A machine learning classification model for monitoring the daily physical behaviour of lower-limb amputees

Griffiths, BN, Diment, L and Granat, MH ORCID: https://orcid.org/0000-0002-0722-2760 2021, 'A machine learning classification model for monitoring the daily physical behaviour of lower-limb amputees' , Sensors, 21 (22) , e7458.

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There are currently limited data on how prosthetic devices are used to support lower-limb prosthesis users in their free-living environment. Possessing the ability to monitor a patient’s physical behaviour while using these devices would enhance our understanding of the impact of different prosthetic products. The current approaches for monitoring human physical behaviour use a single thigh or wrist-worn accelerometer, but in a lower-limb amputee population, we have the unique opportunity to embed a device within the prosthesis, eliminating compliance issues. This study aimed to develop a model capable of accurately classifying postures (sitting, standing, stepping, and lying) by using data from a single shank-worn accelerometer. Free-living posture data were collected from 14 anatomically intact participants and one amputee over three days. A thigh worn activity monitor collected labelled posture data, while a shank worn accelerometer collected 3-axis acceleration data. Postures and the corresponding shank accelerations were extracted in window lengths of 5–180 s and used to train several machine learning classifiers which were assessed by using stratified cross-validation. A random forest classifier with a 15 s window length provided the highest classification accuracy of 93% weighted average F-score and between 88 and 98% classification accuracy across all four posture classes, which is the best performance achieved to date with a shank-worn device. The results of this study show that data from a single shank-worn accelerometer with a machine learning classification model can be used to accurately identify postures that make up an individual’s daily physical behaviour. This opens up the possibility of embedding an accelerometer-based activity monitor into the shank component of a prosthesis to capture physical behaviour information in both above and below-knee amputees. The models and software used in this study have been made open source in order to overcome the current restrictions of applying activity monitoring methods to lower-limb prosthesis users.

Item Type: Article
Contributors: Sacchetti, M (Editor)
Additional Information: ** From MDPI via Jisc Publications Router ** Licence for this article: https://creativecommons.org/licenses/by/4.0/ **Journal IDs: eissn 1424-8220 **History: published 10-11-2021; accepted 05-11-2021
Schools: Schools > School of Health and Society
Journal or Publication Title: Sensors
Publisher: MDPI
ISSN: 1424-8220
Related URLs:
Funders: Engineering and Physical Sciences Research Council (EPSRC), National Institute for Health Research (NIHR)
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 12 Nov 2021 09:30
Last Modified: 15 Feb 2022 17:05
URI: http://usir.salford.ac.uk/id/eprint/62346

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