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One problem in the quantitative assessment of biomechanical impairments in Parkinson's disease patients is the need for scalable and adaptable computing systems. This work presents a computational method that can be used for motor evaluations of pronation-supination hand movements, as described in item 3.6 of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS). The presented method can quickly adapt to new expert knowledge and includes new features that use a self-supervised training approach. The work uses wearable sensors for biomechanical measurements. We tested a machine-learning model on a dataset of 228 records with 20 indicators from 57 PD patients and eight healthy control subjects. The test dataset's experimental results show that the method's precision rates for the pronation and supination classification task achieved up to 89% accuracy, and the F1-scores were higher than 88% in most categories. The scores present a root mean squared error of 0.28 when compared to expert clinician scores. The paper provides detailed results for pronation-supination hand movement evaluations using a new analysis method when compared to the other methods mentioned in the literature. Furthermore, the proposal consists of a scalable and adaptable model that includes expert knowledge and affectations not covered in the MDS-UPDRS for a more in-depth evaluation.

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The use of machine learning (ML) techniques in affective computing applications focuses on improving the user experience in emotion recognition. The collection of input data (e.g., physiological signals), together with expert annotations are part of the established standard supervised learning methodology used to train human emotion recognition models. However, these models generally require large amounts of labeled data, which is expensive and impractical in the healthcare context, in which data annotation requires even more expert knowledge. To address this problem, this paper explores the use of the self-supervised learning (SSL) paradigm in the development of emotion recognition methods. This approach makes it possible to learn representations directly from unlabeled signals and subsequently use them to classify affective states. This paper presents the key concepts of emotions and how SSL methods can be applied to recognize affective states. We experimentally analyze and compare self-supervised and fully supervised training of a convolutional neural network designed to recognize emotions. The experimental results using three emotion datasets demonstrate that self-supervised representations can learn widely useful features that improve data efficiency, are widely transferable, are competitive when compared to their fully supervised counterparts, and do not require the data to be labeled for learning.

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Over time, inertial sensors have become an essential ally in the biomechanical field for current researchers. Their miniaturization coupled with their ever-improvement make them ideal for certain applications such as wireless monitoring or measurement of biomechanical variables. Therefore, in this article, a compendium of their use is presented to obtain biomechanical variables such as velocity, acceleration, and power, with a focus on combat sports such as included box, karate, and Taekwondo, among others. A thorough search has been made through a couple of databases, including MDPI, Elsevier, IEEE Publisher, and Taylor & Francis, to highlight some. Research data not older than 20 years have been collected, tabulated, and classified for interpretation. Finally, this work provides a broad view of the use of wearable devices and demonstrates the importance of using inertial sensors to obtain and complement biomechanical measurements on the upper extremities of the human body.

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PURPOSE: We aimed to provide a critical review of measurement properties of mHealth technologies used for stroke survivors to measure the amount and intensity of functional skills, and to identify facilitators and barriers toward adoption in research and clinical practice. MATERIALS AND METHODS: Using Arksey and O'Malley's framework, two independent reviewers determined eligibility and performed data extraction. We conducted an online consultation survey exercise with 37 experts. RESULTS: Sixty-four out of 1380 studies were included. A majority reported on lower limb behavior (n = 32), primarily step count (n = 21). Seventeen studies reported on arm-hand behaviors. Twenty-two studies reported metrics of intensity, 10 reported on energy expenditure. Reliability and validity were the most frequently reported properties, both for commercial and non-commercial devices. Facilitators and barriers included: resource costs, technical aspects, perceived usability, and ecological legitimacy. Two additional categories emerged from the survey: safety and knowledge, attitude, and clinical skill. CONCLUSIONS: This provides an initial foundation for a field experiencing rapid growth, new opportunities and the promise that mHealth technologies affords for envisioning a better future for stroke survivors. We synthesized findings into a set of recommendations for clinicians and clinician-scientists about how best to choose mHealth technologies for one's individual objective.Implications for RehabilitationRehabilitation professionals are encouraged to consider the measurement properties of those technologies that are used to monitor functional locomotor and object-interaction skills in the stroke survivors they serve.Multi-modal knowledge translation strategies (research synthesis, educational courses or videos, mentorship from experts, etc.) are available to rehabilitation professionals to improve knowledge, attitude, and skills pertaining to mHealth technologies.Consider the selection of commercially available devices that are proven to be valid, reliable, accurate, and responsive to the targeted clinical population.Consider usability and privacy, confidentiality and safety when choosing a specific device or smartphone application.

