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2009, Gait & Posture
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2 pages
1 file
International Journal of Biomedical Science and Engineering
Estimating physical activity in the elderly from wrist-gathered acceleration data was studied. Thirty individuals (65+ years) were video-recorded while wearing a wrist device and going about their normal activities within their regular living environment for four hours each. Acceleration data were summarized into an activity value [via the "differential signal magnitude" (DSM) method] and compared to metabolic equivalent of task (MET) values determined by video analysis for each time period ("epoch"). Different sampling rates and epoch sizes were evaluated. Sampling at 4 Hz and using 60-second epochs provided the best results, with a moderate Pearson's correlation coefficient of 0.58 between DSM activity values and MET values. The area under the receiver operating characteristic curve (AUC) for classifying each minute of data as active (MET >= 2.0) versus moderately active (MET > 1.2 and < 2.0) was 0.87 (sensitivity 80%, specificity 79%). DSM activity values (sampling at 4 Hz) were compared to the widely known signal magnitude area (SMA) values (requiring low-pass filtering and sampling at 40 Hz), with an excellent correlation of 0.994.
EFORT Open Reviews
Wearable sensors, in particular inertial measurement units (IMUs) allow the objective, valid, discriminative and responsive assessment of physical function during functional tests such as gait, stair climbing or sit-to-stand. Applied to various body segments, precise capture of time-to-task achievement, spatiotemporal gait and kinematic parameters of demanding tests or specific to an affected limb are the most used measures. In activity monitoring (AM), accelerometry has mainly been used to derive energy expenditure or general health related parameters such as total step counts. In orthopaedics and the elderly, counting specific events such as stairs or high intensity activities were clinimetrically most powerful; as were qualitative parameters at the ‘micro-level’ of activity such as step frequency or sit-stand duration. Low cost and ease of use allow routine clinical application but with many options for sensors, algorithms, test and parameter definitions, choice and comparability...
PLoS ONE, 2013
Introduction: Human body acceleration is often used as an indicator of daily physical activity in epidemiological research. Raw acceleration signals contain three basic components: movement, gravity, and noise. Separation of these becomes increasingly difficult during rotational movements. We aimed to evaluate five different methods (metrics) of processing acceleration signals on their ability to remove the gravitational component of acceleration during standardised mechanical movements and the implications for human daily physical activity assessment.
Physiological Measurement, 2004
Accelerometry offers a practical and low cost method of objectively monitoring human movements, and has particular applicability to the monitoring of free-living subjects. Accelerometers have been used to monitor a range of different movements, including gait, sit-to-stand transfers, postural sway and falls. They have also been used to measure physical activity levels and to identify and classify movements performed by subjects. This paper reviews the use of accelerometer-based systems in each of these areas. The scope and applicability of such systems in unsupervised monitoring of human movement are considered. The different systems and monitoring techniques can be integrated to provide a more comprehensive system that is suitable for measuring a range of different parameters in an unsupervised monitoring context with free-living subjects. 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Archives of Physical Medicine and Rehabilitation, 2014
Objective: To determine the validity of a triaxial body-worn accelerometer for detection of gait and postures in people aged >80 years. Design: Participants performed a range of activities (sitting, lying, walking, standing) in both a controlled and a home setting while wearing the accelerometer. Activities in the controlled setting were performed in a scripted sequence. Activities in the home setting were performed in an unscripted manner. Analyzed accelerometer data were compared against video observation as the reference measure. Setting: Independent-living and long-term-care retirement village. Participants: Older people (NZ22; mean age AE SD, 88.1AE5y) residing in long-term-care and independent-living retirement facilities. Interventions: Not applicable. Main Outcome Measures: The level of agreement between video observation and the accelerometer for the total duration of each activity, and second-by-second correspondence between video observation and the accelerometer for each activity. Results: The median absolute percentage errors between video observation and the accelerometer were <1% for locomotion and lying. The absolute percentage errors were higher for sitting (median, À22.3%; interquartile range [IQR], À62.8% to 10.7%) and standing (median, 24.7%; IQR, À7.3% to 39.6%). A second-by-second analysis between video observation and the accelerometer found an overall agreement of !85% for all activities except standing (median, 56.1%; IQR, 34.8%e81.2%).
Sensors (Basel, Switzerland), 2021
The ability to monitor activities of daily living in the natural environments of patients could become a valuable tool for various clinical applications. In this paper, we show that a simple algorithm is capable of classifying manual activities of daily living (ADL) into categories using data from wrist- and finger-worn sensors. Six participants without pathology of the upper limb performed 14 ADL. Gyroscope signals were used to analyze the angular velocity pattern for each activity. The elaboration of the algorithm was based on the examination of the activity at the different levels (hand, fingers and wrist) and the relationship between them for the duration of the activity. A leave-one-out cross-validation was used to validate our algorithm. The algorithm allowed the classification of manual activities into five different categories through three consecutive steps, based on hands ratio (i.e., activity of one or both hands) and fingers-to-wrist ratio (i.e., finger movement independ...
Nutrición hospitalaria
Nutr Hosp. 2010;25(2):224-230 ISSN 0212-1611 • CODEN NUHOEQ S.V.R. 318 UTILIZACIÓN DE LOS ACELERÓMETROS PARA LA MEDIDA DE LA ACTIVIDAD FÍSICA Y EL GASTO ENERGÉTICO EN PERSONAS MAYORES
Biomedical Engineering, 2003
A new method of physical activity monitoring is presented, which is able to detect body postures (sitting, standing, and lying) and periods of walking in elderly persons using only one kinematic sensor attached to the chest. The wavelet transform, in conjunction with a simple kinematics model, was used to detect different postural transitions (PTs) and walking periods during daily physical activity. To evaluate the system, three studies were performed. The method was first tested on 11 community-dwelling elderly subjects in a gait laboratory where an optical motion system (Vicon) was used as a reference system. In the second study, the system was tested for classifying PTs (i.e., lying-to-sitting, sitting-to-lying, and turning the body in bed) in 24 hospitalized elderly persons. Finally, in a third study monitoring was performed on nine elderly persons for 45-60 min during their daily physical activity. Moreover, the possibility-to-perform long-term monitoring over 12 h has been shown. The first study revealed a close concordance between the ambulatory and reference systems. Overall, subjects performed 349 PTs during this study. Compared with the reference system, the ambulatory system had an overall sensitivity of 99% for detection of the different PTs. Sensitivities and specificities were 93% and 82% in sit-to-stand, and 82% and 94% in stand-to-sit, respectively. In both first and second studies, the ambulatory system also showed a very high accuracy ( 99%) in identifying the 62 transfers or rolling out of bed, as well as 144 different posture changes to the back, ventral, right and left sides. Relatively high sensitivity ( 90%) was obtained for the classification of usual physical activities in the third study in comparison with visual observation. Sensitivities and specificities were, respectively, 90.2% and 93.4% in sitting, 92.2% and 92.1% in "standing + walking," and, finally, 98.4% and 99.7% in lying. Overall detection errors (as percent of range) were 3.9% for "standing + walking," 4.1% for sitting, and 0.3% for lying. Finally, overall symmetric mean average errors were 12% for "standing + walking," 8.2% for sitting, and 1.3% for lying.
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