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Shefa FR, Sifat FH, Uddin J, Ahmad Z, Kim JM, Kibria MG. Deep Learning and IoT-Based Ankle-Foot Orthosis for Enhanced Gait Optimization. Healthcare (Basel) 2024; 12:2273. [PMID: 39595470 PMCID: PMC11593354 DOI: 10.3390/healthcare12222273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2024] [Revised: 11/02/2024] [Accepted: 11/12/2024] [Indexed: 11/28/2024] Open
Abstract
BACKGROUND/OBJECTIVES This paper proposes a method for managing gait imbalances by integrating the Internet of Things (IoT) and machine learning technologies. Ankle-foot orthosis (AFO) devices are crucial medical braces that align the lower leg, ankle, and foot, offering essential support for individuals with gait imbalances by assisting weak or paralyzed muscles. This research aims to revolutionize medical orthotics through IoT and machine learning, providing a sophisticated solution for managing gait issues and enhancing patient care with personalized, data-driven insights. METHODS The smart ankle-foot orthosis (AFO) is equipped with a surface electromyography (sEMG) sensor to measure muscle activity and an Inertial Measurement Unit (IMU) sensor to monitor gait movements. Data from these sensors are transmitted to the cloud via fog computing for analysis, aiming to identify distinct walking phases, whether normal or aberrant. This involves preprocessing the data and analyzing it using various machine learning methods, such as Random Forest, Decision Tree, Support Vector Machine (SVM), Artificial Neural Network (ANN), Long Short-Term Memory (LSTM), and Transformer models. RESULTS The Transformer model demonstrates exceptional performance in classifying walking phases based on sensor data, achieving an accuracy of 98.97%. With this preprocessed data, the model can accurately predict and measure improvements in patients' walking patterns, highlighting its effectiveness in distinguishing between normal and aberrant phases during gait analysis. CONCLUSIONS These predictive capabilities enable tailored recommendations regarding the duration and intensity of ankle-foot orthosis (AFO) usage based on individual recovery needs. The analysis results are sent to the physician's device for validation and regular monitoring. Upon approval, the comprehensive report is made accessible to the patient, ensuring continuous progress tracking and timely adjustments to the treatment plan.
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Affiliation(s)
- Ferdous Rahman Shefa
- Department of Computer Science and Engineering, University of Liberal Arts Bangladesh, Dhaka 1207, Bangladesh; (F.R.S.); (F.H.S.); (M.G.K.)
| | - Fahim Hossain Sifat
- Department of Computer Science and Engineering, University of Liberal Arts Bangladesh, Dhaka 1207, Bangladesh; (F.R.S.); (F.H.S.); (M.G.K.)
| | - Jia Uddin
- Department of AI and Big Data, Endicott College, Woosong University, Daejeon 300718, Republic of Korea;
| | - Zahoor Ahmad
- Department of Electrical, Electronics, and Computer Engineering, University of Ulsan, Ulsan 44610, Republic of Korea;
| | - Jong-Myon Kim
- Department of Electrical, Electronics, and Computer Engineering, University of Ulsan, Ulsan 44610, Republic of Korea;
| | - Muhammad Golam Kibria
- Department of Computer Science and Engineering, University of Liberal Arts Bangladesh, Dhaka 1207, Bangladesh; (F.R.S.); (F.H.S.); (M.G.K.)
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Fu P, Zhong W, Zhang Y, Xiong W, Lin Y, Tai Y, Meng L, Zhang M. Predicting Continuous Locomotion Modes via Multidimensional Feature Learning From sEMG. IEEE J Biomed Health Inform 2024; 28:6629-6640. [PMID: 39133593 DOI: 10.1109/jbhi.2024.3441600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2024]
Abstract
Walking-assistive devices require adaptive control methods to ensure smooth transitions between various modes of locomotion. For this purpose, detecting human locomotion modes (e.g., level walking or stair ascent) in advance is crucial for improving the intelligence and transparency of such robotic systems. This study proposes Deep-STF, a unified end-to-end deep learning model designed for integrated feature extraction in spatial, temporal, and frequency dimensions from surface electromyography (sEMG) signals. Our model enables accurate and robust continuous prediction of nine locomotion modes and 15 transitions at varying prediction time intervals, ranging from 100 to 500 ms. Experimental results showcased Deep-STP's cutting-edge prediction performance across diverse locomotion modes and transitions, relying solely on sEMG data. When forecasting 100 ms ahead, Deep-STF achieved an improved average prediction accuracy of 96.60%, outperforming seven benchmark models. Even with an extended 500ms prediction horizon, the accuracy only marginally decreased to 93.22%. The averaged stable prediction times for detecting next upcoming transitions spanned from 31.47 to 371.58 ms across the 100-500 ms time advances. Although the prediction accuracy of the trained Deep-STF initially dropped to 71.12% when tested on four new terrains, it achieved a satisfactory accuracy of 92.51% after fine-tuning with just 5 trials and further improved to 96.27% with 15 calibration trials. These results demonstrate the remarkable prediction ability and adaptability of Deep-STF, showing great potential for integration with walking-assistive devices and leading to smoother, more intuitive user interactions.
