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A Limb Tracking Platform for Tele-Rehabilitation

Published: 18 September 2018 Publication History

Abstract

The adoption of motor-rehabilitative therapies is highly demanded in a society where the average age of the population is constantly increasing. A recent trend to contain costs while providing high quality of healthcare services is to foster the adoption of self-care procedures, performed primarily in patients’ environments rather than in hospitals or healthcare structures, especially in the case of intensive and chronic patients’ rehabilitation.
This work presents a platform to enhance limb functional recovery through telerehabilitation sessions. It relies on a sensing system based on inertial sensors and data fusion algorithms, a module to provide bio-feedback tailored to the users, and a module dedicated to the physicians’ practices. The system design had to face several cyber-physical challenges due to the tight interaction between patient and sensors. For instance, integrating the body kinematics into the sensory processing improved the precision of measurements, simplified the calibration procedure, and made it possible to generate bio-feedback signals. The precision of the proposed system is presented through a set of experiments, showing a resolution below one degree in monitoring joint angles. A validation of the proposed solution has been performed through a medical trial on 50 patients affected by osteo-articular diseases.
The presented framework has been designed to operate in other application fields, such as neurological rehabilitation (e.g., Parkinson, Stroke, etc.), sports training, and fitness activities.

References

[1]
Flavia Benettazzo, Sabrina Iarlori, Francesco Ferracuti, Andrea Giantomassi, Davide Ortenzi, Alessandro Freddi, Andrea Monteriù, Silvia Innocenzi, Marianna Capecci, Maria Gabriella Ceravolo, and Sauro Longhi. 2014. Low cost RGB-D vision based system to support motor disabilities rehabilitation at home. In Proceedings of Ambient Assisted Living: Italian Forum.
[2]
Bluetooth Specification Version 4.2. 2014. Retrieved from https://www.bluetooth.org/en-us/specification/adopted-specifications.
[3]
Pasquale Buonocunto and Mauro Marinoni. 2014. Tracking limbs motion using a wireless network of inertial measurement units. In Proceedings of the 9th IEEE International Symposium on Industrial Embedded Systems (SIES’14).
[4]
Davide Calvaresi, Daniel Cesarini, Mauro Marinoni, Paquale Buonocunto, Stefania Bandinelli, and Giorgio Buttazzo. 2015. Non-intrusive patient monitoring for supporting general practitioners in following diseases evolution. In Proceedings of the 3rd International Conference on Bioinformatics and Biomedical Engineering (IWBBIO’15).
[5]
Davide Calvaresi, Daniel Cesarini, Paolo Sernani, Mauro Marinoni, Aldo Franco Dragoni, and Arnon Sturm. 2017. Exploring the ambient assisted living domain: A systematic review. J. Ambient Intell. Human. Comput. 8, 2 (2017), 239--257.
[6]
Davide Calvaresi, Andrea Claudi, Aldo Franco Dragoni, Eric Yu, Daniele Accattoli, and Paolo Sernani. 2014. A goal-oriented requirements engineering approach for the ambient assisted living domain. In Proceedings of the 7th International Conference on Pervasive Technologies Related to Assistive Environments. ACM, 20.
[7]
Davide Calvaresi, Mauro Marinoni, Arnon Sturm, Michael Schumacher, and Giorgio Buttazzo. 2017a. The challenge of real-time multi-agent systems for enabling IoT and CPS. In Proceedings of IEEE/WIC/ACM International Conference on Web Intelligence (WI’17).
[8]
Davide Calvaresi, Michael Schumacher, Mauro Marinoni, Roger Hilfiker, Aldo Franco Dragoni, and Giorgio Buttazzo. 2017b. Agent-based systems for telerehabilitation: Strengths, limitations and future challenges. In Proceedings of the 10th Workshop on Agents Applied in Health Care (A2HC’17).
[9]
Daniel Cesarini, Pasquale Buonocunto, Mauro Marinoni, and Giorgio Buttazzo. 2014. A telerehabilitation framework for lower-limb functional recovery. In Proceedings of International Conference on Body Area Networks (BodyNets’14).
[10]
Daniel Cesarini, Davide Calvaresi, Chiara Farnesi, Diego Taddei, Stefano Frediani, Bodo E. Ungerechts, and Thomas Hermann. 2016. MEDIATION: An eMbEddeD system for auditory feedback of hand-water InterAcTION while swimming. Procedia Eng. 147 (2016), 324--329.
[11]
Daniel Cesarini, Davide Calvaresi, Mauro Marinoni, Paquale Buonocunto, and Giorgio Buttazzo. 2015. Simplifying tele-rehabilitation devices for their practical use in non-clinical environments. In Proceedings of the 3rd International Conference on Bioinformatics and Biomedical Engineering (IWBBIO’15).
[12]
Rory A. Cooper, Shirley G. Fitzgerald, Michael L. Boninger, David M. Brienza, Nigel Shapcott, Rosemarie Cooper, and Katherine Flood. 2001. Telerehabilitation: Expanding access to rehabilitation expertise. Proc. IEEE 89 (Aug. 2001), 1174--1193.
[13]
