Objective: Participation in a physical therapy program is considered one of the greatest predictors of successful conservative management of common shoulder disorders. However, adherence to these protocols is often poor and typically worse for unsupervised home exercise programs. Currently, there are limited tools available for objective measurement of adherence in the home setting. The goal of this study was to develop and evaluate the potential for performing home shoulder physiotherapy monitoring using a commercial smartwatch. Approach: Twenty healthy adult subjects with no prior shoulder disorders performed seven exercises from an evidence-based rotator cuff physiotherapy protocol, while 6-axis inertial sensor data was collected from the active extremity. Within an activity recognition chain (ARC) framework, four supervised learning algorithms were trained and optimized to classify the exercises: k-nearest neighbor (k-NN), random forest (RF), support vector machine classifier (SVC), and a convolutional recurrent neural network (CRNN). Algorithm performance was evaluated using 5-fold cross-validation stratified first temporally and then by subject. Main results: Categorical classification accuracy was above 94 for all algorithms on the temporally stratified cross validation, with the best performance achieved by the CRNN algorithm (99.4 ). The subject stratified cross validation, which evaluated classifier performance on unseen subjects, yielded lower accuracies scores again with CRNN performing best (88.9 ). Significance: This proof of concept study demonstrates the technical feasibility of a smartwatch device and supervised machine learning approach to more easily monitor and assess the at-home adherence of shoulder physiotherapy exercise protocols.
A great deal of active research is being conducted in the HAR field with inertial sensor data, and the reviews articles by @cite_1 and @cite_3 provide an excellent summary. HAR studies using wrist worn or smartwatch based inertial sensors have been performed , however, these authors address classification of activities of daily living. Inertial sensors have also been studied for use in clinical shoulder evaluation , kinematic analysis , range of motion measurement , and upper extremity pose estimation . To our knowledge, this study is the first to apply machine learning to wrist worn inertial sensor data for shoulder physiotherapy exercise recognition.
@cite_1 @cite_3
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This paper presents a review of different classification techniques used to recognize human activities from wearable inertial sensor data. Three inertial sensor units were used in this study and were worn by healthy subjects at key points of upper lower body limbs (chest, right thigh and left ankle). Three main steps describe the activity recognition process: sensors’ placement, data pre-processing and data classification. Four supervised classification techniques namely, k-Nearest Neighbor (k-NN), Support Vector Machines (SVM), Gaussian Mixture Models (GMM), and Random Forest (RF) as well as three unsupervised classification techniques namely, k-Means, Gaussian mixture models (GMM) and Hidden Markov Model (HMM), are compared in terms of correct classification rate, F-measure, recall, precision, and specificity. Raw data and extracted features are used separately as inputs of each classifier. The feature selection is performed using a wrapper approach based on the RF algorithm. Based on our experiments, the results obtained show that the k-NN classifier provides the best performance compared to other supervised classification algorithms, whereas the HMM classifier is the one that gives the best results among unsupervised classification algorithms. This comparison highlights which approach gives better performance in both supervised and unsupervised contexts. It should be noted that the obtained results are limited to the context of this study, which concerns the classification of the main daily living human activities using three wearable accelerometers placed at the chest, right shank and left ankle of the subject. The ability to accurately observe human motion and identify human activities is essential for developing automatic rehabilitation and sports training systems. In this paper, large-scale exercise motion data obtained from a forearm-worn wearable sensor are classified with a convolutional neural network (CNN). Time series data consisting of accelerometer and orientation measurements are formatted as "images", allowing the CNN to automatically extract discriminative features. The resulting CNN classifies 50 gym exercises with 92.14 accuracy. A comparative study on the effects of image formatting and different CNN architectures is also presented. This paper proposes an ego-motion tracking method that utilizes visual-inertial sensors for wearable blind navigation. The unique challenge of wearable motion tracking is to cope with arbitrary body motion and complex environmental dynamics. We introduce a visual sanity check to select accurate visual estimations by comparing visually estimated rotation with measured rotation by a gyroscope. The movement trajectory is recovered through adaptive fusion of visual estimations and inertial measurements, where the visual estimation outputs motion transformation between consecutive image captures, and inertial sensors measure translational acceleration and angular velocities. The frame rates of visual and inertial sensors are different, and vary with respect to time owning to visual sanity checks. We hence employ a multirate extended Kalman filter (EKF) to fuse visual and inertial estimations. The proposed method was tested in different indoor environments, and the results show its effectiveness and accuracy in ego-motion tracking. Wearable devices, such as smartwatches, are furnished with state-of-the-art sensors that enable a range of context-aware applications. However, malicious applications can misuse these sensors, if access is left unaudited. In this paper, we demonstrate how applications that have access to motion or inertial sensor data on a modern smartwatch can recover text typed on an external QWERTY keyboard. Due to the distinct nature of the perceptible motion sensor data, earlier research efforts on emanation based keystroke inference attacks are not readily applicable in this scenario. The proposed novel attack framework characterizes wrist movements (captured by the inertial sensors of the smartwatch worn on the wrist) observed during typing, based on the relative physical position of keys and the direction of transition between pairs of keys. Eavesdropped keystroke characteristics are then matched to candidate words in a dictionary. Multiple evaluations show that our keystroke inference framework has an alarmingly high classification accuracy and word recovery rate. With the information recovered from the wrist movements perceptible by a smartwatch, we exemplify the risks associated with unaudited access to seemingly innocuous sensors (e.g., accelerometers and gyroscopes) of wearable devices. As part of our efforts towards preventing such side-channel attacks, we also develop and evaluate a novel context-aware protection framework which can be used to automatically disable (or downgrade) access to motion sensors, whenever typing activity is detected.