medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2022,
Volume and Issue:
unknown
Published: Oct. 21, 2022
Abstract
Anterior
cruciate
ligament
(ACL)
injury
and
ACL
reconstruction
(ACLR)
surgery
are
common.
Many
ACL-injured
subjects
develop
osteoarthritis
within
a
decade
of
injury,
major
cause
disability
without
cure.
Laboratory-based
biomechanical
assessment
can
evaluate
risk
rehabilitation
progress
after
ACLR;
however,
lab-based
measurements
expensive
inaccessible
to
majority
people.
Portable
sensors
such
as
wearables
cameras
be
deployed
during
sporting
activities,
in
clinics,
patient
homes
for
assessment.
Although
many
portable
sensing
approaches
have
demonstrated
promising
results
various
assessments
related
they
not
yet
been
widely
adopted
tools
prevention
training,
evaluation
reconstructions,
return-to-sport
decision
making.
The
purpose
this
review
is
summarize
research
on
out-of-lab
applied
ACLR
offer
our
perspectives
new
opportunities
future
development.
We
identified
49
original
articles
ACL-related
assessment;
the
most
common
modalities
were
inertial
measurement
units
(IMUs),
depth
cameras,
RGB
cameras.
studies
combined
with
direct
feature
extraction,
physics-based
modeling,
or
machine
learning
estimate
range
parameters
(e.g.,
knee
kinematics
kinetics)
jump-landing
tasks,
cutting,
squats,
gait.
reviewed
depict
proof-of-concept
methods
potential
clinical
applications
including
screening,
By
synthesizing
these
results,
we
describe
important
that
exist
using
sophisticated
modeling
techniques
enable
more
accurate
along
standardization
data
collection
creation
large
benchmark
datasets.
If
successful,
advances
will
widespread
use
portable-sensing
identify
factors,
mitigate
high-risk
movements
prior
optimize
paradigms.
IEEE Transactions on Neural Systems and Rehabilitation Engineering,
Journal Year:
2023,
Volume and Issue:
32, P. 223 - 232
Published: Dec. 28, 2023
Walking
is
one
of
the
most
common
daily
movements
human
body.
Therefore,
quantitative
evaluation
walking
has
been
commonly
used
to
assist
doctors
in
grasping
disease
degree
and
rehabilitation
process
patients
clinic.
Compared
with
kinematic
characteristics,
ground
reaction
force
(GRF)
during
can
directly
reflect
dynamic
characteristics
walking.
It
further
help
understand
muscle
recovery
joint
coordination
patients.
This
paper
proposes
a
GRF
estimation
method
based
on
elastic
elements
Newton-Euler
equation
hybrid
driving
method.
existing
research,
innovations
are
as
follows.
i)
The
hardware
system
consists
only
two
inertial
measurement
units
(IMUs)
placed
shanks.
acquisition
overall
motion
realized
through
simplified
four-link
model
thigh
prediction
ii)
was
validated
not
10
healthy
subjects
but
also
11
Parkinson's
stroke
normalized
mean
absolute
errors
(NMAEs)
5.95%±1.32%,
6.09%±2.00%,
5.87%±1.59%.
iii)
balance
assessment
acquired
data
estimated
GRF.
evaluates
ability
fall
risk
at
four
key
time
points
for
all
recruited.
Because
low-cost
system,
ease
use,
low
interference
environmental
constraints,
high
accuracy,
proposed
automatic
have
broad
clinical
value.
Sensors,
Journal Year:
2023,
Volume and Issue:
23(22), P. 9039 - 9039
Published: Nov. 8, 2023
Using
inertial
measurement
units
(IMUs)
to
estimate
lower
limb
joint
kinematics
and
kinetics
can
provide
valuable
information
for
disease
diagnosis
rehabilitation
assessment.
To
gait
parameters
using
IMUs,
model-based
filtering
approaches
have
been
proposed,
such
as
the
Kalman
filter
complementary
filter.
However,
these
methods
require
special
calibration
alignment
of
IMUs.
The
development
deep
learning
algorithms
has
facilitated
application
IMUs
in
biomechanics
it
does
not
particular
procedures
use.
hip/knee/ankle
angles
moments
sagittal
plane,
a
subject-independent
temporal
convolutional
neural
network-bidirectional
long
short-term
memory
network
(TCN-BiLSTM)
model
was
proposed
three
A
public
benchmark
dataset
containing
most
representative
locomotive
activities
daily
life
used
train
evaluate
TCN-BiLSTM
model.
mean
Pearson
correlation
coefficient
estimated
by
reached
0.92
0.87,
respectively.
This
indicates
that
effectively
multiple
scenarios,
demonstrating
its
potential
clinical
scenarios.
Stride
width
is
vital
for
gait
stability,
postural
balance
control,
and
fall
risk
reduction.
However,
estimating
stride
typically
requires
either
grounded
cameras
or
a
full
kinematic
body
suit
of
wearable
inertial
measurement
units
(IMUs),
both
which
are
often
too
expensive
time-consuming
clinical
application.
We
thus
propose
novel
data-augmented
deep
learning
model
in
individuals
with
without
neurodegenerative
disease
using
minimal
set
IMUs.
Twelve
patients
neurodegenerative,
clinically
diagnosed
Spinocerebellar
ataxia
type
3
(SCA3)
performed
over
ground
walking
trials,
seventeen
healthy
treadmill
trials
at
various
speeds
modifications
while
wearing
IMUs
on
each
shank
the
pelvis.
