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Kim KR, Kang TW, Kim H, Lee YJ, Lee SH, Yi H, Kim HS, Kim H, Min J, Ready J, Millard-Stafford M, Yeo WH. All-in-One, Wireless, Multi-Sensor Integrated Athlete Health Monitor for Real-Time Continuous Detection of Dehydration and Physiological Stress. ADVANCED SCIENCE (WEINHEIM, BADEN-WURTTEMBERG, GERMANY) 2024:e2403238. [PMID: 38950170 DOI: 10.1002/advs.202403238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Revised: 06/03/2024] [Indexed: 07/03/2024]
Abstract
Athletes are at high risk of dehydration, fatigue, and cardiac disorders due to extreme performance in often harsh environments. Despite advancements in sports training protocols, there is an urgent need for a non-invasive system capable of comprehensive health monitoring. Although a few existing wearables measure athlete's performance, they are limited by a single function, rigidity, bulkiness, and required straps and adhesives. Here, an all-in-one, multi-sensor integrated wearable system utilizing a set of nanomembrane soft sensors and electronics, enabling wireless, real-time, continuous monitoring of saliva osmolality, skin temperature, and heart functions is introduced. This system, using a soft patch and a sensor-integrated mouthguard, provides comprehensive monitoring of an athlete's hydration and physiological stress levels. A validation study in detecting real-time physiological levels shows the device's performance in capturing moments (400-500 s) of synchronized acute elevation in dehydration (350%) and physiological strain (175%) during field training sessions. Demonstration with a few human subjects highlights the system's capability to detect early signs of health abnormality, thus improving the healthcare of sports athletes.
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Affiliation(s)
- Ka Ram Kim
- George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA
- Wearable Intelligent Systems and Healthcare Center (WISH Center), Institute for Matter and Systems, Georgia Institute of Technology, Atlanta, GA, 30332, USA
| | - Tae Woog Kang
- George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA
- Wearable Intelligent Systems and Healthcare Center (WISH Center), Institute for Matter and Systems, Georgia Institute of Technology, Atlanta, GA, 30332, USA
| | - Hodam Kim
- George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA
- Wearable Intelligent Systems and Healthcare Center (WISH Center), Institute for Matter and Systems, Georgia Institute of Technology, Atlanta, GA, 30332, USA
| | - Yoon Jae Lee
- Wearable Intelligent Systems and Healthcare Center (WISH Center), Institute for Matter and Systems, Georgia Institute of Technology, Atlanta, GA, 30332, USA
- School of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA
| | - Sung Hoon Lee
- Wearable Intelligent Systems and Healthcare Center (WISH Center), Institute for Matter and Systems, Georgia Institute of Technology, Atlanta, GA, 30332, USA
- School of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA
| | - Hoon Yi
- George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA
- Wearable Intelligent Systems and Healthcare Center (WISH Center), Institute for Matter and Systems, Georgia Institute of Technology, Atlanta, GA, 30332, USA
| | - Hyeon Seok Kim
- George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA
- Wearable Intelligent Systems and Healthcare Center (WISH Center), Institute for Matter and Systems, Georgia Institute of Technology, Atlanta, GA, 30332, USA
| | - Hojoong Kim
- George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA
- Wearable Intelligent Systems and Healthcare Center (WISH Center), Institute for Matter and Systems, Georgia Institute of Technology, Atlanta, GA, 30332, USA
| | - Jihee Min
- Wearable Intelligent Systems and Healthcare Center (WISH Center), Institute for Matter and Systems, Georgia Institute of Technology, Atlanta, GA, 30332, USA
- Department of Biology, College of Arts and Sciences, Emory University, Atlanta, GA, 30322, USA
| | - Jud Ready
- Electro-Optical Systems Laboratory, Georgia Tech Research Institute, Atlanta, GA, 30332, USA
| | | | - Woon-Hong Yeo
- George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta, GA, 30332, USA
- Wearable Intelligent Systems and Healthcare Center (WISH Center), Institute for Matter and Systems, Georgia Institute of Technology, Atlanta, GA, 30332, USA
- Wallace H. Coulter Department of Biomedical Engineering, Georgia Tech and Emory University School of Medicine, Atlanta, GA, 30332, USA
- Parker H. Petit Institute for Bioengineering and Biosciences, Institute for Robotics and Intelligent Machines, Georgia Institute of Technology, Atlanta, GA, 30332, USA
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Sokolovskiy S, Arroyo D, Hansma P. Can Pulse Rate Variability be Used to Monitor Compliance with a Breath Pacer? Appl Psychophysiol Biofeedback 2024; 49:233-240. [PMID: 38214800 PMCID: PMC11101548 DOI: 10.1007/s10484-023-09617-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/24/2023] [Indexed: 01/13/2024]
Abstract
Slow paced breathing has been demonstrated to provide significant health benefits for a person's health, and, during breathing sessions, it is desirable to monitor that a person is actually compliant with the breath pacer. We explore the potential use of pulse rate variability to monitor compliance with a breath pacer during meditation sessions. The study involved 6 human subjects each participating in 2-3 trials, where they are asked to follow or not to follow the breath pacer, where we collected data on how the magnitude of pulse rate variability changed. Two methods, logistic regression and a running standard deviation technique, were developed to detect non-compliance with the breath pacer based on pulse rate variability metrics. Results indicate that using pulse rate variability alone may not reliably detect non-compliance with the breath pacer. Both models exhibited limitations in terms of false positives and false negatives, with accuracy ranging from 67 to 65%. Existing methods involving visual, audio, and motion signals currently perform better for monitoring compliance with the breath pacer.
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Affiliation(s)
| | | | - Paul Hansma
- University of California, Santa Barbara, USA
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3
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Payette J, Vaussenat F, Cloutier SG. Heart Rate Measurement Using the Built-In Triaxial Accelerometer from a Commercial Digital Writing Device. SENSORS (BASEL, SWITZERLAND) 2024; 24:2238. [PMID: 38610449 PMCID: PMC11014068 DOI: 10.3390/s24072238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Revised: 03/22/2024] [Accepted: 03/26/2024] [Indexed: 04/14/2024]
Abstract
Currently, wearable technology is an emerging trend that offers remarkable access to our data through smart devices like smartphones, watches, fitness trackers and textiles. As such, wearable devices can enable health monitoring without disrupting our daily routines. In clinical settings, electrocardiograms (ECGs) and photoplethysmographies (PPGs) are used to monitor heart and respiratory behaviors. In more practical settings, accelerometers can be used to estimate the heart rate when they are attached to the chest. They can also help filter out some noise in ECG signals from movement. In this work, we compare the heart rate data extracted from the built-in accelerometer of a commercial smart pen equipped with sensors (STABILO's DigiPen) to standard ECG monitor readouts. We demonstrate that it is possible to accurately predict the heart rate from the smart pencil. The data collection is carried out with eight volunteers writing the alphabet continuously for five minutes. The signal is processed with a Butterworth filter to cut off noise. We achieve a mean-squared error (MSE) better than 6.685 × 10-3 comparing the DigiPen's computed Δt (time between pulses) with the reference ECG data. The peaks' timestamps for both signals all maintain a correlation higher than 0.99. All computed heart rates (HR =60Δt) from the pen accurately correlate with the reference ECG signals.
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Affiliation(s)
| | | | - Sylvain G. Cloutier
- Department of Electrical Engineering, École de Technologie Supérieure, Montréal, QC H3C 1K3, Canada; (J.P.); (F.V.)