Mahmoud El-Gohary and James McNames. August 2012. Shoulder and elbow joint angle tracking with inertial sensors. IEEE Trans. Biomed. Eng. 59 (Aug. 2012), 2635--2641.
[14]
Naser El-Sheimy, Haiying Hou, and Xiaoji Niu. 2008. Analysis and modeling of inertial sensors using allan variance. IEEE Trans. Instrument. Measure. 57 (2008), 140--149.
[15]
Paolo Gai, Giuseppe Lipari, Luca Abeni, Marco di Natale, and Enrico Bini. 2000. Architecture for a portable open source real-time kernel environment. In Proceedings of the 2nd Real-Time Linux Workshop and Hand’s on Real-Time Linux Tutorial.
[16]
Andrea Giantomassi, Marianna Capecci, F. Benettazzo, Sabrina Iarlori, Francesco Ferracuti, Alessandro Freddi, Andrea Monteriù, Silvia Innocenzi, Paola Casoli, Maria Gabriella Ceravolo, Sauro Longhi, and Tommaso Leo. 2014. Training and retraining motor functions at home with the help of current technology for video games: Basis for the project. In Proceedings of Ambient Assisted Living: Italian Forum.
[17]
Philip E. Gill, Walter Murray, and Margaret H. Wright. 1981. Practical optimization. Academic press.
[18]
Thomas M. Gill, Dorothy I. Baker, Margaret Gottschalk, Peter N. Peduzzi, Heather Allore, and Amy Byers. 2002. A program to prevent functional decline in physically frail, elderly persons who live at home. New Engl. J. Med. 347, 14 (2002), 1068--1074.
[19]
Google. 2014. Android operating system. Retrieved from http://www.android.com.
[20]
Abdelkrim Hadjidj, Marion Souil, Abdelmadjid Bouabdallah, Yacine Challal, and Henry Owen. 2013. Wireless sensor networks for rehabilitation applications: Challenges and opportunities. J. Netw. Comput. Appl. 36, 1 (2013), 1--15.
[21]
David Hailey, Risto Roine, Arto Ohinmaa, and Liz Dennett. 2011. Evidence of benefit from telerehabilitation in routine care: A systematic review. J. Telemed. Telecare 17, 6 (2011), 281--287.
[22]
Sabrina Iarlori, Francesco Ferracuti, Andrea Giantomassi, and Sauro Longhi. 2014. RGBD camera monitoring system for Alzheimer’s disease assessment using recurrent neural networks with parametric bias action recognition. In Proceedings of the 19th World Congress the International Federation of Automatic Control (IFAC’14).
[23]
Carl T. Kelley. 1999. Iterative Methods for Optimization. Vol. 18. Siam.
[24]
Alberto Leardini, Lorenzo Chiari, Ugo Della Croce, and Aurelio Cappozzo. 2005. Human movement analysis using stereophotogrammetry: Part 3. Soft tissue artifact assessment and compensation. Gait Posture 21, 2 (2005), 212--225.
[25]
Sebastian O. H. Madgwick, Andrew J. L. Harrison, and Ravi Vaidyanathan. 2011. Estimation of IMU and MARG orientation using a gradient descent algorithm. In Proceedings of IEEE International Conference on Rehabilitation Robotics.
[26]
Robert Mahony, Tarek Hamel, and Jean-Michel Pflimlin. 2008. Nonlinear complementary filters on the special orthogonal group. IEEE Trans. Automat. Control 53 (2008), 1203--1218.
[27]
Mauro Marinoni, Alessandro Biondi, Pasquale Buonocunto, Gianluca Franchino, Daniel Cesarini, and Giorgio C. Buttazzo. 2017. Real-time analysis and design of a dual protocol support for bluetooth LE devices. IEEE Trans. Industr. Informat. 13 (2017), 80--91.
[28]
NFCForum. 2014. Bluetooth secure simple pairing using NFC. Retrieved from https://www.bluetooth.org/DocMan/handlers/DownloadDoc.ashx?doc_id=264234.
[29]
Nordic Semiconductor. 2015. nRF52823 Product Specification v1.0.
[30]
Alana Peters, Brook Galna, Morgan Sangeux, Meg Morris, and Richard Baker. 2010. Quantification of soft tissue artifact in lower limb human motion analysis: A systematic review. Gait Posture 31 (2010), 1--8.
[31]
Polhemus. 2010. Polhemus Patriot Product Specification.
[32]
R. Rajkumar, I. Lee, L. Sha, and J. Stankovic. 2010. Cyber-physical systems: The next computing revolution. In Proceedings of the 47th Design Automation Conference.
[33]
Trevor G. Russel. 2007. Physical rehabilitation using telemedicine. J. Telemed. Telecare 13 (2007), 217--220.
[34]
Thomas Seel, Jörg Raisch, and Thomas Schauer. 2014. IMU-based joint angle measurement for gait analysis. Sensors 14 (2014), 6891--6909.
[35]
Roland Sigrist, Georg Rauter, Robert Riener, and Peter Wolf. 2013. Augmented visual, auditory, haptic, and multimodal feedback in motor learning: A review. Psychonom. Bull. Rev. 20 (2013), 21--53.
[36]
Affan A. Syed and John Heidemann. 2006. Time synchronization for high latency acoustic networks. In Proceedings of 25th IEEE International Conference on Computer Communications (INFOCOM’06).
[37]
Masoud Masih Tehrani. 1983. Ring laser gyro data analysis with cluster sampling technique. Fiber Optic and Laser Sensors I. Vol. 412. 207--221.
[38]
Xiaoping Yun and Eric R. Bachmann. 2006. Design, implementation, and experimental results of a quaternion-based kalman filter for human body motion tracking. IEEE Trans. Robot. 22 (2006), 1216--1227.
[39]
Zhi-Qiang Zhang, Wai-Choong Wong, and Jian-Kang Wu. 2011. Ubiquitous human upper-limb motion estimation using wearable sensors. IEEE Trans. Info. Technol. Biomed. 15 (2011), 513--521.

