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Stroke can impair mobility, with deficits more pronounced while simultaneously performing multiple activities. In this study, common clinical tests were instrumented with wearable motion sensors to study motor–cognitive interference effects in stroke survivors (SS). A total of 21 SS and 20 healthy controls performed the Timed Up and Go (TUG), Sit-to-Stand (STS), balance, and 10-Meter Walk (10MWT) tests under single and dual-task (counting backward) conditions. Calculated measures included total time and gait measures for TUG, STS, and 10MWT. Balance tests for both open and closed eyes conditions were assessed using sway, measured using the linear acceleration of the thorax, pelvis, and thighs. SS exhibited poorer performance with slower TUG (16.15 s vs. 13.34 s, single-task p < 0.001), greater sway in the eyes open balance test (0.1 m/s2 vs. 0.08 m/s2, p = 0.035), and slower 10MWT (12.94 s vs. 10.98 s p = 0.01) compared to the controls. Dual tasking increased the TUG time (~14%, p < 0.001), balance thorax sway (~64%, p < 0.001), and 10MWT time (~17%, p < 0.001) in the SS group. Interaction effects were minimal, suggesting similar dual-task costs. The findings demonstrate exaggerated mobility deficits in SS during dual-task clinical testing. Dual-task assessments may be more effective in revealing impairments. Integrating cognitive challenges into evaluation can optimize the identification of fall risks and personalize interventions targeting identified cognitive–motor limitations post stroke. [ABSTRACT FROM AUTHOR]

Clinical tests like Timed Up and Go (TUG) facilitate the assessment of post-stroke mobility, but they lack detailed measures. In this study, 21 stroke survivors and 20 control participants underwent TUG, sit-to-stand (STS), and the 10 Meter Walk Test (10MWT). Tests incorporated single tasks (STs) and motor-cognitive dual-task (DTs) involving reverse counting from 200 in decrements of 10. Eight wearable motion sensors were placed on feet, shanks, thighs, sacrum, and sternum to record kinematic data. These data were analyzed to investigate the effects of stroke and DT conditions on the extracted features across segmented portions of the tests. The findings showed that stroke survivors (SS) took 23% longer for total TUG (p < 0.001), with 31% longer turn time (p = 0.035). TUG time increased by 20% (p < 0.001) from STs to DTs. In DTs, turning time increased by 31% (p = 0.005). Specifically, SS showed 20% lower trunk angular velocity in sit-to-stand (p = 0.003), 21% longer 10-Meter Walk time (p = 0.010), and 18% slower gait speed (p = 0.012). As expected, turning was especially challenging and worsened with divided attention. The outcomes of our study demonstrate the benefits of instrumented clinical tests and DTs in effectively identifying motor deficits post-stroke across sitting, standing, walking, and turning activities, thereby indicating that quantitative motion analysis can optimize rehabilitation procedures. [ABSTRACT FROM AUTHOR]

Background: Falls are common and dangerous for stroke survivors. Current fall risk assessment methods rely on subjective scales. Objective sensor-based methods could improve prediction accuracy. Objective: Develop machine learning models using inertial sensors to objectively classify fall risk in stroke survivors. Determine optimal sensor configurations and clinical test protocols. Methods: 21 stroke survivors performed balance, Timed Up and Go, 10 Meter Walk, and Sit-to-Stand tests with and without dual-tasking. A total of 8 motion sensors captured lower limb and trunk kinematics, and 92 spatiotemporal gait and clinical features were extracted. Supervised models—Support Vector Machine, Logistic Regression, and Random Forest—were implemented to classify high vs. low fall risk. Sensor setups and test combinations were evaluated. Results: The Random Forest model achieved 91% accuracy using dual-task balance sway and Timed Up and Go walk time features. Single thorax sensor models performed similarly to multi-sensor models. Balance and Timed Up and Go best-predicted fall risk. Conclusion: Machine learning models using minimal inertial sensors during clinical assessments can accurately quantify fall risk in stroke survivors. Single thorax sensor setups are effective. Findings demonstrate a feasible objective fall screening approach to assist rehabilitation. [ABSTRACT FROM AUTHOR]

