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Received October 22, 2019, accepted December 6, 2019, date of publication December 13, 2019,

date of current version December 31, 2019.


Digital Object Identifier 10.1109/ACCESS.2019.2959626

A New Assessment Method of the Pilot Stress


Using ECG Signals During Complex
Special Flight Operation
SHUYU SHAO , QIANXIANG ZHOU , AND ZHONGQI LIU
School of Biological Science and Medical Engineering, Beihang University, Beijing 100191, China
Beijing Advanced Innovation Centre for Biomedical Engineering, Beihang University, Beijing 100191, China
Corresponding author: Qianxiang Zhou (zqxg@buaa.edu.cn)
This work was supported in part by the National Key Research and Development Program of China under Grant 2016YFC0802807, and in
part by the Defense Science and Technology Innovation Special Zone Project under Grant 18-163-12-ZT-002-026-01.

ABSTRACT With the continuous improvement in the man-machine-designed fighter aircraft, the pilot
training intensity has increased. Complex special operation of the fighter aircraft is greatly affected by flight
conditions and human control reliability, which imposes a great burden on the pilot psychophysiologically.
To understand the intensity of the stress on the pilot, which is a crucial parameter, accurate evaluation
of the changes in the stress intensity of the pilot during the flight is very important. This study aimed to
analyze the stress intensity of pilots by collecting electrocardiogram (ECG) signals during the long flight
involving 11 pilot trainees. First, an improved soft-threshold denoising method for the ECG data and an
improved differential threshold method were used to process the first-order difference and the threshold
value to the filtered signal to determine the R wave. Then, the multiscale analysis method was used to fuse
the area of the heart rate curve of the pilots. The method of flight training and the division of the stress stage
were derived. Further, the functional relationship of the stress intensity with the frequency of training was
constructed. All these effectively improved the performance of the flight operation training and helped make
a reasonable training plan. This was of great practical significance to the measurement and evaluation of the
stress state of the individuals in dangerous jobs, such as special flight operations, high-altitude skydiving,
bungee jumping, etc.

INDEX TERMS Complex special operation, ECG, HR, multiscale, pilot, stress.
I. INTRODUCTION environment [4]. Objective physiological indexes can be
Stress is the basic physiological impact on the body to reflected in saliva biochemical index [5], [6], serum hormone
resist the adverse factors of the external environment [1]. index [7], and gastrointestinal hormone levels [8]. Stress eval-
Stress overload or excessive stress time leads to physiological uation of electrocardiogram (ECG) signal mainly includes
disorders, and an ‘‘adaptive syndrome’’ or ‘‘general adap- heart rate [average heart rate (HR), maximum heart rate, and
tation syndrome’’ occurs. The physiological changes pro- minimum heart rate] and heart rate variability (HRV), which
duced by stress are mainly related to the sympathetic–adrenal were used to evaluate the stress level [9]–[11].
medullary system [2]. When stimulation acts on the body, Due to the complex combat environment of the fighter
the neuroendocrine secretion of cortisol is activated by the aircraft, technical difficulty, high requirements, high risk, and
hypothalamus-pituitary-adrenal gland axis and the sympa- large amounts of information received and processed by the
thetic nervous system [3]. A series of physiological effects pilot, these comprehensive factors cause great psychological
are produced by activating cellular signal transduction net- and physiological changes in the fighter pilots [12], putting
works in target organ cells by hormones such as epinephrine, the pilots in a state of high stress. Repeated moderate stress
norepinephrine, and glucocorticoids. These ensure the can induce the establishment of an adaptive mechanism of the
body’s ability to respond to emergencies and adapt to the stressor. The stress response often determines the ability of
the body to adapt to the stressor. In particular, the pilots face
The associate editor coordinating the review of this manuscript and a lot of complex, dangerous situations during take-off and
approving it for publication was Mohammad Zia Ur Rahman . landing, and the requirements of the control skills of pilots are

185360 This work is licensed under a Creative Commons Attribution 4.0 License. For more information, see http://creativecommons.org/licenses/by/4.0/ VOLUME 7, 2019
S. Shao et al.: New Assessment Method of the Pilot Stress Using ECG Signals

