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Keywords = instrumented insole

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17 pages, 2262 KB  
Article
Fiber Bragg Grating Embedded 3D-Printed Insole with Commercial and Portable Reader for Stance Phase Determination
by Arnaldo Leal-Junior, Mariana Silveira, Jan Nedoma and Radek Martinek
Biosensors 2025, 15(9), 623; https://doi.org/10.3390/bios15090623 - 19 Sep 2025
Viewed by 459
Abstract
This paper presents development and application of a Fiber Bragg Grating (FBG) array embedded in a 3D-printed insole for ground reaction force (GRF) estimation. In this case, a 3D-printed insole is fabricated from a scanned commercial insole in which a 5-FBGs array is [...] Read more.
This paper presents development and application of a Fiber Bragg Grating (FBG) array embedded in a 3D-printed insole for ground reaction force (GRF) estimation. In this case, a 3D-printed insole is fabricated from a scanned commercial insole in which a 5-FBGs array is integrated. The FBGs are characterized as a function of the applied transverse force, where a mean sensitivity of 0.11 ± 0.10 pm/N was obtained considering all FBGs. A portable FBG signal acquisition system was connected to the FBG array embedded in the insole and tested for the GRF analysis in a healthy volunteer. The gait tests results indicate stance and swing phases of 41.0 ± 6.5% and 59 ± 6.5%, respectively, which are within reference values of the literature. Furthermore, a 0.904 R2 was found in the correlation analysis of the measured GRF response and the conventional M-shaped curve for the GRF in which all subdivisions of the stance phase were detected. Full article
(This article belongs to the Special Issue Wearable Sensors for Precise Exercise Monitoring and Analysis)
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19 pages, 7614 KB  
Article
Complex Study of the Physiological and Microclimatic Attributes of Street Trees in Microenvironments with Small-Scale Heterogeneity
by Csenge Lékó-Kacsova, Zoltán Bátori, András Viczián, Ágnes Gulyás and Márton Kiss
Land 2025, 14(9), 1775; https://doi.org/10.3390/land14091775 - 31 Aug 2025
Viewed by 491
Abstract
Rapid urban growth leads to an extension of artificial surfaces and inefficient energy management, an increase in urban heat islands, and local climate change. This has increased the need for green infrastructure and urban trees are playing an important role. It is important [...] Read more.
Rapid urban growth leads to an extension of artificial surfaces and inefficient energy management, an increase in urban heat islands, and local climate change. This has increased the need for green infrastructure and urban trees are playing an important role. It is important to ensure that tree groups can withstand climate warming and disturbances. This study investigated the physiological parameters of Tilia tomentosa ‘Seleste’ trees situated in a medium-sized Hungarian city, examining their relationship with microclimatic differences observed on opposing sides of a street. Instruments placed on 10 trees recorded air temperature and humidity, revealing a significant difference in total insolation, which resulted in higher maximum daily temperatures on the sunny side. These microclimatic variations were found to significantly affect physiological attributes, particularly pigment content. Trees on the sunny side exhibited a higher relative water content and a higher ratio of chlorophyll a/b, indicative of light acclimatisation. Trees on the sunny side exhibited a higher relative water content and a higher ratio of chlorophyll a/b, indicating an acclimatisation to light. Furthermore, a positive correlation was observed between pigment content, total insolation, and growing degree days. The findings demonstrate how fine-scale microclimate differences influence tree physiology, providing crucial physiological indicators that inform the capacity of urban trees to provide vital ecosystem services, such as local climate regulation. This emphasises the importance of climate-conscious urban planning, as even small-scale climate change can have a broader impact. Full article
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14 pages, 8575 KB  
Article
3D-Printed Insole for Measuring Ground Reaction Force and Center of Pressure During Walking
by Le Tung Vu, Joel Bottin-Noonan, Lucy Armitage, Gursel Alici and Manish Sreenivasa
Sensors 2025, 25(8), 2524; https://doi.org/10.3390/s25082524 - 17 Apr 2025
Cited by 1 | Viewed by 1678
Abstract
Ground reaction force (GRF) and center of pressure (COP) during walking are two important measures that could be used in a range of applications, from the control of devices such as exoskeletons to clinical assessments. Recording these measures requires fixed laboratory equipment such [...] Read more.