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Hussain T, Ullah S, Fernández-García R, Gil I. Wearable Sensors for Respiration Monitoring: A Review. SENSORS (BASEL, SWITZERLAND) 2023; 23:7518. [PMID: 37687977 PMCID: PMC10490703 DOI: 10.3390/s23177518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Revised: 08/25/2023] [Accepted: 08/26/2023] [Indexed: 09/10/2023]
Abstract
This paper provides an overview of flexible and wearable respiration sensors with emphasis on their significance in healthcare applications. The paper classifies these sensors based on their operating frequency distinguishing between high-frequency sensors, which operate above 10 MHz, and low-frequency sensors, which operate below this level. The operating principles of breathing sensors as well as the materials and fabrication techniques employed in their design are addressed. The existing research highlights the need for robust and flexible materials to enable the development of reliable and comfortable sensors. Finally, the paper presents potential research directions and proposes research challenges in the field of flexible and wearable respiration sensors. By identifying emerging trends and gaps in knowledge, this review can encourage further advancements and innovation in the rapidly evolving domain of flexible and wearable sensors.
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Affiliation(s)
- Tauseef Hussain
- Department of Electronic Engineering, Universitat Politècnica de Catalunya, 08222 Terrassa, Spain; (R.F.-G.); (I.G.)
| | - Sana Ullah
- Department of Electrical and Information Engineering, Politecnico di Bari, 70126 Bari, Italy;
| | - Raúl Fernández-García
- Department of Electronic Engineering, Universitat Politècnica de Catalunya, 08222 Terrassa, Spain; (R.F.-G.); (I.G.)
| | - Ignacio Gil
- Department of Electronic Engineering, Universitat Politècnica de Catalunya, 08222 Terrassa, Spain; (R.F.-G.); (I.G.)
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Aqueveque P, Díaz M, Gomez B, Osorio R, Pastene F, Radrigan L, Morales A. Embedded Electronic Sensor for Monitoring of Breathing Activity, Fitting and Filter Clogging in Reusable Industrial Respirators. BIOSENSORS 2022; 12:991. [PMID: 36354500 PMCID: PMC9688112 DOI: 10.3390/bios12110991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Revised: 10/18/2022] [Accepted: 11/01/2022] [Indexed: 06/16/2023]
Abstract
Millions of workers are required to wear reusable respirators in several industries worldwide. Reusable respirators include filters that protect workers against harmful dust, smoke, gases, and vapors. These hazards may cause cancer, lung impairment, and diseases. Respiratory protection is prone to failure or misuse, such as wearing respirators with filters out of service life and employees wearing respirators loosely. Currently, there are no commercial systems capable of reliably alerting of misuse of respiratory protective equipment during the workday shifts or provide early information about dangerous clogging levels of filters. This paper proposes a low energy and non-obtrusive functional building block with embedded electronics that enable breathing monitoring inside an industrial reusable respirator. The embedded electronic device collects multidimensional data from an integrated pressure, temperature, and relative humidity sensor inside a reusable industrial respirator in real time and sends it wirelessly to an external platform for further processing. Here, the calculation of instantaneous breathing rate and estimation of the filter's respirator fitting and clogging level is performed. The device was tested with ten healthy subjects in laboratory trials. The subjects were asked to wear industrial reusable respirator with the embedded electronic device attached inside. The signals measured with the system were compared with airflow signals measured with calibrated transducers for validation purposes. The correlation between the estimated breathing rates using pressure, temperature, and relative humidity with the reference signal (airflow) is 0.987, 0.988 and 0.989 respectively, showing that instantaneous breathing rate can be calculated accurately using the information from the embedded device. Moreover, respirator fitting (well-fitted or loose condition) and filter's clogging levels (≤60%, 80% and 100% clogging) also can be estimated using features extracted from absolute pressure measurements combined to statistical analysis ANOVA models. These experimental outputs represent promising results for further development of data-driven prediction models using machine learning techniques to determine filters end-of-service life. Furthermore, the proposed system would collect relevant data for real-time monitoring of workers' breathing conditions and respirator usage, helping to improve occupational safety and health in the workplace.
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Affiliation(s)
- Pablo Aqueveque
- Department of Electrical Engineering, Faculty of Engineering, Universidad de Concepción, 219 Edmundo Larenas St., Concepción 4030000, Chile
| | - Macarena Díaz
- Department of Electrical Engineering, Faculty of Engineering, Universidad de Concepción, 219 Edmundo Larenas St., Concepción 4030000, Chile
| | - Britam Gomez
- Department of Multidisciplinary Engineering, Faculty of Engineering, Universidad de Santiago de Chile, Libertador Bernardo O’Higgins Av., Santiago 9170022, Chile
| | - Rodrigo Osorio
- Department of Electrical Engineering, Faculty of Engineering, Universidad de Concepción, 219 Edmundo Larenas St., Concepción 4030000, Chile
| | - Francisco Pastene
- Department of Electrical Engineering, Faculty of Engineering, Universidad de Concepción, 219 Edmundo Larenas St., Concepción 4030000, Chile
| | - Luciano Radrigan
- Department of Electrical Engineering, Faculty of Engineering, Universidad de Concepción, 219 Edmundo Larenas St., Concepción 4030000, Chile
| | - Anibal Morales
- Department of Electrical Engineering, Universidad Católica de la Santísima Concepción, Concepción 4090541, Chile
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E-Textiles for Sports: A Systematic Review. JOURNAL OF BIOMIMETICS BIOMATERIALS AND BIOMEDICAL ENGINEERING 2022. [DOI: 10.4028/p-e03md3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
This work presents a systematic review to provide an overview of the possibilities for coupling, fabrication or embedding of electronics into textiles whilst assuring the capability of these products to meet the requirements of a sports modality. The development of smart wearables systems for sports based on textiles attracts more and more users – motivated by design, by technology, as well as by the expectation of increased performance. A bibliographic search was carried out using the following databases: Scopus, Web of Science, IEEE Xplore and Science Direct. This study includes 32 articles and discusses these in a new taxonomy with three dimensions: measured variable, types of feedback and applications. Of the 23 technologies surveyed, this review showed that these wearable systems are mainly used for vital signs monitoring and to provide feedback on the electrical activity of the heart, with sensors mostly placed in the chest. Usually, the technologies are externally attachable rather than embedded in the textile. We observed that the implementation of design as the process of development of e-textile products is still only scarcely present in these studies.
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Lim C, Kim J, Kim J, Kang BG, Nam Y. Estimation of respiratory rate in various environments using microphones embedded in face masks. THE JOURNAL OF SUPERCOMPUTING 2022; 78:19228-19245. [PMID: 35754514 PMCID: PMC9206076 DOI: 10.1007/s11227-022-04622-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 05/19/2022] [Indexed: 06/15/2023]
Abstract
Wearable health devices and respiratory rates (RRs) have drawn attention to the healthcare domain as it helps healthcare workers monitor patients' health status continuously and in a non-invasive manner. However, to monitor health status outside healthcare professional settings, the reliability of this wearable device needs to be evaluated in complex environments (i.e., public street and transportation). Therefore, this study proposes a method to estimate RR from breathing sounds recorded by a microphone placed inside three types of masks: surgical, a respirator mask (Korean Filter 94), and reusable masks. The Welch periodogram method was used to estimate the power spectral density of the breathing signals to measure the RR. We evaluated the proposed method by collecting data from 10 healthy participants in four different environments: indoor (office) and outdoor (public street, public bus, and subway). The results obtained errors as low as 0% for accuracy and repeatability in most cases. This research demonstrated that the acoustic-based method could be employed as a wearable device to monitor RR continuously, even outside the hospital environment.
