Contactless monitoring of human behaviors in bed using RSSI signals.

In this paper, contactless monitoring and classification of human activities and sleeping postures in bed using radio signals is presented. The major contribution of this work is the development of a contactless monitoring and classification system with a proposed framework that uses received signal strength indicator (RSSI) signals collected from only one wireless link, where different human activities and sleep postures, including (a) no one in the bed, (b) a man sitting on the bed, (c) sleeping on his back, (d) seizure sleeping, and (e) sleeping on his side, are tested. With our proposed system, there is no need to attach any sensors or medical devices to the human body or the bed. That is the limitation of the sensor-based technology. Additionally, our system does not raise a privacy concern, which is the major limitation of vision-based technology. Experiments using low-cost, low-power 2.4 GHz IEEE802.15.4 wireless networks have been conducted in laboratories. Results demonstrate that the proposed system can automatically monitor and classify human sleeping postures in real time. The average classification accuracy of activities and sleep postures obtained from different subjects, test environments, and hardware platforms is 99.92%, 98.87%, 98.01%, 87.57%, and 95.87% for cases (a) to (e), respectively. Here, the proposed system provides an average accuracy of 96.05%. Furthermore, the system can also monitor and separate the difference between the cases of the man falling from his bed and the man getting out of his bed. This autonomous system and sleep posture information can thus be used to support care people, physicians, and medical staffs in the evaluation and planning of treatment for the benefit of patients and related people. The proposed system for non-invasive monitoring and classification of human activities and sleeping postures in bed using RSSI signals.

Inter-rater and intra-rater reliability of isotonic exercise monitoring device for measuring active knee extension.

Background: The goal of this study was to assess the reliability of electromyography and range of motion measurements obtained using a knee exercise monitoring system. This device was developed to collect data on knee exercise activities. Methods: Twenty healthy individuals performed isotonic quadriceps exercises in this study. The vastus medialis surface electromyography (sEMG) and range of motion (ROM) of the knee were recorded during the exercise using the isotonic knee exercise monitoring device, the Mobi6-6b, and a video camera system. Each subject underwent a second measuring session at least 24 h after the first session. To determine reliability, the intraclass correlation coefficients (ICCs) and standard error of measurement (SEM) at the 95% confidence interval were calculated, and a Bland-Altman analysis was performed. Results: For inter-rater reliability, the ICCs of the mean absolute value (MAV) and root mean square (RMS) of sEMG were 0.73 (0.49, 0.86) and 0.79 (0.61, 0.89), respectively. ROM had an ICC of 0.93 (0.02, 0.98). The intra-rater reliability of the MAV of the sEMG was 0.89 (0.71, 0.96) and the intra-rater reliability of RMS of the sEMG was 0.88 (0.70, 0.95). The ROM between days had an intra-rater reliability of 0.82 (0.54, 0.93). The Bland-Altman analysis demonstrated no systematic bias in the MAV and RMS of sEMG, but revealed a small, systematic bias in ROM (-0.8311 degrees). Conclusion: For sEMG and range of motion measures, the isotonic knee exercise monitoring equipment revealed moderate to excellent inter- and intra-rater agreement. However, the confidence interval of ROM inter-rater reliability was quite large, indicating a small agreement bias; hence, the isotonic knee exercise monitor may not be suitable for measuring ROM. This isotonic knee exercise monitor could detect and collect information on a patient's exercise activity for the benefit of healthcare providers.

Development of a Real-Time Knee Extension Monitoring and Rehabilitation System: Range of Motion and Surface EMG Measurement and Evaluation.

In this paper, a real-time knee extension monitoring and rehabilitation system for people, such as patients, the elderly, athletes, etc., is developed and tested. The proposed system has three major functions. The first function is two-channel surface electromyography (EMG) signal measurement and processing for the vastus lateralis (VL) and vastus medialis (VM) muscles using a developed EMG device set. The second function is the knee extension range of motion (ROM) measurement using an angle sensor device set (i.e., accelerometer sensor). Both functions are connected and parallelly processed by the NI-myRIO embedded device. Finally, the third function is the graphical user interface (GUI) using LabVIEW, where the knee rehabilitation program can be defined and flexibly set, as recommended by physical therapists and physicians. Experimental results obtained from six healthy subjects demonstrated that the proposed system can efficiently work with real-time response. It can support multiple rehabilitation users with data collection, where EMG signals with mean absolute value (MAV) and root mean square value (RMS) results and knee extension ROM data can be automatically measured and recorded based on the defined rehabilitation program. Furthermore, the proposed system is also employed in the hospital for validation and evaluation, where bio-feedback EMG and ROM data from six patients, including (a) knee osteoarthritis, (b) herniated disc, (c) knee ligament injury, (d) ischemic stroke, (e) hemorrhagic stroke, and (f) Parkinson are obtained. Such data are also collected for one month for tracking, evaluation, and treatment. With our proposed system, results indicate that the rehabilitation people can practice themselves and know their rehabilitation progress during the time of testing. The system can also evaluate (as a primary treatment) whether the therapy training is successful or not, while experts can simultaneously review the progress and set the optimal treatment program in response to the rehabilitation users. This technology can also be integrated as a part of the Internet of Things (IoT) and smart healthcare systems.

Real-time tracking of a moving target in an indoor corridor of the hospital building using RSSI signals received from two reference nodes.

In this paper, implementation and validation of a target tracking system based on the received signal strength indicator (RSSI) for an indoor corridor environment of the hospital is presented. Six tracking methods of a moving target (i.e., equipment, robot, or human) using RSSI signals measured from two stationary reference nodes located at the different sides of the corridor are proposed. A filter with its optimal weight value is also applied to smoothen and increase the accuracy of estimated position results (i.e., the x-position in the corridor). Additionally, a determination approach for finding the optimal parameters assigned for the proposed tracking methods and the filter are also introduced. The proposed methods are implemented in MATLAB/Simulink, and experiments using a 2.4 GHz, IEEE 802.15.4/ZigBee wireless network have been carried out in the indoor corridor of the hospital building. Experimental results obtained from the corridor size of 22 m demonstrate that our proposed methods can automatically and efficiently track the moving target in real time. The average distance errors, in the case of varying and manual tuning the optimal parameters of the proposed methods and the filter, reduce from 5.14 to 1.01 m and 4.55 to 0.86 m (i.e., two test cases; slow moving speed and double moving speed). Here, the errors decrease by 80.35% and 81.10%, respectively. For the case using the optimal parameters determined by the optimization approach, the average errors can reduce to 0.97 m for the first test case and 0.78 m for the second test case, respectively. An RSSI-based real-time tracking system for a moving target in an indoor corridor of the hospital building.