The disclosed principles relate generally to body movement and posture evaluation, and more particularly to a novel 3D sensor network for mapping body movement and posture.
Gravity plays an essential role in pulling people down to the ground (earth). Consequently, humans fight against gravity most fiercely in the early stage of life, e.g., as a toddler, as well as in the later stage, e.g., as an older or elderly adult. For older adults to maintain independent living, it is critical that they need to demonstrate ability to walk with upright posture with or without an assistive device such as a cane.
Leaning posture and unstable gait are very common reasons that may cause balance deficits and frequent falls in older adults. Moreover, accidental falls are the leading cause of death in people who are 65 years and older. Typically, one supposes to walk in an upright posture, which makes the person's center of gravity (COG) fall perpendicularly (plummet line) on the center of the person's base of support (BOS). The COG for a person is normally at the level of the 2nd sacral vertebra at the upright posture. The BOS for a person is the area bounded by both feet in contact with ground/floor when a person is standing with both feet, or the area just bounded by the foot, when one is standing on a single foot.
During standing or walking, a person has to maintain his/her COG constantly and consistently within the BOS. However, an unstable walking pattern or posture problem, such as leaning forward or sideways, could change a person's COG and result in deviation of the COG plummet line away from the center of the BOS. When the deviation is too much, the fall will consequently occur.
The human body is an integrated system that is interconnected and interacted by many joints at head/neck, shoulder, trunk, hip, knee, and ankle locations. These joints work together to maintain a person in upright posture and stable gait. When one joint becomes weak, other joints will typically compensate. Practically, the more a joint plays a compensatory role, the more possible the body posture and gait will change. When an assistive walking device, such as walking cane or stick, is used, the COG & BOS will be changed for a human body in order to gain balance during standing and walking
Despite the need for systems and methods to monitor the posture and gait of a person, conventionally available body sensor systems do not monitor the entire body movement of a person, including monitoring the person's COG & BOS. For example,
Even more generally, such mechanical tracking devices are limited to providing data on the movement of the joint they are connected to, and are not capable of providing movement information in relation to the movement of other joints and locations across the wearer's body, as well as movement and position of the wearer's body as a whole. Monitoring of the whole body movement is also a crucial evaluation tool when an assistive walking device is used, and such limited mechanical trackers cannot provide data on such assistive walking devices. Accordingly, what is needed in the art is a system and method for monitoring and evaluating the whole body movement of a person, with or without a walking device that does not suffer from the deficiencies of conventional approaches.
The disclosed principles provide wearable body sensor systems and related methods to evaluate the whole body movement with or without an assistive walking device. More specifically, the disclosed principles monitor the whole body movement including COG & BOS with a 3-dimensional (3D) mapping over a given period of time. The COG and BOS of a person are dynamic as the person moves, and thus the disclosed principles provide a number of objectives, which include providing a wearable body 3D sensor network that can constantly monitor change of COG over the BOS during daily mobility to clinically evaluate older adults in maintaining upright posture and to help prevent falls in senior living communities and to clinically establish a quantitative mathematical model to determine the stability of the older adults. More specifically, in advantageous embodiments, a wearer of the body sensor network (e.g., a patient) may have a baseline or threshold established by having their posture, gait, or other body positions and movements monitored and recorded using the sensor network. That baseline data may then be stored and compared against the wearer's later body positions and movements to detect degradation in one or more positions or movements over time, and additionally detect potentials for falls or other detrimental results of the wearer's current and ongoing body positioning and movement.
Exemplary implementations may include use for an older adult whose body position or gait unconsciously continues to or increasingly walks in a leaning-forward posture during daily mobility with or without using a cane or a walker. The disclosed sensor technique would be able to alert the sensor user to straighten his body up as a preventative measure to protect the body from developing a kyphotic (leaning-forward) posture. Moreover, the sensor network and system may alert caretakers, doctors, etc. of the situation as it occurs, and even predict a continual degradation. In other implementations, a user of a disclosed sensor system may turn his head (a head/neck movement on an axial plane) and as a result fall on the floor without being seen by others. The data from the system can be used for data tracking to see which joint initiated the chain-reaction that led to the fall. In yet another exemplary implementation, for a person who is receiving interventions for balance or gait deficiencies, a system in accordance with the disclosed principles is able to monitor how the body progresses in terms of joints and joint movements using 3D mapping.