Results
demonstrated
mean
absolute
errors
3.3±0.7cm
2.9±0.5cm
groups,
respectively,
were
below
important
difference
6.0cm.
variability
1.5cm
0.8cm
respectively.
Data
augmentation
significantly
improved
accuracy
performance
group,
likely
because
they
exhibited
larger
variations
kinematics
as
compared
subjects.
These
results
could
enable
meaningful
accurate
portable
monitoring
disease,
potentially
enhancing
rehabilitative
training,
assessment,
dynamic
control
real-life
settings.
Medical & Biological Engineering & Computing,
Journal Year:
2024,
Volume and Issue:
62(12), P. 3637 - 3652
Published: June 27, 2024
Abstract
Camptocormia,
a
severe
flexion
deformity
of
the
spine,
presents
challenges
in
monitoring
its
progression
outside
laboratory
settings.
This
study
introduces
customized
method
utilizing
four
inertial
measurement
unit
(IMU)
sensors
for
continuous
recording
camptocormia
angle
(CA),
incorporating
both
consensual
malleolus
and
perpendicular
assessment
methods.
The
setup
is
wearable
mobile
allows
measurements
environment.
practicality
measuring
CA
across
various
activities
evaluated
mimicked
Parkinson
disease
posture.
Multiple
are
performed
by
healthy
volunteer.
Measurements
compared
against
camera-based
reference
system.
Results
show
an
overall
root
mean
squared
error
(RMSE)
4.13°
2.71°
method.
Furthermore,
patient-specific
calibration
during
standing
still
with
forward
lean
activity
significantly
reduced
RMSE
to
2.45°
1.68°
respectively.
novel
approach
setting.
proposed
system
suitable
as
tool
first
time
implements
IMU.
It
holds
promise
effectively
at
home.
Optical
motion
capture
(mocap)
requires
accurately
reconstructing
the
human
body
from
retroreflective
markers,
including
pose
and
shape.
In
a
typical
mocap
setting,
marker
labeling
is
an
important
but
tedious
error-prone
step.
Previous
work
has
shown
that
can
be
automated
by
using
structured
template
defining
specific
placements,
this
places
additional
recording
constraints.
We
propose
to
relax
these
constraints
solve
for
Unstructured
Unlabeled
(UUO)
mocap.
Compared
setting
either
labels
markers
or
them
w.r.t
layout,
in
UUO
placed
anywhere
on
even
one
limb
(e.g.,
right
leg
biomechanics
research),
hence
it
of
more
practical
significance.
It
also
challenging.
To
mocap,
we
exploit
monocular
video
captured
single
RGB
camera,
which
does
not
require
camera
calibration.
On
video,
run
off-the-shelf
method
reconstruct
track
individual,
giving
strong
visual
priors
With
both
optimization
pipeline
towards
identification,
labeling,
estimation,
reconstruction.
Our
technical
novelties
include
multiple
hypothesis
testing
optimize
global
orientation,
localization
marker-part
matching
better
surface.
conduct
extensive
experiments
quantitatively
compare
our
against
state-of-the-art
approaches,
marker-only
video-only
body/shape
Experiments
demonstrate
resoundingly
outperforms
existing
methods
three
established
benchmark
datasets
full-body
partial-body
IEEE Journal of Biomedical and Health Informatics,
Journal Year:
2024,
Volume and Issue:
28(11), P. 6548 - 6556
Published: Aug. 16, 2024
Ankle
moment
plays
an
important
role
in
human
gait
analysis,
patients'
rehabilitation
process
monitoring,
and
the
human-machine
interaction
control
of
exoskeleton
robots.
However,
current
ankle
estimation
methods
mainly
rely
on
inverse
dynamics
(ID)
based
optical
motion
capture
system
(OMC)
force
plate.
These
fixed
instruments
laboratory,
which
are
difficult
to
be
applied
To
solve
this
problem,
paper
developed
a
new
distributed
plantar
pressure
proposed
flexion
method
using
system.
We
integrated
eight
sensors
each
insole
collect
data
key
area
foot
then
used
train
four
neural
networks
obtain
moment.
The
performance
models
was
evaluated
normalized
root
mean
square
error
(NRMSE)
cross-correlation
coefficient
(ρ).
During
experiments,
subjects
were
recruited
for
overground
walking
tests,
OMC
plate
as
gold
standard.
results
indicate
that
Genetic
algorithm
-
Gated
recurrent
unit
(GA-GRU)
best
model
achieved
highest
accuracy
generalized
(NRMSE
=
7.23%,
ρ
0.85)
compared
with
other
models.
designed
novel
could
serve
joint
approach
wearable
robot
state
monitoring.
Assessing
ankle
joint
power
during
real-life
scenarios
is
crucial
for
analyzing
human
push-off
and
detecting
abnormal
gait
patterns.
However,
traditional
monitoring
methods
require
expensive
professional
equipment,
limiting
their
use
to
laboratories.
To
address
this
limitation,
we
propose
a
portable
robust
two-stage
approach
that
estimates
using
two
inertial
measurement
units
(IMU)
sensors
placed
on
the
shank
foot,
respectively.
Our
subject-independent
CNN
model
accurately
assessed
flat
inclined
walking
across
28
speeds
6
ramp
inclines.
This
solution
facilitates
assessment
outside
of
laboratories
could
serve
as
foundation
enable
abnormality
evaluation
in
patients
hospitals,
clinics,
home-based
settings.