Cosentino S, Kasai R, Gu Z, Sessa S, Kawakami Y, Takanishi A
Annu Int Conf IEEE Eng Med Biol Soc. 2018 Jul;2018:1554-1557. doi: 10.1109/EMBC.2018.8512518.
Preserving mobility, the ability to keep a correct posture and dynamic balance in order to walk properly, is fundamental to maintain autonomy in daily life. Based on the correlation between muscle groups and autonomy, previous research has suggested that maintaining muscular tone in knee extensors is critical. Continuous training of knee extensors during aging is therefore essential to maintain independence. In this work, it is hypothesized that it is possible to estimate knee extensor activity only from IMU data based on a simple lower limbs model. The accuracy of the knee extensor activity estimation algorithm has been tested using sEMG measurements as control data on three different walking patterns: normal walk, fast walk and stair climbing. Estimated knee torque area and measured muscular activity for each step were compared confirming a high estimation accuracy with a correlation efficient R=0.80. Moreover, muscular activity can be divided based on intensity in three groups of statistically significant difference confirmed by the Steel-Dwass method. Future works should test the usability of the algorithm for different walking patterns, and use the collected data and the refined algorithm to implement a smart resistive device to increase knee extensor exertion during each walking pattern to the level necessary for sufficient extensor training.
保持行动能力,即保持正确姿势和动态平衡以便正常行走的能力,对于在日常生活中维持自主生活至关重要。基于肌肉群与自主生活能力之间的相关性,先前的研究表明,保持膝伸肌的肌张力至关重要。因此,在衰老过程中持续训练膝伸肌对于维持独立性至关重要。在这项研究中,我们假设基于一个简单的下肢模型,仅从惯性测量单元(IMU)数据就有可能估计膝伸肌的活动。我们使用表面肌电图(sEMG)测量作为对照数据,在三种不同的行走模式下测试了膝伸肌活动估计算法的准确性:正常行走、快速行走和爬楼梯。比较了每一步的估计膝扭矩面积和测量的肌肉活动,证实了该算法具有较高的估计准确性,相关系数R = 0.80。此外,根据强度可将肌肉活动分为三组,经Steel-Dwass方法确认具有统计学显著差异。未来的工作应测试该算法在不同行走模式下的可用性,并使用收集到的数据和优化后的算法来实现一种智能阻力装置,以在每种行走模式下将膝伸肌的用力增加到足够的伸肌训练所需的水平。