Accelerometry-Based Activity Recognition and Assessment in Rheumatic and Musculoskeletal Diseases

One of the important aspects to be considered in rheumatic and musculoskeletal diseases is the patient’s activity capacity (or performance), defined as the ability to perform a task. Currently, it is assessed by physicians or health professionals mainly by means of a patient-reported questionnaire,...

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Main Authors: Lieven Billiet, Thijs Willem Swinnen, Rene Westhovens, Kurt de Vlam, Sabine Van Huffel
Format: Article
Language:English
Published: MDPI AG 2016-12-01
Series:Sensors
Subjects:
Online Access:http://www.mdpi.com/1424-8220/16/12/2151
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author Lieven Billiet
Thijs Willem Swinnen
Rene Westhovens
Kurt de Vlam
Sabine Van Huffel
author_facet Lieven Billiet
Thijs Willem Swinnen
Rene Westhovens
Kurt de Vlam
Sabine Van Huffel
author_sort Lieven Billiet
collection DOAJ
description One of the important aspects to be considered in rheumatic and musculoskeletal diseases is the patient’s activity capacity (or performance), defined as the ability to perform a task. Currently, it is assessed by physicians or health professionals mainly by means of a patient-reported questionnaire, sometimes combined with the therapist’s judgment on performance-based tasks. This work introduces an approach to assess the activity capacity at home in a more objective, yet interpretable way. It offers a pilot study on 28 patients suffering from axial spondyloarthritis (axSpA) to demonstrate its efficacy. Firstly, a protocol is introduced to recognize a limited set of six transition activities in the home environment using a single accelerometer. To this end, a hierarchical classifier with the rejection of non-informative activity segments has been developed drawing on both direct pattern recognition and statistical signal features. Secondly, the recognized activities should be assessed, similarly to the scoring performed by patients themselves. This is achieved through the interval coded scoring (ICS) system, a novel method to extract an interpretable scoring system from data. The activity recognition reaches an average accuracy of 93.5%; assessment is currently 64.3% accurate. These results indicate the potential of the approach; a next step should be its validation in a larger patient study.
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spelling doaj.art-a80efff2d1aa45c2b220be2de63108c32022-12-22T04:22:16ZengMDPI AGSensors1424-82202016-12-011612215110.3390/s16122151s16122151Accelerometry-Based Activity Recognition and Assessment in Rheumatic and Musculoskeletal DiseasesLieven Billiet0Thijs Willem Swinnen1Rene Westhovens2Kurt de Vlam3Sabine Van Huffel4KU Leuven, Department of Electrical Engineering (ESAT), STADIUS Center for Dynamical Systems, Signal Processing and Data Analytics, Kasteelpark Arenberg 10 box 2446, 3001 Leuven, BelgiumUniversity Hospitals Leuven, Division of Rheumatology, Herestraat 49 box 7003, 3000 Leuven, BelgiumUniversity Hospitals Leuven, Division of Rheumatology, Herestraat 49 box 7003, 3000 Leuven, BelgiumUniversity Hospitals Leuven, Division of Rheumatology, Herestraat 49 box 7003, 3000 Leuven, BelgiumKU Leuven, Department of Electrical Engineering (ESAT), STADIUS Center for Dynamical Systems, Signal Processing and Data Analytics, Kasteelpark Arenberg 10 box 2446, 3001 Leuven, BelgiumOne of the important aspects to be considered in rheumatic and musculoskeletal diseases is the patient’s activity capacity (or performance), defined as the ability to perform a task. Currently, it is assessed by physicians or health professionals mainly by means of a patient-reported questionnaire, sometimes combined with the therapist’s judgment on performance-based tasks. This work introduces an approach to assess the activity capacity at home in a more objective, yet interpretable way. It offers a pilot study on 28 patients suffering from axial spondyloarthritis (axSpA) to demonstrate its efficacy. Firstly, a protocol is introduced to recognize a limited set of six transition activities in the home environment using a single accelerometer. To this end, a hierarchical classifier with the rejection of non-informative activity segments has been developed drawing on both direct pattern recognition and statistical signal features. Secondly, the recognized activities should be assessed, similarly to the scoring performed by patients themselves. This is achieved through the interval coded scoring (ICS) system, a novel method to extract an interpretable scoring system from data. The activity recognition reaches an average accuracy of 93.5%; assessment is currently 64.3% accurate. These results indicate the potential of the approach; a next step should be its validation in a larger patient study.http://www.mdpi.com/1424-8220/16/12/2151accelerometryactivity capacityactivity performanceactivity recognitioninterpretable medical scoring systemsphysical activityphysical therapymonitoring
spellingShingle Lieven Billiet
Thijs Willem Swinnen
Rene Westhovens
Kurt de Vlam
Sabine Van Huffel
Accelerometry-Based Activity Recognition and Assessment in Rheumatic and Musculoskeletal Diseases
Sensors
accelerometry
activity capacity
activity performance
activity recognition
interpretable medical scoring systems
physical activity
physical therapy
monitoring
title Accelerometry-Based Activity Recognition and Assessment in Rheumatic and Musculoskeletal Diseases
title_full Accelerometry-Based Activity Recognition and Assessment in Rheumatic and Musculoskeletal Diseases
title_fullStr Accelerometry-Based Activity Recognition and Assessment in Rheumatic and Musculoskeletal Diseases
title_full_unstemmed Accelerometry-Based Activity Recognition and Assessment in Rheumatic and Musculoskeletal Diseases
title_short Accelerometry-Based Activity Recognition and Assessment in Rheumatic and Musculoskeletal Diseases
title_sort accelerometry based activity recognition and assessment in rheumatic and musculoskeletal diseases
topic accelerometry
activity capacity
activity performance
activity recognition
interpretable medical scoring systems
physical activity
physical therapy
monitoring
url http://www.mdpi.com/1424-8220/16/12/2151
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AT renewesthovens accelerometrybasedactivityrecognitionandassessmentinrheumaticandmusculoskeletaldiseases
AT kurtdevlam accelerometrybasedactivityrecognitionandassessmentinrheumaticandmusculoskeletaldiseases
AT sabinevanhuffel accelerometrybasedactivityrecognitionandassessmentinrheumaticandmusculoskeletaldiseases