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Affiliation(s)
- Chhayly Lim
- Department of ICT Convergence, Soonchunhyang University, Asan, 31538 South Korea
| | - Jungyeon Kim
- ICT Convergence Research Center, Soonchunhyang University, Asan, 31538 South Korea
| | - Jeongseok Kim
- Department of ICT Convergence, Soonchunhyang University, Asan, 31538 South Korea
| | - Byeong-Gwon Kang
- Department of Information and Communication Engineering, Soonchunhyang University, Asan, 31538 South Korea
| | - Yunyoung Nam
- Department of Computer Science and Engineering, Soonchunhyang University, Asan, 31538 South Korea
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8
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Qiu C, Wu F, Han W, Yuce MR. A Wearable Bioimpedance Chest Patch for Real-Time Ambulatory Respiratory Monitoring. IEEE Trans Biomed Eng 2022; 69:2970-2981. [PMID: 35275808 DOI: 10.1109/tbme.2022.3158544] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
OBJECTIVE This paper aims to introduce a wearable solution and a low-complexity algorithm for real-time continuous ambulatory respiratory monitoring. METHODS A wearable chest-worn patch is designed using a bioimpedance (BioZ) sensor to measure the changes in chest impedance caused by breathing. Besides, a medical-grade infrared temperature sensor is utilized to monitor body temperature. The computing algorithm implemented on the patch enables computation of breath-by-breath respiratory rate and chest temperature in real-time. Two wireless communication protocols are included in the system, namely Bluetooth and Long Range (LoRa), which enable both short-range and long-range data transmission. RESULTS The breathing rate measured in static (i.e., standing, sitting, supine, and lateral lying) and dynamic (i.e., walking, running, and cycling) positions by our device yielded an accuracy of more than 97.8% and 98.5% to the ground truth, respectively. Additionally, the devices performance is evaluated in real-world scenarios both indoors and outdoors. CONCLUSION The proposed system is capable of measuring breathing rate throughout a variety of daily activities. To the best of our knowledge, this is the first BioZ-based wearable patch capable of detecting breath-by-breath respiratory rate in real-time remotely under unrestricted ambulatory conditions. SIGNIFICANCE This study establishes a strategy for continuous respiratory monitoring that could aid in the early detection of cardiopulmonary disorders in everyday life.
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Assessing Respiratory Activity by Using IMUs: Modeling and Validation. SENSORS 2022; 22:s22062185. [PMID: 35336355 PMCID: PMC8950860 DOI: 10.3390/s22062185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 02/23/2022] [Accepted: 03/09/2022] [Indexed: 11/17/2022]
Abstract
This study aimed to explore novel inertial measurement unit (IMU)-based strategies to estimate respiratory parameters in healthy adults lying on a bed while breathing normally. During the experimental sessions, the kinematics of the chest wall were contemporaneously collected through both a network of 9 IMUs and a set of 45 uniformly distributed reflective markers. All inertial kinematics were analyzed to identify a minimum set of signals and IMUs whose linear combination best matched the tidal volume measured by optoelectronic plethysmography. The resulting models were finally tuned and validated through a leave-one-out cross-validation approach to assess the extent to which they could accurately estimate a set of respiratory parameters related to three trunk compartments. The adopted methodological approach allowed us to identify two different models. The first, referred to as Model 1, relies on the 3D acceleration measured by three IMUs located on the abdominal compartment and on the lower costal margin. The second, referred to as Model 2, relies on only one component of the acceleration measured by two IMUs located on the abdominal compartment. Both models can accurately estimate the respiratory rate (relative error < 1.5%). Conversely, the duration of the respiratory phases and the tidal volume can be more accurately assessed by Model 2 (relative error < 5%) and Model 1 (relative error < 5%), respectively. We further discuss possible approaches to overcome limitations and improve the overall accuracy of the proposed approach.
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Valentine S, Cunningham AC, Klasmer B, Dabbah M, Balabanovic M, Aral M, Vahdat D, Plans D. Smartphone movement sensors for the remote monitoring of respiratory rates: Technical validation. Digit Health 2022; 8:20552076221089090. [PMID: 35493956 PMCID: PMC9052820 DOI: 10.1177/20552076221089090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Accepted: 03/06/2022] [Indexed: 11/26/2022] Open
Abstract
Background Mobile health (mHealth) offers potential benefits to both patients and
healthcare systems. Existing remote technologies to measure respiratory
rates have limitations such as cost, accessibility and reliability. Using
smartphone sensors to measure respiratory rates may offer a potential
solution to these issues. Objective The aim of this study was to conduct a comprehensive assessment of a novel
mHealth smartphone application designed to measure respiratory rates using
movement sensors. Methods In Study 1, 15 participants simultaneously measured their respiratory rates
with the app and a Food and Drug Administration-cleared reference device. A
novel reference analysis method to allow the app to be evaluated ‘in the
wild’ was also developed. In Study 2, 165 participants measured their
respiratory rates using the app, and these measures were compared to the
novel reference. The usability of the app was also assessed in both
studies. Results The app, when compared to the Food and Drug Administration-cleared and novel
references, respectively, showed a mean absolute error of 1.65
(SD = 1.49) and 1.14 (1.44), relative mean absolute
error of 12.2 (9.23) and 9.5 (18.70) and bias of 0.81 (limits of
agreement = –3.27 to 4.89) and 0.08 (–3.68 to 3.51). Pearson correlation
coefficients were 0.700 and 0.885. Ninety-three percent of participants
successfully operated the app on their first use. Conclusions The accuracy and usability of the app demonstrated here in individuals with a
normal respiratory rate range show promise for the use of mHealth solutions
employing smartphone sensors to remotely monitor respiratory rates. Further
research should validate the benefits that this technology may offer
patients and healthcare systems.
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Bawua LK, Miaskowski C, Suba S, Badilini F, Mortara D, Hu X, Rodway GW, Hoffmann TJ, Pelter MM. Agreement between respiratory rate measurement using a combined electrocardiographic derived method versus impedance from pneumography. J Electrocardiol 2021; 71:16-24. [PMID: 35007832 DOI: 10.1016/j.jelectrocard.2021.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Revised: 12/15/2021] [Accepted: 12/20/2021] [Indexed: 10/19/2022]
Abstract
BACKGROUND Impedance pneumography (IP) is the current device-driven method used to measure respiratory rate (RR) in hospitalized patients. However, RR alarms are common and contribute to alarm fatigue. While RR derived from electrocardiographic (ECG) waveforms hold promise, they have not been compared to the IP method. PURPOSE Study examined the agreement between the IP and combined-ECG derived (EDR) for normal RR (≥12 or ≤20 breaths/minute [bpm]); low RR (≤5 bpm); and high RR (≥30 bpm). METHODOLOGY One-hundred intensive care unit patients were included by RR group: (1) normal RR (n = 50; 25 low RR and 25 high RR); (2) low RR (n = 50); and (3) high RR (n = 50). Bland-Altman analysis was used to evaluate agreement. RESULTS For normal RR, a significant bias difference of -1.00 + 2.11 (95% CI -1.60 to -0.40) and 95% limit of agreement (LOA) of -5.13 to 3.13 was found. For low RR, a significant bias difference of -16.54 + 6.02 (95% CI: -18.25 to -14.83) and a 95% LOA of -28.33 to - 4.75 was found. For high RR, a significant bias difference of 17.94 + 12.01 (95% CI: 14.53 to 21.35) and 95% LOA of -5.60 to 41.48 was found. CONCLUSION Combined-EDR method had good agreement with the IP method for normal RR. However, for the low RR, combined-EDR was consistently higher than the IP method and almost always lower for the high RR, which could reduce the number of RR alarms. However, replication in a larger sample including confirmation with visual assessment is warranted.
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Affiliation(s)
- Linda K Bawua
- School of Nursing, University of California, San Francisco, CA, USA.
| | | | - Sukardi Suba
- School of Nursing, University of Rochester, NY, USA.
| | - Fabio Badilini
- School of Nursing, University of California, San Francisco, CA, USA.
| | - David Mortara
- School of Nursing, University of California, San Francisco, CA, USA.
| | - Xiao Hu
- School of Nursing, Duke University Durham, NC, USA.
| | | | - Thomas J Hoffmann
- School of Nursing, University of California, San Francisco, CA, USA.
| | - Michele M Pelter
- School of Nursing, University of California, San Francisco, CA, USA.