Ground reaction force (GRF) and center of pressure (COP) during walking are two important measures that could be used in a range of applications, from the control of devices such as exoskeletons to clinical assessments. Recording these measures requires fixed laboratory equipment such as force plates or expensive portable insoles. We present an alternative approach by developing a 3D-printed insole that uses pneumatic chambers and pressure sensors to estimate the net GRF and the anterior–posterior COP position. The intentionally simple design, using just two pneumatic chambers, can be fabricated using standard 3D printing technology and readily available soft materials. We used experimentally recorded data from a motion capture system along with parameter identification techniques to characterize and validate the insole while walking at different speeds. Our results showed that the insole was capable of withstanding repeated loading during walking—up to 1.2 times the body weight—and possessed a bandwidth high enough to capture gait dynamics. The identified models could estimate the GRF and the anterior–posterior COP position with less than 9% error. These results compare favourably with those of commercially available instrumented insoles and can be obtained at a fraction of their cost. This low-cost yet effective solution could assist in applications where it is important to record gait outside of laboratory conditions, but the cost of commercial solutions is prohibitive. Full article
(This article belongs to the Special Issue Sensors and Wearables for Rehabilitation)
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15 pages, 1990 KB  
Article
New Parameters Based on Ground Reaction Forces for Monitoring Rehabilitation Following Tibial Fractures and Assessment of Heavily Altered Gait
by Christian Wolff, Elke Warmerdam, Tim Dahmen, Tim Pohlemann, Philipp Slusallek and Bergita Ganse
Sensors 2025, 25(8), 2475; https://doi.org/10.3390/s25082475 - 15 Apr 2025
Cited by 1 | Viewed by 1117
Abstract
Instrumented insoles have created opportunities for patient monitoring via long-term recordings of ground reaction forces (GRFs). As the GRF curve is altered in patients after lower-extremity fracture, parameters defined on established curve landmarks often cannot be used to monitor the early rehabilitation process. [...] Read more.
Instrumented insoles have created opportunities for patient monitoring via long-term recordings of ground reaction forces (GRFs). As the GRF curve is altered in patients after lower-extremity fracture, parameters defined on established curve landmarks often cannot be used to monitor the early rehabilitation process. We aimed to screen several new GRF curve-based parameters for suitability and hypothesized an interrelation with days after surgery. In an observational longitudinal study, data were collected from 13 patients with tibial fractures during straight walking at hospital visits using instrumented insoles. Parametrized curves were fitted and regression analyses conducted to determine the best fit, reflected in the highest R2-value and lowest fitting error. A Wald Test with t-distribution was employed for statistical analysis. Strides were classified as regular or non-regular, and changes in this proportion were analyzed. Among the 12 parameters analyzed, those with the highest R2-values were the mean force between inflection points (R2 = 0.715, p < 0.001, t42 = 9.89), the absolute time between inflection points (R2 = 0.707, p < 0.001, t42 = 9.83), and the highest overall force (R2 = 0.722, p < 0.001, t42 = 10.05). There was a significant increase in regular strides on both injured (R2 = 0.427, p < 0.001, t42 = 5.83) and healthy (R2 = 0.506, p < 0.001, t42 = 6.89) sides. The proposed parameters and assessment of the regular stride ratio enable new options for analyses and monitoring during rehabilitation after tibial shaft fractures. They are robust to pathologic GRF curves, can be determined independently from spatiotemporal coherence, and thus might provide advantages over established methods. Full article
(This article belongs to the Special Issue Sensors for Human Activity Recognition: 3rd Edition)
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22 pages, 12622 KB  
Article
Development and Validation of a Modular Sensor-Based System for Gait Analysis and Control in Lower-Limb Exoskeletons
by Giorgos Marinou, Ibrahima Kourouma and Katja Mombaur
Sensors 2025, 25(8), 2379; https://doi.org/10.3390/s25082379 - 9 Apr 2025
Cited by 2 | Viewed by 2066
Abstract
With rapid advancements in lower-limb exoskeleton hardware, two key challenges persist: the accurate assessment of user biomechanics and the reliable control of device behavior in real-world settings. This study presents a modular, sensor-based system designed to enhance both biomechanical evaluation and control of [...] Read more.