quite demanding. With the increase in the psychological load Their age range was 24–27 years (mean = 25.2; SD = 1.43),
and workload of the pilots, the transient stress stimulation with a flying time of 300–500 h. These pilots were not
is the most intense work content at this time. The pilots allowed to take any drug or drink a drop of alcohol or caffeine
experience corresponding physiological changes, such as ele- to exclude other factors. They were not allowed to be engaged
vated blood pressure, faster heart rate, muscle contraction, in strenuous exercise and to get adequate sleep in 2 days
and an adverse state of stress reaction, which affect their flight before each special flight operation. None of the pilots had
performance greatly, including flight safety [13], [14]. any history of cardiovascular disease.
A number of studies on pilot stress include HR [15],
HRV [16], [17], cortisol [18], and saliva [5], [6]. Physiolog- B. ECG SIGNAL ACQUISITION EQUIPMENT
ical, biochemical, endocrine, metabolic, and immunological The belt-style multi-parameter physiological signal monitor-
indicators of the human body change under stress [12]. The ing system was used to collect the ECG data during the pilot’s
biochemical data are mostly acquired by intrusion acquisition special flight operation. The system was a belt and a machine
and post-task acquisition. Because the extraction is untimely, box fixed on the belt for collecting, processing, storing, and
the stress level cannot be reflected accurately, and it is gen- sending data. The ECG acquisition system within the belt
erally not appropriate to apply physiological measurements consisted of three ECG electrodes and the relevant circuits.
to the actual flight process due to the particularity of the The three-electrode dual-lead ECG signal could be transmit-
pilot. The previous studies on pilot stress mainly focused ted to the computer through Bluetooth for real-time display
on the comparison between pilots with different missions and recording, and could be simultaneously recorded into
and under different training stresses, and relevant studies the built-in memory card for post-processing. The sampling
often focused on laboratory or simulation experiments. Pilot frequency of the ECG signal was 750 Hz.
stress in special flight operations refers to the physiological
and psychological changes in the pilots performing these C. EXPERIMENTAL DESIGN AND PROCEDURE
operations.
The experimental mission was the course of training on
The degree of change in stress intensity has not been stud-
short, high-performance flight maneuvers. The time was set
ied in detail so far. At the same time, the special flight opera-
between 9 am and 2 pm every day. Before the special flight
tion is greatly affected by flight conditions and human control operation, the pilots first performed a level flight, and then
reliability, and the change in stress intensity during special the special flight training began when the plane took off
flight operation is extremely obvious. However, neither the
and climbed up (the slope was about 60◦ ). After reaching
monitoring of special flight stress intensity nor the change in
a certain height, it started doing a fast half-roll reversal
stress intensity during the long-term special flight operation
and finally took a return phase. During each flight, three
has been studied to date. The ECG signal is a relatively stable
to five special flight operations were performed at random,
and regularly changing index. Many factors (breathing, blood and each special flight operation lasted for 2min to 3 min.
pressure, body temperature regulation, and renin–angiotensin At the end of each flight, coaches with flight training experi-
system) of the body can affect the fluctuation in the heart
ence scored the completion of each special flight operation,
rate, eventually leading to dynamic changes in the heart rate
with a score of 2 to 3. The experimental process was as
through the interaction of sympathetic nerve and parasympa-
follows:
thetic nerve to the heart, and adapt to the physiological needs
of the body. During the pilot’s special flight operation, a series 1) Before each mission, the tester fixed the monitoring
of complicated and delicate operations need to be completed device at the appropriate position within the pilot’s
in a short period of time, during which the pilot’s instanta- clothing.
neous heart rate is greatly improved. Therefore, an accurate 2) The testers pressed the (power) on/off power button,
evaluation of the changes in the stress levels of pilots is vital. and the monitoring mode of the monitoring device
This study aimed to study the real-time stress level of began working. At the same time, the tester assisted
fighter pilots during special flight operations and the changes the pilots in wearing clothes and ECG data acquisition
in stress levels during long-term training in a complex flight belts, which were automatically connected to the ECG
environment based on the pilot’s ECG data. Moreover, how belt.
to identify the pressure of pilots through quantitative analysis, 3) The pilot then entered the cabin, and the flight training
improve the performance of effective flight training, develop began; the ECG belt automatically collected the ECG
a reasonable flight training plan, and provide a new ECG eval- data of the pilot during the controlling process, and the
uation method for relevant types of surgical stress assessment monitoring device received the ECG data during the
were also explored. special flight mission in real-time.
4) At the end of the mission, the testers recorded the start
II. EXPERIMENTAL SETTINGS time of the flight, saved the ECG data, and recovered
A. PARTICIPANTS the device.
A total of 11 male fighter pilots were recruited with advanced Fig.1 summarizes the entire flight training process and the
trainer experience and with no special flight training subjects. training steps.

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S. Shao et al.: New Assessment Method of the Pilot Stress Using ECG Signals

during each flight, the interference of power frequency and


the noise of the measurement system (such as electrode polar-
ization noise, electrode contact noise, and internal noise of
amplifying circuit) might lead to baseline drift. The fixed
frequency of 50 Hz voltage and its harmonic was defined
FIGURE 1. Flight training process diagram. Note: Level flight: The plane as power frequency interference. The overlaps of power fre-
flies horizontally at a constant speed in a straight line, which is called a
flat flight, and is the most basic state of flight. This process lasts about quency interference and the ECG frequency band affected
20 min. Special flight process: This process involves multiple special flight the analysis of the ECG signal. Denoising studies on ECG
action stages, three to five times of special flight, and 2–3 min each time.
signals included empirical mode decomposition translation
transfer algorithms and nonlinear filters [19]–[22]. Wavelet
III. METHODS
transform is a time-scale method for signal analysis, which
A. DATA DESCRIPTION AND PREPROCESSING
has the characteristics of multiscale resolution analysis and
the ability to characterize local features of signals in both
The ECG signals obtained from 11 long-monitored flights
time and frequency domains [23], [24]. The telescopic and
were analyzed comprehensively. The flight training times
translational transformations were used to refine the ECG
of each pilot are shown in Table 1. Because of the loss of
signals at multiple different scales, and the local features
ECG data during part of the flight training organization and
of the ECG signal in the time domain and the frequency
the performance of ECG monitoring equipment, which are
domain were simultaneously reflected on different frequency
labeled in Table 1.
bands, highlighting the different characteristics of the ECG
TABLE 1. Special flight times of pilots. signals [25]. The denoising algorithm based on wavelet trans-
form (WT) and the median filter was used, frequencies below
1 Hz in ECG signal belong to low-frequency noise caused by
baseline drift and motion artifacts. In the process of correcting
the baseline drift in the signal, we use the wavelet transform
to decompose the ECG signal on a multi-scale. The obtained
low-frequency approximation signal fully approximates the
baseline drift noise characteristics of the signal. By setting the
low-frequency approximation signal to zero and reconstruct-
ing the decomposed high-frequency detail signal, the baseline
drift-free signal can be obtained. About power frequency
interference and EMG interference, through multi-level sta-
tionary wavelet transform of ECG signal polluted by noise,
the mean square deviation of noise in detail signal of sta-
B. ECG DATA DENOISING AND R WAVE DETECTION tionary wavelet transform is estimated layer by layer. Closed
values of each layer are selected to process the detail signal
The initial sampling frequency of the ECG signal of a pilot
of stationary wavelet transform separately, and then inverse
was 750 Hz. For the ease of analysis, the data were resampled
wavelet transform is carried out to filter out noise.
and converted into 360 Hz. Fig. 2 shows the original ECG
The principles of wavelet transform and signal singularity
signal of a pilot, collected by an ECG acquisition device in
detections were as follows:
the level flight.
The wavelet function was defined as (1),
dθ (t)
ψ (t) = (1)
dt
where θ (t) stands for the smooth Gaussian function, and
the first order was derivable, ψj (t) as ψ (t), with scaling
transformation under scale j, was defined as (2),
 
