In this feasibility study, we present a novel, wearable prototype of tactile biofeedback to alleviate gait disturbances, such as freezing of gait in Parkinson’s disease. We designed and tested a phase-dependent tactile biofeedback system that can be easily worn on the feet, with a simple switch to turn it on or off. Preliminary validation was performed in 8 subjects with Parkinson’s disease who show freezing during a turning in place test. A metronome, control condition was used to compare effectiveness in alleviating freezing. Promising results were obtained, both in term of acceptability of the device, and improving motor performance.

Wearable inertial systems have recently been used to track human movement in and outside of the laboratory. Continuous monitoring of human movement can provide valuable information relevant to individual's level of physical activity and functional ability. Traditionally, orientation has been calculated by integrating the angular velocity from gyroscopes. However, a small drift in the measured velocity leads to large integration errors that grow with time. To compensate for that drift, complementary data from accelerometers are normally fused into the tracking systems using the Kalman or extended Kalman filter (EKF). In this study, we combine kinematic models designed for control of robotic arms with the unscented Kalman filter (UKF) to continuously estimate the angles of human shoulder and elbow using two wearable sensors. This methodology can easily be generalized to track other human joints. We validate the method with an optical motion tracking system and demonstrate correlation consistently greater than 0.9 between the two systems.

No abstract

No abstract

No abstract