In one particular embodiment, a system constructed in accordance with the disclosed principles is configured for evaluating movement of a human body, and may comprise a central sensor node positioned substantially at the center of gravity of the body. In addition, such a system may also comprise a network of sensors dispersed about predetermined locations on the body, and configured to gather data regarding positions of the predetermined locations on the body during movement of the body's center of gravity with respect to the body's base of support. Such system may further comprise a computing device configured to receive sensor data from the central sensor node and the network of sensors. Based on the received data, the computing device may be configured to detect balance deficiencies of the body based on positions of the body's center of gravity in relation to its base of support during movement of the body, as well as evaluate the gathered data to determine unfavorable positions of one or more of the predetermined locations during detected balance deficiencies. Still further, exemplary embodiments of the disclosed system may also include a feedback device configured to provide feedback when one or more of the predetermined locations of the body moves into one or more corresponding unfavorable positions. The feedback may be provided to the wearer, to personnel tasked with monitoring the well-being of the wearer, or both.
In other aspects, methods for evaluating movement of a human body in accordance with the disclosed principles are also disclosed herein. In one embodiment, such a method may comprise detecting the body's center of gravity using data gathered from a central sensor. Such a method may further comprise gathering data from a network of sensors positioned at predetermined locations on the body during movement of the body's center of gravity with respect to the body's base of support. In such embodiments, the method may also include detecting, based on the data gathered from the central sensor and the network of sensors, balance deficiencies of the body based on positions of the body's center of gravity in relation to its base of support during movement of the body. In addition, such methods may also include evaluating the gathered data to determine unfavorable positions of one or more of the predetermined locations during detected balance deficiencies. Moreover, such exemplary methods may also include providing feedback when one or more of the predetermined locations of the body moves into one or more corresponding unfavorable positions.
Exemplary embodiments of the disclosed principles are described herein with reference to the following drawings, in which like numerals identify similar components, and in which:
As introduced above, the disclosed principles provide 3D body sensor systems and methods for prevention and intervention for persons having balance deficits consequently resulting in injuring falls. Such a 3D network makes it possible to capture real-time human body movement and posture in an ambulatory situation without the need of mechanical goniometers or external cameras. Initially captured data may be compared against later captured to detect and predict deteriorating body positions and movements. In exemplary embodiments, the disclosed principles utilize semiconductor based microelectromechanical system (MEMS) 3D inertial sensors to capture the movement of joint-based body parts/locations and dynamic change of posture during ambulation for the purpose of motion analysis. Such MEMS inertial sensors combine the signals from 3D gyroscopes, 3D accelerometers, and 3D magnetometers (compass sensors), in addition to other components, to provide the data employed by systems and methods of the disclosed principles. Of course, other types of sensor technology, either now existing or later developed, may also be employed with the novel 3D body mapping techniques disclosed herein.
Looking in particular at how such exemplary components work with the disclosed principles, gyroscopes are used to measure angular movement, and accelerometers are used to determine the direction of the local vertical by sensing acceleration due to gravity. In addition, magnetic sensors provide stability in the horizontal plane by sensing the direction of the earth magnetic field, such as with a compass. The disclosed principles may also utilize weight sensors to measure the weight pressure on each foot, as well as measure the weight pressure on an assistive walking device if such a walking device is used. The 3D sensor data and the weight sensor data captured through the sensor nodes throughout the user's body may then be used to evaluate the patient's full body movement, posture COG and BOS to determine whether a user has balance deficiencies. As noted above, although exemplary semiconductor MEMS sensors are discussed herein, any type of sensors that provide the same or equivalent data may also be implemented with the disclosed principles, and the present disclosure is not limited to any particular type of sensor.
Looking now at
The tracking provided by the disclosed principles may be implemented for any activity in which body position and movement are important, such as remote patient monitoring, individualized instruction and outcome evaluation for rehabilitation, and other health applications. Moreover, the accurate detection and remote tracking of the disclosed principles may be used to track and evaluate patient movement and posture assessment cost effectively. In addition, the disclosed principles can provide for onscreen display of a patient's body movement, posture change, COG, and BOS during the wearer's monitored movements and activities. Such an onscreen display of the patient's movement, posture change, COG, and BOS can be on a real-time basis or can be based on historical data that was captured and stored, for example, in a central sensor unit or in a database. A comparison of real-time data with historical data may be used to detect deficiencies in position or movement, such as for detecting and predicting deteriorating posture and possible falls.
