Non-obtrusive Gait & Fall Monitoring

步态不突兀

• 批准号: 8053612
• 负责人: MARTIN Carl BARUCH
• 金额: $ 11.4万
• 依托单位: EMPIRICAL TECHNOLOGIES CORPORATION
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2012-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8053612
• 关键词: Admission activity; Algorithms; Businesses; Classification; Communities; Computer Interface; Data; Data Set; Detection; Development; Devices; Elderly; Employee Strikes; Event; Evolution; Fingerprint; Floor; Funding; Gait; Goals; Health; Health system; Heel; Home environment; Impaired cognition; Individual; Injury; Intervention; Laboratories; Left; Length; Machine Learning; Marketing; Measures; Medical; Mental Depression; Methodology; Monitor; Muscle Weakness; Noise; Nursing Homes; Pattern; Performance; Pharmaceutical Preparations; Phase; Physical Medicine; Principal Investigator; Process; Recovery; Rehabilitation therapy; Research Project Grants; Resolution; Retirement; Retrospective Studies; Risk; Risk Assessment; Risk Factors; Sensitivity and Specificity; Small Business Innovation Research Grant; Solutions; Suggestion; Surface; System; Techniques; Technology Transfer; Testing; Time; Training; United States National Institutes of Health; Universities; Ursidae Family; Virginia; Walkers; Walking; Wireless Technology; Wood material; base; behavioral/social science; comparative; cost; digital; fall risk; falls; gait examination; human subject; minimally invasive; operation; programs; prototype; response; sensor; tool; transmission process; vibration; volunteer

DESCRIPTION (provided by applicant): Falls among the elderly, one of the most common reasons requiring medical intervention and a contributing factor in 40% of nursing home admissions, are a major health problem. Several studies have identified quantifiable gait markers that appear to distinguish between elderly "fallers" and non-fallers. These studies have relied on data acquired in gait-laboratories. Extending gait assessment capability, and falls detection, into the home could provide valuable before-the-fact information on gait weakness evolution, which in turn could be used to assess the efficiency of counter measures. Current mobile gait analysis techniques are insufficient because they rely on compliance or are too intrusive. The development of a new gait assessment and falls monitor is proposed. The device is passive and obtains gait data from sensing floor vibrations as well as a minimally invasive wireless device, precluding the need to walk on special surfaces or be observed by cameras. This study's principal aim is to validate the device's performance through a comparison with accepted gait assessment techniques at the Physical Medicine and Rehabilitation Gait lab at the University of Virginia Health System PUBLIC HEALTH RELEVANCE: An estimated 20% - 40% of community-dwelling elderly fall at least once a year 2 and this rate increases for nursing home residents. Fall-related injuries are among the most common reasons requiring medical intervention and are a contributing factor in 40% of nursing home admissions. The cost of falls to the national economy is significant. In 1994 the total cost due to falls was estimated to be $20.2 billion. This number is expected to climb to $32.2 billion by 2020. One suggestion for reducing the number of falls has been the creation of a fall risk assessment for institutional residents, an important component of which is gait assessment. In view of the results obtained during the Phase I effort, it appears that the floor sensor system may be able to answer a well defined need for which there is presently no other solution that promises to be as readily implementable and for which the market potential is significant.

描述（由申请人提供）：老年人中的福尔斯是需要医疗干预的最常见原因之一，也是40%的疗养院入院的一个促成因素，是一个主要的健康问题。几项研究已经确定了可量化的步态标记，似乎可以区分老年人“跌倒者”和非跌倒者。这些研究依赖于步态实验室获得的数据。将步态评估能力和福尔斯检测扩展到家庭中可以提供关于步态弱点演变的有价值的事前信息，这反过来可以用于评估对抗措施的效率。目前的移动的步态分析技术是不够的，因为它们依赖于顺应性或过于侵入。提出了一种新的步态评估和福尔斯监测的发展。该设备是被动的，通过感应地板振动以及微创无线设备获得步态数据，无需在特殊表面上行走或通过摄像头观察。这项研究的主要目的是通过与弗吉尼亚大学健康系统物理医学和康复步态实验室接受的步态评估技术进行比较来验证该设备的性能 公共卫生相关性：据估计，20% - 40%的社区老年人每年至少跌倒一次，而养老院居民的跌倒率则有所上升。跌倒相关的伤害是需要医疗干预的最常见原因之一，也是40%的疗养院入院的原因之一。福尔斯对国民经济的影响是巨大的。1994年，由于福尔斯下降造成的总损失估计为202亿美元。预计到2020年，这一数字将攀升至322亿美元。减少福尔斯数量的一个建议是为机构居民建立跌倒风险评估，其中一个重要组成部分是步态评估。考虑到在第一阶段工作期间获得的结果，似乎地板传感器系统能够满足明确定义的需求，对于该需求，目前没有其他解决方案可以承诺是容易实现的，并且对于该需求，市场潜力是显著的。