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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.
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
constantz, 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
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),
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
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.
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degree in biomedical engineering with the School
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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
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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
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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.
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