Musculoskeletal disorders are the most common form of occupational ill-health. Neck pain is one of the most prevalent musculoskeletal disorders experienced by computer workers. Wrong postural habits and non-compliance of the workstation to ergonomics guidelines are the leading causes of neck pain. These factors may also alter respiratory functions. Health and safety interventions can reduce neck pain and, more generally, the symptoms of musculoskeletal disorders and reduce the consequent economic burden. In this work, a multi-parametric wearable system based on two fiber Bragg grating sensors is proposed for monitoring neck movements and breathing activity of computer workers. The sensing elements were positioned on the neck, in the frontal and sagittal planes, to monitor: (i) flexion-extension and axial rotation repetitions, and (ii) respiratory frequency. In this pilot study, five volunteers were enrolled and performed five repetitions of both flexion-extension and axial rotation, and ten breaths of both quite breathing and tachypnea. Results showed the good performances of the proposed system in monitoring the aforementioned parameters when compared to optical reference systems. The wearable system is able to well-match the trend in time of the neck movements (both flexion-extension and axial rotation) and to estimate mean and breath-by-breath respiratory frequency values with percentage errors ≤6.09% and ≤1.90%, during quiet breathing and tachypnea, respectively.
1 January 2012 in Restorative Neurology and Neuroscience
Purpose: In the chronic phase of stroke brain plasticity plays a crucial role for further motor control improvements. This study aims to assess the brain plastic reorganizations and their association with clinical progresses induced by a robot-aided
Ageing is accompanied by a severe muscle function decline presumably caused by structural and functional adaptations at the central and peripheral level. Although researchers have reported an extensive analysis of the alterations involving muscle intrinsic properties, only a limited number of studies have recognised the importance of the central nervous system, and its reorganisation, on neuromuscular decline. Neural changes, such as degeneration of the human cortex and function of spinal circuitry, as well as the remodelling of the neuromuscular junction and motor units, appear to play a fundamental role in muscle quality decay and culminate with considerable impairments in voluntary activation and motor performance. Modern diagnostic techniques have provided indisputable evidence of a structural and morphological rearrangement of the central nervous system during ageing. Nevertheless, there is no clear insight on how such structural reorganisation contributes to the age-related functional decline and whether it is a result of a neural malfunction or serves as a compensatory mechanism to preserve motor control and performance in the elderly population. Combining leading-edge techniques such as high-density surface electromyography (EMG) and improved diagnostic procedures such as functional magnetic resonance imaging (fMRI) or high-resolution electroencephalography (EEG) could be essential to address the unresolved controversies and achieve an extensive understanding of the relationship between neural adaptations and muscle decline.
Unobtrusive and wearable devices are gaining large acceptance in the continuous monitoring of physiological parameters. Among the five vital signs, respiratory rate (fR) can be used to detect physiological abnormalities and health status changes. The purpose of this work was to investigate the performances of a multi-sensor smart garment in estimating the fR during walking and running activities. Bespoke algorithms have been implemented to retrieve fR values from raw data. Experiments were carried out on ten male volunteers during walking and running activities at selected speeds controlled by a treadmill (i.e., from 1.6 km.h-1 to 8.0 km.h-1). Data were analysed in both frequency and time domains. In the frequency domain, fR was analyzed considering a time window of 20 s. The 97% of fR estimated by the garment agreed with the reference (i.e., flowmeter) values in the range 13 breaths per minute (bpm). In the time domain, breath-by-breath fR analysis was carried out. The garment performance was evaluated in terms of mean absolute error (MAE), standard error (SE),mean percentage error (mean %E[i]) and by the Bland-Altman analysis. Good agreement with the reference device was testified by low MAE (<1.86 bpm), SE (<0.21 bpm), mean %E[i] (<2.83 ), and by the Bland-Altman analysis (Mean of Differences = 0.22 bpm, Limits of Agreement = 6.06 bpm). Summing up, the garment based on six sensing elements and related bespoke algorithms are able to provide robust information about fR on both average and breath-by-breath bases even during physical activities.