Industrial environments present unique challenges in ensuring worker safety and optimizing productivity. The emergence of smart wearable technologies such as smart insoles has provided new opportunities to address these challenges through accurate unobtrusive monitoring and analysis of workers' activities and physical parameters. This systematic review aims to analyze the utilization of smart wearable insoles in industrial environments, focusing on their applications, employed analysis methods, and potential future directions. A comprehensive review was conducted, involving the analysis of 27 papers that utilized smart wearable insoles in industrial settings. The reviewed articles were evaluated to determine the trends in application and methodology, explore the implementation of smart insoles across different industries, and identify the prevalent machine learning models and analyzed activities in the relevant literature. The majority of the reviewed articles (67%) primarily focused on human activity recognition and gesture estimation using smart wearable insoles, aiming to enhance safety and productivity in industrial settings. Furthermore, 10% of the studies focused on fatigue identification, 10% on slip, trip, and fall hazard detection, and 13% on biomechanical analyses of workers' body joint loads. The construction industry accounted for approximately 60% of the studies conducted in industrial settings using smart insoles. The most prevalent machine learning models utilized in these studies were neural networks (48%), support vector machines (33%), k-nearest neighbors (30%), decision trees (26%), and random forests (15%). These models achieved median accuracies of 95%, 96%, 91%, 92%, and 95%, respectively. Among the analyzed activities, walking, bending with/without lifting/lowering a load, and carrying a load were the most frequently considered, with frequencies of 10, 10, and 7 out of the 27 studies, respectively. The findings of this systematic review demonstrate the growing interest in implementing smart wearable insoles in industrial environments to enhance safety and productivity. However, the effectiveness of these systems is dependent on factors such as accuracy, reliability, and generalizability of the models. The review highlights the need for further research to address these challenges and to explore the potential of these systems for use in other industrial applications such as manufacturing. Overall, this systematic review provides valuable insights for researchers, practitioners, and policymakers in the field of occupational health and safety. [ABSTRACT FROM AUTHOR]

The complex mechanical structure of spine is usually simplified in finite element (FE) modes. In this study, different 3D models of L4-L5 spinal segment distinguished by their ligament modelling were developed (1D truss, 2D shell and 3D space truss elements). All models could be considered validated with respect to range of motion and intradiscal pressure, although their ligament stresses/forces were substantially different. The models with 2D shell and 3D space truss ligaments showed the stress distribution and identified the potential failure/injury locations in ligaments. The model with 3D space truss ligaments showed the stress/force direction (representing collagen fiber directions). [ABSTRACT FROM AUTHOR]

This study developed and validated a lumped parameter model for the FLEXI-BAR, a popular training instrument that provides vibration stimulation. The model which can be used in conjunction with musculoskeletal-modeling software for quantitative biomechanical analyses, consists of 3 rigid segments, 2 torsional springs, and 2 torsional dashpots. Two different sets of experiments were conducted to determine the model's key parameters including the stiffness of the springs and the damping ratio of the dashpots. In the first set of experiments, the free vibration of the FLEXI-BAR with an initial displacement at its end was considered, while in the second set, forced oscillations of the bar were studied. The properties of the mechanical elements in the lumped parameter model were derived utilizing a non-linear optimization algorithm which minimized the difference between the model's prediction and the experimental data. The results showed that the model is valid (8% error) and can be used for simulating exercises with the FLEXI-BAR for excitations in the range of the natural frequency. The model was then validated in combination with AnyBody musculoskeletal modeling software, where various lumbar disc, spinal muscles and hand muscles forces were determined during different FLEXI-BAR exercise simulations. [ABSTRACT FROM AUTHOR]

