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n the years, the role of measurement in medicine and treatment specifications and specific methods can be
healthcare is becoming increasingly relevant, thanks to designed to monitor the trend of the quantity of interest
the always-wider diffusion of electronics in everyday for a long period;
life. In particular, measurement and sensors represent one of ◗◗ the measurement results can be easily stored and inte-
the key aspects of what is called pervasive healthcare. Perva- grated with the patient digital record; and
sive healthcare may be defined as the application of pervasive ◗◗ the measurement results can be easily sent to remote
computing technologies for healthcare, as well as the way to monitoring systems, which allows following the patient
make healthcare available everywhere, anytime and to every- at home.
one, and aims at changing the healthcare delivery model from Electronic measurements can be helpful in several phases
doctor-centric to patient-centric, from acute-reactive to contin- of the rehabilitation process for the assessment of the patient’s
uous preventing, and from sampling to monitoring [1]. motor capabilities before starting a treatment, monitoring the
In particular, among the different fields of medicine and progress of the patient during the treatment, and optimizing
healthcare, the role of measurement and sensors is particularly and adapting to the patient’s personal needs with some suit-
significant in physical rehabilitation, where objective mea- able devices, allowing the patient to be functional with a not
surements are needed to evaluate and keep track of the motor recoverable or not fully gained motor capability [3].
capabilities of the patients needing or being subjected to a re- In the first case, the evaluation is commonly carried out in
habilitation treatment. laboratories equipped with suitable instrumentation, aiming
For example, an important parameter, both in determin- at accurately collecting information about the whole motor
ing the motion capability of the patient and in monitoring their capabilities of the patient. In the second case, according to
progresses during the rehabilitation treatment, is the Range Of the pervasive healthcare model, portable and often wear-
Motion (ROM), which is defined as the amount of movement able systems are proposed, which are capable of continuously
through a particular plane, expressed in degrees, that can oc- monitoring the patient’s activity or treatment, even in his/her
cur in a joint [2]. To measure the ROM, traditional mechanical home environment. In the third case, research has proposed
instrumentation, such as the universal protractor, which is suitable designs, configurations, or optimization of equip-
widespread in the common rehabilitation practice, is being re- ment, enabling the patient to perform specific functions, like
placed by electronic instrumentation. walking or moving an object.
Electronic instrumentation allows measuring the ROM, This paper presents a brief overview of the commercial
even in dynamic conditions, such as during walking or mov- solutions and the research proposals for measuring the pa-
ing, which can have different values than those observed tient’s movements, and is organized as follows. In Section 1,
during a physical exam. a review of laboratory measurement equipment for the pa-
In addition, measurements by means of electronic instru- tient’s mobility evaluation will be described. In Sections 2 and
mentation show several further advantages: 3, some proposals of portable measurement systems, used to
◗◗ measurements are easy to read and to understand, as they monitor the patient or track his/her progresses during the
can be directly presented as digits; treatment at home and in clinical environments, are presented
◗◗ the results are highly reproducible as the measurement and discussed.
procedure doesn’t involve a human operator;
◗◗ the measurement signals can be processed by means of Laboratory Equipment
analog or digital processing techniques; Laboratory equipment for measuring human motion is de-
◗◗ the measurement rate can be adjusted according to the signed to work in a restricted controlled environment;
of the acceleration, angle rate, and magnetic angular rate for The Kalman filter sensor data fusion algorithm has become
a motor activity sequence including walking, running, and the accepted basis for the majority of orientation algorithms
jumping. for accurate estimation of Euler angles (yaw, roll, pitch)
through the gyroscope drift error reduction [33]–[35]. This
BASN Algorithms for Estimating Body kind of approach adds a large computational load to the pro-
Part Orientation cessing systems associated with the IMUs, thus limiting the
The accurate measurement of orientation using IMU or MARG usage of this kind of algorithm for the systems where the mo-
units, such as the Qk motion module, plays a critical role in bility and autonomy are challenging requirements.
human motion analysis, especially during the rehabilitation Alternative algorithms that provide effective performance
sessions. Data fusion algorithms are used to increase the orien- for relatively low computational expense are presented in [36]
tation accuracy using data from gyroscopes, accelerometers, and [37], which are associated with microcontroller-based im-
and magnetometers. However, the choice of the right algo- plementation. The Madgwick algorithm [36] uses a quaternion
rithm is strictly dependent on the computing capability of the representation, which allows accelerometer and magnetome-
processing hardware. The higher the computing capability the ter data to be used in an analytically derived and optimized
higher will be the power consumption and therefore, the lower gradient descent algorithm that was also considered as part
will be the autonomy of the processing unit. Usually a trade-off of Qk Motion firmware. In this case, the digital filter calcu-
between mobility of the processing units and precision of the lates the orientation by numerically integrating the estimated
orientation-estimating algorithm has to be found. orientation rate. This is computed as the rate of change of
Fig. 6. Results of the validation of the home rehabilitation system in [39], when a vertical (a) and horizontal (b) flexion movement of the elbow is carried out by a
healthy subject. The elbow joint angle is displayed when evaluated by the BTS LAM (blue continuous line) and the system in [39] (red dashed line).