With rapid advancements in lower-limb exoskeleton hardware, two key challenges persist: the accurate assessment of user biomechanics and the reliable control of device behavior in real-world settings. This study presents a modular, sensor-based system designed to enhance both biomechanical evaluation and control of lower-limb exoskeletons, leveraging advanced sensor technologies and fuzzy logic. The system addresses the limitations of traditional lab-bound, high-cost methods by integrating inertial measurement units, force-sensitive resistors, and load cells into instrumented crutches and 3D-printed insoles. These components work independently or in unison to capture critical biomechanical metrics, including the anteroposterior center of pressure and crutch ground reaction forces. Data are processed in real time by a central unit using fuzzy logic algorithms to estimate gait phases and support exoskeleton control. Validation experiments with three participants, benchmarked against motion capture and force plate systems, demonstrate the system’s ability to reliably detect gait phases and accurately measure biomechanical parameters. By offering an open-source, cost-effective design, this work contributes to the advancement of wearable robotics and promotes broader innovation and accessibility in exoskeleton research. Full article
(This article belongs to the Special Issue Wearable Robotics and Assistive Devices)
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23 pages, 9777 KB  
Article
Integrated Lower Limb Robotic Orthosis with Embedded Highly Oriented Electrospinning Sensors by Fuzzy Logic-Based Gait Phase Detection and Motion Control
by Ming-Chan Lee, Cheng-Tang Pan, Jhih-Syuan Huang, Zheng-Yu Hoe and Yeong-Maw Hwang
Sensors 2025, 25(5), 1606; https://doi.org/10.3390/s25051606 - 5 Mar 2025
Viewed by 1652
Abstract
This study introduces an integrated lower limb robotic orthosis with near-field electrospinning (NFES) piezoelectric sensors and a fuzzy logic-based gait phase detection system to enhance mobility assistance and rehabilitation. The exoskeleton incorporates embedded pressure sensors within the insoles to capture ground reaction forces [...] Read more.
This study introduces an integrated lower limb robotic orthosis with near-field electrospinning (NFES) piezoelectric sensors and a fuzzy logic-based gait phase detection system to enhance mobility assistance and rehabilitation. The exoskeleton incorporates embedded pressure sensors within the insoles to capture ground reaction forces (GRFs) in real-time. A fuzzy logic inference system processes these signals, classifying gait phases such as stance, initial contact, mid-stance, and pre-swing. The NFES technique enables the fabrication of highly oriented nanofibers, improving sensor sensitivity and reliability. The system employs a master–slave control framework. A Texas Instruments (TI) TMS320F28069 microcontroller (Texas Instruments, Dallas, TX, USA) processes gait data and transmits actuation commands to motors and harmonic drives at the hip and knee joints. The control strategy follows a three-loop methodology, ensuring stable operation. Experimental validation assesses the system’s accuracy under various conditions, including no-load and loaded scenarios. Results demonstrate that the exoskeleton accurately detects gait phases, achieving a maximum tracking error of 4.23% in an 8-s gait cycle under no-load conditions and 4.34% when tested with a 68 kg user. Faster motion cycles introduce a maximum error of 6.79% for a 3-s gait cycle, confirming the system’s adaptability to dynamic walking conditions. These findings highlight the effectiveness of the developed exoskeleton in interpreting human motion intentions, positioning it as a promising solution for wearable rehabilitation and mobility assistance. Full article
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17 pages, 2958 KB  
Article
A Comparative Study of Plantar Pressure and Inertial Sensors for Cross-Country Ski Classification Using Deep Learning
by Aurora Polo-Rodríguez, Pablo Escobedo, Fernando Martínez-Martí, Noel Marcen-Cinca, Miguel A. Carvajal, Javier Medina-Quero and María Sofía Martínez-García
Sensors 2025, 25(5), 1500; https://doi.org/10.3390/s25051500 - 28 Feb 2025
Cited by 1 | Viewed by 1478
Abstract
This work presents a comparative study of low cost and low invasiveness sensors (plantar pressure and inertial measurement units) for classifying cross-country skiing techniques. A dataset was created for symmetrical comparative analysis, with data collected from skiers using instrumented insoles that measured plantar [...] Read more.