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Tang J, Zhao L, Wu M, Jiang Z, Cao J, Bao X. A SE-DenseNet-LSTM model for locomotion mode recognition in lower limb exoskeleton. PeerJ Comput Sci 2024; 10:e1881. [PMID: 38435551 PMCID: PMC10909223 DOI: 10.7717/peerj-cs.1881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Accepted: 01/26/2024] [Indexed: 03/05/2024]
Abstract
Locomotion mode recognition in humans is fundamental for flexible control in wearable-powered exoskeleton robots. This article proposes a hybrid model that combines a dense convolutional network (DenseNet) and long short-term memory (LSTM) with a channel attention mechanism (SENet) for locomotion mode recognition. DenseNet can automatically extract deep-level features from data, while LSTM effectively captures long-dependent information in time series. To evaluate the validity of the hybrid model, inertial measurement units (IMUs) and pressure sensors were used to obtain motion data from 15 subjects. Five locomotion modes were tested for the hybrid model, such as level ground walking, stair ascending, stair descending, ramp ascending, and ramp descending. Furthermore, the data features of the ramp were inconspicuous, leading to large recognition errors. To address this challenge, the SENet module was incorporated, which improved recognition rates to some extent. The proposed model automatically extracted the features and achieved an average recognition rate of 97.93%. Compared with known algorithms, the proposed model has substantial recognition results and robustness. This work holds promising potential for applications such as limb support and weight bearing.
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Affiliation(s)
- Jing Tang
- Hubei Key Laboratory for High-efficiency Utilization of Solar Energy and Operation Control of Energy Storage System, Hubei University of Technology, Wuhan, China
- Hubei Engineering Research Centre for Safety Monitoring of New Energy and Power Grid Equipment, Hubei University of Technology, Wuhan, China
| | - Lun Zhao
- Hubei Key Laboratory for High-efficiency Utilization of Solar Energy and Operation Control of Energy Storage System, Hubei University of Technology, Wuhan, China
| | - Minghu Wu
- Hubei Key Laboratory for High-efficiency Utilization of Solar Energy and Operation Control of Energy Storage System, Hubei University of Technology, Wuhan, China
- Hubei Engineering Research Centre for Safety Monitoring of New Energy and Power Grid Equipment, Hubei University of Technology, Wuhan, China
| | - Zequan Jiang
- Hubei Key Laboratory for High-efficiency Utilization of Solar Energy and Operation Control of Energy Storage System, Hubei University of Technology, Wuhan, China
| | - Jiaxun Cao
- Hubei Key Laboratory for High-efficiency Utilization of Solar Energy and Operation Control of Energy Storage System, Hubei University of Technology, Wuhan, China
| | - Xiang Bao
- Hubei Key Laboratory for High-efficiency Utilization of Solar Energy and Operation Control of Energy Storage System, Hubei University of Technology, Wuhan, China
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de Lima Gonçalves V, Ribeiro CT, Cavalheiro GL, Zaruz MJF, da Silva DH, Milagre ST, de Oliveira Andrade A, Pereira AA. A hybrid linear discriminant analysis and genetic algorithm to create a linear model of aging when performing motor tasks through inertial sensors positioned on the hand and forearm. Biomed Eng Online 2023; 22:98. [PMID: 37845723 PMCID: PMC10580547 DOI: 10.1186/s12938-023-01161-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 10/01/2023] [Indexed: 10/18/2023] Open
Abstract
BACKGROUND During the aging process, cognitive functions and performance of the muscular and neural system show signs of decline, thus making the elderly more susceptible to disease and death. These alterations, which occur with advanced age, affect functional performance in both the lower and upper members, and consequently human motor functions. Objective measurements are important tools to help understand and characterize the dysfunctions and limitations that occur due to neuromuscular changes related to advancing age. Therefore, the objective of this study is to attest to the difference between groups of young and old individuals through manual movements and whether the combination of features can produce a linear correlation concerning the different age groups. METHODS This study counted on 99 participants, these were divided into 8 groups, which were grouped by age. The data collection was performed using inertial sensors (positioned on the back of the hand and on the back of the forearm). Firstly, the participants were divided into groups of young and elderly to verify if the groups could be distinguished through the features alone. Following this, the features were combined using the linear discriminant analysis (LDA), which gave rise to a singular feature called the LDA-value that aided in verifying the correlation between the different age ranges and the LDA-value. RESULTS The results demonstrated that 125 features are able to distinguish the difference between the groups of young and elderly individuals. The use of the LDA-value allows for the obtaining of a linear model of the changes that occur with aging in the performance of tasks in line with advancing age, the correlation obtained, using Pearson's coefficient, was 0.86. CONCLUSION When we compare only the young and elderly groups, the results indicate that there is a difference in the way tasks are performed between young and elderly individuals. When the 8 groups were analyzed, the linear correlation obtained was strong, with the LDA-value being effective in obtaining a linear correlation of the eight groups, demonstrating that although the features alone do not demonstrate gradual changes as a function of age, their combination established these changes.
