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    This study introduces a new inertial sensor method using wavelet transform to detect sit-to-stand transitions. This approach accurately monitors functional mobility in real-world settings for rehabilitation and impairment progression tracking.

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    Area of Science:

    • Biomechanics
    • Rehabilitation Engineering
    • Signal Processing

    Background:

    • Postural transitions, like sit-to-stand, are key indicators of functional independence.
    • Deficits in these movements correlate with adverse outcomes in various patient groups.
    • Continuous, real-world monitoring of transitions can offer valuable clinical insights.

    Purpose of the Study:

    • To develop and validate a novel inertial sensor-based algorithm for detecting postural transitions.
    • To assess the algorithm's robustness in both controlled laboratory and real-world ambient environments.
    • To provide a tool for continuous monitoring of functional mobility outside clinical settings.

    Main Methods:

    • Utilized an inertial sensor-based approach for postural transition detection.
    • Employed the wavelet transform for signal analysis and feature extraction.
    • Evaluated the algorithm on a dataset comprising 334 in-laboratory and 20 in-home transitions.

    Main Results:

    • The proposed wavelet transform-based algorithm demonstrated robust performance in detecting postural transitions.
    • The method proved effective in both supervised laboratory and unsupervised ambient settings.
    • The algorithm successfully identified transitions in individuals with and without motor impairments.

    Conclusions:

    • Inertial sensor technology combined with wavelet transform offers a reliable method for detecting postural transitions.
    • This approach enables continuous, out-of-clinic monitoring of functional mobility.
    • The findings support the use of this technology for tracking rehabilitation progress and identifying physical impairments.