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research article

A multi-sensor wearable system for the assessment of diseased gait in real-world conditions

Salis, Francesca
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Bertuletti, Stefano
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Bonci, Tecla
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April 21, 2023
Frontiers In Bioengineering And Biotechnology

Introduction: Accurately assessing people's gait, especially in real-world conditions and in case of impaired mobility, is still a challenge due to intrinsic and extrinsic factors resulting in gait complexity. To improve the estimation of gait-related digital mobility outcomes (DMOs) in real-world scenarios, this study presents a wearable multi-sensor system (INDIP), integrating complementary sensing approaches (two plantar pressure insoles, three inertial units and two distance sensors).Methods: The INDIP technical validity was assessed against stereophotogrammetry during a laboratory experimental protocol comprising structured tests (including continuous curvilinear and rectilinear walking and steps) and a simulation of daily-life activities (including intermittent gait and short walking bouts). To evaluate its performance on various gait patterns, data were collected on 128 participants from seven cohorts: healthy young and older adults, patients with Parkinson's disease, multiple sclerosis, chronic obstructive pulmonary disease, congestive heart failure, and proximal femur fracture. Moreover, INDIP usability was evaluated by recording 2.5-h of real-world unsupervised activity.Results and discussion: Excellent absolute agreement (ICC >0.95) and very limited mean absolute errors were observed for all cohorts and digital mobility outcomes (cadence =0.61 steps/min, stride length =0.02 m, walking speed =0.02 m/s) in the structured tests. Larger, but limited, errors were observed during the daily-life simulation (cadence 2.72-4.87 steps/min, stride length 0.04-0.06 m, walking speed 0.03-0.05 m/s). Neither major technical nor usability issues were declared during the 2.5-h acquisitions. Therefore, the INDIP system can be considered a valid and feasible solution to collect reference data for analyzing gait in real-world conditions.

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Type
research article
DOI
10.3389/fbioe.2023.1143248
Web of Science ID

WOS:000993270700001

Author(s)
Salis, Francesca
Bertuletti, Stefano
Bonci, Tecla
Caruso, Marco
Scott, Kirsty
Alcock, Lisa
Buckley, Ellen
Gazit, Eran
Hansen, Clint
Schwickert, Lars
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Date Issued

2023-04-21

Publisher

FRONTIERS MEDIA SA

Published in
Frontiers In Bioengineering And Biotechnology
Volume

11

Article Number

1143248

Subjects

Biotechnology & Applied Microbiology

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Multidisciplinary Sciences

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Biotechnology & Applied Microbiology

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Science & Technology - Other Topics

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gait analysis

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imu

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wearable sensors

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ecological conditions

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pressure insoles

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distance sensors

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spatial-temporal gait parameters

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LMAM  
Available on Infoscience
June 19, 2023
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/198501
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