Enhancing Postural Monitoring in Wheelchair Users Through Context Classification

Globally, the number of wheelchair users is steadily increasing. These people often adopt sitting patterns that reflect their functional status. Monitoring the user’s postural status can help users and healthcare professionals to treat them. However, this posture is sometimes influenced b...

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Main Authors: Nerea Perez, Aitziber Mancisidor, Itziar Cabanes, Patrick Vermander
Format: Article
Language:English
Published: IEEE 2025-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
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Online Access:https://ieeexplore.ieee.org/document/11115105/
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author Nerea Perez
Aitziber Mancisidor
Itziar Cabanes
Patrick Vermander
author_facet Nerea Perez
Aitziber Mancisidor
Itziar Cabanes
Patrick Vermander
author_sort Nerea Perez
collection DOAJ
description Globally, the number of wheelchair users is steadily increasing. These people often adopt sitting patterns that reflect their functional status. Monitoring the user’s postural status can help users and healthcare professionals to treat them. However, this posture is sometimes influenced by the environment in which the chairs move, and not necessarily by changes in their functional status. To address this problem, this study presents a model designed to classify wheelchair movement contexts, enabling the identification of what is happening in the user’s environment. To do this, data has been collected using a robust and non-intrusive combined monitoring system, which records both the wheelchair’s movement and the user’s posture. These data have been used to train classifier models capable of distinguishing between seven categories of environments that are common in the daily lives of wheelchair users: flat surface, ramp up, ramp down, right turn, left turn, obstacles, and abrupt braking. These models have been developed using machine learning techniques, such as K-Nearest Neighbors (KNN), Artificial Neural Networks (ANN) and Support Vector Machines (SVM). The results show an accuracy of 90% in free-running tests and more than 99% in controlled runs. These results remained consistent despite variations in training subjects, validated by leave 2 out cross-validation. This innovative approach has the potential to improve the quality of life of wheelchair users by providing an accurate and effective tool to understand and address complex interactions between the environment and the users’ posture.
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publishDate 2025-01-01
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spelling doaj-art-8754d898d4cd4c3bada0d1812dd5065a2025-08-20T03:43:55ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1534-43201558-02102025-01-01333129313610.1109/TNSRE.2025.359647211115105Enhancing Postural Monitoring in Wheelchair Users Through Context ClassificationNerea Perez0https://orcid.org/0000-0001-9515-3242Aitziber Mancisidor1https://orcid.org/0000-0002-2178-345XItziar Cabanes2https://orcid.org/0000-0002-1949-953XPatrick Vermander3https://orcid.org/0000-0003-3842-2957Department of Automatic Control and System Engineering, Bilbao School of Engineering, University of the Basque Country-UPV/EHU, Bilbao, SpainDepartment of Automatic Control and System Engineering, Bilbao School of Engineering, University of the Basque Country-UPV/EHU, Bilbao, SpainDepartment of Automatic Control and System Engineering, Bilbao School of Engineering, University of the Basque Country-UPV/EHU, Bilbao, SpainDepartment of Automatic Control and System Engineering, Bilbao School of Engineering, University of the Basque Country-UPV/EHU, Bilbao, SpainGlobally, the number of wheelchair users is steadily increasing. These people often adopt sitting patterns that reflect their functional status. Monitoring the user’s postural status can help users and healthcare professionals to treat them. However, this posture is sometimes influenced by the environment in which the chairs move, and not necessarily by changes in their functional status. To address this problem, this study presents a model designed to classify wheelchair movement contexts, enabling the identification of what is happening in the user’s environment. To do this, data has been collected using a robust and non-intrusive combined monitoring system, which records both the wheelchair’s movement and the user’s posture. These data have been used to train classifier models capable of distinguishing between seven categories of environments that are common in the daily lives of wheelchair users: flat surface, ramp up, ramp down, right turn, left turn, obstacles, and abrupt braking. These models have been developed using machine learning techniques, such as K-Nearest Neighbors (KNN), Artificial Neural Networks (ANN) and Support Vector Machines (SVM). The results show an accuracy of 90% in free-running tests and more than 99% in controlled runs. These results remained consistent despite variations in training subjects, validated by leave 2 out cross-validation. This innovative approach has the potential to improve the quality of life of wheelchair users by providing an accurate and effective tool to understand and address complex interactions between the environment and the users’ posture.https://ieeexplore.ieee.org/document/11115105/Biomedical monitoringwheelchairssmart healthcarecontext modelingintelligent sensors
spellingShingle Nerea Perez
Aitziber Mancisidor
Itziar Cabanes
Patrick Vermander
Enhancing Postural Monitoring in Wheelchair Users Through Context Classification
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Biomedical monitoring
wheelchairs
smart healthcare
context modeling
intelligent sensors
title Enhancing Postural Monitoring in Wheelchair Users Through Context Classification
title_full Enhancing Postural Monitoring in Wheelchair Users Through Context Classification
title_fullStr Enhancing Postural Monitoring in Wheelchair Users Through Context Classification
title_full_unstemmed Enhancing Postural Monitoring in Wheelchair Users Through Context Classification
title_short Enhancing Postural Monitoring in Wheelchair Users Through Context Classification
title_sort enhancing postural monitoring in wheelchair users through context classification
topic Biomedical monitoring
wheelchairs
smart healthcare
context modeling
intelligent sensors
url https://ieeexplore.ieee.org/document/11115105/
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AT aitzibermancisidor enhancingposturalmonitoringinwheelchairusersthroughcontextclassification
AT itziarcabanes enhancingposturalmonitoringinwheelchairusersthroughcontextclassification
AT patrickvermander enhancingposturalmonitoringinwheelchairusersthroughcontextclassification