1 t
ψj (t) = ψ (2)
FIGURE 2. Raw ECG signals.
a a
The wavelet transformation of the signal f (t) was
Common ECG noise mainly includes baseline drift fre- expressed as (3),
quency, which is usually less than 1 Hz and 50 Hz power
dθj (t)
 
frequency interference. The interference of EMG noise fre- Wj f (t) = f (t) ∗ j
quency is generally in a relatively large frequency range dt
of 5 Hz-2 KHz. As the collected data were long-collected d
f ∗ θj (t)

=j (3)
flight data and the ECG signal was a weak electric signal dt
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S. Shao et al.: New Assessment Method of the Pilot Stress Using ECG Signals

The convolution of signal f (t) and θ (t) was regarded as This showed that the improved threshold allowed the
the low-pass smoothing process of signal f (t) according to reconstructed signal to better retain the information of the
scale j. An eight-layered scale was chosen in this study original ECG signal, effectively suppressing the amplitude
to ensure that the frequency band range covered the noise attenuation of the R wave.
band range of the baseline drift. When wavelet denoising After the original ECG signal was denoised and the R wave
is performed, the choice of threshold value directly affects was detected, the wavelet decomposition could keep time-
the denoising effect, method of determining the optimal domain information while separating the signal frequency
wavelet function, number of decomposition layers, threshold information. As the R wave has the characteristics of a steep
value, and threshold function, which are the crucial param- waveform, large amplitude, and narrow width, its correct
eters for the wavelet threshold denoising algorithm for ECG positioning becomes the key to correctly identify other wave-
signals [26]. forms and extract characteristic parameters. The R wave
The choice of the threshold was based on the basic detection steps were as follows.
model (4), First, the data within a period (1: t) was selected to deter-
mine the starting point of R wave detection, and t = 2000ms,
S = f (t) + σ e(t) (4) recorded as A. The maximum value in this period was found
where S stands for the noise and useful ECG signal, and recorded as Amax . The data within a period (t + 1 : 4
f (t) stands for the true signal, e(t) stands for the Gaussian- was selected and recorded as B. The maximum value in this
white noise or other high-frequency signals, and σ stands period was found and recorded as Bmax . If Amax > 1.8×Bmax ,
for the noise standard deviation. In this study, the improved the starting point was near the R wave, and the detection
soft-threshold denoising method was used to denoise the starting point was postponed and then detected using 2 × t.
data ECG signal [26]–[28]. The threshold λ value was If Amax < 1.8 × Bmax , the starting point was in the stationary
deduced as (5), part of the electrocardiographic signal, and the detection start-
√ ing point was detected at 1. The starting point of the R wave
λ = σ 2LnN (5) detection of the electrocardiographic signal was determined
by the aforementioned method.
where σ stands for the noise standard deviation in the After determining the starting point of the R wave detection
first layer of wavelet decomposition coefficients σ = of the ECG signal, an improved differential threshold method
1 1 PN

0.6745 N k=1 W j,k
, where N stands for the signal length was used, and the first-order difference and the threshold
and Wj,k stands for the wavelet coefficient. value were applied to the filtered signal to determine the
Then, the threshold function was expressed as (6), R wave. The processed ECG signal f (t) was selected, and
( the ECG signal possessed a width of about 10 s from the
sgn Wj,k Wj,k − λ , Wj,k > λ
 
˜
Wj,k = (6) beginning. A first-order forward difference operation was
Wj,k ≤ λ

0, conducted for the ECG signal in each second to obtain the
As the number of decomposition layers increased, difference in maximum value. Moreover, 10 differential max-
the intensity gradually decreased. When the wavelet coef- imum orderings were involved. After removing the maximum
ficient was greater than the fixed threshold, a constant and minimum values, the arithmetic mean of the remaining
deviation ranging from W̃j,k to Wj,k occurred, resulting in difference values was determined with the threshold value
the denoised signal and the real large approximation error fixed as λ,
between signals [29]. Different thresholds were chosen for X 
8
different wavelet coefficients. The new threshold function in λ= mi /8 (9)
i=1
the present study was defined as (7),
λ = σj 2 logNj /ln(z + 2j)
p
(7) The maximum and minimum values of the differential
maximum were removed, which could eliminate the exces-
where Nj stands for the length of the wavelet coefficient on sive differential value caused by the occasional spike inter-
the jth scale, σj stands for the noise standard deviation on ference to avoid the missed detection due to the excessive
the jth scale, and z stands for the constant. The threshold threshold. Further, some too small differential values were
function was W̃j,k = Wj,k , that is, an asymptote, which also removed to avoid the threshold being too small, giving
overcame the defect of the constant deviation of the original rise to false detection. After trial and comparison, we found
threshold function to guarantee the continuity of the wavelet that such treatment reduced the probability of missed detec-
coefficient estimate W̃j,k at ±λ, and to avoid the oscillation tion and false detection.
of the reconstructed ECG signal. At the same time, in order to verify the validity of the
For a given
constant z, the larger the Wj,k , the smaller the

