从地板振动中概率估计步频和行走速度

IF 3.7 3区 医学 Q2 ENGINEERING, BIOMEDICAL IEEE Journal of Translational Engineering in Health and Medicine-Jtehm Pub Date : 2024-06-20 DOI:10.1109/JTEHM.2024.3415412
Yohanna MejiaCruz;Juan M. Caicedo;Zhaoshuo Jiang;Jean M. Franco
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引用次数: 0

摘要

研究目的本研究旨在从地板振动中提取人体步态参数。所提出的方法提供了一种关于居住者活动的创新方法,有助于更广泛地了解人类运动如何在建筑环境中相互作用:开发了一种多层次概率模型,通过分析步行引起的地面振动来估算步频和步行速度。该模型解决了地面加速度信号中信息缺失或不完整的难题。按照《贝叶斯分析报告指南》(BARG)的可重复性要求,该模型通过 27 项步行实验进行了评估,实验中采集了地面振动和非卧床帕金森病监测(APDM)可穿戴传感器的数据。该模型在实时实施中进行了测试,记录了十个人按自己选定的步伐行走的情况:结果:使用 95% 高后验密度(HPD)和 BARG 之后的实用等效范围(ROPE)的严格综合决策标准,结果表明估计值和目标值之间的一致性令人满意。值得注意的是,超过 90% 的 95% HPD 都在实际等效区域内,因此有充分的理由认为估计值与使用 APDM 传感器和视频记录的估计值在概率上是一致的:这项研究验证了通过分析地面振动来估算步频和步行速度的概率多层次模型,证明其与 APDM 传感器和视频记录等成熟技术具有令人满意的可比性。估算值与目标值之间的密切吻合强调了该方法的有效性。所提出的模型有效地解决了现实世界中数据缺失或不完整的难题,提高了从地面振动中提取步态参数的准确性:临床影响:从地板振动中提取步态参数可以提供一种非侵入性的连续监测个人步态的方法,为了解活动能力和神经系统疾病的潜在指标提供宝贵的信息。这项研究的意义延伸到先进步态分析工具的开发,为评估和理解行走模式提供了新的视角,从而改善诊断和个性化医疗:本手稿介绍了一种创新的无人值守步态评估方法,对临床决策具有潜在的重大意义。通过利用地面振动来估算步速和行走速度,该技术可为临床医生提供有价值的信息,帮助他们了解患者在现实生活中的行动能力和功能能力。在家庭或护理设施的地板下战略性地安装加速度计,可以在评估期间不间断地进行日常活动,减少对专门临床环境的依赖。这项技术可对步态模式进行长期连续监测,并有可能集成到医疗保健平台中。这种整合可以加强远程监控,从而进行及时干预和制定个性化护理计划,最终改善临床疗效。我们的模型具有概率性质,可以对估计参数的不确定性进行量化,让临床医生对数据的可靠性有细致入微的了解。
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Probabilistic Estimation of Cadence and Walking Speed From Floor Vibrations
Objective: This research aims to extract human gait parameters from floor vibrations. The proposed approach provides an innovative methodology on occupant activity, contributing to a broader understanding of how human movements interact within their built environment.Methods and Procedures: A multilevel probabilistic model was developed to estimate cadence and walking speed through the analysis of floor vibrations induced by walking. The model addresses challenges related to missing or incomplete information in the floor acceleration signals. Following the Bayesian Analysis Reporting Guidelines (BARG) for reproducibility, the model was evaluated through twenty-seven walking experiments, capturing floor vibration and data from Ambulatory Parkinson’s Disease Monitoring (APDM) wearable sensors. The model was tested in a real-time implementation where ten individuals were recorded walking at their own selected pace.Results: Using a rigorous combined decision criteria of 95% high posterior density (HPD) and the Range of Practical Equivalence (ROPE) following BARG, the results demonstrate satisfactory alignment between estimations and target values for practical purposes. Notably, with over 90% of the 95% HPD falling within the region of practical equivalence, there is a solid basis for accepting the estimations as probabilistically aligned with the estimations using the APDM sensors and video recordings.Conclusion: This research validates the probabilistic multilevel model in estimating cadence and walking speed by analyzing floor vibrations, demonstrating its satisfactory comparability with established technologies such as APDM sensors and video recordings. The close alignment between the estimations and target values emphasizes the approach’s efficacy. The proposed model effectively tackles prevalent challenges associated with missing or incomplete data in real-world scenarios, enhancing the accuracy of gait parameter estimations derived from floor vibrations.Clinical impact: Extracting gait parameters from floor vibrations could provide a non-intrusive and continuous means of monitoring an individual’s gait, offering valuable insights into mobility and potential indicators of neurological conditions. The implications of this research extend to the development of advanced gait analysis tools, offering new perspectives on assessing and understanding walking patterns for improved diagnostics and personalized healthcare.Clinical and Translational Impact Statement: This manuscript introduces an innovative approach for unattended gait assessments with potentially significant implications for clinical decision-making. By utilizing floor vibrations to estimate cadence and walking speed, the technology can provide clinicians with valuable insights into their patients’ mobility and functional abilities in real-life settings. The strategic installation of accelerometers beneath the flooring of homes or care facilities allows for uninterrupted daily activities during these assessments, reducing the reliance on specialized clinical environments. This technology enables continuous monitoring of gait patterns over time and has the potential for integration into healthcare platforms. Such integration can enhance remote monitoring, leading to timely interventions and personalized care plans, ultimately improving clinical outcomes. The probabilistic nature of our model enables uncertainty quantification in the estimated parameters, providing clinicians with a nuanced understanding of data reliability.
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来源期刊
CiteScore
7.40
自引率
2.90%
发文量
65
审稿时长
27 weeks
期刊介绍: The IEEE Journal of Translational Engineering in Health and Medicine is an open access product that bridges the engineering and clinical worlds, focusing on detailed descriptions of advanced technical solutions to a clinical need along with clinical results and healthcare relevance. The journal provides a platform for state-of-the-art technology directions in the interdisciplinary field of biomedical engineering, embracing engineering, life sciences and medicine. A unique aspect of the journal is its ability to foster a collaboration between physicians and engineers for presenting broad and compelling real world technological and engineering solutions that can be implemented in the interest of improving quality of patient care and treatment outcomes, thereby reducing costs and improving efficiency. The journal provides an active forum for clinical research and relevant state-of the-art technology for members of all the IEEE societies that have an interest in biomedical engineering as well as reaching out directly to physicians and the medical community through the American Medical Association (AMA) and other clinical societies. The scope of the journal includes, but is not limited, to topics on: Medical devices, healthcare delivery systems, global healthcare initiatives, and ICT based services; Technological relevance to healthcare cost reduction; Technology affecting healthcare management, decision-making, and policy; Advanced technical work that is applied to solving specific clinical needs.
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