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  • (2023)Title: Hip and lower limbs 3D motion tracking using a double-stage data fusion algorithm for IMU/MARG-based wearables sensorsBiomedical Signal Processing and Control10.1016/j.bspc.2023.10493886(104938)Online publication date: Sep-2023
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Published In

cover image ACM Transactions on Cyber-Physical Systems
ACM Transactions on Cyber-Physical Systems  Volume 2, Issue 4
Special Issue on Medical CPS Papers
October 2018
313 pages
ISSN:2378-962X
EISSN:2378-9638
DOI:10.1145/3236466
  • Editor:
  • Tei-Wei Kuo
Issue’s Table of Contents
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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Publication History

Published: 18 September 2018
Accepted: 01 September 2017
Revised: 01 July 2017
Received: 01 August 2016
Published in TCPS Volume 2, Issue 4

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Author Tags

  1. Telerehabilitation
  2. inertial sensors
  3. limb tracking
  4. wireless sensor networks

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  • Telecom Italia

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Cited By

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  • (2023)Enhancing Telerehabilitation Through Gamification: Usability and User Experience Evaluation2023 International Conference on Graphics and Interaction (ICGI)10.1109/ICGI60907.2023.10452747(1-8)Online publication date: 2-Nov-2023
  • (2023)Title: Hip and lower limbs 3D motion tracking using a double-stage data fusion algorithm for IMU/MARG-based wearables sensorsBiomedical Signal Processing and Control10.1016/j.bspc.2023.10493886(104938)Online publication date: Sep-2023
  • (2023)A New Home-Based Upper- and Lower-Limb Telerehabilitation Platform with Experimental ValidationArabian Journal for Science and Engineering10.1007/s13369-023-07720-048:8(10825-10840)Online publication date: 25-Mar-2023
  • (2022)Recent trends in telerehabilitation of stroke patients: A narrative reviewNeuroRehabilitation10.3233/NRE-21033051:1(1-22)Online publication date: 16-Aug-2022
  • (2022)FreeSia: A Cyber-physical System for Cognitive Assessment through Frequency-domain Indoor Locomotion AnalysisACM Transactions on Cyber-Physical Systems10.1145/34704546:2(1-31)Online publication date: 11-Apr-2022
  • (2021)Custom IMU-Based Wearable System for Robust 2.4 GHz Wireless Human Body Parts Orientation Tracking and 3D Movement Visualization on an AvatarSensors10.3390/s2119664221:19(6642)Online publication date: 6-Oct-2021
  • (2021)A Survey on Gamification for Health Rehabilitation Care: Applications, Opportunities, and Open ChallengesInformation10.3390/info1202009112:2(91)Online publication date: 22-Feb-2021
  • (2021)An Overview of Sensors, Design and Healthcare Challenges in Smart Homes: Future Design QuestionsHealthcare10.3390/healthcare91013299:10(1329)Online publication date: 5-Oct-2021
  • (2021)Multimodal Data Streaming using Visual IoTs and Wearables for Telerehabilitation and Teletreatment2021 World Automation Congress (WAC)10.23919/WAC50355.2021.9559516(233-238)Online publication date: 1-Aug-2021
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