This work presents a comparative study of low cost and low invasiveness sensors (plantar pressure and inertial measurement units) for classifying cross-country skiing techniques. A dataset was created for symmetrical comparative analysis, with data collected from skiers using instrumented insoles that measured plantar pressure, foot angles, and acceleration. A deep learning model based on CNN and LSTM was trained on various sensor combinations, ranging from two specific pressure sensors to a full multisensory array per foot incorporating 4 pressure sensors and an inertial measurement unit with accelerometer, magnetometer, and gyroscope. Results demonstrate an encouraging performance with plantar pressure sensors and classification accuracy closer to inertial sensing. The proposed approach achieves a global average accuracy of 94% to 99% with a minimal sensor setup, highlighting its potential for low-cost and precise technique classification in cross-country skiing and future applications in sports performance analysis. Full article
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24 pages, 6890 KB  
Article
Application of an Optimal Fractional-Order Controller for a Standalone (Wind/Photovoltaic) Microgrid Utilizing Hybrid Storage (Battery/Ultracapacitor) System
by Hani Albalawi, Sherif A. Zaid, Aadel M. Alatwi and Mohamed Ahmed Moustafa
Fractal Fract. 2024, 8(11), 629; https://doi.org/10.3390/fractalfract8110629 - 25 Oct 2024
Cited by 3 | Viewed by 1672
Abstract
Nowadays, standalone microgrids that make use of renewable energy sources have gained great interest. They provide a viable solution for rural electrification and decrease the burden on the utility grid. However, because standalone microgrids are nonlinear and time-varying, controlling and managing their energy [...] Read more.
Nowadays, standalone microgrids that make use of renewable energy sources have gained great interest. They provide a viable solution for rural electrification and decrease the burden on the utility grid. However, because standalone microgrids are nonlinear and time-varying, controlling and managing their energy can be difficult. A fractional-order proportional integral (FOPI) controller was proposed in this study to enhance a standalone microgrid’s energy management and performance. An ultra-capacitor (UC) and a battery, called a hybrid energy storage scheme, were employed as the microgrid’s energy storage system. The microgrid was primarily powered by solar and wind power. To achieve optimal performance, the FOPI’s parameters were ideally generated using the gorilla troop optimization (GTO) technique. The FOPI controller’s performance was contrasted with a conventional PI controller in terms of variations in load power, wind speed, and solar insolation. The microgrid was modeled and simulated using MATLAB/Simulink software R2023a 23.1. The results indicate that, in comparison to the traditional PI controller, the proposed FOPI controller significantly improved the microgrid’s transient performance. The load voltage and frequency were maintained constant against the least amount of disturbance despite variations in wind speed, photovoltaic intensity, and load power. In contrast, the storage battery precisely stores and releases energy to counteract variations in wind and photovoltaic power. The outcomes validate that in the presence of the UC, the microgrid performance is improved. However, the improvement is very close to that gained when using the proposed controller without UC. Hence, the proposed controller can reduce the cost, weight, and space of the system. Moreover, a Hardware-in-the-Loop (HIL) emulator was implemented using a C2000™ microcontroller LaunchPad™ TMS320F28379D kit (Texas Instruments, Dallas, TX, USA) to evaluate the proposed system and validate the simulation results. Full article
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12 pages, 279 KB  
Article
The FeetMe® Insoles System: Repeatability, Standard Error of Measure, and Responsiveness
by Nathan Martin, Fabien Leboeuf and Didier Pradon
Sensors 2024, 24(18), 6043; https://doi.org/10.3390/s24186043 - 18 Sep 2024
Cited by 1 | Viewed by 1955 | Correction
Abstract
Background: Three-dimensional motion analysis using optoelectronic cameras and force platforms is typically used to quantify gait disorders. However, these systems have various limitations, particularly when assessing patients in an ecological environment. To address these limitations, several wearable devices have been developed. However, few [...] Read more.
