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Combining Different Wearable Devices to Assess Gait Speed in Real-World Settings.

Michele Zanoletti1,2, Pasquale Bufano1,3, Francesco Bossi2

  • 1National Research Council, Institute of Clinical Physiology, 56124 Pisa, Italy.

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|May 25, 2024
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Summary

Wearable devices like smartwatches and smart shoes accurately estimate daily life mobility and gait speed. Combining smartwatches and smart shoes offers the best performance for clinical insights, outperforming single devices or all devices together.

Keywords:
daily life monitoringgait speed estimationmachine learningmobility analysissmart sensorssmart shoessmartphonesmartwatchtelemedicinewearable devices

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Area of Science:

  • Biomedical Engineering
  • Wearable Technology
  • Clinical Assessment

Background:

  • Assessing daily life mobility is crucial for understanding clinical conditions like Chronic Obstructive Pulmonary Disease (COPD).
  • Wearable devices offer a promising avenue for objective mobility assessment outside clinical settings.

Purpose of the Study:

  • To comprehensively analyze the performance of various wearable devices in estimating gait speed.
  • To identify optimal device combinations for accurate and practical daily life mobility assessment.
  • To explore the synergistic effects of combining different wearable sensors.

Main Methods:

  • Collected gait speed data from 20 healthy subjects using smartphones, smartwatches, and smart shoes during a modified Six-Minute Walking Test.
  • Evaluated individual device performance and combined device accuracy.
  • Conducted feature importance analysis to identify key variables for gait speed estimation.

Main Results:

  • Individual wearable devices showed comparable performance in gait speed estimation.
  • The combination of smartwatches and smart shoes demonstrated superior accuracy.
  • Smartwatches provided additional health-related information and improved accuracy when paired with other devices.
  • Using all devices concurrently did not enhance, and may have reduced, estimation accuracy.

Conclusions:

  • Smartwatches and smart shoes represent a highly effective combination for gait speed estimation in daily life.
  • The findings suggest potential redundancy when using multiple wearable devices simultaneously.
  • Feature importance analysis provides valuable insights for developing refined gait speed estimation models.