经 A 型超声肌电图和卷积神经网络对股骨截肢患者助行模式的分类。
Ambulation Mode Classification of Individuals with Transfemoral Amputation through A-Mode Sonomyography and Convolutional Neural Networks.
机构信息
Department of Mechanical Engineering, and Robotics Center, The University of Utah, Salt Lake City, UT 84112, USA.
Rocky Mountain Center for Occupational and Environmental Health, Salt Lake City, UT 84111, USA.
出版信息
Sensors (Basel). 2022 Dec 1;22(23):9350. doi: 10.3390/s22239350.
Many people struggle with mobility impairments due to lower limb amputations. To participate in society, they need to be able to walk on a wide variety of terrains, such as stairs, ramps, and level ground. Current lower limb powered prostheses require different control strategies for varying ambulation modes, and use data from mechanical sensors within the prosthesis to determine which ambulation mode the user is in. However, it can be challenging to distinguish between ambulation modes. Efforts have been made to improve classification accuracy by adding electromyography information, but this requires a large number of sensors, has a low signal-to-noise ratio, and cannot distinguish between superficial and deep muscle activations. An alternative sensing modality, A-mode ultrasound, can detect and distinguish between changes in superficial and deep muscles. It has also shown promising results in upper limb gesture classification. Despite these advantages, A-mode ultrasound has yet to be employed for lower limb activity classification. Here we show that A- mode ultrasound can classify ambulation mode with comparable, and in some cases, superior accuracy to mechanical sensing. In this study, seven transfemoral amputee subjects walked on an ambulation circuit while wearing A-mode ultrasound transducers, IMU sensors, and their passive prosthesis. The circuit consisted of sitting, standing, level-ground walking, ramp ascent, ramp descent, stair ascent, and stair descent, and a spatial-temporal convolutional network was trained to continuously classify these seven activities. Offline continuous classification with A-mode ultrasound alone was able to achieve an accuracy of 91.8±3.4%, compared with 93.8±3.0%, when using kinematic data alone. Combined kinematic and ultrasound produced 95.8±2.3% accuracy. This suggests that A-mode ultrasound provides additional useful information about the user's gait beyond what is provided by mechanical sensors, and that it may be able to improve ambulation mode classification. By incorporating these sensors into powered prostheses, users may enjoy higher reliability for their prostheses, and more seamless transitions between ambulation modes.
许多人因下肢截肢而存在行动障碍。为了能够在各种地形(如楼梯、斜坡和平地)上行走,他们需要能够行走。当前的下肢动力假肢需要针对不同的行走模式采用不同的控制策略,并使用假肢内的机械传感器数据来确定用户所处的行走模式。然而,区分行走模式可能具有挑战性。已经努力通过添加肌电图信息来提高分类准确性,但这需要大量传感器,信噪比低,并且无法区分浅表和深部肌肉激活。另一种传感模式,A 模式超声,可以检测和区分浅表和深部肌肉的变化。它在上肢手势分类中也取得了有希望的结果。尽管具有这些优势,但 A 模式超声尚未用于下肢活动分类。在这里,我们展示 A 模式超声可以以可比较的,在某些情况下,优于机械传感的准确性来分类行走模式。在这项研究中,七名股骨截肢受试者在佩戴 A 模式超声换能器、惯性测量单元传感器和他们的被动假肢的情况下在行走电路上行走。该电路由坐姿、站立、平地行走、斜坡上升、斜坡下降、楼梯上升和楼梯下降组成,空间时间卷积网络被训练来连续分类这七种活动。单独使用 A 模式超声的离线连续分类能够达到 91.8±3.4%的准确率,而单独使用运动学数据的准确率为 93.8±3.0%。联合运动学和超声产生 95.8±2.3%的准确率。这表明 A 模式超声提供了有关用户步态的机械传感器提供的额外有用信息,并且它可能能够改善行走模式分类。通过将这些传感器整合到动力假肢中,用户可能会享受到更高的假肢可靠性,以及在行走模式之间更流畅的过渡。