A Vibrotactile and Plantar Force Measurement-Based Biofeedback System: Paving the Way towards Wearable Balance-Improving Devices
Identifieur interne : 003E66 ( Ncbi/Curation ); précédent : 003E65; suivant : 003E67A Vibrotactile and Plantar Force Measurement-Based Biofeedback System: Paving the Way towards Wearable Balance-Improving Devices
Auteurs : Christina Zong-Hao Ma [République populaire de Chine] ; Anson Hong-Ping Wan ; Duo Wai-Chi Wong ; Yong-Ping Zheng ; Winson Chiu-Chun Lee [République populaire de Chine]Source :
- Sensors (Basel, Switzerland) [ 1424-8220 ] ; 2015.
Abstract
Although biofeedback systems have been used to improve balance with success, they were confined to hospital training applications. Little attempt has been made to investigate the use of in-shoe plantar force measurement and wireless technology to turn hospital training biofeedback systems into wearable devices. This research developed a wearable biofeedback system which detects body sway by analyzing the plantar force and provides users with the corresponding haptic cues. The effects of this system were evaluated in thirty young and elderly subjects with simulated reduced foot sensation. Subjects performed a Romberg test under three conditions: (1) no socks, system turned-off; (2) wearing five layers of socks, system turned-off; (3) wearing five layers of socks, and system turned-on. Degree of body sway was investigated by computing the center of pressure (COP) movement measured by a floor-mounted force platform. Plantar tactile sensation was evaluated using a monofilament test. Wearing multiple socks significantly decreased the plantar tactile sensory input (
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DOI: 10.3390/s151229883
PubMed: 26694399
PubMed Central: 4721802
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Vibrotactile and Plantar Force Measurement-Based Biofeedback System: Paving the Way towards Wearable Balance-Improving Devices</title><author><name sortKey="Ma, Christina Zong Hao" sort="Ma, Christina Zong Hao" uniqKey="Ma C" first="Christina Zong-Hao" last="Ma">Christina Zong-Hao Ma</name><affiliation><nlm:aff id="af1-sensors-15-29883">Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China;<email>christina.ma@connect.polyu.hk</email> (C.Z.-H.M.);<email>anson.hp.wan@polyu.edu.hk</email> (A.H.-P.W.);<email>duo.wong@polyu.edu.hk</email> (D.W.-C.W.);<email>yongping.zheng@polyu.edu.hk</email> (Y.P.-Z.)</nlm:aff></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-sensors-15-29883">Rehabilitation Engineering Research Institute, China Rehabilitation Research Center, Beijing 100068, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Rehabilitation Engineering Research Institute, China Rehabilitation Research Center, Beijing 100068</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Wan, Anson Hong Ping" sort="Wan, Anson Hong Ping" uniqKey="Wan A" first="Anson Hong-Ping" last="Wan">Anson Hong-Ping Wan</name><affiliation><nlm:aff id="af1-sensors-15-29883">Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China;<email>christina.ma@connect.polyu.hk</email> (C.Z.-H.M.);<email>anson.hp.wan@polyu.edu.hk</email> (A.H.-P.W.);<email>duo.wong@polyu.edu.hk</email> (D.W.-C.W.);<email>yongping.zheng@polyu.edu.hk</email> (Y.P.-Z.)</nlm:aff></affiliation></author><author><name sortKey="Wong, Duo Wai Chi" sort="Wong, Duo Wai Chi" uniqKey="Wong D" first="Duo Wai-Chi" last="Wong">Duo Wai-Chi Wong</name><affiliation><nlm:aff id="af1-sensors-15-29883">Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China;<email>christina.ma@connect.polyu.hk</email> (C.Z.-H.M.);<email>anson.hp.wan@polyu.edu.hk</email> (A.H.-P.W.);<email>duo.wong@polyu.edu.hk</email> (D.W.-C.W.);<email>yongping.zheng@polyu.edu.hk</email> (Y.P.-Z.)</nlm:aff></affiliation></author><author><name sortKey="Zheng, Yong Ping" sort="Zheng, Yong Ping" uniqKey="Zheng Y" first="Yong-Ping" last="Zheng">Yong-Ping Zheng</name><affiliation><nlm:aff id="af1-sensors-15-29883">Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China;<email>christina.ma@connect.polyu.hk</email> (C.Z.-H.M.);<email>anson.hp.wan@polyu.edu.hk</email> (A.H.-P.W.);<email>duo.wong@polyu.edu.hk</email> (D.W.-C.W.);<email>yongping.zheng@polyu.edu.hk</email> (Y.P.-Z.)</nlm:aff></affiliation></author><author><name sortKey="Lee, Winson Chiu Chun" sort="Lee, Winson Chiu Chun" uniqKey="Lee W" first="Winson Chiu-Chun" last="Lee">Winson Chiu-Chun Lee</name><affiliation><nlm:aff id="af1-sensors-15-29883">Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China;<email>christina.ma@connect.polyu.hk</email> (C.Z.-H.M.);<email>anson.hp.wan@polyu.edu.hk</email> (A.H.-P.W.);<email>duo.wong@polyu.edu.hk</email> (D.W.-C.W.);<email>yongping.zheng@polyu.edu.hk</email> (Y.P.-Z.)