With the development of technologies, such as big data, cloud computing, and the Internet of Things (IoT), digital twin is being applied in industry as a precision simulation technology from concept to practice. Further, simulation plays a very important role in the healthcare field, especially in research on medical pathway planning, medical resource allocation, medical activity prediction, etc. By combining digital twin and healthcare, there will be a new and efficient way to provide more accurate and fast services for elderly healthcare. However, how to achieve personal health management throughout the entire lifecycle of elderly patients, and how to converge the medical physical world and the virtual world to realize real smart healthcare, are still two key challenges in the era of precision medicine. In this paper, a framework of the cloud healthcare system is proposed based on digital twin healthcare (CloudDTH). This is a novel, generalized, and extensible framework in the cloud environment for monitoring, diagnosing and predicting aspects of the health of individuals using, for example, wearable medical devices, toward the goal of personal health management, especially for the elderly. CloudDTH aims to achieve interaction and convergence between medical physical and virtual spaces. Accordingly, a novel concept of digital twin healthcare (DTH) is proposed and discussed, and a DTH model is implemented. Next, a reference framework of CloudDTH based on DTH is constructed, and its key enabling technologies are explored. Finally, the feasibility of some application scenarios and a case study for real-time supervision are demonstrated.

Advancements in medical science and technology, medicine and public health coupled with increased consciousness about nutrition and environmental and personal hygiene have paved the way for the dramatic increase in life expectancy globally in the past several decades. However, increased life expectancy has given rise to an increasing aging population, thus jeopardizing the socio-economic structure of many countries in terms of costs associated with elderly healthcare and wellbeing. In order to cope with the growing need for elderly healthcare services, it is essential to develop affordable, unobtrusive and easy-to-use healthcare solutions. Smart homes, which incorporate environmental and wearable medical sensors, actuators, and modern communication and information technologies, can enable continuous and remote monitoring of elderly health and wellbeing at a low cost. Smart homes may allow the elderly to stay in their comfortable home environments instead of expensive and limited healthcare facilities. Healthcare personnel can also keep track of the overall health condition of the elderly in real-time and provide feedback and support from distant facilities. In this paper, we have presented a comprehensive review on the state-of-the-art research and development in smart home based remote healthcare technologies.

As one of the key enabling technologies of emerging smart societies and industries (i.e., industry 4.0), the Internet of Things (IoT) has evolved significantly in both technologies and applications. It is estimated that more than 25 billion devices will be connected by wireless IoT networks by 2020. In addition to ubiquitous connectivity, many envisioned applications of IoT, such as industrial automation, vehicle-to-everything (V2X) networks, smart grids and remote surgery, will have stringent transmission latency and reliability requirements, which may not be supported by existing systems. Thus, there is an urgent need for rethinking the entire communication protocol stack for wireless IoT networks. In this tutorial paper, we review the various application scenarios, fundamental performance limits, and potential technical solutions for high-reliability and low-latency (HRLL) wireless IoT networks. We discuss physical, MAC and network layers of wireless IoT networks, which all have significant impacts on latency and reliability. For the physical layer, we discuss the fundamental information-theoretic limits for HRLL communications, and then we also introduce a frame structure and preamble design for HRLL communications. Then practical channel codes with finite block length are reviewed. For the MAC layer, we first discuss optimized spectrum and power resource management schemes and then recently proposed grant-free schemes are discussed. For the network layer, we discuss the optimized network structure (traffic dispersion and network densification), the optimal traffic allocation schemes and network coding schemes to minimize latency.

Powered by the technologies that have originated from manufacturing, the fourth revolution of healthcare technologies is happening (Healthcare 4.0). As an example of such revolution, new generation homecare robotic systems (HRS) based on the cyber-physical systems (CPS) with higher speed and more intelligent execution are emerging. In this article, the new visions and features of the CPS-based HRS are proposed. The latest progress in related enabling technologies is reviewed, including artificial intelligence, sensing fundamentals, materials and machines, cloud computing and communication, as well as motion capture and mapping. Finally, the future perspectives of the CPS-based HRS and the technical challenges faced in each technical area are discussed.

Surface electromyography signal plays an important role in hand function recovery training. In this paper, an IoT-enabled stroke rehabilitation system was introduced which was based on a smart wearable armband (SWA), machine learning (ML) algorithms, and a 3-D printed dexterous robot hand. User comfort is one of the key issues which should be addressed for wearable devices. The SWA was developed by integrating a low-power and tiny-sized IoT sensing device with textile electrodes, which can measure, pre-process, and wirelessly transmit bio-potential signals. By evenly distributing surface electrodes over user's forearm, drawbacks of classification accuracy poor performance can be mitigated. A new method was put forward to find the optimal feature set. ML algorithms were leveraged to analyze and discriminate features of different hand movements, and their performances were appraised by classification complexity estimating algorithms and principal components analysis. According to the verification results, all nine gestures can be successfully identified with an average accuracy up to 96.20%. In addition, a 3-D printed five-finger robot hand was implemented for hand rehabilitation training purpose. Correspondingly, user's hand movement intentions were extracted and converted into a series of commands which were used to drive motors assembled inside the dexterous robot hand. As a result, the dexterous robot hand can mimic the user's gesture in a real-time manner, which shows the proposed system can be used as a training tool to facilitate rehabilitation process for the patients after stroke.