTS: Both a structured perceptron model (median absolute error of stance time estimation: 10.00 ±â€¯8.73 ms) and a structured recurrent neural network model (median absolute error of stance time estimation: 6.50 ±â€¯5.74 ms) significantly outperformed the existing heuristic approach (median absolute error of stance time estimation: 11.25 ±â€¯9.52 ms). Thus, results indicate that a structured recurrent neural network machine learning model offers the most accurate and consistent estimation of the gait events and its derived stance time during level overground running. SIGNIFICANCE: The machine learning methods seem less affected by intra- and inter-subject variation within the data, allowing for accurate and efficient automated data output during rearfoot overground running. Furthermore offering possibilities for real-time monitoring and biofeedback during prolonged measurements, even outside the laboratory.


Asunto(s)
Acelerometría/métodos , Fenómenos Biomecánicos/fisiología , Pie/fisiopatología , Análisis de la Marcha/métodos , Marcha/fisiología , Aprendizaje Automático/normas , Tibia/fisiopatología , Aceleración , Humanos
19.
Front Sports Act Living ; 2: 575596, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33345140

RESUMEN

Running is a popular way to become or stay physically active and to maintain and improve one's musculoskeletal load tolerance. Despite the health benefits, running-related injuries affect millions of people every year and have become a substantial public health issue owing to the popularity of running. Running-related injuries occur when the musculoskeletal load exceeds the load tolerance of the human body. Therefore, it is crucial to provide runners with a good estimate of the cumulative loading during their habitual training sessions. In this study, we validated a wearable system to provide an estimate of the external load on the body during running and investigated how much of the cumulative load during a habitual training session is explained by GPS-based spatiotemporal parameters. Ground reaction forces (GRF) as well as 3D accelerations were registered in nine habitual runners while running on an instrumented treadmill at three different speeds (2.22, 3.33, and 4.44 m/s). Linear regression analysis demonstrated that peak vertical acceleration during running explained 80% of the peak vertical GRF. In addition, accelerometer-based as well as GPS-based parameters were registered during 498 habitual running session of 96 runners. Linear regression analysis showed that only 70% of the cumulative load (sum of peak vertical accelerations) was explained by duration, distance, speed, and the number of steps. Using a wearable device offers the ability to provide better estimates of cumulative load during a running program and could potentially serve as a better guide to progress safely through the program.

20.
Artículo en Inglés | MEDLINE | ID: mdl-32351952

RESUMEN

Hip osteoarthritis patients exhibit changes in kinematics and kinetics that affect joint loading. Monitoring this load can provide valuable information to clinicians. For example, a patient's joint loading measured across different activities can be used to determine the amount of exercise that the patient needs to complete each day. Unfortunately, current methods for measuring joint loading require a lab environment which most clinicians do not have access to. This study explores employing machine learning to construct a model that can estimate joint loading based on sensor data obtained solely from a mobile phone. In order to learn such a model, we collected a dataset from 10 patients with hip osteoarthritis who performed multiple repetitions of nine different exercises. During each repetition, we simultaneously recorded 3D motion capture data, ground reaction force data, and the inertial measurement unit data from a mobile phone attached to the patient's hip. The 3D motion and ground reaction force data were used to compute the ground truth joint loading using musculoskeletal modeling. Our goal is to estimate the ground truth loading value using only the data captured by the sensors of the mobile phone. We propose a machine learning pipeline for learning such a model based on the recordings of a phone's accelerometer and gyroscope. When evaluated for an unseen patient, the proposed pipeline achieves a mean absolute error of 29% for the left hip and 36% for the right hip. While our approach is a step in the direction of using a minimal number of sensors to estimate joint loading outside the lab, developing a tool that is accurate enough to be applicable in a clinical context still remains an open challenge. It may be necessary to use sensors at more than one location in order to obtain better estimates.

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