R-wave detection method in this paper, we use this method
deviation W̃j,k − Wj,k , and and Pan-Tompkins method to detect the R-wave of 7 ECG

cases in MIT-BIH ECG database in the United States. The
lim|wj,k |→∞ W̃j,k = Wj,k 0 Wj,k ≥ λ

(8) results are as Table 2. For most ECG data, this method

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S. Shao et al.: New Assessment Method of the Pilot Stress Using ECG Signals

TABLE 2. Detecting results of R wave in MIT-BIT database of different methods.

has achieved good detection results, and the accuracy is


over 99.89%.
After detecting the eight R waves employing the initial
detection threshold, the method of moving the average was
used to modify the detection threshold. The time window
of length was set as T0 (T0 = 20ms) and that of the slide
as T0 , taking the ECG signal segment of the time width T0
FIGURE 4. HR of three periods of the flight process of one pilot.
as the matching signal. Then, the maximum value in the
matched signal segment was compared with the amplitude
threshold. If it was smaller than the threshold, no R wave
and level flight process. During the special flight process,
was observed in the ECG data, and T0 = (T0 + RR)/2,
each heart rate curve represented a flight action, and each
where RR is the previous RR interval width. The RR interval
flight action lasted for about 2 min, of which the ascending
varied in real-time due to sample differences and differences
and descending periods of the heart rate curve were for about
in each heartbeat. Therefore, the time window also adjusted
1 min each. The periods before and after the special flight
the width in real-time. Each time, a new R wave was detected,
operation were defined as a steady-state, and the ECG signal
the detection threshold was modified as described earlier, and
at this stage was relatively stable; thus, it could be analyzed
then the next one was similarly derived. The R wave detection
using HRV-related indexes. During the special flight opera-
effect diagram is shown in Fig.3.
tion, the heart rate of the pilot changed rapidly and greatly,
and the change law was that the heart rate increased first and
then dropped. When the heart rate increased, the sympathetic
nerves played the leading role. When the heart rate dropped,
the parasympathetic nerves played the leading role. This stage
was defined as the period of flight operation.
Pilots need to face sensory and emotional stressors in spe-
cial flight operations. Transient stress stimulation will be the
most intense task at this time. If pilots have an adverse state of
FIGURE 3. Effect diagram of R wave detection. the stress response, it will not only affect flight performance
but also affect flight safety in serious cases. Especially in the
After obtaining the R wave peak of the ECG signal, the rel- take-off and landing phase, pilots will face many complex and
ative continuous instantaneous heart rate could be gained dangerous situations. At this time, the pilots’ manipulation
merely by calculating the time of RR interval because the skills are highly demanded, and the increase of pilots’ psy-
RR interval represented the period of the heartbeat. That is, chological workload will trigger a series of stress reactions.
HR = 60/RR interval. The original heart rate curve of pilots The ECG signal analysis is suitable for the stable state of the
in special flight operations is shown in Fig.4. human body. Based on this, the heart rate data is divided into
As shown in Fig.4, the special flight operation of the pilot three stages according to the characteristics of the flight train-
consisted of a series of special actions. According to the ing process: data before flight action, data during flight
corresponding relationship between the training action and action, and data after flight action. Before and after the flight
the real-time heart rate curve, the heart rate curve was divided action, the ECG signal was relatively stable at this stage.
into three stages: level flight process, special flight process, Time-frequency characteristic parameters of HRV during the

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TABLE 3. Comparisons of time-frequency-domain indicators of HRV for different special flight operations.

flight action will be analyzed, time-domain parameters of reached 150 bpm or more, and returned to normal limits
HRV contain standard deviation of RR intervals(SDNN), after the flight. The instantaneous heart rate and instantaneous
root-mean-square successive difference(RMSSD), standard heart rate changes during special flight training could be
deviation of the averages of RR intervals(SDANN) [30], and observed, and the two indicators could be used as the basis
we use autoregressive spectral analysis with Burg estimation for real-time monitoring of pilot operations. As is shown in
spectral components Fig.4, the pilot’s heart rate during the special flight operation
for HRV frequency characteristic parameters [31], spec- was patterned by going up and then down.
tral of HRV include low frequency(LF:0.04-0.15Hz), high To facilitate the calculation and accurate measurement of
frequency(HF:0.15-0.4Hz), and LF/HF. the heart rate curve area during this period, nonlinear total
least-squares fitting was used [32], [33], and the form of the
IV. RESULTS nonlinear least-squares problem was defined as follows:
A. TIME-FREQUENCY ANALYSIS OF HRV Cost function:
As is shown in table 3, the results of HRV time-domain 1 Xm
analysis show that: For all individuals, only RMSSD tends F (x) = (f (x) − yi )2 (10)
2 i=1 i
to increase after the flight, that is to say, RMSSD was higher
after flight than before (p < 0.05). RMSSD is the variance of where fi (x) stands for the model function and yi stands for
time difference between adjacent cardiac cycles, representing the actual value.
short-term variability. It is generally used to evaluate the For each iteration, the range in the differences between the
activity of the parasympathetic nerve in a short period of minimum value and the initial value of the current iteration
time. It shows that the activity of the parasympathetic nerve should not exceed the set search area. Taylor expansion of
increases in a short period of time after flying. the cost function at a point yielded the following results:
The results of Burg algorithm show that the high-frequency
F x ∗ = F(x) + J (x)1x