Background: A stroke often bequeaths surviving patients with impaired neuromusculoskeletal systems subjecting them to increased risk of injury (e.g., due to falls) even during activities of daily living. The risk of injuries to such individuals can be related to alterations in their movement. Using inertial sensors to record the digital biomarkers during turning could reveal the relevant turning alterations. Objectives: In this study, movement alterations in stroke survivors (SS) were studied and compared to healthy individuals (HI) in the entire turning task due to its requirement of synergistic application of multiple bodily systems. Methods: The motion of 28 participants (14 SS, 14 HI) during turning was captured using a set of four Inertial Measurement Units, placed on their sternum, sacrum, and both shanks. The motion signals were segmented using the temporal and spatial segmentation of the data from the leading and trailing shanks. Several kinematic parameters, including the range of motion and angular velocity of the four body segments, turning time, the number of cycles involved in the turning task, and portion of the stance phase while turning, were extracted for each participant. Results: The results of temporal processing of the data and comparison between the SS and HI showed that SS had more cycles involved in turning, turn duration, stance phase, range of motion in flexion–extension, and lateral bending for sternum and sacrum (p-value < 0.035). However, HI exhibited larger angular velocity in flexion–extension for all four segments. The results of the spatial processing, in agreement with the prior method, showed no difference between the range of motion in flexion–extension of both shanks (p-value > 0.08). However, it revealed that the angular velocity of the shanks of leading and trailing legs in the direction of turn was more extensive in the HI (p-value < 0.01). Conclusions: The changes in upper/lower body segments of SS could be adequately identified and quantified by IMU sensors. The identified kinematic changes in SS, such as the lower flexion–extension angular velocity of the four body segments and larger lateral bending range of motion in sternum and sacrum compared to HI in turning, could be due to the lack of proper core stability and effect of turning on vestibular system of the participants. This research could facilitate the development of a targeted and efficient rehabilitation program focusing on the affected aspects of turning movement for the stroke community. [ABSTRACT FROM AUTHOR]

As autonomous mobile robots (AMR) are introduced into workspace environments shared with people, effective human-robot communication is critical to the prevention of injury while maintaining a high level of productivity. This research presents an empirical study that evaluates four alternative methods for communicating between an autonomous mobile robot and a human at a warehouse intersection. The results demonstrate that using an intent communication system for human-AMR interaction improves objective measures of productivity (task time) and subjective metrics of trust and comfort. • Investigation of intent communication systems (ICS) for human-robot interaction. • Results demonstrate that an ICS improves measures of warehouse productivity and trust. • Study emulates the interaction of humans and forklifts at a warehouse intersection. • Four alternative ICS methods include text, symbol, and avatar displays, and no ICS. • A humanoid avatar ICS was ranked highest in terms of participant preference. [ABSTRACT FROM AUTHOR]

Nonspecific low back pain (NSLBP) constitutes a critical health challenge that impacts millions of people worldwide with devastating health and socioeconomic consequences. In today's clinical settings, practitioners continue to follow conventional guidelines to categorize NSLBP patients based on subjective approaches, such as the STarT Back Screening Tool (SBST). This study aimed to develop a sensor-based machine learning model to classify NSLBP patients into different subgroups according to quantitative kinematic data, i.e., trunk motion and balance-related measures, in conjunction with STarT output. Specifically, inertial measurement units (IMU) were attached to the trunks of ninety-four patients while they performed repetitive trunk flexion/extension movements on a balance board at self-selected pace. Machine learning algorithms (support vector machine (SVM) and multi-layer perceptron (MLP)) were implemented for model development, and SBST results were used as ground truth. The results demonstrated that kinematic data could successfully be used to categorize patients into two main groups: high vs. low-medium risk. Accuracy levels of ~75% and 60% were achieved for SVM and MLP, respectively. Additionally, among a range of variables detailed herein, time-scaled IMU signals yielded the highest accuracy levels (i.e., ~75%). Our findings support the improvement and use of wearable systems in developing diagnostic and prognostic tools for various healthcare applications. This can facilitate development of an improved, cost-effective quantitative NSLBP assessment tool in clinical and home settings towards effective personalized rehabilitation. [ABSTRACT FROM AUTHOR]