The disclosed sensor network 200 is worn by a user for body motion capturing, and gathers data regarding the user's body position and movement to generate a 3D mapping of that movement or posture for evaluation as disclosed herein. As illustrated in
Such positioning for the central sensor at the wearer's COG is important for detecting changes in the wearer's COG over his BOS, using the central sensor in conjunction with the overall network of strategically positioned sensors, which may then be used detect and predict deteriorating posture and potential falls. Also, sensor nodes may be positioned at the wearer's head, as well as one or more locations on the wearer's arms or legs. Such locations may include the shoulders, elbows, and hands/wrists for the arm locations, and the knees, thighs, and feet/ankles for the leg locations. However, these locations are merely exemplary and the disclosed principles may be implemented with any sensor locations that are capable of capturing full body motion capture data. Further, an assistive walking device (e.g., a cane) of the wearer 210 may also be fitted with a geolocation device, such as a GPS tracker 220. Such a GPS tracker 220 on the waking device can assist with determining the geographic location of the wearer 210, if desired, and is discussed in further detail below. Moreover, locations for each sensor node may be selected based on the type of body motion being captured for evaluation. Accordingly, those who are skilled in the pertinent field of art will understand what body locations may thus be used when implementing the 3D body motion mapping provided by the disclosed principles.
When configuring a 3D body movement mapping network, the various sensor nodes 205 may be connected to a central sensor node 220 via a wired or wireless connection to create the sensor network 200. In exemplary embodiments, the central sensor node 220 not only can provide sensor data itself, such as at the body's core location as shown in
Based on the gathered sensor data, the disclosed principles may provide feedback to the wearer to assist in correcting any type of posture or movement issue detected by the network 200. Such detection and feedback may be immediate with regard to when a movement or posture issue is detected. For example, an alarm, which may be a vibration alarm or audible alarm, or any other type of audible, visual, vibrational, textual, or verbal cue, may be used to provide such feedback. Moreover, the feedback may be provided by the sensor nodes 205, 220, or may be provided at one or more other locations on the user's body. More specifically, feedback may be provided at the location(s) of the wearer's body where the problem is occurring or where correction should occur. In other embodiments, the feedback may be provided at a predetermined location, such as via a wristband or necklace worn by the user. Also, the feedback could be provided other than on the user's body, such as to a mobile device carrier by the user, or perhaps by components provided in the user's walking device. Still further, the feedback may not be immediate when detected, and may instead be provided to the user or other person after the fact, as information to be presented to the user once data has been gathered and evaluated. The feedback may also be provided to personnel monitoring the position and movement of the user, such as a doctor of caretaker.
Looking now at
The inertia sensors 310, which may include a gyroscope, accelerometer, and/or magnetometer, are used to capture the data of body movement and posture change at each sensor node's location to create a 3D map of such movement and posture of the wearer. The microcontroller 305 may provide control of the sensors with each sensor node 300, as well as how the data captured by the sensors 310 is maintained and sent for evaluation. The captured movement and posture data may then be transmitted to the central sensor node via the wired or wireless connection interface 315, or may be transmitted to a dedicated computing device via the interface 315. In wireless interconnected embodiments, the sensor nodes may be interconnected with existing wireless networking technology, such as ZigBee®, Bluetooth, or other wireless technology, either now existing or later developed.
Turning to
The central sensor node 405 is a sensor node that contains all the functionality of the typical sensor node, such as the sensor node 300 illustrated in
In addition to the wireless connection interface components for interconnecting the central sensor node 405 with other sensor nodes in the network, the central censor node 405 also contains wireless connection with large bandwidth, such as WiFi or Bluetooth, in order to move the data from the local memory storage 425 to a PC or mobile computing device external to the network. Additionally, the central sensor node 405 may contain communication capability via a mobile phone telecommunications network, in which case the movement and posture data can be sent via the mobile phone data network to the external remote computing device.
Referring now to
In addition to such functionality, the bottom sensor node 500 also comprises a weight sensor 520. More specifically, when an assistive walking device, such as a walking stick or cane, is used, the bottom sensor node 500 may be added to the bottom of that assistive walking device. Additionally, such a bottom sensor node 500 may also be employed at the bottom locations of the wearer's body, such as at the bottoms of the wearer's feet. In any of those implementations, the weight sensor 520 provides additional data for the disclosed 3D movement mapping technique, namely the amount of weight applied to the assistive walking device, or each foot of the wearer, at a given point in time.
