An intelligent insole system may monitor the individual’s foot pressure and temperature in real-time from the comfort of their home, which can help capture foot problems in their earliest stages. Constant monitoring for foot complications is essential to avoid potentially devastating outcomes from common diseases such as diabetes mellitus. Inspired by those goals, the authors of this work propose a full design for a wearable insole that can detect both plantar pressure and temperature using off-the-shelf sensors. The design provides details of specific temperature and pressure sensors, circuit configuration for characterizing the sensors, and design considerations for creating a small system with suitable electronics. The procedure also details how, using a low-power communication protocol, data about the individuals’ foot pressure and temperatures may be sent wirelessly to a centralized device for storage. This research may aid in the creation of an affordable, practical, and portable foot monitoring system for patients. The solution can be used for continuous, at-home monitoring of foot problems through pressure patterns and temperature differences between the two feet. The generated maps can be used for early detection of diabetic foot complication with the help of artificial intelligence.

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Patients with neurological symptoms should be enquired about recent vaccination history. It is important after the COVID‐19 mRNA vaccine, which is newly introduced as it might link to the development of a wider variety of neurological diseases.

Diabetic neuropathy (DN) is one of the prevalent forms of neuropathy that involves alterations in biomechanical changes in the human gait. Diabetic foot ulceration (DFU) is one of the pervasive types of complications that arise due to DN. In the literature, for the last 50 years, researchers have been trying to observe the biomechanical changes due to DN and DFU by studying muscle electromyography (EMG) and ground reaction forces (GRF). However, the literature is contradictory. In such a scenario, we propose using Machine learning techniques to identify DN and DFU patients by using EMG and GRF data. We collected a dataset from the literature which involves three patient groups: Control (n = 6), DN (n = 6), and previous history of DFU (n = 9) and collected three lower limb muscles EMG (tibialis anterior (TA), vastus lateralis (VL), gastrocnemius lateralis (GL)), and three GRF components (GRFx, GRFy, and GRFz). Raw EMG and GRF signals were preprocessed, and different feature extraction techniques were applied to extract the best features from the signals. The extracted feature list was ranked using four different feature ranking techniques, and highly correlated features were removed. In this study, we considered different combinations of muscles and GRF components to find the best performing feature list for the identification of DN and DFU. We trained eight different conventional ML models: Discriminant analysis classifier (DAC), Ensemble classification model (ECM), Kernel classification model (KCM), k-nearest neighbor model (KNN), Linear classification model (LCM), Naive Bayes classifier (NBC), Support vector machine classifier (SVM), and Binary decision classification tree (BDC), to find the best-performing algorithm and optimized that model. We trained the optimized the ML algorithm for different combinations of muscles and GRF component features, and the performance matrix was evaluated. Our study found the KNN algorithm performed well in identifying DN and DFU, and we optimized it before training. We found the best accuracy of 96.18% for EMG analysis using the top 22 features from the chi-square feature ranking technique for features from GL and VL muscles combined. In the GRF analysis, the model showed 98.68% accuracy using the top 7 features from the Feature selection using neighborhood component analysis for the feature combinations from the GRFx-GRFz signal. In conclusion, our study has shown a potential solution for ML application in DN and DFU patient identification using EMG and GRF parameters. With careful signal preprocessing with strategic feature extraction from the biomechanical parameters, optimization of the ML model can provide a potential solution in the diagnosis and stratification of DN and DFU patients from the EMG and GRF signals.

Physiological signal measurement and processing are increasingly becoming popular in the ambulatory setting as the hospital-centric treatment is moving towards wearable and ubiquitous monitoring. Most of the physiological signals are highly susceptible to various types of noises, especially movement artifacts. The electroencephalogram (EEG) and functional near-infrared spectroscopy (fNIRS) signals are no exception to motion artifacts, which become prominent in the ambulatory setting. Since successful detection of various neurological disorders is greatly dependent upon clean EEG and fNIRS signals, it is a matter of utmost importance to remove motion artifacts from these two signal modalities using reliable and robust methods. This paper proposes three novel multiresolution analysis techniques: i) Variational mode decomposition (VMD), ii) VMD in combination with principal component analysis (VMD-PCA), and iii) VMD in combination with canonical correlation analysis (VMD-CCA), for motion artifact correction from single-channel EEG and fNIRS signals. The efficacy of these novel techniques is validated by computing the difference in the signal to noise ratio ( $\Delta SNR$ ) and percentage reduction in motion artifacts ( $\eta$ ). Among the three proposed novel methods, VMD-CCA decomposed with 15 intrinsic mode functions (IMFs) has shown the best denoising performance for EEG signals producing an average $\Delta SNR$ and $\eta $ values of 23.81 dB and 57.01%, respectively for all 23 EEG recordings. On the other hand, for the available 16 fNIRS recordings, VMD-CCA decomposed with 10 IMFs produced an average $\Delta SNR$ and $\eta $ values of 15.97 dB and 39.01%, respectively. The results reported using the proposed methods outperform most of the existing state-of-the-art techniques.