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Non-pathological mental fatigue is a recurring, but undesirable condition among people in the fields of office work, industry, and education. This type of mental fatigue can often lead to negative outcomes, such as performance reduction and cognitive impairment in education; loss of focus and burnout syndrome in office work; and accidents leading to injuries or death in the transportation and manufacturing industries. Reliable mental fatigue assessment tools are promising in the improvement of performance, mental health and safety of students and workers, and at the same time, in the reduction of risks, accidents and the associated economic loss (e.g., medical fees and equipment reparations). The analysis of biometric (brain, cardiac, skin conductance) signals has proven to be effective in discerning different stages of mental fatigue; however, many of the reported studies in the literature involve the use of long fatigue-inducing tests and subject-specific models in their methodologies. Recent trends in the modeling of mental fatigue suggest the usage of non subject-specific (general) classifiers and a time reduction of calibration procedures and experimental setups. In this study, the evaluation of a fast and short-calibration mental fatigue assessment tool based on biometric signals and inter-subject modeling, using multiple linear regression, is presented. The proposed tool does not require fatigue-inducing tests, which allows fast setup and implementation. Electroencephalography, photopletismography, electrodermal activity, and skin temperature from 17 subjects were recorded, using an OpenBCI helmet and an Empatica E4 wristband. Correlations to self-reported mental fatigue levels (using the fatigue assessment scale) were calculated to find the best mental fatigue predictors. Three-class mental fatigue models were evaluated, and the best model obtained an accuracy of 88% using three features, ß/θ (C3), and the α/θ (O2 and C3) ratios, from one minute of electroencephalography measurements. The results from this pilot study show the feasibility and potential of short-calibration procedures and inter-subject classifiers in mental fatigue modeling, and will contribute to the use of wearable devices for the development of tools oriented to the well-being of workers and students, and also in daily living activities.

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Nowadays, there are several diseases which affect different systems of the body, producing changes in the correct functioning of the organism and the people lifestyles. One of them is Parkinson's disease (PD), which is defined as a neurodegenerative disorder provoked by the destruction of dopaminergic neurons in the brain, resulting in a set of motor and non-motor symptoms. As this disease affects principally to ancient people, several researchers have studied different treatments and therapies for stopping neurodegeneration and diminishing symptoms, to improve the quality patients' lives. The most common therapies created for PD are based on pharmacological treatment for controlling the degeneration advance and the physical ones which do not reveal the progress of patients. For this reason, this review paper opens the possibility for using wearable motion capture systems as an option for the control and study of PD. Therefore, it aims to (1) study the different wearable systems used for capture the movements of PD patients and (2) determine which of them bring better results for monitoring and assess PD people. For the analysis, it uses papers based on experiments that prove the functioning of several motion systems in different aspects as monitoring, treatment and diagnose of the disease. As a result, it works with 30 papers which describe the factors mentioned before. Additionally, the paper uses journals and literature review about the pathology, its characteristics and the function of wearable sensors for the correct understanding of the topic.

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INTRODUCTION: Due to inefficient respiratory control, newborns become prone to asynchronous thoracoabdominal (TA) movements. The present study quantitatively estimated the synchrony of TA in preterm and full-term newborns through an inertial and magnetic measurement units (IMMUs) system. METHODS: This cross-sectional study was conducted with 20 newborns divided into Preterm Group (PTG, n = 10) and Full-Term Group (FTG, n = 10). Each neonate had IMMUs placed on the sternum and near the umbilicus, thus the TA motion was estimated through the resultant inclination angles calculated using a sensor fusion filter. The respiratory incursions were also manually counted and video-recorded for two minutes, then used to validate a Matlab custom-written routine for their automatic identification. The respiratory cycles were used to calculate the phase change angle (φ) between the thoracic and abdominal compartments. Association between the manual and automatic methods were verified by Pearson's correlation and root mean squared errors (RMSE), and the comparison between the groups was performed through the Student's t test with α = .05. RESULTS: The values of respiratory incursions measured by both methods showed a high association and low measurement error (r = .96, RMSE = 9.8, p < .001). The FTG presented a higher occurrence of TA synchrony (p = .049) while the PTG group presented a higher occurrence of TA asynchrony (p = .036). No difference was found between the groups regarding the paradoxical classification (p = .071). CONCLUSION: The proposed method was valid to quantitatively assess the TA synchrony of hospitalized neonates. Preterm infants had a higher occurrence of the asynchronous respiratory pattern in comparison to full-term infants.