Looking now at
In addition to these components and functionality of the central sensor node 405, the disclosed principles may also employ GPS information. More specifically, the GPS information may be provided using a GPS tracker 605 or similar device, which is configured to provide the geographic location of the wearer of the sensor node network. In exemplary embodiments, when the GPS tracker 605 is used, the GPS coordinates of the wearer provided by the tracker may be captured and stored along with the movement and posture data. Such GPS coordinates or other information may be displayed on a display screen in a real time or displayed based on stored data. Moreover, “street images” such as those provide by software like Google® Street View or similar technology may be superimposed with captured data so that the captured movement and posture of the wearer may be interpreted more accurately based on real outdoor walking environments and conditions experienced by the user when movement data has been detected and acquired.
As compared with previously reported inertia sensors used for human body movement detection, the disclosed principles provide a 3D movement mapping network with a number of advantages over conventional approaches. For example, the disclosed 3D network provides information on many more specific body joints, such as head/neck and shoulder regions. This results in a more complete mapping of the wearer's body segments.
Conventional approaches either cover too few joints or use fewer sensors for motion-sensing. In an exemplary embodiment, the disclosed network is comprised of 12 sensor nodes, located at specifically selected locations of the body in order to capture the most complete movement data of the human body with respect to an identification of how the plummet line through the COG moves dynamically within the BOS. Such information has not been provided or reported before in conventional body sensor mapping, regardless of the type of sensors employed in those approaches.
Looking at
In the disclosed 3D movement and posture mapping network, the inertia sensors included in each sensor node are combined with pressure sensors such that they will provide not only data of motion but also data of quantitative pressure values resulting from the motion of body segments. In addition,
As shown in
As discussed above, the sensor nodes in the disclosed network have various sensors for measuring various data points. For example, gyroscopes may be used to measure angular movement and accelerometers may be used to determine the direction of the linear movement by sensing acceleration due to gravity. The disclosed principles also employ weight sensor to measure the weight pressure on each foot, and the weight pressure on an assistive walking device if the device is used. The data captured by the sensor nodes throughout the wearer's body may then be used to evaluate:
Movements of body segments, movement of COG, size of BOS, gait parameters (velocity, cadence, stance, and swing time, step and stride length), and gait pressure can be accurately tracked and represented by the inertia sensors and pressure sensors of the disclosed network. With such accurate remote tracking, a wearer's data of balance and gait can thus be traced and evaluated cost effectively either on a real time basis or on recorded basis for later playback. Moreover, an on-screen simulation of a wearer's body movement, posture change, movement of COG over the BOS, and gait pattern during indoor or outdoor activities may also be displayed and evaluated. The recorded data can be stored in the subject's personal history file for progress analysis days, months, or even years later. Original data for a wearer may also be captured, and then a comparison of real-time data with historical data may be used to detect deficiencies in position or movement on an ongoing basis, such as for detecting and predicting deteriorating posture and possible falls. In addition, as detailed above, the data may also be used to provide immediate feedback to the wearer, which assists the wearer in his ongoing movement and posture improvement efforts.
In an exemplary application of the disclosed principles, the size and shape of a wearer's BOS depends on the number of feet standing on the ground, and how those feet are positioned with respect to each other.
For determining the angle of the COG, the movement of a central sensor node placed, for example, at the L4 vertebral spinous process may indicate the dynamic location of the COG plummet line over the center of the BOS. In a static upright standing (baseline) position, the plummet line (COG over BOS) should pass through both the central node and the center of the BOS, but the body will still sway around or deviate away from the vertical plummet line more or less depending on the individual's balance ability. In other words, when the body sways or changes position, the line between the COG (central sensor node) and the center of the BOS will deviate at an angle away from the original vertical plummet line. That angle may be defined as the COG angle.
Additionally, the detection of the LOS will typically differ for each wearer of the disclosed sensor network, and will also change over time due to the dynamic nature of the wearer's COG and BOS as the wearer moves. Thus, a wearer of the body sensor network (e.g., a patient) may have a baseline or threshold established by having their posture, gait, or other body positions and movements initially monitored and recorded using the disclosed sensor network. That baseline data may then be stored and compared against the wearer's later body positions and movements, as continually detected by the disclosed sensor network, to detect degradation in one or more positions or movements over time, and additionally detect the potential for falls or other detrimental results of the wearer's current and ongoing body positioning and movement.