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12
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An Overview of Wearable Piezoresistive and Inertial Sensors for Respiration Rate Monitoring. ELECTRONICS 2021. [DOI: 10.3390/electronics10172178] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The demand for wearable devices to measure respiratory activity is constantly growing, finding applications in a wide range of scenarios (e.g., clinical environments and workplaces, outdoors for monitoring sports activities, etc.). Particularly, the respiration rate (RR) is a vital parameter since it indicates serious illness (e.g., pneumonia, emphysema, pulmonary embolism, etc.). Therefore, several solutions have been presented in the scientific literature and on the market to make RR monitoring simple, accurate, reliable and noninvasive. Among the different transduction methods, the piezoresistive and inertial ones satisfactorily meet the requirements for smart wearable devices since unobtrusive, lightweight and easy to integrate. Hence, this review paper focuses on innovative wearable devices, detection strategies and algorithms that exploit piezoresistive or inertial sensors to monitor the breathing parameters. At first, this paper presents a comprehensive overview of innovative piezoresistive wearable devices for measuring user’s respiratory variables. Later, a survey of novel piezoresistive textiles to develop wearable devices for detecting breathing movements is reported. Afterwards, the state-of-art about wearable devices to monitor the respiratory parameters, based on inertial sensors (i.e., accelerometers and gyroscopes), is presented for detecting dysfunctions or pathologies in a non-invasive and accurate way. In this field, several processing tools are employed to extract the respiratory parameters from inertial data; therefore, an overview of algorithms and methods to determine the respiratory rate from acceleration data is provided. Finally, comparative analysis for all the covered topics are reported, providing useful insights to develop the next generation of wearable sensors for monitoring respiratory parameters.
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A Respiratory Motion Estimation Method Based on Inertial Measurement Units for Gated Positron Emission Tomography. SENSORS 2021; 21:s21123983. [PMID: 34207864 PMCID: PMC8228885 DOI: 10.3390/s21123983] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Revised: 05/15/2021] [Accepted: 05/22/2021] [Indexed: 01/12/2023]
Abstract
We present a novel method for estimating respiratory motion using inertial measurement units (IMUs) based on microelectromechanical systems (MEMS) technology. As an application of the method we consider the amplitude gating of positron emission tomography (PET) imaging, and compare the method against a clinically used respiration motion estimation technique. The presented method can be used to detect respiratory cycles and estimate their lengths with state-of-the-art accuracy when compared to other IMU-based methods, and is the first based on commercial MEMS devices, which can estimate quantitatively both the magnitude and the phase of respiratory motion from the abdomen and chest regions. For the considered test group consisting of eight subjects with acute myocardial infarction, our method achieved the absolute breathing rate error per minute of 0.44 ± 0.23 1/min, and the absolute amplitude error of 0.24 ± 0.09 cm, when compared to the clinically used respiratory motion estimation technique. The presented method could be used to simplify the logistics related to respiratory motion estimation in PET imaging studies, and also to enable multi-position motion measurements for advanced organ motion estimation.
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Ogasawara T, Mukaino M, Otaka Y, Matsuura H, Aoshima Y, Suzuki T, Togo H, Nakashima H, Yamaguchi M, Tsukada S, Saitoh E. Validation of Data Imputation by Ensemble Averaging to Quantify 24-h Behavior Using Heart Rate of Stroke Rehabilitation Inpatients. J Med Biol Eng 2021. [DOI: 10.1007/s40846-021-00622-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Gwon D, Cho H, Shin H. Feasibility of a Waistband-Type Wireless Wearable Electrocardiogram Monitoring System Based on a Textile Electrode: Development and Usability Study. JMIR Mhealth Uhealth 2021; 9:e26469. [PMID: 33973860 PMCID: PMC8150414 DOI: 10.2196/26469] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Revised: 04/08/2021] [Accepted: 04/11/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Electrocardiogram (ECG) monitoring in daily life is essential for effective management of cardiovascular disease, a leading cause of death. Wearable ECG measurement systems in the form of clothing have been proposed to replace Holter monitors used for clinical ECG monitoring; however, they have limitations in daily use because they compress the upper body and, in doing so, cause discomfort during wear. OBJECTIVE The purpose of this study was to develop a wireless wearable ECG monitoring system that includes a textile ECG electrode that can be applied to the lining of pants and can be used in the same way that existing lower clothing is worn, without compression to the upper body. METHODS A textile electrode with stretchable characteristics was fabricated by knitting a conductive yarn together with polyester-polyurethane fiber, which was then coated with silver compound; an ECG electrode was developed by placing it on an elastic band in a modified limb lead configuration. In addition, a system with analog-to-digital conversion, wireless communication, and a smartphone app was developed, allowing users to be able to check and store their own ECGs in real time. A signal processing algorithm was also developed to remove noise from the obtained signal and to calculate the heart rate. To evaluate the ECG and heart rate measurement performance of the developed module, a comparative evaluation with a commercial device was performed. ECGs were measured for 5 minutes each in standing, sitting, and lying positions; the mean absolute percentage errors of heart rates measured with both systems were then compared. RESULTS The system was developed in the form of a belt buckle with a size of 53 × 45 × 12 mm (width × height × depth) and a weight of 23 g. In a qualitative evaluation, it was confirmed that the P-QRS-T waveform was clearly observed in ECGs obtained with the wearable system. From the results of the heart rate estimation, the developed system could track changes in heart rate as calculated by a commercial ECG measuring device; in addition, the mean absolute percentage errors of heart rates were 1.80%, 2.84%, and 2.48% in the standing, sitting, and lying positions, respectively. CONCLUSIONS The developed system was able to effectively measure ECG and calculate heart rate simply through being worn as existing clothing without upper body pressure. It is anticipated that general usability can be secured through further evaluation under more diverse conditions.
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Affiliation(s)
- Danbi Gwon
- Department of Biomedical Engineering, Chonnam National University, Yeosu, Republic of Korea
| | | | - Hangsik Shin
- Department of Biomedical Engineering, Chonnam National University, Yeosu, Republic of Korea
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16
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Mehrdad S, Wang Y, Atashzar SF. Perspective: Wearable Internet of Medical Things for Remote Tracking of Symptoms, Prediction of Health Anomalies, Implementation of Preventative Measures, and Control of Virus Spread During the Era of COVID-19. Front Robot AI 2021; 8:610653. [PMID: 33937346 PMCID: PMC8079807 DOI: 10.3389/frobt.2021.610653] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2020] [Accepted: 03/11/2021] [Indexed: 12/26/2022] Open
Abstract
The COVID-19 pandemic has highly impacted the communities globally by reprioritizing the means through which various societal sectors operate. Among these sectors, healthcare providers and medical workers have been impacted prominently due to the massive increase in demand for medical services under unprecedented circumstances. Hence, any tool that can help the compliance with social guidelines for COVID-19 spread prevention will have a positive impact on managing and controlling the virus outbreak and reducing the excessive burden on the healthcare system. This perspective article disseminates the perspectives of the authors regarding the use of novel biosensors and intelligent algorithms embodied in wearable IoMT frameworks for tackling this issue. We discuss how with the use of smart IoMT wearables certain biomarkers can be tracked for detection of COVID-19 in exposed individuals. We enumerate several machine learning algorithms which can be used to process a wide range of collected biomarkers for detecting (a) multiple symptoms of SARS-CoV-2 infection and (b) the dynamical likelihood of contracting the virus through interpersonal interaction. Eventually, we enunciate how a systematic use of smart wearable IoMT devices in various social sectors can intelligently help controlling the spread of COVID-19 in communities as they enter the reopening phase. We explain how this framework can benefit individuals and their medical correspondents by introducing Systems for Symptom Decoding (SSD), and how the use of this technology can be generalized on a societal level for the control of spread by introducing Systems for Spread Tracing (SST).
