Optimization of Spatial and Temporal Configuration of a Pressure Sensing Array to Predict Posture and Mobility in Lying

Commercial pressure monitoring systems have been developed to assess conditions at the interface between mattress/cushions of individuals at risk of developing pressure ulcers. Recently, they have been used as a surrogate for prolonged posture and mobility monitoring. However, these systems typicall...

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Main Authors: Silvia Caggiari, Liudi Jiang, Davide Filingeri, Peter Worsley
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/23/15/6872
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author Silvia Caggiari
Liudi Jiang
Davide Filingeri
Peter Worsley
author_facet Silvia Caggiari
Liudi Jiang
Davide Filingeri
Peter Worsley
author_sort Silvia Caggiari
collection DOAJ
description Commercial pressure monitoring systems have been developed to assess conditions at the interface between mattress/cushions of individuals at risk of developing pressure ulcers. Recently, they have been used as a surrogate for prolonged posture and mobility monitoring. However, these systems typically consist of high-resolution sensing arrays, sampling data at more than 1 Hz. This inevitably results in large volumes of data, much of which may be redundant. Our study aimed at evaluating the optimal number of sensors and acquisition frequency that accurately predict posture and mobility during lying. A continuous pressure monitor (ForeSitePT, Xsensor, Calgary, Canada), with 5664 sensors sampling at 1 Hz, was used to assess the interface pressures of healthy volunteers who performed lying postures on two different mattresses (foam and air designs). These data were down sampled in the spatial and temporal domains. For each configuration, pressure parameters were estimated and the area under the Receiver Operating Characteristic curve (AUC) was used to determine their ability in discriminating postural change events. Convolutional Neural Network (CNN) was employed to predict static postures. There was a non-linear decline in AUC values for both spatial and temporal down sampling. Results showed a reduction of the AUC for acquisition frequencies lower than 0.3 Hz. For some parameters, e.g., pressure gradient, the lower the sensors number the higher the AUC. Posture prediction showed a similar accuracy of 63−71% and 84−87% when compared to the commercial configuration, on the foam and air mattress, respectively. This study revealed that accurate detection of posture and mobility events can be achieved with a relatively low number of sensors and sampling frequency.
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spelling doaj.art-1a3161d35e7e4b719c6f2387a5657a502023-11-18T23:35:35ZengMDPI AGSensors1424-82202023-08-012315687210.3390/s23156872Optimization of Spatial and Temporal Configuration of a Pressure Sensing Array to Predict Posture and Mobility in LyingSilvia Caggiari0Liudi Jiang1Davide Filingeri2Peter Worsley3Skin Sensing Research Group, School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton SO17 1BJ, UKSchool of Engineering, Faculty of Engineering and Physical Sciences, University of Southampton, Southampton SO17 1BJ, UKSkin Sensing Research Group, School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton SO17 1BJ, UKSkin Sensing Research Group, School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton SO17 1BJ, UKCommercial pressure monitoring systems have been developed to assess conditions at the interface between mattress/cushions of individuals at risk of developing pressure ulcers. Recently, they have been used as a surrogate for prolonged posture and mobility monitoring. However, these systems typically consist of high-resolution sensing arrays, sampling data at more than 1 Hz. This inevitably results in large volumes of data, much of which may be redundant. Our study aimed at evaluating the optimal number of sensors and acquisition frequency that accurately predict posture and mobility during lying. A continuous pressure monitor (ForeSitePT, Xsensor, Calgary, Canada), with 5664 sensors sampling at 1 Hz, was used to assess the interface pressures of healthy volunteers who performed lying postures on two different mattresses (foam and air designs). These data were down sampled in the spatial and temporal domains. For each configuration, pressure parameters were estimated and the area under the Receiver Operating Characteristic curve (AUC) was used to determine their ability in discriminating postural change events. Convolutional Neural Network (CNN) was employed to predict static postures. There was a non-linear decline in AUC values for both spatial and temporal down sampling. Results showed a reduction of the AUC for acquisition frequencies lower than 0.3 Hz. For some parameters, e.g., pressure gradient, the lower the sensors number the higher the AUC. Posture prediction showed a similar accuracy of 63−71% and 84−87% when compared to the commercial configuration, on the foam and air mattress, respectively. This study revealed that accurate detection of posture and mobility events can be achieved with a relatively low number of sensors and sampling frequency.https://www.mdpi.com/1424-8220/23/15/6872high-resolution pressure sensing arrayspressure ulcersposture and mobilityoptimized configurationreceiver operating characteristic curveconvolutional neural network
spellingShingle Silvia Caggiari
Liudi Jiang
Davide Filingeri
Peter Worsley
Optimization of Spatial and Temporal Configuration of a Pressure Sensing Array to Predict Posture and Mobility in Lying
Sensors
high-resolution pressure sensing arrays
pressure ulcers
posture and mobility
optimized configuration
receiver operating characteristic curve
convolutional neural network
title Optimization of Spatial and Temporal Configuration of a Pressure Sensing Array to Predict Posture and Mobility in Lying
title_full Optimization of Spatial and Temporal Configuration of a Pressure Sensing Array to Predict Posture and Mobility in Lying
title_fullStr Optimization of Spatial and Temporal Configuration of a Pressure Sensing Array to Predict Posture and Mobility in Lying
title_full_unstemmed Optimization of Spatial and Temporal Configuration of a Pressure Sensing Array to Predict Posture and Mobility in Lying
title_short Optimization of Spatial and Temporal Configuration of a Pressure Sensing Array to Predict Posture and Mobility in Lying
title_sort optimization of spatial and temporal configuration of a pressure sensing array to predict posture and mobility in lying
topic high-resolution pressure sensing arrays
pressure ulcers
posture and mobility
optimized configuration
receiver operating characteristic curve
convolutional neural network
url https://www.mdpi.com/1424-8220/23/15/6872
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