Document Type : Full Research Paper

Authors

1 M.Sc., Biomedical Engineering, Motion Control and Computational Neuroscience laboratory, School of ECE, College of Engineering, University of Tehran

2 Associate Professor, University of Tehran, College of Engineering, School of ECE, Motion Control and Computational Neuroscience laboratory, Control and Intelligent Processing Center of Excellence (CIPCE).

10.22041/ijbme.2013.13054

Abstract

Changes in gait pattern are early symptoms in many disorders such as balance and control problems resulted in fall among elderlies. This paper aims at proposing a new set of features extracted from Gait Frieze Pattern (GFP) in order to classify seniors to fallers and non-fallers. For indicating the effectiveness of the presented method, the algorithm is used for recognition of different type of abnormal gaits. The introduced method consists of three main steps: extracting the subject from background, generating GFP and aligning them, and building the proposed image from GFP by thresholding followed by morphological operations. For evaluation of the proposed features, video sequences are collected from 8 elderly fallers, 8 non-fallers, and 8 youth while performing standard Timed Up and Go (TUG) test. In addition to TUG test youths are asked to walk fast and pretend to walk with 6 different types of abnormalities (limping, waddling, anterior- posterior sway, lateral sway, dragging, steppage gait). For finding correct classification rate, each time one data is considered as test and others as train and label of train data with the most similarity with test one on the score of normalized cross correlation is assigned to test data. Comparing to conventional TUG test, correct classification data is improved around 20% for faller detection. In addition, correct classification rate for detecting of different abnormalities in gait is approximately 90%.  

Keywords

Main Subjects

[1]     Nothridge M., Nevitt M., Kelsey J., Link B., home hazards and fall in elderly: the role of health and functional status; American Journal of Public Health, 1995; 85: 509-515.
[2]     Alice C., Scheffer J., Marieke J., Schuurmans, Dijk N.V., Hooft T.V.D., Sophia E., Rooij D., Fear of falling: measurement strategy, prevalence, risk factors and consequences among older persons; Oxford Journals, Age and Ageing, 2008; 37(1): 19-24.
[3]     Lord S., Sherringtone C., Menz H.B., Falls in older people:Risk factor and sterategies for prevention, Cambridge: Cambrige University Press, 2001.
[4]     Tinetti M.E., Mendes de Leon C.F., Doucette J.T., Baker D.I., Fear of falling and fall-related efficacy in relationship to functioning among community living elderly; Journal of Gerontology, 1994; 49(3): 140-147.
[5]     Spellbring A., Assessing elderly patients at high risk for falls: a reliability study; Journal of Nursing Care Quality, 1992;  6: 30-35.
[6]     Shimada H., Suzukawa M., Ishizaki T., Kobayashi K., Kim H., Suzuki T., Relationship between subjective fall risk assessment and falls and fall-related fractures in frail elderly people; BMC Geriatrics, 2011; 40(11).
[7]     Karen L., Perel, Nelson A., Goldman R.L., Luther S.L., Prieto-Lewis N., Rubenstein L.Z., Fall Risk Assessment Measures: An Analytic Review; Journal of Gerontology, 2001; 56(12): 761-766.
[8]     Mathias S., Nayak U., Isaacs B., Balance in elderly patients: The “Get up and go,” test;  Arch. Phys. Med. Rehabil., 1986; 67: 387–389.
[9]     Verghese J., Buschke H., Viola L., Katz M., Hall C., Kuslansky G., Lipton R., Validity of divided attention tasks in predicting falls in older individuals: A preliminary study; J Am Geriatr Soc, 2002; 50(9): 1572-1576.
[10]  Higashi Y., Yamakoshi K., Fujimoto T., Sekine M., Tamura T., Quantitative evaluation of movement using the timed up-and-go test;  IEEEEng. Med. Biol. Mag., 2008; 27(4): 38–46.
[11]  Zampieri C., Salarian A., Carlson-Kuhta P., Aminian K., Nutt J.G., Horak F.B., The instrumented timed up and go test: Potential outcome measure for disease modifying therapies in Parkinson’s disease;  J. Neurol., Neurosurg. Psychiatry, 2010; 81: 171–176.
[12]  King R.C., Atallah L., Wong C., Miskelly F., Yang G., Elderly Risk Assessment of Falls with BSN; Body Sensor Networks (BSN), 2010 International Conference on , 7-9 June 2010: 30-35.
[13]  McGrath D., Greene B.R., Doheny E., McKeown D.J., De Vito C., Brian; , “Reliability of quantitative TUG measures of mobility for use in falls risk assessment,” Engineering in Medicine and Biology Society, EMBC, 2011 Annual International Conference of the IEEE, Aug. 30 2011-Sept. 3 2011; pp: 466-469.
[14]  Giansanti D., “Investigation of fall-risk using a wearable device with accelerometers and rate gyroscopes”, Physiol Meas., 2006; 27(11): 1081-1090.
[15]  Wang F., Stone E., Wenqing D., Banerjee T., Giger J., Krampe J., Rantz M., Skubic M., Testing an in-home gait assessment tool for older adults; Engineering in Medicine and Biology Society, 2009. EMBC 2009. Annual International Conference of the IEEE, 3-6 Sept. 2009; pp: 6147-6150.
[16]  Skrba Z., O’Mullane B., Greene B.R., Scanaill C.N., Chie W.F., Quigley A., Nixon P., Objective real-time assessment of walking and turning in elderly adults; Engineering in Medicine and Biology Society, EMBC 2009. Annual International Conference of the IEEE, 3-6 Sept. 2009; pp: 807-810.
[17]  Courtney J., De Paor A.M., A Monocular Marker-Free Gait Measurement System; Neural Systems and Rehabilitation Engineering, IEEE Transactions, 2010; 18(4): 453-460.
[18]  Mostayed A., Mynuddin M., Mazumder G., Sikyung K., Se Jin P., Abnormal Gait Detection Using Discrete Fourier Transform; Multimedia and Ubiquitous Engineering, 2008. MUE 2008. International Conference, 24-26 April 2008; pp: 36-40.
[19]  Liu Y., Robert T., Gait Sequence Analysis using Frieze Patterns; Technical Report CMU-RI-TR-98-37, 2001.
[20]  Wang L., Abnormal Walking Gait Analysis Using Silhouette-Masked Flow Histograms; Pattern Recognition, ICPR 2006. 18th International Conference, 2006; 3: 473-476.
[21]  Lee S., Liu Y., Collins R., Shape Variation-Based Frieze Pattern for Robust Gait Recognition; Computer Vision and Pattern Recognition, 2007. CVPR ‘07. IEEE Conference, 17-22 June 2007; pp: 1-8.
[22]  Mathias S., Nayak U., Isaacs B., Balance in elderly patients: The “Get up and go,” test; Arch. Phys. Med. Rehabil., 1986; 67: 387–389.
[23]  Trueblood P.R., Hodson-Chennault N., McCubbin A., Youngclarke D., Performance and impairment-based assessments among community dwelling elderly:  Sensitivity and specificity; Issues Aging. 2001; 24(1): 2–6.