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Affiliation(s)
- Sarmad Mehrdad
- Department of Electrical and Computer Engineering, New York University, New York, NY, United States
| | - Yao Wang
- Department of Electrical and Computer Engineering, New York University, New York, NY, United States
- Department of Biomedical Engineering, New York University, New York, NY, United States
| | - S. Farokh Atashzar
- Department of Electrical and Computer Engineering, New York University, New York, NY, United States
- Department of Mechanical and Aerospace Engineering, New York University, New York, NY, United States
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17
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Luguern D, Macwan R, Benezeth Y, Moser V, Dunbar LA, Braun F, Lemkaddem A, Dubois J. Wavelet Variance Maximization: A contactless respiration rate estimation method based on remote photoplethysmography. Biomed Signal Process Control 2021. [DOI: 10.1016/j.bspc.2020.102263] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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18
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Scebba G, Da Poian G, Karlen W. Multispectral Video Fusion for Non-Contact Monitoring of Respiratory Rate and Apnea. IEEE Trans Biomed Eng 2020; 68:350-359. [PMID: 32396069 DOI: 10.1109/tbme.2020.2993649] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Continuous monitoring of respiratory activity is desirable in many clinical applications to detect respiratory events. Non-contact monitoring of respiration can be achieved with near- and far-infrared spectrum cameras. However, current technologies are not sufficiently robust to be used in clinical applications. For example, they fail to estimate an accurate respiratory rate (RR) during apnea. We present a novel algorithm based on multispectral data fusion that aims at estimating RR also during apnea. The algorithm independently addresses the RR estimation and apnea detection tasks. Respiratory information is extracted from multiple sources and fed into an RR estimator and an apnea detector whose results are fused into a final respiratory activity estimation. We evaluated the system retrospectively using data from 30 healthy adults who performed diverse controlled breathing tasks while lying supine in a dark room and reproduced central and obstructive apneic events. Combining multiple respiratory information from multispectral cameras improved the root mean square error (RMSE) accuracy of the RR estimation from up to 4.64 monospectral data down to 1.60 breaths/min. The median F1 scores for classifying obstructive (0.75 to 0.86) and central apnea (0.75 to 0.93) also improved. Furthermore, the independent consideration of apnea detection led to a more robust system (RMSE of 4.44 vs. 7.96 breaths/min). Our findings may represent a step towards the use of cameras for vital sign monitoring in medical applications.
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19
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Manta C, Jain SS, Coravos A, Mendelsohn D, Izmailova ES. An Evaluation of Biometric Monitoring Technologies for Vital Signs in the Era of COVID-19. Clin Transl Sci 2020; 13:1034-1044. [PMID: 32866314 PMCID: PMC7719373 DOI: 10.1111/cts.12874] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Accepted: 08/10/2020] [Indexed: 02/06/2023] Open
Abstract
The novel coronavirus disease 2019 (COVID-19) global pandemic has shifted how many patients receive outpatient care. Telehealth and remote monitoring have become more prevalent, and measurements taken in a patient's home using biometric monitoring technologies (BioMeTs) offer convenient opportunities to collect vital sign data. Healthcare providers may lack prior experience using BioMeTs in remote patient care, and, therefore, may be unfamiliar with the many versions of BioMeTs, novel data collection protocols, and context of the values collected. To make informed patient care decisions based on the biometric data collected remotely, it is important to understand the engineering solutions embedded in the products, data collection protocols, form factors (physical size and shape), data quality considerations, and availability of validation information. This article provides an overview of BioMeTs available for collecting vital signs (temperature, heart rate, blood pressure, oxygen saturation, and respiratory rate) and discusses the strengths and limitations of continuous monitoring. We provide considerations for remote data collection and sources of validation information to guide BioMeT use in the era of COVID-19 and beyond.
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Affiliation(s)
- Christine Manta
- Elektra LabsBostonMassachusettsUSA
- Digital Medicine SocietyBostonMassachusettsUSA
| | - Sneha S. Jain
- Department of MedicineColumbia University Irving Medical CenterNew YorkNew YorkUSA
| | - Andrea Coravos
- Elektra LabsBostonMassachusettsUSA
- Digital Medicine SocietyBostonMassachusettsUSA
- Harvard‐MIT Center for Regulatory ScienceBostonMassachusettsUSA
| | - Dena Mendelsohn
- Elektra LabsBostonMassachusettsUSA
- Digital Medicine SocietyBostonMassachusettsUSA
| | - Elena S. Izmailova
- Digital Medicine SocietyBostonMassachusettsUSA
- Koneksa HealthNew YorkNew YorkUSA
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20
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Bao X, Howard M, Niazi IK, Nlandu Kamavuako E. Comparison between Embroidered and Gel Electrodes on ECG-Derived Respiration Rate. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2020; 2020:2622-2625. [PMID: 33018544 DOI: 10.1109/embc44109.2020.9176485] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Respiratory rate (RR), which is an essential observation for prediagnosis, can be obtained indirectly from the electrocardiogram (ECG), the so-called ECG-derived respiration (EDR). In this paper, we compared embroidered electrodes with gel electrodes on their performance in capturing EDR signals and analysed which frequency feature best estimates RR. Data were collected from 9 healthy subjects. Results reveal that (1) embroidered electrodes performed similarly to gel electrodes (P = 0.077), (2) using the median frequency of the obtained EDR signals is significantly better (P = 0.01) than the counting methods in the time domain. The obtained results are relevant for the future development of textile-based sensors.
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21
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Leube J, Zschocke J, Kluge M, Pelikan L, Graf A, Glos M, Müller A, Bartsch RP, Penzel T, Kantelhardt JW. Reconstruction of the respiratory signal through ECG and wrist accelerometer data. Sci Rep 2020; 10:14530. [PMID: 32884062 PMCID: PMC7471298 DOI: 10.1038/s41598-020-71539-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2019] [Accepted: 08/10/2020] [Indexed: 11/08/2022] Open
Abstract
Respiratory rate and changes in respiratory activity provide important markers of health and fitness. Assessing the breathing signal without direct respiratory sensors can be very helpful in large cohort studies and for screening purposes. In this paper, we demonstrate that long-term nocturnal acceleration measurements from the wrist yield significantly better respiration proxies than four standard approaches of ECG (electrocardiogram) derived respiration. We validate our approach by comparison with flow-derived respiration as standard reference signal, studying the full-night data of 223 subjects in a clinical sleep laboratory. Specifically, we find that phase synchronization indices between respiration proxies and the flow signal are large for five suggested acceleration-derived proxies with [Formula: see text] for males and [Formula: see text] for females (means ± standard deviations), while ECG-derived proxies yield only [Formula: see text] for males and [Formula: see text] for females. Similarly, respiratory rates can be determined more precisely by wrist-worn acceleration devices compared with a derivation from the ECG. As limitation we must mention that acceleration-derived respiration proxies are only available during episodes of non-physical activity (especially during sleep).
