An Easy Wearable Gait Assessment System for Assessing Stroke Patients

Mu-Hsun Tseng, Tain-Song Chen, Ya-Ting Chang
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Abstract

The aftereffects of stroke are numerous, and about 88% of patients show hemiplegia with different severity after stroke. Patients can improve their condition through longterm rehabilitation. The effectiveness of rehabilitation can be assessed by the gait characteristics between the feet. However, most of today's gait analysis systems can only be carried out in biomechanical laboratories or medical related institutions. It has been proven that the equipment is expensive and takes up a long time and is not suitable for home care applications. A simple rehabilitation assessment system has become an important clinical issue. In this study, two inertial measurement components are respectively fixed on the instep of the two feet, then the acceleration and angular velocity in the inertial component are extracted as the basis for quantifying the gait characteristics. Due to the limitations of the accelerometer and the gyroscope itself, this study allows the two components to be calibrated to each other through the sensor fusion technique, and integrates the algorithms developed in the study to estimate the correct gait characteristics as much as possible. It can be known from the experimental results that for a normal subject with both feet, the symmetrical ratio presented in the gait characteristics of both feet is about 1. For subjects with difficulty walking on one foot, the symmetrical ratio is greater than 1 or less than 1, indicating that any one foot will be significantly different from the other in some gait characteristics. It can be seen from the results that the correlation of gait characteristics between the normal and abnormal gait feet is consistent with the pre-experiment hypothesis.
一种用于评估中风患者的简易可穿戴步态评估系统
脑卒中的后遗症很多,约88%的患者在脑卒中后出现不同程度的偏瘫。患者可以通过长期康复来改善病情。康复效果可以通过两足之间的步态特征来评估。然而,目前大多数步态分析系统只能在生物力学实验室或医学相关机构中进行。事实证明,该设备价格昂贵,占用时间长,不适合家庭护理应用。简单的康复评估体系已成为临床的重要课题。在本研究中,将两个惯性测量分量分别固定在两足的脚背上,然后提取惯性分量中的加速度和角速度作为量化步态特征的基础。由于加速度计和陀螺仪本身的局限性,本研究允许通过传感器融合技术将两个组件相互校准,并集成研究中开发的算法,以尽可能地估计正确的步态特征。由实验结果可知,对于双脚正常的受试者,双脚步态特征所呈现的对称比例约为1。对于单脚行走困难的受试者,对称比大于1或小于1,表明任意一只脚在某些步态特征上与另一只脚存在显著差异。从结果可以看出,正常与异常步态足步态特征的相关性与实验前假设一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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