(11)
component HF of HRV tends to decrease during the flight
(p < 0.05). HF denotes the activity intensity of the where F(x) stands for the J (x) of function F, that is, the first-
parasympathetic nerve and represents the weakening of order derivative of function F, and x ∗ = x + 1x. Moreover,
parasympathetic nerve control during flight. For the human an appropriate 1x minimized kF (x ∗ )k2 .
body, HF indicates mild parasympathetic nerve activity, Assuming that x was a local minimum, even if it was small
while LF represents the combined action of the sympathetic enough, a point x + 1x could not be found; therefore, its
nerve or parasympathetic nerve. Individual LF/HF index corresponding function value was less than the function value
tends to decrease after performing special flight maneuvers, at x. At the same time, the point at which all the first-order
and individual HF tends to decrease after performing special derivatives of the functions were equal to zero was taken as
flight maneuvers. HF indicates the activity intensity of the the stationary point. The local minimum was the stationary
parasympathetic nerve, which indicates that the parasympa- point of the function, but the stationary point might also be the
thetic nerve control function is weakened and the sympa- local maximum or the saddle point of the function. Therefore,
thetic/parasympathetic balance is reduced during the period to distinguish whether a point was a local minimum, a local
of flight. HRV is suitable for the analysis and comparison of maximum, or a saddle point, the second-order information
ECG data before and after the special flight, and quantitative of the Taylor expansion was preserved, and the correlation
analysis, but not suitable for the description during special properties of the H (Hessian) matrix in the expansion were
flight training. determined as (12),

B. STRESS INTENSITY CALCULATION AND 2F(x)T J (x) + 2J (x)T J (x)1x = 0


MULTISCALE ANALYSIS H 1x = −J (x)T F(x), H = J (x)T J (x) (12)
The change in the heart rate of pilots was intuitively seen
during the special flight operation and was governed by the The H matrix here was an approximation of the Hessian
change law. During the complex special operation, the instan- matrix, and the calculation of the Hessian matrix by the J (x)
taneous heart rate of the pilot fluctuated greatly, which was avoided. The result is shown in Fig.5.

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S. Shao et al.: New Assessment Method of the Pilot Stress Using ECG Signals

FIGURE 5. HR signals of pilots in special flight operations.


FIGURE 6. Instructor–pilot proficiency ratings accompanied the
ECG-based ratings.

After the heart rate curve was fitted, when the number
of points at which the heart rate continuously increased a downward trend. The score of instructor–pilot gradually
exceeded 100 bmp, the first point was defined as L1. When increased, and the two tended to be stable.
the number of points where the heart rate continuously
dropped from a certain point exceeded 100 bmp, the point was V. DISCUSSION
defined as L2; when the heart rate changed to a point within Stress is the body’s adaptation to adverse factors in the
±20 points after falling to a certain point, the first point was environment. Due to the complex environment of the fighter
defined as H. First, the range of L1–H–L2 was determined for aircraft, many comprehensive factors result in great psycho-
each pilot during each special flight training period, and the logical and physiological changes on the part of the pilots.
data were integrated in terms of the ascending and descending All these cause a state of high stress in the pilots. Monitor-
periods and the area of the heart rate curve during this period ing the real-time flight training and physiological function
was calculated. status of a pilot is also very important. Objective physio-
The area of the heart rate curve of a single-flight opera- logical indexes, such as saliva biochemical index [5]–[7]
tion was the stress response of the body to the flight task. and gastrointestinal hormone level [8], can be used for stress
The area sequence of the heart rate curves of pilots in each assessment, but these objective indicators were obtained by
flight also contained a lot of internal change information. extracting hormones from the secretion components of oral
The special flight operation training was a deterministic time saliva, urine, and so on, or turning to invasive acquisition.
series. To a certain extent, the correlation of times before Therefore, real-time extraction and monitoring were difficult.
and after the operation was measured using a multiscale The complexity of the EEG equipment could be generally
method [34], [35]. At the same time, the influence of an used in a laboratory environment.
abnormal fluctuation trend of the overall change reduced. In this study, the ECG data of the long-term flight operation
Therefore, a multiscale analysis method was used to predict of the 11 pilots were analyzed. An improved soft-threshold
the number and range of training. For the original time series, denoising method for the ECG data and an improved differen-
x = {x1 , . . . , xi , . . . , xn }, the coarse-grained time series was tial threshold method were used to apply the first-order differ-
constructed as (13), ence and the threshold value to the filtered signal to determine
(γ ) 1 Xjγ the R wave. The study of ECG signals was mainly the analysis
yj = xi , of HR or HRV. HR was modulated by the combined effects of
γ i=(j−1)γ +1
1 ≤ j ≤ N /γ (13) the sympathetic and parasympathetic nervous systems on the
sinus node on a beat–beat basis. Therefore, analyzing changes
where γ stands for the scale factor when γ = 1 and the time in the heart rate over time provided information about auto-
series is the original time series x. nomic function [36]. The analysis of HRV was considered
According to the single-flight heart rate area sequence of to be a noninvasive method for predicting cardiac autonomic
individual pilots, the stress intensity of group pilots changed function more accurately [37], [38]. However, the research
with special flight operation times. The intensity of the group on HR or HRV was mainly carried out through the compar-
stress presented a downward trend over time, the fitting ison before and after tasks or comparison of different time
results are shown in Fig.6. periods [38]–[40].
Fig.6 shows that the instructor–pilot proficiency ratings Because of the adjustment of sympathetic/parasympathetic
accompanied the ECG-based ratings, differences among nor- effects and other physiological and psychological responses
mally distributed values between instructor–pilot proficiency in the special flight operation, the pilot’s heart rate changes
ratings and heart rate areas were analyzed by one-way dramatically in a transient manner during the flight operation
ANOVA, followed by a Turkey multiple comparison posttest training. Therefore, using HRV relevant methods to analyze
(p < 0.05). The result showed that as the number of the stress intensity during special flight operation is not suit-
operation times increased, the heart rate area curve showed able. Given the changes in heart rate during special flight