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Affiliation(s)
- Julian Leube
- Institute of Physics, Martin-Luther-University Halle-Wittenberg, 06099, Halle, Germany
| | - Johannes Zschocke
- Institute of Physics, Martin-Luther-University Halle-Wittenberg, 06099, Halle, Germany
- Institute of Medical Epidemiology, Biostatistics and Informatics, Faculty of Medicine, Martin-Luther-University Halle-Wittenberg, 06099, Halle, Germany
| | - Maria Kluge
- Interdisziplinäres Schlafmedizinisches Zentrum, Charité - Universitätsmedizin Berlin, 10117, Berlin, Germany
| | - Luise Pelikan
- Interdisziplinäres Schlafmedizinisches Zentrum, Charité - Universitätsmedizin Berlin, 10117, Berlin, Germany
| | - Antonia Graf
- Interdisziplinäres Schlafmedizinisches Zentrum, Charité - Universitätsmedizin Berlin, 10117, Berlin, Germany
| | - Martin Glos
- Interdisziplinäres Schlafmedizinisches Zentrum, Charité - Universitätsmedizin Berlin, 10117, Berlin, Germany
| | - Alexander Müller
- Klinik und Poliklinik für Innere Medizin I, Technische Universität München, 81675, Munich, Germany
| | - Ronny P Bartsch
- Department of Physics, Bar-Ilan University, Ramat Gan, 5290002, Israel
| | - Thomas Penzel
- Interdisziplinäres Schlafmedizinisches Zentrum, Charité - Universitätsmedizin Berlin, 10117, Berlin, Germany
- Saratov State University, Saratov, Russia
| | - Jan W Kantelhardt
- Institute of Physics, Martin-Luther-University Halle-Wittenberg, 06099, Halle, Germany.
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22
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Chiu CW, Li JW, Huang CY, Yang SS, Soong YC, Lin CL, Lee JCM, Lee Sanchez WA, Cheng CC, Suen MC. Controlling the Structures, Flexibility, Conductivity Stability of Three-Dimensional Conductive Networks of Silver Nanoparticles/Carbon-Based Nanomaterials with Nanodispersion and their Application in Wearable Electronic Sensors. NANOMATERIALS (BASEL, SWITZERLAND) 2020; 10:E1009. [PMID: 32466225 PMCID: PMC7281189 DOI: 10.3390/nano10051009] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 05/20/2020] [Accepted: 05/21/2020] [Indexed: 01/17/2023]
Abstract
This research has successfully synthesized highly flexible and conductive nanohybrid electrode films. Nanodispersion and stabilization of silver nanoparticles (AgNPs) were achieved via non-covalent adsorption and with an organic polymeric dispersant and inorganic carbon-based nanomaterials-nano-carbon black (CB), carbon nanotubes (CNT), and graphene oxide (GO). The new polymeric dispersant-polyisobutylene-b-poly(oxyethylene)-b-polyisobutylene (PIB-POE-PIB) triblock copolymer-could stabilize AgNPs. Simultaneously, this stabilization was conducted through the addition of mixed organic/inorganic dispersants based on zero- (0D), one- (1D), and two-dimensional (2D) nanomaterials, namely CB, CNT, and GO. Furthermore, the dispersion solution was evenly coated/mixed onto polymeric substrates, and the products were heated. As a result, highly conductive thin-film materials (with a surface electrical resistance of approximately 10-2 Ω/sq) were eventually acquired. The results indicated that 2D carbon-based nanomaterials (GO) could stabilize AgNPs more effectively during their reductNion and, hence, generate particles with the smallest sizes, as the COO- functional groups of GO are evenly distributed. The optimal AgNPs/PIB-POE-PIB/GO ratio was 20:20:1. Furthermore, the flexible electrode layers were successfully manufactured and applied in wearable electronic sensors to generate electrocardiograms (ECGs). ECGs were, thereafter, successfully obtained.
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Affiliation(s)
- Chih-Wei Chiu
- Department of Materials Science and Engineering, National Taiwan University of Science and Technology, Taipei 10607, Taiwan; (J.-W.L.); (C.-Y.H.); (S.-S.Y.); (Y.-C.S.); (C.-L.L.); (J.C.-M.L.); (W.A.L.S.)
| | - Jia-Wun Li
- Department of Materials Science and Engineering, National Taiwan University of Science and Technology, Taipei 10607, Taiwan; (J.-W.L.); (C.-Y.H.); (S.-S.Y.); (Y.-C.S.); (C.-L.L.); (J.C.-M.L.); (W.A.L.S.)
| | - Chen-Yang Huang
- Department of Materials Science and Engineering, National Taiwan University of Science and Technology, Taipei 10607, Taiwan; (J.-W.L.); (C.-Y.H.); (S.-S.Y.); (Y.-C.S.); (C.-L.L.); (J.C.-M.L.); (W.A.L.S.)
| | - Shun-Siang Yang
- Department of Materials Science and Engineering, National Taiwan University of Science and Technology, Taipei 10607, Taiwan; (J.-W.L.); (C.-Y.H.); (S.-S.Y.); (Y.-C.S.); (C.-L.L.); (J.C.-M.L.); (W.A.L.S.)
| | - Yu-Chian Soong
- Department of Materials Science and Engineering, National Taiwan University of Science and Technology, Taipei 10607, Taiwan; (J.-W.L.); (C.-Y.H.); (S.-S.Y.); (Y.-C.S.); (C.-L.L.); (J.C.-M.L.); (W.A.L.S.)
| | - Chih-Lung Lin
- Department of Materials Science and Engineering, National Taiwan University of Science and Technology, Taipei 10607, Taiwan; (J.-W.L.); (C.-Y.H.); (S.-S.Y.); (Y.-C.S.); (C.-L.L.); (J.C.-M.L.); (W.A.L.S.)
| | - Jimmy Chi-Min Lee
- Department of Materials Science and Engineering, National Taiwan University of Science and Technology, Taipei 10607, Taiwan; (J.-W.L.); (C.-Y.H.); (S.-S.Y.); (Y.-C.S.); (C.-L.L.); (J.C.-M.L.); (W.A.L.S.)
| | - William Anderson Lee Sanchez
- Department of Materials Science and Engineering, National Taiwan University of Science and Technology, Taipei 10607, Taiwan; (J.-W.L.); (C.-Y.H.); (S.-S.Y.); (Y.-C.S.); (C.-L.L.); (J.C.-M.L.); (W.A.L.S.)
| | - Chih-Chia Cheng
- Graduate Institute of Applied Science and Technology, National Taiwan University of Science and Technology, Taipei 10607, Taiwan;
| | - Maw-Cherng Suen
- Department of Fashion Business Administration, LEE-MING Institute of Technology, New Taipei City 24305, Taiwan;
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23
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Al-Halhouli A, Al-Ghussain L, El Bouri S, Liu H, Zheng D. Clinical evaluation of stretchable and wearable inkjet-printed strain gauge sensor for respiratory rate monitoring at different measurements locations. J Clin Monit Comput 2020; 35:453-462. [PMID: 32088910 DOI: 10.1007/s10877-020-00481-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Accepted: 01/31/2020] [Indexed: 01/20/2023]
Abstract
The respiration rate (RR) is a vital sign in physiological measurement and clinical diagnosis. RR can be measured using stretchable and wearable strain gauge sensors which detect the respiratory movements in the abdomen or thorax areas caused by volumetric changes. In different body locations, the accuracy of RR detection might differ due to different respiratory movement amplitudes. Few studies have quantitatively investigated the effect of the measurement location on the accuracy of new sensors in RR detection. Using a stretchable and wearable inkjet-printed strain gauge (IPSG) sensor, RR was measured from five body locations (umbilicus, upper abdomen, xiphoid process, upper thorax, and diagonal) on 30 healthy test subjects while sitting on an armless chair. At each location, reference RR was simultaneously detected by the e-Health sensor, and the measurement was repeated twice. Subjects were asked about the comfortableness of locations. Based on Levene's test, ANOVA was performed to investigate if there is a significant difference in RR between sensors, measurement locations, and two repeated measurements. Bland-Altman analysis was applied to the RR measurements at different locations. The effects of measurement site and measurement trials on RR difference between sensors were also investigated. There was no significant difference between IPSG and reference sensors, between any locations, and between the two measurements (all p > 0.05). As to the RR deviation between IPSG and reference sensors, there was no significant difference between any locations, or between two measurements (all p > 0.05). All the 30 subjects agreed that diagonal and upper thorax positions were the most uncomfortable and most comfortable locations for measurement, respectively. The IPSG sensor could accurately detect RR at five different locations with good repeatability. Upper thorax was the most comfortable location.