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Affiliation(s)
- Veronica de Lima Gonçalves
- Postgraduate Program in Electrical and Biomedical Engineering, Faculty of Electrical Engineering, Centre for Innovation and Technology Assessment in Health, Federal University of Uberlândia, Uberlândia, Brazil
| | - Caio Tonus Ribeiro
- Postgraduate Program in Electrical and Biomedical Engineering, Faculty of Electrical Engineering, Centre for Innovation and Technology Assessment in Health, Federal University of Uberlândia, Uberlândia, Brazil
| | - Guilherme Lopes Cavalheiro
- Postgraduate Program in Electrical and Biomedical Engineering, Faculty of Electrical Engineering, Centre for Innovation and Technology Assessment in Health, Federal University of Uberlândia, Uberlândia, Brazil
| | - Maria José Ferreira Zaruz
- Postgraduate Program in Electrical and Biomedical Engineering, Faculty of Electrical Engineering, Centre for Innovation and Technology Assessment in Health, Federal University of Uberlândia, Uberlândia, Brazil
| | - Daniel Hilário da Silva
- Postgraduate Program in Electrical and Biomedical Engineering, Faculty of Electrical Engineering, Centre for Innovation and Technology Assessment in Health, Federal University of Uberlândia, Uberlândia, Brazil
| | - Selma Terezinha Milagre
- Postgraduate Program in Electrical and Biomedical Engineering, Faculty of Electrical Engineering, Centre for Innovation and Technology Assessment in Health, Federal University of Uberlândia, Uberlândia, Brazil
| | - Adriano de Oliveira Andrade
- Postgraduate Program in Electrical and Biomedical Engineering, Faculty of Electrical Engineering, Centre for Innovation and Technology Assessment in Health, Federal University of Uberlândia, Uberlândia, Brazil
| | - Adriano Alves Pereira
- Postgraduate Program in Electrical and Biomedical Engineering, Faculty of Electrical Engineering, Centre for Innovation and Technology Assessment in Health, Federal University of Uberlândia, Uberlândia, Brazil.
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Domínguez-Ruiz A, López-Caudana EO, Lugo-González E, Espinosa-García FJ, Ambrocio-Delgado R, García UD, López-Gutiérrez R, Alfaro-Ponce M, Ponce P. Low limb prostheses and complex human prosthetic interaction: A systematic literature review. Front Robot AI 2023; 10:1032748. [PMID: 36860557 PMCID: PMC9968924 DOI: 10.3389/frobt.2023.1032748] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Accepted: 01/11/2023] [Indexed: 02/15/2023] Open
Abstract
A few years ago, powered prostheses triggered new technological advances in diverse areas such as mobility, comfort, and design, which have been essential to improving the quality of life of individuals with lower limb disability. The human body is a complex system involving mental and physical health, meaning a dependant relationship between its organs and lifestyle. The elements used in the design of these prostheses are critical and related to lower limb amputation level, user morphology and human-prosthetic interaction. Hence, several technologies have been employed to accomplish the end user's needs, for example, advanced materials, control systems, electronics, energy management, signal processing, and artificial intelligence. This paper presents a systematic literature review on such technologies, to identify the latest advances, challenges, and opportunities in developing lower limb prostheses with the analysis on the most significant papers. Powered prostheses for walking in different terrains were illustrated and examined, with the kind of movement the device should perform by considering the electronics, automatic control, and energy efficiency. Results show a lack of a specific and generalised structure to be followed by new developments, gaps in energy management and improved smoother patient interaction. Additionally, Human Prosthetic Interaction (HPI) is a term introduced in this paper since no other research has integrated this interaction in communication between the artificial limb and the end-user. The main goal of this paper is to provide, with the found evidence, a set of steps and components to be followed by new researchers and experts looking to improve knowledge in this field.
