Implantable and wearable measurement system for smart knee prosthesis

In this work we present the implantable and wearable measurement system developed for smart knee prostheses monitoring. The kinematic measurement system contains three anisotropic magnetoresistive sensors embedded into the polyethylene part of the prostheses. The kinematic measurement system also has two inertial measurement units to be worn by the subject on the shank and thigh. Each of this inertial measurement units consisted of a 3D accelerometer and a 3D gyroscope. The force measurement system contains implantable strain gauges that connected in two separate Wheatstone bridges and embedded in a designed capsule-like structure. These systems were validated in a robotic knee simulator against reference force and kinematics systems. The best angle estimator performed with an RMS error of 1.18°±0.25° over four different walking patterns, while the force sensors showed linear behavior in measuring the applied forces, where linear models obtained R2s larger than 0.98.

Orientation of body segments in ski jumps using wearable sensors: Analysis of relevant parameters during stable flight phase

Kamiar Aminian, Julien Chardonnens, Julien Favre

3D kinematic and dynamic analysis is highly required in ski jumping. Current recording techniques (e.g. camera systems) suffered from limitations, such as volume capture or complexity of use and processing. This study proposed a new 3D approach based on inertial sensors to calculate automatically the whole body segments orientation of the entire jump during in-field measurements. Combination of accelerometers and gyroscopes allowed devising a functional calibration procedure adapted to ski jumping activity. Then, segments orientation was obtained based on strapdown integration of gyroscopes. Finally, accelerometers were used to define in-run initial orientations and to improve segments orientations during stable flight. In order to show the efficacy of the proposed system, relevant 3D parameters of stable flight phase (V-and attack ski angles, joint angles, drag and lift forces) were extracted from 86 jumps of 34 jumpers. Combination of these parameters expressed 55% of whole variance of distance score.

2010

Shoulder function and outcome evaluation after surgery using 3D inertial sensors

Brian Coley

The importance of outcome evaluation of a medical treatment in orthopedics is currently recognized. In shoulder disease, a large variety of evaluation tools is employed to assess the results of the surgery. However, even if the majority of these evaluations are largely widespread, none was accepted as a universal standard. Since 1990, few researchers have been evaluating the assumption that the movement analysis (with camera-based or electromagnetic systems) is likely to provide objective results. In clinical practice, these techniques are not always applicable for outcome evaluation of a treatment. The surgeons lack a convenient and simple method of evaluating in an objective way a patient's activity and quality of life after a surgery of the shoulder. This project provides a new tool for the objective functional evaluation of shoulder pathologies, a tool that can be easily used by a doctor at a hospital and by the patient at home. It allows the measurement of the biodynamic changes as well as 3D kinematics of the treated shoulder by noting the effects of these changes on clinical results and on the patient's daily activity. The project was split in four complementary studies. In the first study, a new ambulatory device allowing long-term monitoring of the shoulder movement using several inertial sensors (3D gyroscopes, 3D accelerometers) attached on the trunk, the humerus and the scapula's spine was designed. By combining acceleration and angular velocity features of the both humerus during 9 tests, three kinematic scores for the functional assessment of the shoulder were presented to evaluate the shoulder function in patient before and after surgery. The kinematic scores objectively showed the shoulder improvement after surgery. In the second study, a new method was proposed to detect and quantify the dominant upper-limb segment during daily activity. The method was tested on healthy subjects (N=31) and a patient group (N=10, at baseline, 3, 6 and 12 months after surgery) while carrying the system during 8 hours of their daily life. The results showed the dominance of the arm during standing, sitting and walking periods for healthy subjects and the quantification of the shoulder improvement after surgery, by taking into account the presence of the disease in the dominant or the non dominant arm. In the third study, 3D gyroscopes attached on the humerus were used to identify the movements of flexion-extension, abduction-adduction and internal/external rotation of the humerus and to identify the rates of adjunct (deliberate rotation) and conjunct rotations (inherent or automatic rotation) within each movement. The frequencies of each movement (number/hour) for the different ranges of the arm speed, as well as the rate of adjunct and conjunct rotations for each movement were estimated during daily activity in healthy and patient groups. The results provided the values of frequency of each movement and adjunct/conjunct rate based on the data obtained from the healthy group. In the pathological case, we found that the painful dominant shoulder of the patients lost its predominance in favor of the healthy shoulder, the non dominant shoulder. Patients had less pure internal/external rotations and performed less fast movements while after surgery these parameters presented no significant differences with the healthy group. In the fourth study, a new method of detecting the working level of the shoulder was presented. By measuring the arm elevation during motionless periods, we proposed a new score to evaluate the ability of working at a specific level for a definite duration. We showed that this score had an average of 100% (±31%) for healthy subjects while the working level of the painful shoulder was lower than the healthy shoulder and improved significantly after surgery (up to 87% at 6 months). This study provides preliminary evidence of the effectiveness of the proposed system in clinical practice and objectively assesses upper-limb activity during daily activity.

EPFL2007

Measurement of Multi-segment Foot Joint Angles During Gait Using a Wearable System

Kamiar Aminian, Xavier Crevoisier, Julien Favre, Hossein Rouhani

Usually the measurement of multi-segment foot and ankle complex kinematics is done with stationary motion capture devices which are limited to use in a gait laboratory. This study aimed to propose and validate a wearable system to measure the foot and ankle complex joint angles during gait in daily conditions, and then to investigate its suitability for clinical evaluations. The foot and ankle complex consisted of four segments (shank, hindfoot, forefoot, and toes), with an inertial measurement unit (3D gyroscopes and 3D accelerometers) attached to each segment. The angles between the four segments were calculated in the sagittal, coronal, and transverse planes using a new algorithm combining strap-down integration and detection of low-acceleration instants. To validate the joint angles measured by the wearable system, three subjects walked on a treadmill for five minutes at three different speeds. A camera-based stationary system that used a cluster of markers on each segment was used as a reference. To test the suitability of the system for clinical evaluation, the joint angle ranges were compared between a group of 10 healthy subjects and a group of 12 patients with ankle osteoarthritis, during two 50-m walking trials where the wearable system was attached to each subject. On average, over all joints and walking speeds, the RMS differences and correlation coefficients between the angular curves obtained using the wearable system and the stationary system were 1 deg and 0.93, respectively. Moreover, this system was able to detect significant alteration of foot and ankle function between the group of patients with ankle osteoarthritis and the group of healthy subjects. In conclusion, this wearable system was accurate and suitable for clinical evaluation when used to measure the multi-segment foot and ankle complex kinematics during long-distance walks in daily life conditions. [DOI: 10.1115/1.4006674]