Mobility characteristics associated with activity of daily living such as sitting down, lying down, rising up, and walking are considered to be important in maintaining functional independence and healthy life style especially for the growing elderly population. Characteristics of postural transitions such as sit-to-stand are widely used by clinicians as a physical indicator of health, and walking is used as an important mobility assessment tool. Many tools have been developed to assist in the assessment of functional levels and to detect a person’s activities during daily life. These include questionnaires, observation, diaries, kinetic and kinematic systems, and validated functional tests. These measures are costly and time consuming, rely on subjective patient recall and may not accurately reflect functional ability in the patient’s home. In order to provide a lowcost, objective assessment of functional ability, inertial measurement unit (IMU) using MEMS technology has been employed to ascertain ADLs. These measures facilitate long-term monitoring of activity of daily living using wearable sensors. IMU system are desirable in monitoring human postures since they respond to both frequency and the intensity of movements and measure both dc (gravitational acceleration vector) and ac (acceleration due to body movement) components at a low cost. This has enabled the development of a small, lightweight, portable system that can be worn by a free-living subject without motion impediment - TEMPO. Using the TEMPO system, we acquired indirect measures of biomechanical variables that can be used as an assessment of individual mobility characteristics with accuracy and recognition rates that are comparable to the modern motion capture systems. In this study, five subjects performed various ADLs and mobility measures such as posture transitions and gait characteristics were obtained. We developed postural event detection and classification algorithm using denoised signals from single wireless inertial measurement unit (TEMPO) placed at sternum. The algorithm was further validated and verified with motion capture system in laboratory environment. Wavelet denoising highlighted postural events and transition durations that further provided clinical information on postural control and motor coordination. The presented method can be applied in real life ambulatory monitoring approaches for assessing condition of elderly.
Bibliography Lockhart, T. E., Soangra, R., J. Zhang, and X. Wu. "Wavelet based automated postural event detection and activity classification with single IMU (TEMPO)." In Biomedical Sciences Instrumentation, vol. 49, pp. 224-33. Research Triangle Park, NC: International Society of Automation, 2013. PMID: 23686204
T. E. Lockhart, Soangra, R., J. Zhang, and X. Wu, "Wavelet based automated postural event detection and activity classification with single IMU (TEMPO)," in Biomedical Sciences Instrumentation, vol. 49 (Research Triangle Park, NC: International Society of Automation, 2013), 224-33. PMID: 23686204
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