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      Activity Monitoring with a Wrist-Worn, Accelerometer-Based Device

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          Abstract

          This study condenses huge amount of raw data measured from a MEMS accelerometer-based, wrist-worn device on different levels of physical activities (PAs) for subjects wearing the device 24 h a day continuously. In this study, we have employed the device to build up assessment models for quantifying activities, to develop an algorithm for sleep duration detection and to assess the regularity of activity of daily living (ADL) quantitatively. A new parameter, the activity index (AI), has been proposed to represent the quantity of activities and can be used to categorize different PAs into 5 levels, namely, rest/sleep, sedentary, light, moderate, and vigorous activity states. Another new parameter, the regularity index (RI), was calculated to represent the degree of regularity for ADL. The methods proposed in this study have been used to monitor a subject’s daily PA status and to access sleep quality, along with the quantitative assessment of the regularity of activity of daily living (ADL) with the 24-h continuously recorded data over several months to develop activity-based evaluation models for different medical-care applications. This work provides simple models for activity monitoring based on the accelerometer-based, wrist-worn device without trying to identify the details of types of activity and that are suitable for further applications combined with cloud computing services.

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          Automatic sleep/wake identification from wrist activity.

          The purpose of this study was to develop and validate automatic scoring methods to distinguish sleep from wakefulness based on wrist activity. Forty-one subjects (18 normals and 23 with sleep or psychiatric disorders) wore a wrist actigraph during overnight polysomnography. In a randomly selected subsample of 20 subjects, candidate sleep/wake prediction algorithms were iteratively optimized against standard sleep/wake scores. The optimal algorithms obtained for various data collection epoch lengths were then prospectively tested on the remaining 21 subjects. The final algorithms correctly distinguished sleep from wakefulness approximately 88% of the time. Actigraphic sleep percentage and sleep latency estimates correlated 0.82 and 0.90, respectively, with corresponding parameters scored from the polysomnogram (p < 0.0001). Automatic scoring of wrist activity provides valuable information about sleep and wakefulness that could be useful in both clinical and research applications.
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            Ambulatory system for human motion analysis using a kinematic sensor: monitoring of daily physical activity in the elderly.

            A new method of physical activity monitoring is presented, which is able to detect body postures (sitting, standing, and lying) and periods of walking in elderly persons using only one kinematic sensor attached to the chest. The wavelet transform, in conjunction with a simple kinematics model, was used to detect different postural transitions (PTs) and walking periods during daily physical activity. To evaluate the system, three studies were performed. The method was first tested on 11 community-dwelling elderly subjects in a gait laboratory where an optical motion system (Vicon) was used as a reference system. In the second study, the system was tested for classifying PTs (i.e., lying-to-sitting, sitting-to-lying, and turning the body in bed) in 24 hospitalized elderly persons. Finally, in a third study monitoring was performed on nine elderly persons for 45-60 min during their daily physical activity. Moreover, the possibility-to-perform long-term monitoring over 12 h has been shown. The first study revealed a close concordance between the ambulatory and reference systems. Overall, subjects performed 349 PTs during this study. Compared with the reference system, the ambulatory system had an overall sensitivity of 99% for detection of the different PTs. Sensitivities and specificities were 93% and 82% in sit-to-stand, and 82% and 94% in stand-to-sit, respectively. In both first and second studies, the ambulatory system also showed a very high accuracy (> 99%) in identifying the 62 transfers or rolling out of bed, as well as 144 different posture changes to the back, ventral, right and left sides. Relatively high sensitivity (> 90%) was obtained for the classification of usual physical activities in the third study in comparison with visual observation. Sensitivities and specificities were, respectively, 90.2% and 93.4% in sitting, 92.2% and 92.1% in "standing + walking," and, finally, 98.4% and 99.7% in lying. Overall detection errors (as percent of range) were 3.9% for "standing + walking," 4.1% for sitting, and 0.3% for lying. Finally, overall symmetric mean average errors were 12% for "standing + walking," 8.2% for sitting, and 1.3% for lying.
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              Evaluation of accelerometer based multi-sensor versus single-sensor activity recognition systems.

              Physical activity has a positive impact on people's well-being and it had been shown to decrease the occurrence of chronic diseases in the older adult population. To date, a substantial amount of research studies exist, which focus on activity recognition using inertial sensors. Many of these studies adopt a single sensor approach and focus on proposing novel features combined with complex classifiers to improve the overall recognition accuracy. In addition, the implementation of the advanced feature extraction algorithms and the complex classifiers exceed the computing ability of most current wearable sensor platforms. This paper proposes a method to adopt multiple sensors on distributed body locations to overcome this problem. The objective of the proposed system is to achieve higher recognition accuracy with "light-weight" signal processing algorithms, which run on a distributed computing based sensor system comprised of computationally efficient nodes. For analysing and evaluating the multi-sensor system, eight subjects were recruited to perform eight normal scripted activities in different life scenarios, each repeated three times. Thus a total of 192 activities were recorded resulting in 864 separate annotated activity states. The methods for designing such a multi-sensor system required consideration of the following: signal pre-processing algorithms, sampling rate, feature selection and classifier selection. Each has been investigated and the most appropriate approach is selected to achieve a trade-off between recognition accuracy and computing execution time. A comparison of six different systems, which employ single or multiple sensors, is presented. The experimental results illustrate that the proposed multi-sensor system can achieve an overall recognition accuracy of 96.4% by adopting the mean and variance features, using the Decision Tree classifier. The results demonstrate that elaborate classifiers and feature sets are not required to achieve high recognition accuracies on a multi-sensor system.
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                Author and article information

                Journal
                Micromachines (Basel)
                Micromachines (Basel)
                micromachines
                Micromachines
                MDPI
                2072-666X
                10 September 2018
                September 2018
                : 9
                : 9
                : 450
                Affiliations
                [1 ]Department of Electrical Engineering, Center for Biomedical Engineering, Chang Gung University, Tao-Yuan 33302, Taiwan; d0421006@ 123456stmail.cgu.edu.tw (V.K.V.); cslai@ 123456mail.cgu.edu.tw (C.-S.L.)
                [2 ]Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Tao-Yuan 33305, Taiwan; leemiy@ 123456mail.cgu.edu.tw
                [3 ]Graduate Institute of Medical Mechatronics, Center for Biomedical Engineering, Chang Gung University, Tao-Yuan 33302, Taiwan
                [4 ]Department of Nephrology, Chang Gung Memorial Hospital, Linkou, Tao-Yuan 33305, Taiwan
                [5 ]Department of Materials Engineering, Ming Chi University of Technology, New Taipei 24301, Taiwan
                Author notes
                [* ]Correspondence: wylin@ 123456mail.cgu.edu.tw ; Tel.: +886-3-2118800 (ext. 3675)
                Author information
                https://orcid.org/0000-0002-5748-0151
                https://orcid.org/0000-0002-2031-0183
                Article
                micromachines-09-00450
                10.3390/mi9090450
                6187390
                33d266f8-888f-4c6b-b827-b1dbeafbdc99
                © 2018 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 02 August 2018
                : 08 September 2018
                Categories
                Article

                accelerometer,activity monitoring,regularity of activity,sleep time duration detection

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