Abstract

To expand the potential use of in-shoe motion sensors (IMSs) in daily healthcare or activity monitoring applications for healthy subjects, we propose a real-time temporal estimation method for gait parameters concerning bilateral lower limbs (GPBLLs) that uses a single IMS and is based on a gait event detection approach. To validate the established methods, data from 26 participants recorded by an IMS and a reference 3D motion analysis system were compared. The agreement between the proposed method and the reference system was evaluated by the intraclass correlation coefficient (ICC). The results showed that, by averaging over five continuous effective strides, all time parameters achieved precisions of no more than 30 ms and agreement at the “excellent” level, and the symmetry indexes of the stride time and stance phase time achieved precisions of 1.0% and 3.0%, respectively, and agreement at the “good” level. These results suggest our method is effective and shows promise for wide use in many daily healthcare or activity monitoring applications for healthy subjects.

Highlights

  • As a result of the rapid development of wearable device technologies, wearable smart motion sensors have been used in various healthcare applications based on daily gait analysis, with all data processing performed automatically on an edge device [1]

  • The intraclass correlation coefficient (ICC)(2, k) values of the five-stride gait parameters concerning bilateral lower limbs (GPBLLs) suggest that the in-shoe motion sensors (IMSs) measurements of all these parameters had good or excellent agreement with the Vicon measurements

  • We successfully established a method for estimating temporal GPBLLs of healthy subjects by detecting opposite heel strike (OHS) and opposite toe off (OTO) from foot-motion signals

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Summary

Introduction

As a result of the rapid development of wearable device technologies, wearable smart motion sensors have been used in various healthcare applications based on daily gait analysis, with all data processing performed automatically on an edge device [1]. The IMS can be placed in various kinds of shoes or insoles, and is less inconvenient to wear [2,3]. It shows promise for various healthcare and activity monitoring applications, with the aim of improving the habits of healthy subjects involving daily walking, by assessing temporal gait parameters or detecting gait signal features through artificial intelligent technologies [4]. Temporal gait parameters concerning bilateral lower limbs (GPBLLs) play more important roles in healthcare or daily activity monitoring applications, such as evaluation of walking ability [4], metabolic evaluation [6], daily fatigue monitoring [7], and alcohol use monitoring [8]

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