Background: Three-dimensional motion analysis using optoelectronic cameras and force platforms is typically used to quantify gait disorders. However, these systems have various limitations, particularly when assessing patients in an ecological environment. To address these limitations, several wearable devices have been developed. However, few studies have reported metrological information regarding their repeatability and sensitivity to change. Methods: A healthy adult performed 6 min walking tests with FeetMe® system insoles under different walking conditions overground and on a treadmill. The standard error of measurement (SEM), the minimum detectable differences (MDDs), and the effect size (ES) were calculated for spatio-temporal parameters, and the ground reaction force was calculated from the 16,000 steps recorded. Results: SEM values were below 3.9% for the ground reaction force and below 6.8% for spatio-temporal parameters. ES values were predominantly high, with 72.9% of cases between overground and treadmill conditions with induced asymmetry, and 64.5% of cases between treadmill conditions with and without induced asymmetry exhibiting an ES greater than 1.2. The minimum detectable differences ranged from 4.5% to 10.7% for ground reaction forces and 2.1% to 18.9% for spatio-temporal parameters. Conclusion: Our study demonstrated that the FeetMe® system is a reliable solution. The sensitivity to change showed that these instrumented insoles can effectively reflect patient asymmetry and progress. Full article
16 pages, 3948 KB  
Article
Gait Pattern Analysis: Integration of a Highly Sensitive Flexible Pressure Sensor on a Wireless Instrumented Insole
by Partha Sarati Das, Daniella Skaf, Lina Rose, Fatemeh Motaghedi, Tricia Breen Carmichael, Simon Rondeau-Gagné and Mohammed Jalal Ahamed
Sensors 2024, 24(9), 2944; https://doi.org/10.3390/s24092944 - 6 May 2024
Cited by 6 | Viewed by 4276
Abstract
Gait phase monitoring wearable sensors play a crucial role in assessing both health and athletic performance, offering valuable insights into an individual’s gait pattern. In this study, we introduced a simple and cost-effective capacitive gait sensor manufacturing approach, utilizing a micropatterned polydimethylsiloxane dielectric [...] Read more.
Gait phase monitoring wearable sensors play a crucial role in assessing both health and athletic performance, offering valuable insights into an individual’s gait pattern. In this study, we introduced a simple and cost-effective capacitive gait sensor manufacturing approach, utilizing a micropatterned polydimethylsiloxane dielectric layer placed between screen-printed silver electrodes. The sensor demonstrated inherent stretchability and durability, even when the electrode was bent at a 45-degree angle, it maintained an electrode resistance of approximately 3 Ω. This feature is particularly advantageous for gait monitoring applications. Furthermore, the fabricated flexible capacitive pressure sensor exhibited higher sensitivity and linearity at both low and high pressure and displayed very good stability. Notably, the sensors demonstrated rapid response and recovery times for both under low and high pressure. To further explore the capabilities of these new sensors, they were successfully tested as insole-type pressure sensors for real-time gait signal monitoring. The sensors displayed a well-balanced combination of sensitivity and response time, making them well-suited for gait analysis. Beyond gait analysis, the proposed sensor holds the potential for a wide range of applications within biomedical, sports, and commercial systems where soft and conformable sensors are preferred. Full article
(This article belongs to the Special Issue Intelligent Wearable Sensor-Based Gait and Movement Analysis)
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17 pages, 3788 KB  
Article
Adaptive Lifting Index (aLI) for Real-Time Instrumental Biomechanical Risk Assessment: Concepts, Mathematics, and First Experimental Results
by Alberto Ranavolo, Arash Ajoudani, Giorgia Chini, Marta Lorenzini and Tiwana Varrecchia
Sensors 2024, 24(5), 1474; https://doi.org/10.3390/s24051474 - 24 Feb 2024
Cited by 5 | Viewed by 2019
Abstract
When performing lifting tasks at work, the Lifting Index (LI) is widely used to prevent work-related low-back disorders, but it presents criticalities pertaining to measurement accuracy and precision. Wearable sensor networks, such as sensorized insoles and inertial measurement units, could improve [...] Read more.
When performing lifting tasks at work, the Lifting Index (LI) is widely used to prevent work-related low-back disorders, but it presents criticalities pertaining to measurement accuracy and precision. Wearable sensor networks, such as sensorized insoles and inertial measurement units, could improve biomechanical risk assessment by enabling the computation of an adaptive LI (aLI) that changes over time in relation to the actual method of carrying out lifting. This study aims to illustrate the concepts and mathematics underlying aLI computation and compare aLI calculations in real-time using wearable sensors and force platforms with the LI estimated with the standard method used by ergonomists and occupational health and safety technicians. To reach this aim, 10 participants performed six lifting tasks under two risk conditions. The results show us that the aLI value rapidly converges towards the reference value in all tasks, suggesting a promising use of adaptive algorithms and instrumental tools for biomechanical risk assessment. Full article
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16 pages, 7684 KB  
Article
Slip Risk Prediction Using Intelligent Insoles and a Slip Simulator
by Shuo Xu, Md Javed Imtiaze Khan, Meysam Khaleghian and Anahita Emami
Electronics 2023, 12(21), 4393; https://doi.org/10.3390/electronics12214393 - 24 Oct 2023
Cited by 1 | Viewed by 1826
Abstract
Slip and fall accidents are the leading cause of injuries for all ages, and for fatal injuries in adults over 65 years. Various factors, such as floor surface conditions and contaminants, shoe tread patterns, and gait behavior, affect the slip risk. Moreover, the [...] Read more.
