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research article

Postural transitions detection and characterization in healthy and patient populations using a single waist sensor

Atrsaei, Arash  
•
Dadashi, Farzin  
•
Hansen, Clint
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June 3, 2020
Journal of Neuroengineering and Rehabilitation

Background: Sit-to-stand and stand-to-sit transitions are frequent daily functional tasks indicative of muscle power and balance performance. Monitoring these postural transitions with inertial sensors provides an objective tool to assess mobility in both the laboratory and home environment. While the measurement depends on the sensor location, the clinical and everyday use requires high compliance and subject adherence. The objective of this study was to propose a sit-to-stand and stand-to-sit transition detection algorithm that works independently of the sensor location. Methods: For a location-independent algorithm, the vertical acceleration of the lower back in the global frame was used to detect the postural transitions in daily activities. The detection performance of the algorithm was validated against video observations. To investigate the effect of the location on the kinematic parameters, these parameters were extracted during a five-time sit-to-stand test and were compared for different locations of the sensor on the trunk and lower back. Results The proposed detection method demonstrates high accuracy in different populations with a mean positive predictive value (and mean sensitivity) of 98% (95%) for healthy individuals and 89% (89%) for participants with diseases. Conclusions: The sensor location around the waist did not affect the performance of the algorithm in detecting the sit-to-stand and stand-to-sit transitions. However, regarding the accuracy of the kinematic parameters, the sensors located on the sternum and L5 vertebrae demonstrated the highest reliability.

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Type
research article
DOI
10.1186/s12984-020-00692-4
Author(s)
Atrsaei, Arash  
Dadashi, Farzin  
Hansen, Clint
Warmerdam, Elke
Mariani, Benoît  
Maetzler, Walter
Aminian, Kamiar  
Date Issued

2020-06-03

Publisher

BioMed Central

Published in
Journal of Neuroengineering and Rehabilitation
Volume

17

Issue

70

Start page

1

End page

14

Subjects

Postural transition

•

Sit-to-stand

•

Activity monitoring

•

Inertial sensors

•

Functional test

•

Mobility, Balance

Note

This article is licensed under a Creative Commons Attribution 4.0.

Editorial or Peer reviewed

REVIEWED

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June 3, 2020
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/169093
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