Dyskinesia estimation during activities of daily living using wearable motion sensors and deep recurrent networks.
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ABSTRACT:
SUBMITTER: Hssayeni MD
PROVIDER: S-EPMC8041801 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:ObjectiveWe quantified the range of motion (ROM) required for eight upper-extremity activities of daily living (ADLs) in healthy participants.MethodFifteen right-handed participants completed several bimanual and unilateral basic ADLs while joint kinematics were monitored using a motion capture system. Peak motions of the pelvis, trunk, shoulder, elbow, and wrist were quantified for each task.ResultsTo complete all activities tested, participants needed a minimum ROM of -65°/0°/105° for humeral plane angle (horizontal abduction-adduction), 0°-108° for humeral elevation, -55°/0°/79° for humeral rotation, 0°-121° for elbow flexion, -53°/0°/13° for forearm rotation, -40°/0°/38° for wrist flexion-extension, and -28°/0°/38° for wrist ulnar-radial deviation. Peak trunk ROM was 23° lean, 32° axial rotation, and 59° flexion-extension.ConclusionFull upper-limb kinematics were calculated for several ADLs. This methodology can be used in future studies as a basis for developing normative databases of upper-extremity motions and evaluating pathology in populations.
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Project description:Digital tracking of human motion offers the potential to monitor a wide range of activities detecting normal versus abnormal performance of tasks. We examined the ability of a wearable, conformal sensor system, fabricated from stretchable electronics with contained accelerometers and gyroscopes, to specifically detect, monitor, and define motion signals and "signatures," associated with tasks of daily living activities. The sensor system was affixed to the dominant hand of healthy volunteers (n = 4) who then completed four tasks. For all tasks examined, motion data could be captured, monitored continuously, uploaded to the digital cloud, and stored for further analysis. Acceleration and gyroscope data were collected in the x-, y-, and z-axes, yielding unique patterns of component motion signals for each task studied. Upon analysis, low-frequency (<10 Hz) tasks (walking, drinking from a mug, and opening a pill bottle) showed low intersubject variability (<0.3g difference) and low interrepetition variability (<0.1g difference) when comparing the acceleration of each axis for a single task. High-frequency (?10 Hz) activity (brushing teeth) yielded low intersubject variability of peak frequencies in acceleration of each axis. Each motion task was readily distinguishable and identifiable (with ?70% accuracy) by independent observers from motion signatures alone, without the need for direct visual observation. Stretchable electronic technologies offer the potential to provide wireless capture, tracking, and analysis of detailed directional components of motion for a wide range of individual activities and functional status.
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Project description:BackgroundMobility impairment is common in people with multiple sclerosis (PwMS) and there is a need to assess mobility in remote settings. Here, we apply a novel wireless, skin-mounted, and conformal inertial sensor (BioStampRC, MC10 Inc.) to examine gait characteristics of PwMS under controlled conditions. We determine the accuracy and precision of BioStampRC in measuring gait kinematics by comparing to contemporary research-grade measurement devices.MethodsA total of 45 PwMS, who presented with diverse walking impairment (Mild MS = 15, Moderate MS = 15, Severe MS = 15), and 15 healthy control subjects participated in the study. Participants completed a series of clinical walking tests. During the tests participants were instrumented with BioStampRC and MTx (Xsens, Inc.) sensors on their shanks, as well as an activity monitor GT3X (Actigraph, Inc.) on their non-dominant hip. Shank angular velocity was simultaneously measured with the inertial sensors. Step number and temporal gait parameters were calculated from the data recorded by each sensor. Visual inspection and the MTx served as the reference standards for computing the step number and temporal parameters, respectively. Accuracy (error) and precision (variance of error) was assessed based on absolute and relative metrics. Temporal parameters were compared across groups using ANOVA.ResultsMean accuracy±precision for the BioStampRC was 2±2 steps error for step number, 6±9ms error for stride time and 6±7ms error for step time (0.6-2.6% relative error). Swing time had the least accuracy±precision (25±19ms error, 5±4% relative error) among the parameters. GT3X had the least accuracy±precision (8±14% relative error) in step number estimate among the devices. Both MTx and BioStampRC detected significantly distinct gait characteristics between PwMS with different disability levels (p<0.01).ConclusionBioStampRC sensors accurately and precisely measure gait parameters in PwMS across diverse walking impairment levels and detected differences in gait characteristics by disability level in PwMS. This technology has the potential to provide granular monitoring of gait both inside and outside the clinic.
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Project description:Reliable estimation of desired motion trajectories plays a crucial part in the continuous control of lower extremity assistance devices such as prostheses and orthoses. Moreover, reliable estimation methods are also required to predict hard-to-measure biomechanical quantities (e.g., joint contact moment/force) for use in sports injury science. Recognising that human locomotion is an inherently time-sequential and limb-synergetic behaviour, this study investigates models and learning algorithms for predicting the motion of a subject's leg from the motion of complementary limbs. The novel deep learning model architectures proposed are based on the Long Short-Term Memory approach with the addition of an attention mechanism. A dataset comprising Inertial Measurement Unit signals from 21 subjects traversing varied terrains was used, including stair ascent/descent, ramp ascent/descent, stopped, level-ground walking and the transitions between these conditions. Fourier Analysis is deployed to evaluate the model robustness, in addition to assessing time-based prediction errors. The experiment on three unseen test participants suggests that the branched neural network structure is preferred to tackle the multioutput problem, and the inclusion of an attention mechanism demonstrates improved performance in terms of accuracy, robustness and network size. An experimental comparison found that 57% of the model parameters were not needed after adding attention layers meanwhile the prediction error is lower than the LSTM model without attention mechanism. The attention model has errors of 9.06% and 7.64% (normalised root mean square error) for ankle and hip acceleration prediction respectively. Also, less high-frequency noise is present in the attention model predictions. We conclude that the internal structure of the proposed deep learning model is justified, principally the benefit of using an attention mechanism. Experimental results for biomechanical motion estimation are obtained, showing greater accuracy than only with LSTM. The trained attention model can be used throughout despite transitioning between terrain types. Such a model will be useful in, for example, the control of lower-limb prostheses, instead of the need to identify and switch between different trajectory generators for different walking modes.
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