Tarsusmeter: Development of a wearable device for ankle joint impedance estimation

Feasibility Validation on Healthy Adults of a Novel Active Vibrational Sensing Based Ankle Band for Ankle Flexion Angle Estimation

Goal: In this paper, we introduced a novel ankle band with a vibrational sensor that can achieve low-cost ankle flexion angle estimation, which can be potentially used for automated ankle flexion angle estimation in home-based foot drop rehabilitation scenarios. Methods: Previous ankle flexion angle estimation methods require either professional knowledge or specific equipment and lab environment, which is not feasible for foot drop patients to achieve accurate measurement by themselves in a home-based scenario. To solve the above problems, a prototype was developed based on the assumption that the echo of a vibration signal on the tibialis anterior had different acoustic impedance distribution. By analyzing the frequency spectrum of the echo, the ankle flexion angle can be estimated. Therefore, a surface transducer was utilized to generate frequency-varying active vibration, and a contact microphone was utilized to capture the echo. A portable analog signal processing hub drove the transducer, and was used for echo signal collection from the microphone. Finally, a Random Forest regression model was applied to estimate the ankle flexion angle based on the spectrum amplitude of the echo. Results: Five healthy subjects were recruited in the experiment. The regression estimation error is 4.16 degrees, and the R² is 0.81. Conclusions: These results demonstrate the feasibility of the proposed ankle band for accurate ankle flexion angle estimation.

Wearable Kinesthetic I/O Device for Sharing Wrist Joint Stiffness

In this paper, we developed a wearable kinesthetic I/O system, which is able to share wrist joint stiffness by measuring and intervening in four muscle activities on the forearm simultaneously through the same electrodes. This achieves interactive peg rehabilitation by sharing muscle activities among patients and therapists. Through the performance study, it was shown that 1) applied EMS and measured wrist joint stiffness, and 2) produced wrist joint stiffness and measured EMG value has a linear correlation, which allows designing a mapping function between the measured EMG value on one person and the EMS value applied to another person. In a perceptual study, which shared the wrist stiffness between two persons, participants were able to recognize the level of their confederate's wrist joint stiffness using a 4-point Likert scale linearly. The developed system would benefit a physical therapist and a patient for sharing their wrist stiffness and grip force, which are usually difficult to be observed in a visual contact.