IEEE J Biomed Health Inform. 2016 May;20(3):893-901. doi: 10.1109/JBHI.2015.2430524. Epub 2015 May 6.
Autonomous poststroke rehabilitation systems which can be deployed outside hospital with no or reduced supervision have attracted increasing amount of research attentions due to the high expenditure associated with the current inpatient stroke rehabilitation systems. To realize an autonomous systems, a reliable patient monitoring technique which can automatically record and classify patient's motion during training sessions is essential. In order to minimize the cost and operational complexity, the combination of nonvisual-based inertia sensing devices and pattern recognition algorithms are often considered more suitable in such applications. However, the high motion irregularity due to stroke patients' body function impairment has significantly increased the classification difficulty. A novel fuzzy kernel motion classifier specifically designed for stroke patient's rehabilitation training motion classification is presented in this paper. The proposed classifier utilizes geometrically unconstrained fuzzy membership functions to address the motion class overlapping issue, and thus, it can achieve highly accurate motion classification even with poorly performed motion samples. In order to validate the performance of the classifier, experiments have been conducted using real motion data sampled from stroke patients with a wide range of impairment level and the results have demonstrated that the proposed classifier is superior in terms of error rate compared to other popular algorithms.
由于当前住院脑卒中康复系统费用高昂,能够在医院外无监督或减少监督的情况下部署的自主脑卒中康复系统引起了越来越多的研究关注。为了实现自主系统,需要一种可靠的患者监测技术,该技术可以在训练过程中自动记录和分类患者的运动。为了降低成本和操作复杂性,通常认为非视觉惯性感应设备和模式识别算法的组合更适用于此类应用。然而,由于脑卒中患者身体功能障碍导致的运动不规则性显著增加了分类难度。本文提出了一种专门为脑卒中患者康复训练运动分类设计的模糊核运动分类器。所提出的分类器利用几何上不受约束的模糊隶属函数来解决运动类重叠问题,因此,即使是运动样本表现不佳,它也可以实现非常准确的运动分类。为了验证分类器的性能,使用从具有广泛损伤程度的脑卒中患者中采集的真实运动数据进行了实验,结果表明,与其他流行算法相比,所提出的分类器在误差率方面具有优势。