Wearable pendant device monitoring using new wavelet-based methods shows daily life and laboratory gaits are different.

Morbidity and falls are problematic for older people. Wearable devices are increasingly used to monitor daily activities. However, sensors often require rigid attachment to specific locations and shuffling or quiet standing may be confused with walking. Furthermore, it is unclear whether clinical ga...

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Publicado en:Medical & Biological Engineering & Computing Vol. 54; no. 4; pp. 663 - 675
Autores principales: Brodie, Matthew, Coppens, Milou, Lord, Stephen, Lovell, Nigel, Gschwind, Yves, Redmond, Stephen, Del Rosario, Michael, Wang, Kejia, Sturnieks, Daina, Persiani, Michela, Delbaere, Kim, Brodie, Matthew A D, Coppens, Milou J M, Lord, Stephen R, Lovell, Nigel H, Gschwind, Yves J, Redmond, Stephen J, Del Rosario, Michael Benjamin, Sturnieks, Daina L
Formato: research tables/charts Journal Article
Publicado: Springer Nature Apr2016
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Wearable pendant device monitoring using new wavelet-based methods shows daily life and laboratory gaits are different.
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          Brodie, Matthew
          Coppens, Milou
          Lord, Stephen
          Lovell, Nigel
          Gschwind, Yves
          Redmond, Stephen
          Del Rosario, Michael
          Wang, Kejia
          Sturnieks, Daina
          Persiani, Michela
          Delbaere, Kim
          Brodie, Matthew A D
          Coppens, Milou J M
          Lord, Stephen R
          Lovell, Nigel H
          Gschwind, Yves J
          Redmond, Stephen J
          Del Rosario, Michael Benjamin
          Sturnieks, Daina L
        affil: Falls and Balance Research Group, Neuroscience Research Australia, University of New South Wales, Barker Street Randwick, Sydney 2031 Australia
      sug:
        subj:
          Signal Processing, Computer Assisted
          Gait Physiology
          Monitoring, Physiologic Equipment and Supplies
          Activities of Daily Living
          Aged, 80 and Over
          Algorithms
          Motion
          Female
          Aged
          Decision Trees
          Male
          Human
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Aged, 80 & over
          Aged: 65+ years
          Female
          Male
      ab: Morbidity and falls are problematic for older people. Wearable devices are increasingly used to monitor daily activities. However, sensors often require rigid attachment to specific locations and shuffling or quiet standing may be confused with walking. Furthermore, it is unclear whether clinical gait assessments are correlated with how older people usually walk during daily life. Wavelet transformations of accelerometer and barometer data from a pendant device worn inside or outside clothing were used to identify walking (excluding shuffling or standing) by 51 older people (83 ± 4 years) during 25 min of 'free-living' activities. Accuracy was validated against annotated video. Training and testing were separated. Activities were only loosely structured including noisy data preceding pendant wearing. An electronic walkway was used for laboratory comparisons. Walking was classified (accuracy ≥97 %) with low false-positive errors (≤1.9%, κ ≥ 0.90). Median free-living cadence was lower than laboratory-assessed cadence (101 vs. 110 steps/min, p < 0.001) but correlated (r = 0.69). Free-living step time variability was significantly higher and uncorrelated with laboratory-assessed variability unless detrended. Remote gait impairment monitoring using wearable devices is feasible providing new ways to investigate morbidity and falls risk. Laboratory-assessed gait performances are correlated with free-living walks, but likely reflect the individual's 'best' performance.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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