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Affiliation(s)
- Ala'aldeen Al-Halhouli
- Mechatronics Engineering Department/NanoLab, School of Applied Technical Sciences, German Jordanian University, P.O. Box 35247, Amman, 11180, Jordan. .,Institute of Microtechnology, Technische Universität Braunschweig, Brunswick, Germany. .,Faculty of Engineering, Middle East University, Amman, 11831, Jordan.
| | - Loiy Al-Ghussain
- Mechatronics Engineering Department/NanoLab, School of Applied Technical Sciences, German Jordanian University, P.O. Box 35247, Amman, 11180, Jordan.,Mechanical Engineering Department, University of Kentucky, Lexington, KY, 40506, USA
| | - Saleem El Bouri
- Mechatronics Engineering Department/NanoLab, School of Applied Technical Sciences, German Jordanian University, P.O. Box 35247, Amman, 11180, Jordan
| | - Haipeng Liu
- Medical Device and Technology Research Laboratory, School of Allied Health, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Chelmsford, CM1 1SQ, UK.,Research Centre of Intelligent Healthcare, Faculty of Health and Life Science, Coventry University, Coventry, CV1 5FB, UK
| | - Dingchang Zheng
- Research Centre of Intelligent Healthcare, Faculty of Health and Life Science, Coventry University, Coventry, CV1 5FB, UK
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24
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Clinical Evaluation of Stretchable and Wearable Inkjet-Printed Strain Gauge Sensor for Respiratory Rate Monitoring at Different Body Postures. APPLIED SCIENCES-BASEL 2020. [DOI: 10.3390/app10020480] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Respiratory rate (RR) is a vital sign with continuous, convenient, and accurate measurement which is difficult and still under investigation. The present study investigates and evaluates a stretchable and wearable inkjet-printed strain gauge sensor (IJP) to estimate the RR continuously by detecting the respiratory volume change in the chest area. As the volume change could cause different strain changes at different body postures, this study aims to investigate the accuracy of the IJP RR sensor at selected postures. The evaluation was performed twice on 15 healthy male subjects (mean ± SD of age: 24 ± 1.22 years). The RR was simultaneously measured in breaths per minute (BPM) by the IJP RR sensor and a reference RR sensor (e-Health nasal thermal sensor) at each of the five body postures namely standing, sitting at 90°, Flower’s position at 45°, supine, and right lateral recumbent. There was no significant difference in measured RR between IJP and reference sensors, between two trials, or between different body postures (all p > 0.05). Body posture did not have any significant effect on the difference of RR measurements between IJP and the reference sensors (difference <0.01 BPM for each measurement in both trials). The IJP sensor could accurately measure the RR at different body postures, which makes it a promising, simple, and user-friendly option for clinical and daily uses.
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25
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Fabrication and Evaluation of a Novel Non-Invasive Stretchable and Wearable Respiratory Rate Sensor Based on Silver Nanoparticles Using Inkjet Printing Technology. Polymers (Basel) 2019; 11:polym11091518. [PMID: 31540494 PMCID: PMC6781180 DOI: 10.3390/polym11091518] [Citation(s) in RCA: 30] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Revised: 09/09/2019] [Accepted: 09/11/2019] [Indexed: 02/08/2023] Open
Abstract
The respiration rate (RR) is a key vital sign that links to adverse clinical outcomes and has various important uses. However, RR signals have been neglected in many clinical practices for several reasons and it is still difficult to develop low-cost RR sensors for accurate, automated, and continuous measurement. This study aims to fabricate, develop and evaluate a novel stretchable and wearable RR sensor that is low-cost and easy to use. The sensor is fabricated using the soft lithography technique of polydimethylsiloxane substrates (PDMS) for the stretchable sensor body and inkjet printing technology for creating the conductive circuit by depositing the silver nanoparticles on top of the PDMS substrates. The inkjet-printed (IJP) PDMS-based sensor was developed to detect the inductance fluctuations caused by respiratory volumetric changes. The output signal was processed in a Wheatstone bridge circuit to derive the RR. Six different patterns for a IJP PDMS-based sensor were carefully designed and tested. Their sustainability (maximum strain during measurement) and durability (the ability to go bear axial cyclic strains) were investigated and compared on an automated mechanical stretcher. Their repeatability (output of the sensor in repeated tests under identical condition) and reproducibility (output of different sensors with the same design under identical condition) were investigated using a respiratory simulator. The selected optimal design pattern from the simulator evaluation was used in the fabrication of the IJP PDMS-based sensor where the accuracy was inspected by attaching it to 37 healthy human subjects (aged between 19 and 34 years, seven females) and compared with the reference values from e-Health nasal sensor. Only one design survived the inspection procedures where design #6 (array consists of two horseshoe lines) indicated the best sustainability and durability, and went through the repeatability and reproducibility tests. Based on the best pattern, the developed sensor accurately measured the simulated RR with an error rate of 0.46 ± 0.66 beats per minute (BPM, mean ± SD). On human subjects, the IJP PDMS-based sensor and the reference e-Health sensor showed the same RR value, without any observable differences. The performance of the sensor was accurate with no apparent error compared with the reference sensor. Considering its low cost, good mechanical property, simplicity, and accuracy, the IJP PDMS-based sensor is a promising technique for continuous and wearable RR monitoring, especially under low-resource conditions.
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Liu H, Allen J, Zheng D, Chen F. Recent development of respiratory rate measurement technologies. Physiol Meas 2019; 40:07TR01. [PMID: 31195383 DOI: 10.1088/1361-6579/ab299e] [Citation(s) in RCA: 93] [Impact Index Per Article: 18.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Respiratory rate (RR) is an important physiological parameter whose abnormality has been regarded as an important indicator of serious illness. In order to make RR monitoring simple to perform, reliable and accurate, many different methods have been proposed for such automatic monitoring. According to the theory of respiratory rate extraction, methods are categorized into three modalities: extracting RR from other physiological signals, RR measurement based on respiratory movements, and RR measurement based on airflow. The merits and limitations of each method are highlighted and discussed. In addition, current works are summarized to suggest key directions for the development of future RR monitoring methodologies.
