scholarly journals A Combination of Indoor Localization and Wearable Sensor–Based Physical Activity Recognition to Assess Older Patients Undergoing Subacute Rehabilitation: Baseline Study Results (Preprint)

2019 ◽  
Author(s):  
Ramin Ramezani ◽  
Wenhao Zhang ◽  
Zhuoer Xie ◽  
John Shen ◽  
David Elashoff ◽  
...  

BACKGROUND Health care, in recent years, has made great leaps in integrating wireless technology into traditional models of care. The availability of ubiquitous devices such as wearable sensors has enabled researchers to collect voluminous datasets and harness them in a wide range of health care topics. One of the goals of using on-body wearable sensors has been to study and analyze human activity and functional patterns, thereby predicting harmful outcomes such as falls. It can also be used to track precise individual movements to form personalized behavioral patterns, to standardize the concept of frailty, well-being/independence, etc. Most wearable devices such as activity trackers and smartwatches are equipped with low-cost embedded sensors that can provide users with health statistics. In addition to wearable devices, Bluetooth low-energy sensors known as BLE beacons have gained traction among researchers in ambient intelligence domain. The low cost and durability of newer versions have made BLE beacons feasible gadgets to yield indoor localization data, an adjunct feature in human activity recognition. In the studies by Moatamed et al and the patent application by Ramezani et al, we introduced a generic framework (Sensing At-Risk Population) that draws on the classification of human movements using a 3-axial accelerometer and extracting indoor localization using BLE beacons, in concert. OBJECTIVE The study aimed to examine the ability of combination of physical activity and indoor location features, extracted at baseline, on a cohort of 154 rehabilitation-dwelling patients to discriminate between subacute care patients who are re-admitted to the hospital versus the patients who are able to stay in a community setting. METHODS We analyzed physical activity sensor features to assess activity time and intensity. We also analyzed activities with regard to indoor localization. Chi-square and Kruskal-Wallis tests were used to compare demographic variables and sensor feature variables in outcome groups. Random forests were used to build predictive models based on the most significant features. RESULTS Standing time percentage (P<.001, d=1.51), laying down time percentage (P<.001, d=1.35), resident room energy intensity (P<.001, d=1.25), resident bed energy intensity (P<.001, d=1.23), and energy percentage of active state (P=.001, d=1.24) are the 5 most statistically significant features in distinguishing outcome groups at baseline. The energy intensity of the resident room (P<.001, d=1.25) was achieved by capturing indoor localization information. Random forests revealed that the energy intensity of the resident room, as a standalone attribute, is the most sensitive parameter in the identification of outcome groups (area under the curve=0.84). CONCLUSIONS This study demonstrates that a combination of indoor localization and physical activity tracking produces a series of features at baseline, a subset of which can better distinguish between at-risk patients that can gain independence versus the patients that are rehospitalized.

2020 ◽  
Vol 10 (20) ◽  
pp. 7122
Author(s):  
Ahmad Jalal ◽  
Mouazma Batool ◽  
Kibum Kim

The classification of human activity is becoming one of the most important areas of human health monitoring and physical fitness. With the use of physical activity recognition applications, people suffering from various diseases can be efficiently monitored and medical treatment can be administered in a timely fashion. These applications could improve remote services for health care monitoring and delivery. However, the fixed health monitoring devices provided in hospitals limits the subjects’ movement. In particular, our work reports on wearable sensors that provide remote monitoring that periodically checks human health through different postures and activities to give people timely and effective treatment. In this paper, we propose a novel human activity recognition (HAR) system with multiple combined features to monitor human physical movements from continuous sequences via tri-axial inertial sensors. The proposed HAR system filters 1D signals using a notch filter that examines the lower/upper cutoff frequencies to calculate the optimal wearable sensor data. Then, it calculates multiple combined features, i.e., statistical features, Mel Frequency Cepstral Coefficients, and Gaussian Mixture Model features. For the classification and recognition engine, a Decision Tree classifier optimized by the Binary Grey Wolf Optimization algorithm is proposed. The proposed system is applied and tested on three challenging benchmark datasets to assess the feasibility of the model. The experimental results show that our proposed system attained an exceptional level of performance compared to conventional solutions. We achieved accuracy rates of 88.25%, 93.95%, and 96.83% over MOTIONSENSE, MHEALTH, and the proposed self-annotated IM-AccGyro human-machine dataset, respectively.


2020 ◽  
Author(s):  
Wenhao Zhang ◽  
Ramin Ramezani ◽  
Zhuoer Xie ◽  
John Shen ◽  
David Elashoff ◽  
...  

