Unconstrained Detection of the Respiratory Motions of Chest and Abdomen in Different Lying Positions Using a Flexible Tactile Sensor Array

Abstract

Respiratory Inductance Plethysmography (RIP) is commonly used to detect the respiratory motions of chest and abdomen during sleep. However, this method is not suitable for daily use due to its strong constraints. Many unconstrained methods have been developed, but they have a common problem with distinguishing the chest and abdominal motions, which are required for understanding the type of sleep apnea. In this paper, we proposed an unconstrained method to distinguish chest and abdominal motions by measuring the pressure fluctuations from the chest and abdomen acting on a mattress. We then investigated the feasibility of detecting respiratory motions by using a flexible tactile sensor array, which was laid on a bed like a bed sheet. Ten healthy subjects (five males and five females) were tested and the results were compared with those measured by the RIP band sensors. It was confirmed that the sensor array could measure the motions of the chest and abdomen and obtain the respiratory rate at a high accuracy. However, the phase of the pressure fluctuations measured by the sensor array might disagree with the outputs of the RIP band sensors, depending on the gender and lying position of the subject. The reason was discussed with a dynamic model, which showed that the disagreement might have been related to the coupling of the chest and abdomen. In addition, the influence of the stiffness of the mattress on the pressure fluctuations was investigated. The results showed that mattress stiffness had little effect on the measurement.