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S. Shao et al.: New Assessment Method of the Pilot Stress Using ECG Signals

training, a new analytical method, the area of heart rate curve, flight operations, or the combination of other subjective eval-
was proposed in this study. Because of the correlation of uation with physiological evaluation. In the next step, more
times before and after the operation was measured using a ECG data of the pilots should be collected and special flight
multiscale method, Therefore, a multiscale analysis method operation real-time monitoring system should be designed
was used to predict the number and range of training. The according to the relevant algorithms of this study, which
stress intensity was analyzed by the shape, area and heart rate might automatically identify special flight time, calculate the
extremum of the heart rate curve. The heart rate curve was number of special flight operations, and determine the change
fitted during the special flight training period, and the key in the stress intensity of the pilot during the flight.
points such as the extreme value of the curve, the starting
position of the rise and the ending position of the fall were VI. CONCLUSION
determined. At the same time, the influence of other environ- The central finding of the study was that the pilot stress was
mental factors on the heart rate was reduced. The area cor- high on the first exposure to demanding maneuvers, and it was
relation of heart rate curve of the ECG signal during special lessened and stabilized after repeated training on these same
flight operation was calculated innovatively to quantitatively maneuvers. Repeated moderate stress led to the establishment
evaluate the intensity of single-flight stress (with the increase of an adaptive mechanism of the pilot under stress. Although
of special flight operation times, heart rate areas showed an substantial evidence suggests that this happens even on the
exponentially decreasing trend and the correlation coefficient examination of the basic heart rate, it is not suitable for
R2 = 0.998). quantitative analysis. The present study proposed a new quan-
The results obtained by analyzing the area of heart rate titative analysis assessment method for the stress intensity
curve in the special flight operation time series for each of the pilot based on the ECG signal and applied it during
pilot showed that the pilot stress intensity changed with the complex special flight operation. The multiscale ECG signal
number of flight training sequences. The flight stress intensity analysis is a dynamic measure that can reveal the adjustment
decreased exponentially with the change in the flight training mechanism of the body in a special flight operation envi-
times, from a high-stress degree to a lower stress degree, ronment and the adjustment mechanism of different aircraft
before finally stabilizing. Then, the statistical range of the to deal with such an environment. The pilot stress intensity
multiscale shift values of the pilot group on the same flight varied with the number of flight training sequences: the flight
training vehicle was taken as the range of the change in the stress intensity decreased exponentially with the change in
stress stability, and on this basis, the evaluation criteria for the flight training times, from a higher degree of stress to a
transient stress were formed. At the same time, the stress lower degree of stress, till the final stabilization. This study
stage of special training can be divided into three stages: was novel in qualitatively proposing the concepts of stress
Adjustment stage—this stage is the beginning of special stage and stress stability. These concepts are applicable to
training. At this stage, the flight operation ability of the pilots personnel selection; online evaluation of training effects; and
is usually not strong. The pilots’ proficiency is not good designing of training tasks, special flight operations, high-
enough, and they often lack confidence. The individual stress altitude skydiving, bungee jumping, and other dangerous
intensity is also comparatively high, and the range of stress assignments.
intensity fluctuation is very large.
Adaptation stage—with the increase in the number of REFERENCES
special training, the operational proficiency and operational [1] W. B. Cannon, The Wisdom of the Body, 2nd ed. 1939.
ability of the pilots gradually increase, and at the same time, [2] L. Schwabe, L. Haddad, and H. Schachinger, ‘‘HPA axis activation by a
socially evaluated cold-pressor test,’’ Psychoneuroendocrinology, vol. 33,
the self-confidence is also enhanced. The stress level shows a no. 6, pp. 890–895, 2008.
rapid downward trend, and the pilot is in the stress adjustment [3] C. Wieslaw Jerzy, L. Jerzy, S. Malgorzata, and W. Bartosz, ‘‘Zinc in drug-
stage. naive patients with short-illness-duration first episode major depressive
disorder: Impact on psychopathological features,’’ Neuro Endocrinol. Lett.,
Stable stage—after many times of training, operation pro- vol. 35, no. 8, pp. 741–745, 2015.
ficiency and operation ability is very strong. The performance [4] I. A. Aziz Ibrahim, Y. Kamisah, M. I. Nafeeza, and M. F. N. Azlina,
of pilots show great confidence and the factors that cause ‘‘The effects of palm vitamin E on stress hormone levels and gastric lesions
in stress-induced rats,’’ Arch. Med. Sci. AMS, vol. 8, no. 1, pp. 22–29, 2012.
stress tend to be stable with the decrease of stress intensity [5] P. Foley and C. Kirschbaum, ‘‘Human hypothalamus-pituitary-adrenal axis
of pilots, and the fluctuation range is narrowed, and the stress responses to acute psychosocial stress in laboratory settings,’’ Neurosci.
stability degree increases. Completely new homeostasis will Biobehav. Rev., vol. 35, no. 1, pp. 91–96, 2010.
[6] E. Kajantie and K. Räikkönen, ‘‘Early life predictors of the physiological
finally be achieved. stress response later in life,’’ Neurosci. Biobehav. Rev., vol. 35, no. 1,
The major aim of this study was to substitute the pilot pp. 23–32, 2010.
ECG signal for ordinary subjects to avoid the influence of [7] K. E. Rehm, L. Xiang, O. U. Elci, M. Griswold, and G. D. Marshall, Jr.,
‘‘Variability in laboratory immune parameters is associated with stress
physical and psychological differences in the subjects on hormone receptor polymorphisms,’’ Neuroimmunomodulation, vol. 19,
ECG tests and to eliminate laboratory simulation effects to no. 4, pp. 220–228, 2012.
promote the generalization of the findings for this study. [8] B. H. Jonsson and P. M. Hellström, ‘‘Motilin-and neuropeptide Y-like
immunoreactivity in a psychophysiological stress experiment on patients
However, the shortcomings lay in the insufficient availability with functional dyspepsia,’’ Integrative Physiolog. Behav. Sci. Off.
of subjective scores for each flight operation or the scores for J. Pavlovian Soc., vol. 35, no. 4, p. 256, 2000.