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Affiliation(s)
- Adan Domínguez-Ruiz
- Institute for the Future of Education, Tecnologico de Monterrey, Mexico City, México
| | | | - Esther Lugo-González
- Instituto de Electrónica y Mecatrónica, Universidad Tecnológica de la Mixteca, Huajuapan de León, Oaxaca, México
| | | | - Rocío Ambrocio-Delgado
- División de Estudios de Posgrado, Universidad Tecnológica de la Mixteca, Huajuapan de León, Oaxaca, México
| | - Ulises D. García
- CONACYT-CINVESTAV, Av. Instituto Politécnico Nacional 2508, col. San Pedro Zacatenco, Ciudad deMéxico, México
| | - Ricardo López-Gutiérrez
- CONACYT-CINVESTAV, Av. Instituto Politécnico Nacional 2508, col. San Pedro Zacatenco, Ciudad deMéxico, México
| | - Mariel Alfaro-Ponce
- Institute of Advanced Materials for Sustainable Manufacturing, Tecnologico de Monterrey, Mexico City, México
| | - Pedro Ponce
- Institute of Advanced Materials for Sustainable Manufacturing, Tecnologico de Monterrey, Mexico City, México,*Correspondence: Pedro Ponce,
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Zhou B, Feng N, Wang H, Lu Y, Wei C, Jiang D, Li Z. Non-invasive dual attention TCN for electromyography and motion data fusion in lower limb ambulation prediction. J Neural Eng 2022; 19. [PMID: 35970137 DOI: 10.1088/1741-2552/ac89b4] [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: 03/13/2022] [Accepted: 08/15/2022] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Recent technological advances show the feasibility of fusing surface electromyography (sEMG) signals and movement data to predict lower limb ambulation intentions. However, since the invasive fusion of different signals is a major impediment to improving predictive performance, searching for a non-invasive fusion mechanism for lower limb ambulation pattern recognition based on different modal features is crucial. APPROACH We propose an end-to-end sequence prediction model with non-invasive dual attention temporal convolutional networks (NIDA-TCN) as a core to elegantly address the essential deficiencies of traditional decision models with heterogeneous signal fusion. Notably, the NIDA-TCN is a weighted fusion of sEMG and inertial measurement units (IMU) with time-dependent effective hidden information in the temporal and channel dimensions using TCN and self-attentive mechanisms. The new model can better discriminate between walking, jumping, downstairs, and upstairs four lower limb activities of daily living (ADL). MAIN RESULTS The results of this study show that the NIDA-TCN models produce predictions that significantly outperform both frame-wise and TCN models in terms of accuracy, sensitivity, precision, F1 score, and stability. Particularly, the NIDA-TCN with sequence decision fusion (NIDA-TCN-SDF) models, have maximum accuracy and stability increments of 3.37% and 4.95% relative to the frame-wise model, respectively, without manual feature-encoding and complex model parameters. SIGNIFICANCE It is concluded that the results demonstrate the validity and feasibility of the NIDA-TCN-SDF models to ensure the prediction of daily lower limb ambulation activities, paving the way to the development of fused heterogeneous signal decoding with better prediction performance.
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Affiliation(s)
- Bin Zhou
- Department of Mechanical Engineering and Automation, Northeastern University, NO. 3-11, Wenhua Road, Heping District, ShenYang, 110819, CHINA
| | - Naishi Feng
- Department of Mechanical Engineering and Automation, Northeastern University, NO. 3-11, Wenhua Road, Heping District, Shenyang, 110819, CHINA
| | - Hong Wang
- Department of Mechanical Engineering and Automation, Northeastern University, NO. 3-11, Wenhua Road, Heping District, ShenYang, 110819, CHINA
| | - Yanzheng Lu
- Department of Mechanical Engineering and Automation, Northeastern University, NO. 3-11, Wenhua Road, Heping District, ShenYang, 110819, CHINA
| | - Chunfeng Wei
- Department of Mechanical Engineering and Automation, Northeastern University, NO. 3-11, Wenhua Road, Heping District, ShenYang, 110819, CHINA
| | - Daqi Jiang
- Department of Mechanical, Engineering and Automation, Northeastern University, NO. 3-11, Wenhua Road, Heping District, Shenyang , 110819, CHINA
| | - Ziyang Li
- Department of Mechanical Engineering and Automation, Northeastern University, NO. 3-11, Wenhua Road, Heping District, ShenYang, 110819, CHINA
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Vijayvargiya A, Singh B, Kumar R, Tavares JMRS. Human lower limb activity recognition techniques, databases, challenges and its applications using sEMG signal: an overview. Biomed Eng Lett 2022; 12:343-358. [DOI: 10.1007/s13534-022-00236-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 05/17/2022] [Accepted: 06/06/2022] [Indexed: 12/16/2022] Open
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