Slip and fall accidents are the leading cause of injuries for all ages, and for fatal injuries in adults over 65 years. Various factors, such as floor surface conditions and contaminants, shoe tread patterns, and gait behavior, affect the slip risk. Moreover, the friction between the shoe outsoles and the floor continuously changes as their surfaces undergo normal wear over time. However, continuous assessment of slip resistance is very challenging with conventional measurement techniques. This study addresses this challenge by introducing a novel approach that combines sensor fusion technology and machine learning techniques to create intelligent insoles designed for fall risk prediction. In addition, a state-of-the-art slip simulator, capable of mimicking the foot’s motion during a slip, was developed and utilized for the assessment of slipperiness between various shoes and floor surfaces. Data acquisition involved the collection of pressure data and three-axial accelerations using instrumented shoe insoles, complemented by friction coefficient measurements via the slip simulator. The collected dataset includes four types of shoes, three floor surfaces, and four surface conditions, including dry, wet, soapy, and oily. After preprocessing of the collected dataset, the simulator was used to train five different machine learning algorithms for slip risk classification. The trained algorithms provided promising results for slip risk prediction for different conditions, offering the potential to be employed in real-time slip risk prediction and safety enhancement. Full article
(This article belongs to the Special Issue Predictive and Learning Control in Engineering Applications)
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13 pages, 2548 KB  
Article
Foot Sole Contact Forces vs. Ground Contact Forces to Obtain Foot Joint Moments for In-Shoe Gait—A Preliminary Study
by Joaquín L. Sancho-Bru, Enrique Sanchis-Sales, Pablo J. Rodríguez-Cervantes and Carles Vergés-Salas
Sensors 2023, 23(15), 6744; https://doi.org/10.3390/s23156744 - 28 Jul 2023
Cited by 2 | Viewed by 2907
Abstract
In-shoe models are required to extend the clinical application of current multisegment kinetic models of the bare foot to study the effect of foot orthoses. Work to date has only addressed marker placement for reliable kinematic analyses. The purpose of this study is [...] Read more.
In-shoe models are required to extend the clinical application of current multisegment kinetic models of the bare foot to study the effect of foot orthoses. Work to date has only addressed marker placement for reliable kinematic analyses. The purpose of this study is to address the difficulties of recording contact forces with available sensors. Ten participants walked 5 times wearing two different types of footwear by stepping on a pressure platform (ground contact forces) while wearing in-shoe pressure sensors (foot sole contact forces). Pressure data were segmented by considering contact cells’ anteroposterior location, and were used to compute 3D moments at foot joints. The mean values and 95% confidence intervals were plotted for each device per shoe condition. The peak values and times of forces and moments were computed per participant and trial under each condition, and were compared using mixed-effect tests. Test–retest reliability was analyzed by means of intraclass correlation coefficients. The curve profiles from both devices were similar, with higher joint moments for the instrumented insoles at the metatarsophalangeal joint (~26%), which were lower at the ankle (~8%) and midtarsal (~15%) joints, although the differences were nonsignificant. Not considering frictional forces resulted in ~20% lower peaks at the ankle moments compared to previous studies, which employed force plates. The device affected both shoe conditions in the same way, which suggests the interchangeability of measuring joint moments with one or the other device. This hypothesis was reinforced by the intraclass correlation coefficients, which were higher for the peak values, although only moderate-to-good. In short, both considered alternatives have drawbacks. Only the instrumented in-soles provided direct information about foot contact forces, but it was incomplete (evidenced by the difference in ankle moments between devices). However, recording ground reaction forces offers the advantage of enabling the consideration of contact friction forces (using force plates in series, or combining a pressure platform and a force plate to estimate friction forces and torque), which are less invasive than instrumented insoles (which may affect subjects’ gait). Full article
(This article belongs to the Collection Sensors for Gait, Human Movement Analysis, and Health Monitoring)
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14 pages, 2737 KB  
Article
A Single-Sensor Approach to Quantify Gait in Patients with Hereditary Spastic Paraplegia
by Linda M. A. van Gelder, Tecla Bonci, Ellen E. Buckley, Kathryn Price, Francesca Salis, Marios Hadjivassiliou, Claudia Mazzà and Channa Hewamadduma
Sensors 2023, 23(14), 6563; https://doi.org/10.3390/s23146563 - 20 Jul 2023
Cited by 3 | Viewed by 2300
Abstract
Hereditary spastic paraplegia (HSP) is characterised by progressive lower-limb spasticity and weakness resulting in ambulation difficulties. During clinical practice, walking is observed and/or assessed by timed 10-metre walk tests; time, feasibility, and methodological reliability are barriers to detailed characterisation of patients’ walking abilities [...] Read more.