VOLUME 7, 2019 185367


S. Shao et al.: New Assessment Method of the Pilot Stress Using ECG Signals

[9] E. J. Hermans, M. J. Henckens, M. Joëls, and G. Fernández, ‘‘Dynamic [32] C. Cartis, N. Gould, and P. L. Toint, ‘‘Approximation and optimization,’’
adaptation of large-scale brain networks in response to acute stressors,’’ in Springer Optimization and Its Applications, vol. 145, C. Demetriou and
Trends Neurosci., vol. 37, no. 6, pp. 304–314, 2014. P. M. Pardalos, Eds., 1st ed. Cham, Switzerland: Springer, 2019, pp. 5–26.
[10] M. Hasegawa, A. Hayano, A. Kawaguchi, and R. Yamanaka, ‘‘Assessment [33] F. Vogt, ‘‘A self-guided search for good local minima of the sum-of-
of autonomic nervous system function in nursing students using an auto- squared-error in nonlinear least squares regression,’’ J. Chemometrics,
nomic reflex orthostatic test by heart rate spectral analysis,’’ Biomed. Rep., vol. 29, no. 2, pp. 71–79, 2015.
vol. 3, no. 6, p. 831, 2015. [34] B. R. Bakshi, ‘‘Multiscale analysis and modeling using wavelets,’’
[11] C. Grad, ‘‘Heart rate variability and heart rate recovery as prognostic J. Chemometrics, vol. 13, no. 3, pp. 415–434, 1999.
factors,’’ Clujul Med., vol. 88, no. 3, pp. 304–309, 2015. [35] G. Kutyniok and D. Labate, Shearlets: Multiscale Analysis for Multivariate
[12] P. Froom, Y. Caine, I. Shochat, and J. Ribak, ‘‘Heat stress and helicopter Data. Basel, Switzerland: Birkhüser, 2012.
pilot errors,’’ J. Occupat. Med., vol. 35, no. 7, pp. 720–724, 1993. [36] A. D. Droitcour, O. Boric-Lubecke, V. M. Lubecke, and J. Lin, ‘‘Range
[13] E.-M. Elmenhorst, M. Vejvoda, H. Maass, J. Wenzel, G. Plath, E. Schubert, correlation effect on ISM band I/Q CMOS radar for non-contact vital
and M. Basner, ‘‘Pilot workload during approaches: Comparison of sim- signs sensing,’’ in IEEE MTT-S Int. Microw. Symp. Dig., vol. 3, 2003,
ulated standard and noise-abatement profiles,’’ Aviation, Space, Environ. pp. 1945–1948.
Med., vol. 80, no. 4, pp. 364–370, 2009. [37] F. Lombardi, ‘‘Clinical implications of present physiological understand-
[14] C. K. McClernon, M. E. McCauley, P. E. O’Connor, and J. S. Warm, ing of HRV components,’’ Cardiac Electrophysiol. Rev., vol. 6, no. 3,
‘‘Stress training improves performance during a stressful flight,’’ Hum. pp. 245–249, 2002.
Factors, J. Hum. Factors Ergonom. Soc., vol. 53, no. 3, pp. 207–218, 2011. [38] J. Kaczmarek, S. Chawla, C. Marchica, M. Dwaihy, L. Grundy, and
[15] N. V. Dojčinovski and E. Missoni, ‘‘Physiological parameters and trace G. M. Sant’Anna, ‘‘Heart rate variability and extubation readiness in
elements before and after aerobatic flight,’’ in Proc. 53 Int. Congr. Aviation extremely preterm infants,’’ Neonatology, vol. 104, no. 1, pp. 42–48, 2013.
Space Med./Eric, Donaldson, Mazurek, Krzysztof, 2005. [39] C. Heinze, U. Trutschel, T. Schnupp, D. Sommer, A. Schenka, J. Krajewski,
[16] M. S. Mumenthaler, N. L. Benowitz, J. L. Taylor, L. Friedman, A. Noda, and M. Golz, ‘‘Operator fatigue estimation using heart rate measures,’’
and J. A. Yesavage, ‘‘Nicotine deprivation and pilot performance dur- in World Congress on Medical Physics and Biomedical Engineering,
ing simulated flight,’’ Aviation Space Environ. Med., vol. 81, no. 7, September 7–12, 2009, Munich, Germany. Berlin, Germany: Springer,
pp. 660–664, 2010. 2009, pp. 930–933.
[17] F. Sauvet, J. C. Jouanin, C. Langrume, B. P. Van, Y. Papelier, and [40] E. C.-P. Chua, W.-Q. Tan, S.-C. Yeo, P. Lau, I. Lee, I. H. Mien,
C. Dussault, ‘‘Heart rate variability in novice pilots during and after a K. Puvanendran, and J. J. Gooley, ‘‘Heart rate variability can be used to
multi-leg cross-country flight,’’ Aviation Space Environ. Med., vol. 80, estimate sleepiness-related decrements in psychomotor vigilance during
no. 10, p. 862, 2009. total sleep deprivation,’’ Sleep, vol. 35, no. 3, pp. 325–334, 2012.
