Journal of NeuroEngineering and Rehabilitation, 2018 · DOI: https://doi.org/10.1186/s12984-018-0358-y · Published: February 19, 2018
This study looked at how well wearable sensors measure physical activity in people with stroke and incomplete spinal cord injury (iSCI). It checked if the standard calculations used by these sensors work accurately for these individuals, comparing the sensor data to gold standard measures. The study also examined whether the location of the sensor on the body, the type of sensor, and the kind of activity being done affect how accurate the measurements are. The goal was to see if these factors influence the reliability of physical activity readings from wearable sensors in people with neurological conditions. The findings suggest that sensor location, type, and activity characteristics, along with the specific condition of the person, all play a role in how accurately wearable sensors measure physical activity. Using customized calculations that consider these factors could improve the accuracy of these measurements in people with stroke and iSCI.
Implementing advanced techniques like machine learning and data fusion to create customized population-specific algorithms to estimate physical activity metrics in individuals with neurologic impairments has the potential to improve reliability and accuracy.
Comprehensive validations including all outcome metrics (EE, MET and step counts) at different activity intensity level is recommended for validation of wearable sensors used in rehabilitation.
Highlights the need to practice cautious decision making while choosing wearable sensor types and mounting locations for activity measurement in neurologic rehabilitation.