In this study, our aim was to model forest fire occurrences caused by lightning using the variable of vegetation water content over six fire-dominant forested natural subregions in Northern Alberta, Canada. We used eight-day composites of surface reflectance data at 500-m spatial resolution, along with historical lightning-caused fire occurrences during the 2005–2016 period, derived from a Moderate Resolution Imaging Spectroradiometer. First, we calculated the normalized difference water index (NDWI) as an indicator of vegetation/fuel water content over the six natural subregions of interest. Then, we generated the subregion-specific annual dynamic median NDWI during the 2005–2012 period, which was assembled into a distinct pattern every year. We plotted the historical lightning-caused fires onto the generated patterns, and used the concept of cumulative frequency to model lightning-caused fire occurrences. Then, we applied this concept to model the cumulative frequencies of lightning-caused fires using the median NDWI values in each natural subregion. By finding the best subregion-specific function (i.e., R2 values over 0.98 for each subregion), we evaluated their performance using an independent subregion-specific lightning-caused fire dataset acquired during the 2013–2016 period. Our analyses revealed strong relationships (i.e., R2 values in the range of 0.92 to 0.98) between the observed and modeled cumulative frequencies of lightning-caused fires at the natural subregion level throughout the validation years. Finally, our results demonstrate the applicability of the proposed method in modeling lightning-caused fire occurrences over forested regions. [ABSTRACT FROM AUTHOR]

Forest fire is one of the major natural hazards/disasters in Canada and many ecosystems across the world. Here, our objective was to enhance the performance of an existing solely remote sensing-based forest fire danger forecasting system (FFDFS), and its implementation over the northern region of the Canadian province of Alberta. The modified FFDFS was comprised of Moderate Resolution Imaging Spectroradiometer (MODIS)-derived daily surface temperature (Ts) and precipitable water (PW), and 8-day composite of normalized difference vegetation index (NDVI) and normalized difference water index (NDWI), where we assumed that cloud-contaminant pixels would reduce the risk of fire occurrences. In addition, we generated ignition cause-specific static fire danger (SFD) maps derived using the historical human- and lightning-caused fires during the period 1961–2014. Upon incorporating different combinations of the generated SFD maps with the modified FFDFS, we evaluated their performances against actual fire spots during the 2009–2011 fire seasons. Our findings revealed that our proposed modifications were quite effective and the modified FFDFS captured almost the same amount of fires as the original FFDFS, i.e., about 77% of the detected fires on an average in the top three fire danger classes of extremely high, very high, and high categories, where about 50% of the study area fell under low and moderate danger classes. Additionally, we observed that the combination of modified FFDFS and human-caused SFD map (road buffer) demonstrated the most effective results in fire detection, i.e., 82% of detected fires on an average in the top three fire danger classes, where about 46% of the study area fell under the moderate and low danger categories. We believe that our developments would be helpful to manage the forest fire in order to reduce its overall impact. [ABSTRACT FROM AUTHOR]

Slips, trips, and falls are some of the most substantial and prevalent causes of occupational injuries and fatalities, and these events may contribute to low-back problems. We quantified lumbar kinematics (i.e., lumbar angles relative to pelvis) and kinetics during unexpected slip and trip perturbations, and during normal walking, among 12 participants (6F, 6 M). Individual anthropometry, lumbar muscle geometry, and lumbar angles, along with electromyography from 14 lumbar muscles were used as input to a 3D, dynamic, EMG-based model of the lumbar spine. Results indicated that, in comparison with values during normal walking, lumbar range of motion, lumbosacral (L5/S1) loads, and lumbar muscle activations were all significantly higher during the slip and trip events. Maximum L5/S1 compression forces exceeded 2700 N during slip and trip events, compared with ∼ 1100 N during normal walking. Mean values of L5/S1 anteroposterior (930 N), and lateral (800 N) shear forces were also substantially larger than the shear force during the normal walking (230 N). These observed levels of L5/S1 reaction forces, along with high levels of bilateral lumbar muscle activities, suggest the potential for overexertion injuries and tissue damage during unexpected slip and trip events, which could contribute to low back injuries. Outcomes of this study may facilitate the identification and control of specific mechanisms involved with low back disorders consequent to slips or trips. [ABSTRACT FROM AUTHOR]

