RESUMEN
Since variations in common gait parameters (such as cadence, velocity and stride-length) of elderly people are a reliable indicator of functional and cognitive decline in aging and increased fall risks, such gait parameters have to be monitored continuously to enable preventive interventions as early as possible. With scanning laser rangefinders (SLR) having been shown to be suitable for standardised (frontal) gait assessments, this article introduces an unobtrusive gait monitoring (UGMO) system for lateral gait monitoring in homes for the elderly. The system has been evaluated in comparison to a GAITRite (as reference system) with 86 participants (ranging from 21 to 82 years) passing the 6-min walk test twice. Within the considered 56,351 steps within an overall 7877 walks and approximately 34 km distance travelled, it has been shown that the SLR Hokuyo UST10-LX is more sensitive than the cheaper URG-04LX version in regard to the correct (automatic) detection of lateral steps (98% compared to 77%) and walks (97% compared to 66%). Furthermore, it has been confirmed that the UGMO (with the SLR UST10-LX) can measure gait parameters such as gait velocity and stride length with sufficient sensitivity to determine age- and disease-related functional (and cognitive) decline.
Asunto(s)
Marcha/fisiología , Monitoreo Ambulatorio/métodos , Adulto , Anciano , Anciano de 80 o más Años , Diseño de Equipo , Femenino , Humanos , Rayos Láser , Masculino , Persona de Mediana Edad , Monitoreo Ambulatorio/instrumentación , Procesamiento de Señales Asistido por Computador , Programas Informáticos , CaminataRESUMEN
OBJECTIVE: Our aim was the development and validation of a modular signal processing and classification application enabling online electroencephalography (EEG) signal processing on off-the-shelf mobile Android devices. The software application SCALA (Signal ProCessing and CLassification on Android) supports a standardized communication interface to exchange information with external software and hardware. APPROACH: In order to implement a closed-loop brain-computer interface (BCI) on the smartphone, we used a multiapp framework, which integrates applications for stimulus presentation, data acquisition, data processing, classification, and delivery of feedback to the user. MAIN RESULTS: We have implemented the open source signal processing application SCALA. We present timing test results supporting sufficient temporal precision of audio events. We also validate SCALA with a well-established auditory selective attention paradigm and report above chance level classification results for all participants. Regarding the 24-channel EEG signal quality, evaluation results confirm typical sound onset auditory evoked potentials as well as cognitive event-related potentials that differentiate between correct and incorrect task performance feedback. SIGNIFICANCE: We present a fully smartphone-operated, modular closed-loop BCI system that can be combined with different EEG amplifiers and can easily implement other paradigms.