Frailty detection and remote monitoring are of major importance for slowing down, and/or even stopping the frailty process in home-dwelling older people. Taking the Fried’s criteria as a reference, this work aims to compare the results produced by a technological set (ARPEGE Pack) with those obtained by usual clinical tests, as well as to discuss the ability of the Pack to be used for long-run frailty remote monitoring. 194 participants were given a number of geriatric tests and asked to make use of the ARPEGE technological tools as well as reference clinical tools to feed Fried’s indicators. Spearman or Pearson’s correlation coefficients were used to compare the ARPEGE results to the reference ones, depending on data statistical characteristics. Good correlations were obtained for measurements of weight (0.99), grip strength (0.89) and walking speed (0.79). Results are much less satisfactory for evaluation of physical activity and exhaustion (Spearman correlation coefficients 0.25 and 0.41, respectively). Correlations regarding weight, grip strength and walking speed confirm the validity of the data produced by the ARPEGE Pack to feed Fried’s criteria. Assessing activity level and exhaustion from an abbreviated questionnaire is still questionable. However, for long-run monitoring other methods of evaluation can be explored. Beyond the quantitative results, the ARPEGE Pack has been proved to be acceptable and motivating in such a long-term frailty monitoring.
The timed up and go (TUG) test is a simple, valid, and reliable clinical tool that is widely used to assess mobility in elderly people. Several research studies have been conducted to automate the TUG test using wearable sensors or motion‐tracking systems. Despite their promising results, the adopted technological systems present inconveniences in terms of acceptability and privacy protection. In this work, we propose to overcome these problems by using a Doppler radar system set into the backrest of a chair in order to automate the TUG test and extract additional information from its phases (i.e., transfer, walk, and turn). We intend to segment its phases and extract spatiotemporal gait parameters automatically. Our methodology is mainly based on a multiresolution analysis of radar signals. We proposed a segmentation technique based on the extraction of limbs oscillations signals through a semisupervised machine learning approach, on the one hand, and the application of the DARC algorithm on the other hand. Once the speed signals of torso and limbs oscillations were detected, we suggested estimating 14 gait parameters. All our approaches were validated by comparing outcomes to those obtained from a reference Vicon system. High correlation coefficients were obtained by comparing the speed signals of the torso (ρ = 0.8), the speed signals of limbs oscillations (ρ = 0.91), the initial and final indices of TUG phases (ρ = 0.95), and the extracted parameters (percentage error < 4.8) obtained after radar signal processing to those obtained from the Vicon system.
Early detection of physical frailty and infectious diseases in seniors is important to avoid any fatal drawback and promptly provide them with the necessary healthcare. One of the major symptoms of viral infections is elevated body temperature. In this work, preparation and implementation of multi-age thermal faces dataset is done to train different “You Only Look Once” (YOLO) object detection models (YOLOv5,6 and 7) for eye detection. Eye detection allows scanning for the most accurate temperature in the face, which is the inner canthus temperature. An approach using an elderly thermal dataset is performed in order to produce an eye detection model specifically for elderly people. An application of transfer learning is applied from a multi-age YOLOv7 model to an elderly YOLOv7 model. The comparison of speed, accuracy, and size between the trained models shows that the YOLOv7 model performed the best (Mean average precision at Intersection over Union of 0.5 (mAP@.5) = 0.996 and Frames per Seconds (FPS) = 150). The bounding box of eyes is scanned for the highest temperature, resulting in a normalized error distance of 0.03. This work presents a fast and reliable temperature detection model generated using non-contact infrared camera and a deep learning approach.
Indoor localization has several applications ranging from people tracking and indoor navigation, to autonomous robot navigation and asset tracking. We tackle the problem as a zoning localization where the objective is to determine the zone where the mobile sensor resides at any instant. The decision-making process in localization systems relies on data coming from multiple sensors. The data retrieved from these sensors require robust fusion approaches to be processed. One of these approaches is the belief functions theory (BFT), also called the Dempster–Shafer theory. This theory deals with uncertainty and imprecision with a theoretically attractive evidential reasoning framework. This paper investigates the usage of the BFT to define an evidence framework for estimating the most probable sensor’s zone. Real experiments demonstrate the effectiveness of this approach and its competence compared to state-of-the-art methods.
Grip-strength measurement is a key element in the evaluation of numerous conditions including frailty. An innovative grip-strength evaluation tool, the Grip-Ball has been developed for remote assessment of grip-strength. The Grip-Ball is an airtight ball that can be inflated to different pressures, thus varying the stiffness of the ball and the grip-strength dynamics. Three different initial pressures of 100, 125, and 150 kPa were evaluated in respect to reliability and validity, when compared to the Jamar. Reliability was very high, with ICC values of 0.95, 0.98, and 0.99 for 100, 125, and 150 kPa, respectively. The new device was highly correlated with the force measured using the Jamar for all initial pressures (r = 0.88, 0.93, and 0.93 for 100, 125, and 150 kPa, respectively). The possibility of varying the initial pressure would enable the Grip-Ball to be used for standard grip-strength testing and rehabilitation, while still maintaining high reliability and validity.
Coughing, a common symptom associated with various respiratory problems, is a crucial indicator for diagnosing and tracking respiratory diseases. Accurate identification and categorization of cough sounds, specially distinguishing between wet and dry coughs, are essential for understanding underlying health conditions. This research focuses on applying the Swin Transformer for classifying wet and dry coughs using short-time Fourier transform (STFT) representations. We conduct a comprehensive evaluation, including a performance comparison with a 2D convolutional neural network (2D CNN) model, and exploration of two distinct image augmentation methods: time mask augmentation and classical image augmentation techniques. Extensive hyperparameter tuning is performed to optimize the Swin Transformer’s performance, considering input size, patch size, embedding size, number of epochs, optimizer type, and regularization technique. Our results demonstrate the Swin Transformer’s superior accuracy, particularly when trained on classically augmented STFT images with optimized settings (320 × 320 input size, RMS optimizer, 8 × 8 patch size, and an embedding size of 128). The approach achieves remarkable testing accuracy (88.37%) and ROC AUC values (94.88%) on the challenging crowdsourced COUGHVID dataset, marking improvements of approximately 2.5% and 11% increases in testing accuracy and ROC AUC values, respectively, compared to previous studies. These findings underscore the efficacy of Swin Transformer architectures in disease detection and healthcare classification problems.