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Recent studies suggest that the quality of recovery after a stroke can be increased by early and more intensive rehabilitation. Portable unobtrusive devices are promising candidates for the realization of stroke-rehabilitation systems that complement care in the post-acute rehabilitation phase, both in the clinic and at home. The proposed system allows patients to increase the amount of motor exercise they can perform in autonomy, providing them with a real-time feedback based on wearable sensors embedded in the garment's tissue across the upper limb and trunk. A dynamic time warping algorithm allows for the recognition of correct and incorrect motor exercises. After the feedback phase, data are stored in a central location for review and statistics. Workstations can be installed either at home or at the hospital to support patients, independent of their location. The performance of the system on healthy subjects was quantified for seven types of motor exercises for upper limb's rehabilitation. Finally, we present the preliminary results of a pilot clinical study to test the system's acceptability and usability by post-stroke patients, and physicians in a clinical setting. [ABSTRACT FROM AUTHOR]

Conductive elastomers are a novel strain sensing technology which can be unobtrusively embedded into a garment's fabric, allowing a new type of sensorized cloths for motion analysis. A possible application for this technology is remote monitoring and control of motor rehabilitation exercises. The present work describes a sensorized shirt for upper limb posture recognition. Supervised learning techniques have been employed to compare classification models for the analysis of strains, simultaneously measured at multiple points of the shirt. The instantaneous position of the limb was classified into a finite set of predefined postures, and the movement was decomposed in an ordered sequence of discrete states. The amount of information given by the observation of each sensor during the execution of a specific exercise was quantitatively estimated by computing the information gain for each sensor, which in turn allows the data-driven optimization of the garment. Real-time feedback on exercise progress can also be provided by reconstructing the sequence of consecutive positions assumed by the limb. [ABSTRACT FROM AUTHOR]