Walking speed, often considered a representative indicator of activity levels, becomes notably reduced as muscle strength and cardiovascular function decline with aging. Wearable walking rehabilitation devices aim to alleviate the effort during walking or enhance the necessary muscles. Measuring the wearer's walking speed provides an objective assessment of rehabilitation progress. While various methods, such as GPS, model-based estimation, and deep neural network regression can estimate walking speed, they encounter challenges in diverse environments. This article introduces the CNN-based Mixture Density Network (CMDN) structure, which enhances accuracy and provides uncertainty information about estimated walking speed, indirectly reflecting the current walking environment. Validated with experiments involving 20 elderly individuals, CMDN demonstrated performance across flat and stair descent situations, showcasing its potential as a foundation for widespread use in diverse scenarios.
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http://dx.doi.org/10.1109/EMBC53108.2024.10781927 | DOI Listing |
Asia Pac J Public Health
March 2025
Department of Rehabilitation Medicine, Tokyo Bay Rehabilitation Hospital, Chiba, Japan.
In 2020, the coronavirus disease 2019 (COVID-19) pandemic altered lifestyles dramatically. We previously reported that the physical function of walk-in rehabilitation users in Japan worsened after the state of emergency declaration and continued to worsen until the end of 2020. However, whether physical function continued to worsen during the prolonged pandemic period remains unclear.
View Article and Find Full Text PDFAnn Acad Med Singap
February 2025
Graduate Institute of Medicine, Yuan Ze University, Taoyuan, Taiwan.
Introduction: The diagnosis of sarcopenia relies on key indicators such as handgrip strength, walking speed and muscle mass. Developing a composite index that integrates these measures could enhance clinical evaluation in older adults. This study aimed to standardise and combine these metrics to establish a z score for the sarcopenia composite index (ZoSCI) tailored for the ageing population.
View Article and Find Full Text PDFWearable Technol
February 2025
Neuromuscular Robotics Laboratory, Department of Biomechanical Engineering, University of Twente, Enschede, the Netherlands.
Research in lower limb wearable robotic control has largely focused on reducing the metabolic cost of walking or compensating for a portion of the biological joint torque, for example, by applying support proportional to estimated biological joint torques. However, due to different musculotendon unit (MTU) contractile speed properties, less attention has been given to the development of wearable robotic controllers that can steer MTU dynamics directly. Therefore, closed-loop control of MTU dynamics needs to be robust across fiber phenotypes, that is ranging from slow type I to fast type IIx in humans.
View Article and Find Full Text PDFJ Mot Behav
March 2025
Kinesiology Department, University of Massachusetts Amherst, Massachusetts, USA.
Persistent contact sport participation exposes athletes to repetitive head impacts, eliciting lingering motor performance alterations that could disrupt visual perception. We sought to compare head and trunk displacement, segmental coordination, and dynamic visual acuity between contact (ice hockey) and noncontact (baseball) athletes. Thirteen ice hockey and 11 baseball athletes walked at preferred and fast speeds during both a baseline and an imposed dynamic visual acuity (DVA) task.
View Article and Find Full Text PDFMedicine (Baltimore)
March 2025
Department of Rehabilitation Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou City, Guangdong, China.
Background: Stroke is a prevalent neurological disease with high morbidity and disability. Single-task walking training has limitations, and dual-task walking training has emerged. Yet, research on the relative effectiveness of dual- and single-task training for stroke patients' walking function is inconclusive.
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