[18] Z. Obmiński, M. Wojtkowiak, R. Stupnicki, L. Golec, and A. C. Hackney,
‘‘Effect of acceleration stress on salivary cortisol and plasma cortisol and
testosterone levels in cadet pilots,’’ J. Physiol. Pharmacol., Off. J. Polish
Physiol. Soc., vol. 48, no. 2, p. 193, 1997.
[19] M. Blanco-Velasco, B. Weng, and K. E. Barner, ‘‘ECG signal denoising
SHUYU SHAO is currently pursuing the Ph.D.
and baseline wander correction based on the empirical mode decomposi-
tion,’’ Comput. Biol. Med., vol. 38, no. 1, pp. 1–13, 2008.
degree in biomedical engineering with the School
[20] S. Poornachandra, ‘‘Wavelet-based denoising using subband dependent of Biological Science and Medical Engineering,
threshold for ECG signals,’’ Digit. Signal Process., vol. 18, no. 1, Beihang University, Beijing, China. His research
pp. 49–55, 2008. interests include human-computer interaction and
[21] S. Pal and M. Mitra, ‘‘Empirical mode decomposition based ECG enhance- ergonomics.
ment and QRS detection,’’ Comput. Biol. Med., vol. 42, no. 1, pp. 83–92,
2012.
[22] S. Cuomo, G. D. Pietro, R. Farina, A. Galletti, and G. Sannino, ‘‘A novel
O(n) numerical scheme for ECG signal denoising,’’ Procedia Comput. Sci.,
vol. 51, no. 1, pp. 775–784, 2015.
[23] Z. Wang, F. Wan, M. W. Chi, and L. Zhang, ‘‘Adaptive Fourier decompo-
sition based ECG denoising,’’ Comput. Biol. Med., vol. 77, pp. 195–205,
Oct. 2016.
[24] S. A. Qureshi, I. Masood, M. Hashmi, S. Hanninen, M. Sarwar, and QIANXIANG ZHOU received the Ph.D. degree in
A. Jameel, ‘‘Noise reduction of electrocardiographic signals using wavelet systems engineering. His research interests are in
transforms,’’ Electron. Electr. Eng., vol. 20, no. 3, pp. 29–32, 2014. aerospace human engineering, image processing
[25] U. R. Acharya, H. Fujita, M. Adam, O. S. Lih, V. K. Sudarshan, T. J. Hong, and analysis, and physiological signal processing.
J. E. W. Koh, Y. Hagiwara, C. K. Chua, C. K. Poo, and T. R. San, ‘‘Auto- He was a Professor, doctoral supervisor, and has
mated characterization and classification of coronary artery disease and graduated from the China University of Mining
myocardial infarction by decomposition of ECG signals: A comparative and Technology, in 1996. He is currently a Profes-
study,’’ Inf. Sci., vol. 377, pp. 17–29, Jan. 2017. sor in biological science and medical engineering
[26] Y. H. Peng, ‘‘De-noising by modified soft-thresholding,’’ in Proc. IEEE with Beihang University. His main research area
Asia–Pacific Conf. Circuits Syst. Electron. Commun. Syst., Dec. 2002, for nearly two decades has been image processing
pp. 760–762. and signal analysis.
[27] P. Ghorbanian, A. Ghaffari, A. Jalali, and C. Nataraj, ‘‘Heart arrhythmia
detection using continuous wavelet transform and principal component
analysis with neural network classifier,’’ in Proc. Comput. Cardiol., 2010,
pp. 669–672.
[28] D. L. Donoho, ‘‘De-noising by soft-thresholding,’’ IEEE Trans. Inf. The-
ory, vol. 41, no. 3, pp. 613–627, May 1995. ZHONGQI LIU received the B.S., M.S., and Ph.D.
[29] Q. Zhang, L. Wang, P. Gao, and Z. Liu, ‘‘An innovative wavelet threshold degrees in man machine and environment engi-
denoising method for environmental drift of fiber optic gyro,’’ Math. neering from Beihang University. He is currently
Problems Eng., vol. 2016, no. 3, pp. 1–8, 2016. a Lecturer in biological science and medical engi-
[30] Z. Piotrowski and M. Szypulska, ‘‘Classification of falling asleep neering with Beihang University. His research
states using HRV analysis,’’ Biocybern. Biomed. Eng., vol. 37, no. 2, interests include computer vision and human-
pp. 290–301, 2017. computer interaction.
[31] O. Faust, R. U. Acharya, A. R. Allen, and C. M. Lin, ‘‘Analysis of EEG sig-
nals during epileptic and alcoholic states using AR modeling techniques,’’
IRBM, vol. 29, no. 1, pp. 44–52, 2008.

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