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Affiliation(s)
- Haipeng Liu
- Faculty of Health, Education, Medicine, and Social Care, Anglia Ruskin University, Chelmsford, CM1 1SQ, United Kingdom. Department of Electrical and Electronic Engineering, Southern University of Science and Technology, Shenzhen 518055, People's Republic of China
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27
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Hartmann V, Liu H, Chen F, Hong W, Hughes S, Zheng D. Toward Accurate Extraction of Respiratory Frequency From the Photoplethysmogram: Effect of Measurement Site. Front Physiol 2019; 10:732. [PMID: 31316390 PMCID: PMC6611405 DOI: 10.3389/fphys.2019.00732] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2018] [Accepted: 05/27/2019] [Indexed: 12/28/2022] Open
Abstract
Background: It is known that the respiration-modulated photoplethysmographic (PPG) signals could be used to derive respiratory frequency (RF) and that PPG signals could be measured from different body sites. However, the accuracy of RF derived from PPG signals of different body sites has not been comprehensively investigated. Objective: This study aims to investigate the difference in the accuracy of PPG-derived RFs between measurements from different body sites, respectively, for normal and deep breathing conditions. Methods: Under normal and deep breathing patterns, the PPG signals were recorded sequentially in a randomized order from six body sites [finger, wrist under (anatomically volar), wrist upper (dorsal), earlobe, and forehead] of 36 healthy subjects. Simultaneously, the reference respiratory signal was measured by a respiratory belt on the chest. Using the frequency demodulation approach, respiratory signals were extracted from PPG signals for calculating RF by power spectral density. The bias between PPG-derived and reference RFs was then analyzed statistically using analysis of variance and non-parametric tests, Bland-Altman analysis, and linear regression to investigate the difference in RF bias between different sites. Results: The RF bias was significantly influenced by the breathing pattern and measurement site (both p < 0.001). Under normal breathing, the RF bias was insignificant in the arm, forehead, and wrist under (all p > 0.05) and significant in the other sites (all p < 0.05). Significant linear relationship between PPG-derived and reference RFs existed at all the sites (p < 0.001) except the wrist upper (p > 0.05). The linearity between PPG-derived and reference RFs was highest at the forehead (slope of best-fit line: 0.90, R2: 0.64), followed by the earlobe, finger, arm, and wrist under (slope: 0.71, R2: 0.40). Under deep breathing, there was no significant RF bias in all the measurement sites (p > 0.05) except forehead (p = 0.048). The effect of measurement site on RF bias was not significant (p > 0.05). The finger had the smallest RF bias and the narrowest limits of agreement. Conclusion: This study has demonstrated that the accuracy of PPG-derived RF depends on the measurement site and breathing pattern. The best sites are the forehead and finger, respectively, for normal and deep breathing patterns.
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Affiliation(s)
- Vera Hartmann
- School of Allied Health, Faculty of Health, Education, Medicine, and Social Care, Anglia Ruskin University, Chelmsford, United Kingdom
| | - Haipeng Liu
- School of Allied Health, Faculty of Health, Education, Medicine, and Social Care, Anglia Ruskin University, Chelmsford, United Kingdom
| | - Fei Chen
- Department of Electrical and Electronic Engineering, Southern University of Science and Technology, Shenzhen, China
| | - Wentao Hong
- Department of Electrical and Electronic Engineering, Southern University of Science and Technology, Shenzhen, China
| | - Stephen Hughes
- School of Allied Health, Faculty of Health, Education, Medicine, and Social Care, Anglia Ruskin University, Chelmsford, United Kingdom
| | - Dingchang Zheng
- School of Allied Health, Faculty of Health, Education, Medicine, and Social Care, Anglia Ruskin University, Chelmsford, United Kingdom
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28
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Khan S, Ali S, Bermak A. Recent Developments in Printing Flexible and Wearable Sensing Electronics for Healthcare Applications. SENSORS (BASEL, SWITZERLAND) 2019; 19:E1230. [PMID: 30862062 PMCID: PMC6427552 DOI: 10.3390/s19051230] [Citation(s) in RCA: 65] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Revised: 02/21/2019] [Accepted: 03/05/2019] [Indexed: 12/21/2022]
Abstract
Wearable biosensors attract significant interest for their capabilities in real-time monitoring of wearers' health status, as well as the surrounding environment. Sensor patches are embedded onto the human epidermis accompanied by data readout and signal conditioning circuits with wireless communication modules for transmitting data to the computing devices. Wearable sensors designed for recognition of various biomarkers in human epidermis fluids, such as glucose, lactate, pH, cholesterol, etc., as well as physiological indicators, i.e., pulse rate, temperature, breath rate, respiration, alcohol, activity monitoring, etc., have potential applications both in medical diagnostics and fitness monitoring. The rapid developments in solution-based nanomaterials offered a promising perspective to the field of wearable sensors by enabling their cost-efficient manufacturing through printing on a wide range of flexible polymeric substrates. This review highlights the latest key developments made in the field of wearable sensors involving advanced nanomaterials, manufacturing processes, substrates, sensor type, sensing mechanism, and readout circuits, and ends with challenges in the future scope of the field. Sensors are categorized as biological and fluidic, mounted directly on the human body, or physiological, integrated onto wearable substrates/gadgets separately for monitoring of human-body-related analytes, as well as external stimuli. Special focus is given to printable materials and sensors, which are key enablers for wearable electronics.
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Affiliation(s)
- Saleem Khan
- College of Science and Engineering, Hamad Bin Khalifa University, Qatar Foundation, Doha 5825, Qatar.
| | - Shawkat Ali
- College of Science and Engineering, Hamad Bin Khalifa University, Qatar Foundation, Doha 5825, Qatar.
| | - Amine Bermak
- College of Science and Engineering, Hamad Bin Khalifa University, Qatar Foundation, Doha 5825, Qatar.
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29
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Massaroni C, Nicolò A, Lo Presti D, Sacchetti M, Silvestri S, Schena E. Contact-Based Methods for Measuring Respiratory Rate. SENSORS (BASEL, SWITZERLAND) 2019; 19:E908. [PMID: 30795595 PMCID: PMC6413190 DOI: 10.3390/s19040908] [Citation(s) in RCA: 125] [Impact Index Per Article: 25.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2019] [Revised: 02/15/2019] [Accepted: 02/17/2019] [Indexed: 01/05/2023]
Abstract
There is an ever-growing demand for measuring respiratory variables during a variety of applications, including monitoring in clinical and occupational settings, and during sporting activities and exercise. Special attention is devoted to the monitoring of respiratory rate because it is a vital sign, which responds to a variety of stressors. There are different methods for measuring respiratory rate, which can be classed as contact-based or contactless. The present paper provides an overview of the currently available contact-based methods for measuring respiratory rate. For these methods, the sensing element (or part of the instrument containing it) is attached to the subject's body. Methods based upon the recording of respiratory airflow, sounds, air temperature, air humidity, air components, chest wall movements, and modulation of the cardiac activity are presented. Working principles, metrological characteristics, and applications in the respiratory monitoring field are presented to explore potential development and applicability for each method.
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Affiliation(s)
- Carlo Massaroni
- Unit of Measurements and Biomedical Instrumentation, Department of Engineering, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Rome, Italy.
| | - Andrea Nicolò
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", 00135 Rome, Italy.
| | - Daniela Lo Presti
- Unit of Measurements and Biomedical Instrumentation, Department of Engineering, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Rome, Italy.
| | - Massimo Sacchetti
- Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", 00135 Rome, Italy.
| | - Sergio Silvestri
- Unit of Measurements and Biomedical Instrumentation, Department of Engineering, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Rome, Italy.
| | - Emiliano Schena
- Unit of Measurements and Biomedical Instrumentation, Department of Engineering, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Rome, Italy.
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30
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Wang S, Liu M, Pang B, Li P, Yao Z, Zhang X, Chen H. A new physiological signal acquisition patch designed with advanced respiration monitoring algorithm based on 3-axis accelerator and gyroscope. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2018; 2018:441-444. [PMID: 30440429 DOI: 10.1109/embc.2018.8512427] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
In a gradually aging society, families and hospitals have a growing demand for reliable and unobtrusive physiological signal monitoring for elderly people. However, the existing respiration rate monitoring methods and algorithms are still unsatisfactory. In this work, we introduce a physiological signal acquisition patch which integrates 3-axis accelerator and 3-axis gyroscope to estimate respiration rate, as well as ECG(electrocardiogram) sensor and surface temperature sensor. A complete set of respiration rate estimation algorithms is embedded in our patch, which can be used to identify whether the patch is worn or not, and to recognize, segment, de-noise and reconstruct the respiration signal. In-situ experiments have been conducted to prove the validity of the algorithms described in this paper and the possibilities of estimating respiration rate using a physiological signal acquisition patch. The mean absolute error (MAE) is 0.11(about ±0.7 times in a minute), which is the least among similar studies that acquire respiratory rate from 3-axis accelerators or electrocardiogram.
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