Using traditional back tables (BT) in operating rooms (OR) can lead to high physical/cognitive demand on nurses due to repetitive manual material handling activities. A multi-tier table (MTT) has been developed to relieve such stressors by providing extra working surfaces to avoid stacking the instrument trays and facilitate access to surgical tools. In this study, sixteen participants performed lifting/lowering and instrument findings tasks on each table, where kinematics, kinetics, subjective, and performance-related measures were recorded. Results indicated that MTT required lesser shoulder flexion (p-value<0.001), ∼14% lower shoulder loads (0.012), task completion time (<0.001), and cognitive/physical workloads (<0.004). Although peak low-back demands were ∼15% higher using MTT, the number of lifts to complete the same task was 60% lower, leading to lower cumulative demand on the low-back musculature. Utilizing MTT in OR could reduce demand and increase nurses' efficiency, leading to reduced risk of WMSDs and the total time of surgery. [ABSTRACT FROM AUTHOR]

Near real time (NRT) remote sensing derived land surface temperature (Ts) data has an utmost importance in various applications of natural hazards and disasters. Space-based instrument MODIS (moderate resolution imaging spectroradiometer) acquired NRT data products of Ts are made available for the users by LANCE (Land, Atmosphere Near real-time Capability) for Earth Observing System (EOS) of NASA (National Aeronautics and Space Administration) free of cost. Such Ts products are swath data with 5 min temporal increments of satellite acquisition, and the average latency is 60-125 min to be available in public domain. The swath data of Ts requires a specialized tool, i.e., HEG (HDF-EOS to GeoTIFF conversion tool) to process and make the data useful for further analysis. However, the file naming convention of the available swath data files in LANCE is not appropriate to download for an area of interest (AOI) to be processed by HEG. In this study, we developed a method/algorithm to overcome such issues in identifying the appropriate swath data files for an AOI that would be able to further processes supported by the HEG. In this case, we used Terra MODIS acquired NRT swath data of Ts, and further applied it to an existing framework of forecasting forest fires (as a case study) for the performance evaluation of our processed Ts. We were successful in selecting appropriate swath data files of Ts for our study area that was further processed by HEG, and finally were able to generate fire danger map in the existing forecasting model. Our proposed method/algorithm could be applied on any swath data product available in LANCE for any location in the world. [ABSTRACT FROM AUTHOR]

Forest fires are natural disasters that create a significant risk to the communities living in the vicinity of forested landscape. To minimize the risk of forest fires for the resilience of such urban communities and forested ecosystems, we proposed a new remote sensing-based medium-term (i.e., four-day) forest fire danger forecasting system (FFDFS) based on an existing framework, and applied the system over the forested regions in the northern Alberta, Canada. Hence, we first employed moderate resolution imaging spectroradiometer (MODIS)-derived daily land surface temperature (Ts) and surface reflectance products along with the annual land cover to generate three four-day composite for Ts, normalized difference vegetation index (NDVI), and normalized difference water index (NDWI) at 500 m spatial resolution for the next four days over the forest-dominant regions. Upon generating these four-day composites, we calculated the variable-specific mean values to determine variable-specific fire danger maps with two danger classes (i.e., high and low). Then, by assuming the cloud-contaminated pixels as the low fire danger areas, we combined these three danger maps to generate a four-day fire danger map with four danger classes (i.e., low, moderate, high, and very high) over our study area of interest, which was further enhanced by incorporation of a human-caused static fire danger map. Finally, the four-day scale fire danger maps were evaluated using observed/ground-based forest fire occurrences during the 2015–2017 fire seasons. The results revealed that our proposed system was able to detect about 75% of the fire events in the top two danger classes (i.e., high and very high). The system was also able to predict the 2016 Horse River wildfire, the worst fire event in Albertian and Canadian history, with about 67% agreement. The higher accuracy outputs from our proposed model indicated that it could be implemented in the operational management, which would be very useful for lessening the adverse impact of such fire events. [ABSTRACT FROM AUTHOR]