School of Biomedical Engineering (Suzhou), Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, 230026, China.
Suzhou Institute of Biomedical Engineering and Technology, Chinese Academy of Sciences, Suzhou, 215163, China.
Sci Rep. 2024 Aug 19;14(1):19204. doi: 10.1038/s41598-024-68204-1.
Approximately 75% of stroke survivors have movement dysfunction. Rehabilitation exercises are capable of improving physical coordination. They are mostly conducted in the home environment without guidance from therapists. It is impossible to provide timely feedback on exercises without suitable devices or therapists. Human action quality assessment in the home setting is a challenging topic for current research. In this paper, a low-cost HREA system in which wearable sensors are used to collect upper limb exercise data and a multichannel 1D-CNN framework is used to automatically assess action quality. The proposed 1D-CNN model is first pretrained on the UCI-HAR dataset, and it achieves a performance of 91.96%. Then, five typical actions were selected from the Fugl-Meyer Assessment Scale for the experiment, wearable sensors were used to collect the participants' exercise data, and experienced therapists were employed to assess participants' exercise at the same time. Following the above process, a dataset was built based on the Fugl-Meyer scale. Based on the 1D-CNN model, a multichannel 1D-CNN model was built, and the model using the Naive Bayes fusion had the best performance (precision: 97.26%, recall: 97.22%, F1-score: 97.23%) on the dataset. This shows that the HREA system provides accurate and timely assessment, which can provide real-time feedback for stroke survivors' home rehabilitation.
大约 75%的中风幸存者存在运动功能障碍。康复运动可以改善身体协调性。这些运动大多在家中进行,没有治疗师的指导。如果没有合适的设备或治疗师,就无法对运动进行及时的反馈。在家庭环境中对人类动作质量进行评估是当前研究的一个难题。本文提出了一种低成本的 HREA 系统,该系统使用可穿戴传感器来收集上肢运动数据,并使用多通道 1D-CNN 框架自动评估动作质量。所提出的 1D-CNN 模型首先在 UCI-HAR 数据集上进行预训练,其性能达到 91.96%。然后,从 Fugl-Meyer 评估量表中选择了五个典型动作,使用可穿戴传感器收集参与者的运动数据,同时聘请有经验的治疗师对参与者的运动进行评估。按照上述过程,基于 Fugl-Meyer 量表构建了一个数据集。基于 1D-CNN 模型,构建了一个多通道 1D-CNN 模型,使用朴素贝叶斯融合的模型在数据集上的表现最佳(精度:97.26%,召回率:97.22%,F1 得分为:97.23%)。这表明 HREA 系统可以提供准确和及时的评估,为中风幸存者的家庭康复提供实时反馈。