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Advances in robotic systems for rehabilitation purposes have led to the development of specialized robot-assisted rehabilitation clinics. In addition, advantageous features of polymer optical fiber (POF) sensors such as light weight, multiplexing capabilities, electromagnetic field immunity and flexibility have resulted in the widespread use of POF sensors in many areas. Considering this background, this paper presents an integrated POF intensity variation-based sensor system for the instrumentation of different devices. We consider different scenarios for physical rehabilitation, resembling a clinic for robot-assisted rehabilitation. Thus, a multiplexing technique for POF intensity variation-based sensors was applied in which an orthosis for flexion/extension movement, a modular exoskeleton for gait assistance and a treadmill were instrumented with POF angle and force sensors, where all the sensors were integrated in the same POF system. In addition, wearable sensors for gait analysis and physiological parameter monitoring were also proposed and applied in gait exercises. The results show the feasibility of the sensors and methods proposed, where, after the characterization of each sensor, the system was implemented with three volunteers: one for the orthosis on the flexion/extension movements, one for the exoskeleton for gait assistance and the other for the free gait analysis using the proposed wearable POF sensors. To the authors' best knowledge, this is the first time that optical fiber sensors have been used as a multiplexed and integrated solution for the simultaneous assessment of different robotic devices and rehabilitation protocols, where such an approach results in a compact, fully integrated and low-cost system, which can be readily employed in any clinical environment.

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Advances in medicine and improvements in life quality has led to an increase in the life expectancy of the general population. An ageing world population have placed demands on the use of assistive technology and, in particular, towards novel healthcare devices and sensors. Besides the electromagnetic field immunity, polymer optical fiber (POF) sensors have additional advantages due to their material features such as high flexibility, lower Young's modulus (enabling high sensitivity for mechanical parameters), higher elastic limits, and impact resistance. Such advantages are well-aligned with the instrumentation requirements of many healthcare devices and in movement analysis. Aiming at these advantages, this review paper presents the state-of-the-art developments of POF sensors for healthcare applications. A plethora of healthcare applications are discussed, which include movement analysis, physiological parameters monitoring, instrumented insoles, as well as instrumentation of healthcare robotic devices such as exoskeletons, smart walkers, actuators, prostheses, and orthosis. This review paper shows the feasibility of using POF sensors in healthcare applications and, due to the aforementioned advantages, it is possible to envisage a further widespread use of such sensors in this research field in the next few years.

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In this work, we present a first step towards an efficient one-class classifier well suited for mobile devices to be implemented as part of a user application coupled with wearable sensors in the context of personal risk detection. We compared one-class Support Vector Machine (ocSVM) and OCKRA (One-Class K-means with Randomly-projected features Algorithm). Both classifiers were tested using four versions of the publicly available PRIDE (Personal RIsk DEtection) dataset. The first version is the original PRIDE dataset, which is based only on time-domain features. We created a second version that is simply an extension of the original dataset with new attributes in the frequency domain. The other two datasets are a subset of these two versions, after a feature selection procedure based on a correlation matrix analysis followed by a Principal Component Analysis. All experiments were focused on the performance of the classifiers as well as on the execution time during the training and classification processes. Therefore, our goal in this work is twofold: we aim at reducing execution time but at the same time maintaining a good classification performance. Our results show that OCKRA achieved on average, 89.1% of Area Under the Curve (AUC) using the full set of features and 83.7% when trained using a subset of them. Furthermore, regarding execution time, OCKRA reports in the best case a 33.1% gain when using a subset of the feature vector, instead of the full set of features. These results are better than those reported by ocSVM, in which case, even though the AUCs are very close to each other, execution times are significantly higher in all cases, for example, more than 20 h versus less than an hour in the worst-case scenario. Having in mind the trade-off between classification performance and efficiency, our results support the choice of OCKRA as our best candidate so far for a mobile implementation where less processing and memory resources are at hand. OCKRA reports a very encouraging speed-up without sacrificing the classifier performance when using the PRIDE dataset based only on time-domain attributes after a feature selection procedure.

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This article presents the design, construction, and evaluation of an easy-to-build textile pressure resistive sensor created from low-cost conventional anti-static sheets and conductive woven fabrics. The sensor can be built quickly using standard household tools, and its thinness makes it especially suitable for wearable applications. Five sensors constructed under such conditions were evaluated, presenting a stable and linear characteristic in the range 1 to 70 kPa. The linear response was modeled and fitted for each sensor individually for comparison purposes, confirming a low variability due to the simple manufacturing process. Besides, the recovery times of the sensors were measured for pressures in the linear range, observing, for example, an average time of 1 s between the moment in which a pressure of 8 kPa was no longer applied, and the resistance variation at the 90% of its nominal value. Finally, we evaluated the proposed sensor design on a classroom application consisting of a smart glove that measured the pressure applied by each finger. From the evaluated characteristics, we concluded that the proposed design is suitable for didactic, healthcare and lifestyle applications in which the sensing of pressure variations, e.g., for activity assessment, is more valuable than accurate pressure sensing.

