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A wireless body area network of intelligent motion sensors for computer assisted physical rehabilitation. Emil Jovanov, Aleksandar Milenkovic, Chris Otto and Piet C de Groen. Presenter : Hyotaek Shim. Telemedicine System.
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A wireless body area network of intelligent motion sensors for computer assisted physical rehabilitation Emil Jovanov, Aleksandar Milenkovic, Chris Otto and Piet C de Groen Presenter : Hyotaek Shim
Telemedicine System • Wearable health monitoring systems integrated into a telemedicine system • continuous monitoring as a part of a diagnostic procedure • to support early detection of abnormal conditions and prevention of its serious consequences • during supervised recovery from an acute event or surgical procedure
Holter monitors • Traditional personal medical monitoring systems • only to collect data for off-line processing • Wires may limit the patient’s activity and level of comfort • negatively influence the measured results
Continuous monitoring • Important limitation for wider acceptance of the existing systems for continuous monitoring • unwieldy wires between sensors and a processing unit • lack of system integration of individual sensors • interference on a wireless communication channel shared by multiple devices • nonexistent support for massive data collection and knowledge discovery
Integrated research databases • Records from individual monitoring sessions are rarely integrated into research databases • support for data mining and knowledge discovery • relevant to specific conditions and patient categories
Wireless Body Area Network preprocessing & synchronization
Data flow in an WBAN Sensor level Personal Server Level Medical Service Level
Sensor Level (1/2) • ECG(electrocardiogram) sensor for monitoring heart activity • EMB(electromyography) sensor formonitoring muscle activity • EEG(electroencephalography) sensor for monitoring brain electrical activity • A blood pressure sensor • A tilt sensor for monitoring trunk position • movement sensors used to estimate user’s activity • A “smart sock”sensor or a sensor equipped shoe insole • to delineate phases of individual steps
Sensor Level (2/2) • Minimal weight • Low-power operation to permit prolonged continuous monitoring • Seamless integration into a WBAN • standard-based interface protocols • Patient-specific calibration, tuning and customization • continuously collect and process raw information, store them locally, and send them to the personal server
Bluetooth Disadvantages • transfer raw data from sensors to the monitoring station • limitation for prolonged wearable monitoring • too complex • power demanding • prone to interference
Zigbee wireless protocol • High level communication protocols using small, low-power digital radios based • IEEE 802.15.4 standard for wireless personal area networks (WPANs) • targeted at RF applications that require a low data rate, long battery life, and secure networking
Personal server level • Initialization, configuration and synchronization of WBAN nodes • Control and monitor operation of WBAN nodes • Collection of sensor readings from physiological sensors • An audio and graphical user-interface • early warnings or guidance • Secure communication with remote healthcare provider servers • Internet-enabled PDA • 3G cell phone • A home personal computer
Medical Services • An emergency service • If the received data are out of range or indicate an imminent medical condition • The exact location of the patient • If the personal server is equipped with GPS sensor • monitoring the activity of the patient • By medical professionals • Issue altered guidance based on the new information
ActiS : Activity Sensor ISPM Telos CC2420(ZigBee) TI MSP430F149 ADXL202Accelerometer TI MSP430F1232 Flash ADXL202Accelerometer USB Interface ECG SignalConditioning ECG electrodes • The Telos platform • 8MHz MSP430F1611 microcontroller • 10KB RAM and 48KB Flash Memory • UART(Universal Asynchronous Receiver Transmitter) • ISPM • MSP430F1232 microcontroller • 10-bit ADC and UART
Ax q g Ay ActiS : Motion Sensor • ActiS sensor as Motion Sensor • Vertical Plane Θ = • to detection of gait phases
Conclusion • Continuous monitoring in the ambulatory setting • early detection of abnormal conditions • increased level of confidence • improve quality of life • supervised rehabilitation • potential knowledge discovery • through data mining of all gathered information