With the ability of a system or method implemented in accordance with the disclosed principles to obtain complete and detailed balance, gait, and posture information, the disclosed 3D movement and posture mapping network is a valuable tool for physicians to build up a patient's baseline balance, gait, and posture profile, and perform periodic evaluations of the patient's profile. In addition, the obtained individualized information may be employed for the individual patient to use in any environment, even when the user is alone at home. In such embodiments, immediate feedback may be employed to assist the individual in correcting any movement or posture deficiencies, as well as to collect data for later review by the individual in addition to any clinical review. Original data for a wearer may also be compared against real-time data to detect deficiencies in position or movement on an ongoing basis, such as for detecting and predicting deteriorating posture and possible falls.
In this example, the LOS for this particular wearer may have been determined to be when the deviation of the wearer's COG over his BOS exceeds approximately 1 inch in any direction. Such determination may differ for each wearer, and therefore a baseline or threshold measurement(s) may be obtain initially, and recorded for individualized comparison for each wearer. For the particular wearer in this embodiment,
Looking finally at
At step 1306, the process determines if there is a measureable change in the current walking pattern when compared to the baseline pattern, again using the dynamic change in both COG over BOS of the wearer over time. The amount of measureable change may be any predetermined amount, and will differ between wearers. If the detected pattern change exceeds the predetermined threshold, the moves to step 1307 where a doctor or other monitoring personnel may be notified of the issue. The notification may be based on the wearer's walking pattern deteriorating beyond a predetermined (e.g., “safe”) point, or may even be based on the newly detected walking pattern demonstrating that the wearer has fallen. The doctor or other personnel may then address the issue with the wearer, for example, providing a walking assistance device or therapy or other procedure to address the deficiency.
If at step 1306 any detected changes in the walking pattern of the wearer did not exceed the predetermined threshold, the process moves to step 1308 where the newly gathered data may be analyzed and the results used to predict the deterioration of the wearer's walking pattern. If that analysis determines that there is a deteriorating trend, the process then determines at step 1309 whether that trends exceeds a predetermined limit, and thus a trend issue is present. If such an issue is present, the process may then move to the notification of a doctor or other personnel to address the trend issue with the wearer in whatever manner can help the wearer correct the deficiency. If the current walking pattern does not raise a trend issue, the process moves to step 1310, where new and current data of the walking pattern of the wearer is gathered. Then the process reverts back to the beginning, where the newly captured data is stored and then analyzed for changes in walking pattern.
Although the process of
While various embodiments in accordance with the principles disclosed herein have been described above, it should be understood that they have been presented by way of example only, and not limitation. Thus, the breadth and scope of this disclosure should not be limited by any of the above-described exemplary embodiments, but should be defined only in accordance with any claims and their equivalents issuing from this disclosure. Furthermore, the above advantages and features are provided in described embodiments, but shall not limit the application of such issued claims to processes and structures accomplishing any or all of the above advantages.
Additionally, the section headings herein are provided for consistency with the suggestions under 37 C.F.R. 1.77 or otherwise to provide organizational cues. These headings shall not limit or characterize the invention(s) set out in any claims that may issue from this disclosure. Specifically and by way of example, although the headings refer to a “Technical Field,” the claims should not be limited by the language chosen under this heading to describe the so-called field. Further, a description of a technology in the “Background” is not to be construed as an admission that certain technology is prior art to any embodiment(s) in this disclosure. Neither is the “Summary” to be considered as a characterization of the embodiment(s) set forth in issued claims. Furthermore, any reference in this disclosure to “invention” in the singular should not be used to argue that there is only a single point of novelty in this disclosure. Multiple embodiments may be set forth according to the limitations of the multiple claims issuing from this disclosure, and such claims accordingly define the embodiment(s), and their equivalents, that are protected thereby. In all instances, the scope of such claims shall be considered on their own merits in light of this disclosure, but should not be constrained by the headings set forth herein.
The present disclosure is a non-provisional conversion of, and thus claims priority to, U.S. Provisional Patent Application No. 61/784,123, filed Mar. 14, 2013, which is herein incorporated by reference in its entirety for all purposes.
Number | Date | Country | |
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61784123 | Mar 2013 | US |