Quantitative gait analysis allows clinicians to assess the inherent gait variability over time which is a functional marker to aid in the diagnosis of disabilities or diseases such as frailty, the onset of cognitive decline and neurodegenerative diseases, among others. However, despite the accuracy achieved by the current specialized systems there are constraints that limit quantitative gait analysis, for instance, the cost of the equipment, the limited access for many people and the lack of solutions to consistently monitor gait on a continuous basis. In this paper, two low-cost systems for quantitative gait analysis are presented, a wearable inertial system that relies on two wireless acceleration sensors mounted on the ankles; and a passive vision-based system that externally estimates the measurements through a structured light sensor and 3D point-cloud processing. Both systems are compared with a reference clinical instrument using an experimental protocol focused on the feasibility of estimating temporal gait parameters over two groups of healthy adults (five elders and five young subjects) under controlled conditions. The error of each system regarding the ground truth is computed. Inter-group and intra-group analyses are also conducted to transversely compare the performance between both technologies, and of these technologies with respect to the reference system. The comparison under controlled conditions is required as a previous stage towards the adaptation of both solutions to be incorporated into Ambient Assisted Living environments and to provide continuous in-home gait monitoring as part of the future work.
Activity recognition is an important task in many fields, such as ambient intelligence, pervasive healthcare, and surveillance. In particular, the recognition of human gait can be useful to identify the characteristics of the places or physical spaces, such as whether the person is walking on level ground or walking down stairs in which people move. For example, ascending or descending stairs can be a risky activity for older adults because of a possible fall, which can have more severe consequences than if it occurred on a flat surface. While portable and wearable devices have been widely used to detect Activities of Daily Living (ADLs), few research works in the literature have focused on characterizing only actions of human gait. In the present study, a method for recognizing gait activities using acceleration data obtained from a smartphone and a wearable inertial sensor placed on the ankle of people is introduced. The acceleration signals were segmented based on the automatic detection of strides, also called gait cycles. Subsequently, a feature vector of the segmented signals was extracted, which was used to train four classifiers using the Naive Bayes, C4.5, Support Vector Machines, and K-Nearest Neighbors algorithms. Data was collected from seven young subjects who performed five gait activities: (i) going down an incline, (ii) going up an incline, (iii) walking on level ground, (iv) going down stairs, and (v) going up stairs. The results demonstrate the viability of using the proposed method and technologies in ambient assisted living contexts.
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