Hereditary spastic paraplegia (HSP) is characterised by progressive lower-limb spasticity and weakness resulting in ambulation difficulties. During clinical practice, walking is observed and/or assessed by timed 10-metre walk tests; time, feasibility, and methodological reliability are barriers to detailed characterisation of patients’ walking abilities when instrumenting this test. Wearable sensors have the potential to overcome such drawbacks once a validated approach is available for patients with HSP. Therefore, while limiting patients’ and assessors’ burdens, this study aims to validate the adoption of a single lower-back wearable inertial sensor approach for step detection in HSP patients; this is the first essential algorithmic step in quantifying most gait temporal metrics. After filtering the 3D acceleration signal based on its smoothness and enhancing the step-related peaks, initial contacts (ICs) were identified as positive zero-crossings of the processed signal. The proposed approach was validated on thirteen individuals with HSP while they performed three 10-metre tests and wore pressure insoles used as a gold standard. Overall, the single-sensor approach detected 794 ICs (87% correctly identified) with high accuracy (median absolute errors (mae): 0.05 s) and excellent reliability (ICC = 1.00). Although about 12% of the ICs were missed and the use of walking aids introduced extra ICs, a minor impact was observed on the step time quantifications (mae 0.03 s (5.1%), ICC = 0.89); the use of walking aids caused no significant differences in the average step time quantifications. Therefore, the proposed single-sensor approach provides a reliable methodology for step identification in HSP, augmenting the gait information that can be accurately and objectively extracted from patients with HSP during their clinical assessment. Full article
(This article belongs to the Special Issue Wearable and Unobtrusive Technologies for Healthcare Monitoring)
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13 pages, 2201 KB  
Article
Hip Joint Angles and Moments during Stair Ascent Using Neural Networks and Wearable Sensors
by Megan V. McCabe, Douglas W. Van Citters and Ryan M. Chapman
Bioengineering 2023, 10(7), 784; https://doi.org/10.3390/bioengineering10070784 - 30 Jun 2023
Cited by 9 | Viewed by 3876
Abstract
End-stage hip joint osteoarthritis treatment, known as total hip arthroplasty (THA), improves satisfaction, life quality, and activities of daily living (ADL) function. Postoperatively, evaluating how patients move (i.e., their kinematics/kinetics) during ADL often requires visits to clinics or specialized biomechanics laboratories. Prior work [...] Read more.
End-stage hip joint osteoarthritis treatment, known as total hip arthroplasty (THA), improves satisfaction, life quality, and activities of daily living (ADL) function. Postoperatively, evaluating how patients move (i.e., their kinematics/kinetics) during ADL often requires visits to clinics or specialized biomechanics laboratories. Prior work in our lab and others have leveraged wearables and machine learning approaches such as artificial neural networks (ANNs) to quantify hip angles/moments during simple ADL such as walking. Although level-ground ambulation is necessary for patient satisfaction and post-THA function, other tasks such as stair ascent may be more critical for improvement. This study utilized wearable sensors/ANNs to quantify sagittal/frontal plane angles and moments of the hip joint during stair ascent from 17 healthy subjects. Shin/thigh-mounted inertial measurement units and force insole data were inputted to an ANN (2 hidden layers, 10 total nodes). These results were compared to gold-standard optical motion capture and force-measuring insoles. The wearable-ANN approach performed well, achieving rRMSE = 17.7% and R2 = 0.77 (sagittal angle/moment: rRMSE = 17.7 ± 1.2%/14.1 ± 0.80%, R2 = 0.80 ± 0.02/0.77 ± 0.02; frontal angle/moment: rRMSE = 26.4 ± 1.4%/12.7 ± 1.1%, R2 = 0.59 ± 0.02/0.93 ± 0.01). While we only evaluated healthy subjects herein, this approach is simple and human-centered and could provide portable technology for quantifying patient hip biomechanics in future investigations. Full article
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