BACKGROUND The availability of low cost ubiquitous wearable sensors has enabled researchers, in recent years, to collect a large volume of data in various domains including healthcare. The goal has been to harness wearables to further investigate human activity, physiology and functional patterns. As such, on-body sensors have been primarily used in healthcare domain to help predict adverse outcomes such as hospitalizations or fall, thereby enabling clinicians to develop better intervention guidelines and personalized models of care to prevent harmful outcomes. In the previous studies [9,10] and the patent application [11], we introduced a generic framework (Sensing At-Risk Population) that draws on the classification of human movements using a 3-axial accelerometer and extraction of indoor localization using BLE beacons, in concert. This work is to address the longitudinal analyses of a particular cohort using the introduced framework in a skilled nursing facility. OBJECTIVE (a) To observe longitudinal changes of physical activity and indoor localization features of rehabilitation-dwelling patients, (b) to assess if such changes can be used at early stages during the rehabilitation period to discriminate between patients that will be re-hospitalized versus the ones that will be discharged to a community setting and (c) to investigate if the sensor based longitudinal changes can imitate patients changes captured by therapist assessments over the course of rehabilitation. METHODS Pearson correlation was used to compare occupational therapy (OT) and physical therapy (PT) assessments with sensor-based features. Generalized Linear Mixed Model was used to find associations between functional measures with sensor based features. RESULTS Energy intensity at therapy room was positively associated with transfer general (β=0.22;SE=0.08;p<.05). Similarly, sitting energy intensity showed positive association with transfer general (β=0.16;SE=0.07;p<.05). Laying down energy intensity was negatively associated with hygiene grooming (β=-0.27;SE=0.14;p<.05). The interaction of sitting energy intensity with time (β=-0.13;SE=.06;p<.05) was associated with toileting general. Dressing lower body was strongly correlated with overall energy intensity (r = 0.66), standing energy intensity (r = 0.61), and laying down energy intensity (r = 0.72) on the first clinical assessment session. CONCLUSIONS This study demonstrates that a combination of indoor localization and physical activity tracking produces a series of features, a subset of which can provide crucial information on the storyline of daily and longitudinal activity patterns of rehabilitation-dwelling patients.


Electronics ◽  
2021 ◽  
Vol 10 (14) ◽  
pp. 1715
Author(s):  
Michele Alessandrini ◽  
Giorgio Biagetti ◽  
Paolo Crippa ◽  
Laura Falaschetti ◽  
Claudio Turchetti

Photoplethysmography (PPG) is a common and practical technique to detect human activity and other physiological parameters and is commonly implemented in wearable devices. However, the PPG signal is often severely corrupted by motion artifacts. The aim of this paper is to address the human activity recognition (HAR) task directly on the device, implementing a recurrent neural network (RNN) in a low cost, low power microcontroller, ensuring the required performance in terms of accuracy and low complexity. To reach this goal, (i) we first develop an RNN, which integrates PPG and tri-axial accelerometer data, where these data can be used to compensate motion artifacts in PPG in order to accurately detect human activity; (ii) then, we port the RNN to an embedded device, Cloud-JAM L4, based on an STM32 microcontroller, optimizing it to maintain an accuracy of over 95% while requiring modest computational power and memory resources. The experimental results show that such a system can be effectively implemented on a constrained-resource system, allowing the design of a fully autonomous wearable embedded system for human activity recognition and logging.


Sensors ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 692
Author(s):  
Jingcheng Chen ◽  
Yining Sun ◽  
Shaoming Sun

Human activity recognition (HAR) is essential in many health-related fields. A variety of technologies based on different sensors have been developed for HAR. Among them, fusion from heterogeneous wearable sensors has been developed as it is portable, non-interventional and accurate for HAR. To be applied in real-time use with limited resources, the activity recognition system must be compact and reliable. This requirement can be achieved by feature selection (FS). By eliminating irrelevant and redundant features, the system burden is reduced with good classification performance (CP). This manuscript proposes a two-stage genetic algorithm-based feature selection algorithm with a fixed activation number (GFSFAN), which is implemented on the datasets with a variety of time, frequency and time-frequency domain features extracted from the collected raw time series of nine activities of daily living (ADL). Six classifiers are used to evaluate the effects of selected feature subsets from different FS algorithms on HAR performance. The results indicate that GFSFAN can achieve good CP with a small size. A sensor-to-segment coordinate calibration algorithm and lower-limb joint angle estimation algorithm are introduced. Experiments on the effect of the calibration and the introduction of joint angle on HAR shows that both of them can improve the CP.


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