Gait detection in children with and without hemiplegia using single-axis wearable gyroscopes

PLoS One. 2013 Sep 4;8(9):e73152. doi: 10.1371/journal.pone.0073152. eCollection 2013.

Abstract

In this work, we develop a novel gait phase detection algorithm based on a hidden Markov model, which uses data from foot-mounted single-axis gyroscopes as input. We explore whether the proposed gait detection algorithm can generate equivalent results as a reference signal provided by force sensitive resistors (FSRs) for typically developing children (TD) and children with hemiplegia (HC). We find that the algorithm faithfully reproduces reference results in terms of high values of sensitivity and specificity with respect to FSR signals. In addition, the algorithm distinguishes between TD and HC and is able to assess the level of gait ability in patients. Finally, we show that the algorithm can be adapted to enable real-time processing with high accuracy. Due to the small, inexpensive nature of gyroscopes utilized in this study and the ease of implementation of the developed algorithm, this work finds application in the on-going development of active orthoses designed for therapy and locomotion in children with gait pathologies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Case-Control Studies
  • Child
  • Gait*
  • Hemiplegia / physiopathology*
  • Humans
  • Markov Chains*
  • Monitoring, Ambulatory / instrumentation*

Grants and funding

This work was supported by a grant from the Italian Health Ministry (Grant 2009 ‘Pilot study on a novel typology of medical devices: exoskeleton for pediatric rehabilitation’, PC) and a grant from the Italian Institute of Technology (Project Seed 2009 ‘ITINERE - Interactive Technology: an Instrumented Novel Exoskeleton for REhabilitation’, PC). Nicole Abaid gratefully acknowledges the support of “Sapienza” University of Rome through a didactic fellowship in academic year 2011. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.