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In this work, we demonstrate the first example of fully printed carbon nanomaterials on paper with unique features, aiming the fabrication of functional electronic and electrochemical devices. Bare and modified inks were prepared by combining carbon black and cellulose acetate to achieve high-performance conductive tracks with low sheet resistance. The carbon black tracks withstand extremely high folding cycles (>20 000 cycles), a new record-high with a response loss of less than 10%. The conductive tracks can also be used as 3D paper-based electrochemical cells with high heterogeneous rate constants, a feature that opens a myriad of electrochemical applications. As a relevant demonstrator, the conductive ink modified with Prussian-blue was electrochemically characterized proving to be very promising toward the detection of hydrogen peroxide at very low potentials. Moreover, carbon black circuits can be fully crumpled with negligible change in their electrical response. Fully printed motion and wearable sensors are additional examples where bioinspired microcracks are created on the conductive track. The wearable devices are capable of efficiently monitoring extremely low bending angles including human motions, fingers, and forearm. Here, to the best of our knowledge, the mechanical, electronic, and electrochemical performance of the proposed devices surpasses the most recent advances in paper-based devices.

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A variability analysis of upper limb therapeutic movements using wearable inertial sensors is presented. Five healthy young adults were asked to perform a set of movements using two sensors placed on the upper arm and forearm. Reference data were obtained from three therapists. The goal of the study is to determine an intra and inter-group difference between a number of given movements performed by young people with respect to the movements of therapists. This effort is directed toward studying other groups characterized by motion impairments, and it is relevant to obtain a quantified measure of the quality of movement of a patient to follow his/her recovery. The sensor signals were processed by applying two approaches, time-domain features and similarity distance between each pair of signals. The data analysis was divided into classification and variability using features and distances calculated previously. The classification analysis was made to determine if the movements performed by the test subjects of both groups are distinguishable among them. The variability analysis was conducted to measure the similarity of the movements. According to the results, the flexion/extension movement had a high intra-group variability. In addition, meaningful information were provided in terms of change of velocity and rotational motions for each individual.

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Physical activity recognition based on sensors is a growing area of interest given the great advances in wearable sensors. Applications in various domains are taking advantage of the ease of obtaining data to monitor personal activities and behavior in order to deliver proactive and personalized services. Although many activity recognition systems have been developed for more than two decades, there are still open issues to be tackled with new techniques. We address in this paper one of the main challenges of human activity recognition: Flexibility. Our goal in this work is to present artificial hydrocarbon networks as a novel flexible approach in a human activity recognition system. In order to evaluate the performance of artificial hydrocarbon networks based classifier, experimentation was designed for user-independent, and also for user-dependent case scenarios. Our results demonstrate that artificial hydrocarbon networks classifier is flexible enough to be used when building a human activity recognition system with either user-dependent or user-independent approaches.

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Human activity recognition has gained more interest in several research communities given that understanding user activities and behavior helps to deliver proactive and personalized services. There are many examples of health systems improved by human activity recognition. Nevertheless, the human activity recognition classification process is not an easy task. Different types of noise in wearable sensors data frequently hamper the human activity recognition classification process. In order to develop a successful activity recognition system, it is necessary to use stable and robust machine learning techniques capable of dealing with noisy data. In this paper, we presented the artificial hydrocarbon networks (AHN) technique to the human activity recognition community. Our artificial hydrocarbon networks novel approach is suitable for physical activity recognition, noise tolerance of corrupted data sensors and robust in terms of different issues on data sensors. We proved that the AHN classifier is very competitive for physical activity recognition and is very robust in comparison with other well-known machine learning methods.

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Ambient Assisted Working (AAW) is a discipline aiming to provide comfort and safety in the workplace through customization and technology. Workers' comfort may be compromised in many labor situations, including those depending on environmental conditions, like extremely hot weather conduces to heat stress. Occupational heat stress (OHS) happens when a worker is in an uninterrupted physical activity and in a hot environment. OHS can produce strain on the body, which leads to discomfort and eventually to heat illness and even death. Related ISO standards contain methods to estimate OHS and to ensure the safety and health of workers, but they are subjective, impersonal, performed a posteriori and even invasive. This paper focuses on the design and development of real-time personalized monitoring for a more effective and objective estimation of OHS, taking into account the individual user profile, fusing data from environmental and unobtrusive body sensors. Formulas employed in this work were taken from different domains and joined in the method that we propose. It is based on calculations that enable continuous surveillance of physical activity performance in a comfortable and healthy manner. In this proposal, we found that OHS can be estimated by satisfying the following criteria: objective, personalized, in situ, in real time, just in time and in an unobtrusive way. This enables timely notice for workers to make decisions based on objective information to control OHS.

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