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Real-Time Detection of Seven Phases of Gait in Children with Cerebral Palsy Using Two Gyroscopes

机译:使用两个陀螺仪实时检测脑瘫患儿的七个步态

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摘要

A recently designed gait phase detection (GPD) system, with the ability to detect all seven phases of gait in healthy adults, was modified for GPD in children with cerebral palsy (CP). A shank-attached gyroscope sent angular velocity to a rule-based algorithm in LabVIEW to identify the distinct characteristics of the signal. Seven typically developing children (TD) and five children with CP were asked to walk on treadmill at their self-selected speed while using this system. Using only shank angular velocity, all seven phases of gait (Loading Response, Mid-Stance, Terminal Stance, Pre-Swing, Initial Swing, Mid-Swing and Terminal Swing) were reliably detected in real time. System performance was validated against two established GPD methods: (1) force-sensing resistors (GPD-FSR) (for typically developing children) and (2) motion capture (GPD-MoCap) (for both typically developing children and children with CP). The system detected over 99% of the phases identified by GPD-FSR and GPD-MoCap. Absolute values of average gait phase onset detection deviations relative to GPD-MoCap were less than 100 ms for both TD children and children with CP. The newly designed system, with minimized sensor setup and low processing burden, is cosmetic and economical, making it a viable solution for real-time stand-alone and portable applications such as triggering functional electrical stimulation (FES) in rehabilitation systems. This paper verifies the applicability of the GPD system to identify specific gait events for triggering FES to enhance gait in children with CP.
机译:对脑瘫(CP)儿童的GPD进行了修改,设计了一种新近设计的步态阶段检测(GPD)系统,该系统能够检测健康成年人的所有七个步态。带有柄的陀螺仪将角速度发送到LabVIEW中的基于规则的算法,以识别信号的不同特征。在使用此系统时,要求七名典型的发育中儿童(TD)和五名患有CP的儿童在他们自己选择的速度下走跑步机。仅使用小腿角速度,就可以实时可靠地检测到步态的所有七个阶段(加载响应,中间姿态,终端姿态,预挥,初始挥,中挥和终挥)。系统性能已通过两种已建立的GPD方法进行了验证:(1)力敏电阻(GPD-FSR)(针对典型的发育中儿童)和(2)运动捕捉(GPD-MoCap)(针对典型的发育中儿童和CP患儿) 。系统检测到超过99%的GPD-FSR和GPD-MoCap识别相。 TD患儿和CP患儿相对于GPD-MoCap的平均步态开始发作偏差的绝对值均小于100 ms。新设计的系统具有最少的传感器设置和较低的处理负担,既美观又经济,使其成为实时独立和便携式应用(如在康复系统中触发功能性电刺激(FES))的可行解决方案。本文验证了GPD系统在识别特定步态事件以触发FES增强CP儿童步态方面的适用性。

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