</nlm:aff></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-sensors-15-29883">Institute of Active Ageing, The Hong Kong Polytechnic University, Hong Kong, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Institute of Active Ageing, The Hong Kong Polytechnic University, Hong Kong</wicri:regionArea><wicri:noRegion>Hong Kong</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26694399</idno><idno type="pmc">4721802</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4721802</idno><idno type="RBID">PMC:4721802</idno><idno type="doi">10.3390/s151229883</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000391</idno><idno type="wicri:Area/Pmc/Curation">000391</idno><idno type="wicri:Area/Pmc/Checkpoint">000780</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000160</idno><idno type="wicri:Area/PubMed/Curation">000160</idno><idno type="wicri:Area/PubMed/Checkpoint">000450</idno><idno type="wicri:Area/Ncbi/Merge">003E66</idno><idno type="wicri:Area/Ncbi/Curation">003E66</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Vibrotactile and Plantar Force Measurement-Based Biofeedback System: Paving the Way towards Wearable Balance-Improving Devices</title><author><name sortKey="Ma, Christina Zong Hao" sort="Ma, Christina Zong Hao" uniqKey="Ma C" first="Christina Zong-Hao" last="Ma">Christina Zong-Hao Ma</name><affiliation><nlm:aff id="af1-sensors-15-29883">Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China;<email>christina.ma@connect.polyu.hk</email> (C.Z.-H.M.);<email>anson.hp.wan@polyu.edu.hk</email> (A.H.-P.W.);<email>duo.wong@polyu.edu.hk</email> (D.W.-C.W.);<email>yongping.zheng@polyu.edu.hk</email> (Y.P.-Z.)</nlm:aff></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-sensors-15-29883">Rehabilitation Engineering Research Institute, China Rehabilitation Research Center, Beijing 100068, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Rehabilitation Engineering Research Institute, China Rehabilitation Research Center, Beijing 100068</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Wan, Anson Hong Ping" sort="Wan, Anson Hong Ping" uniqKey="Wan A" first="Anson Hong-Ping" last="Wan">Anson Hong-Ping Wan</name><affiliation><nlm:aff id="af1-sensors-15-29883">Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China;<email>christina.ma@connect.polyu.hk</email> (C.Z.-H.M.);<email>anson.hp.wan@polyu.edu.hk</email> (A.H.-P.W.);<email>duo.wong@polyu.edu.hk</email> (D.W.-C.W.);<email>yongping.zheng@polyu.edu.hk</email> (Y.P.-Z.)</nlm:aff></affiliation></author><author><name sortKey="Wong, Duo Wai Chi" sort="Wong, Duo Wai Chi" uniqKey="Wong D" first="Duo Wai-Chi" last="Wong">Duo Wai-Chi Wong</name><affiliation><nlm:aff id="af1-sensors-15-29883">Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China;<email>christina.ma@connect.polyu.hk</email> (C.Z.-H.M.);<email>anson.hp.wan@polyu.edu.hk</email> (A.H.-P.W.);<email>duo.wong@polyu.edu.hk</email> (D.W.-C.W.);<email>yongping.zheng@polyu.edu.hk</email> (Y.P.-Z.)</nlm:aff></affiliation></author><author><name sortKey="Zheng, Yong Ping" sort="Zheng, Yong Ping" uniqKey="Zheng Y" first="Yong-Ping" last="Zheng">Yong-Ping Zheng</name><affiliation><nlm:aff id="af1-sensors-15-29883">Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China;<email>christina.ma@connect.polyu.hk</email> (C.Z.-H.M.);<email>anson.hp.wan@polyu.edu.hk</email> (A.H.-P.W.);<email>duo.wong@polyu.edu.hk</email> (D.W.-C.W.);<email>yongping.zheng@polyu.edu.hk</email> (Y.P.-Z.)</nlm:aff></affiliation></author><author><name sortKey="Lee, Winson Chiu Chun" sort="Lee, Winson Chiu Chun" uniqKey="Lee W" first="Winson Chiu-Chun" last="Lee">Winson Chiu-Chun Lee</name><affiliation><nlm:aff id="af1-sensors-15-29883">Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China;<email>christina.ma@connect.polyu.hk</email> (C.Z.-H.M.);<email>anson.hp.wan@polyu.edu.hk</email> (A.H.-P.W.);<email>duo.wong@polyu.edu.hk</email> (D.W.-C.W.);<email>yongping.zheng@polyu.edu.hk</email> (Y.P.-Z.)</nlm:aff></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-sensors-15-29883">Institute of Active Ageing, The Hong Kong Polytechnic University, Hong Kong, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Institute of Active Ageing, The Hong Kong Polytechnic University, Hong Kong</wicri:regionArea><wicri:noRegion>Hong Kong</wicri:noRegion></affiliation></author></analytic><series><title level="j">Sensors (Basel, Switzerland)</title><idno type="eISSN">1424-8220</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Although biofeedback systems have been used to improve balance with success, they were confined to hospital training applications. Little attempt has been made to investigate the use of in-shoe plantar force measurement and wireless technology to turn hospital training biofeedback systems into wearable devices. This research developed a wearable biofeedback system which detects body sway by analyzing the plantar force and provides users with the corresponding haptic cues. The effects of this system were evaluated in thirty young and elderly subjects with simulated reduced foot sensation. Subjects performed a Romberg test under three conditions: (1) no socks, system turned-off; (2) wearing five layers of socks, system turned-off; (3) wearing five layers of socks, and system turned-on. Degree of body sway was investigated by computing the center of pressure (COP) movement measured by a floor-mounted force platform. Plantar tactile sensation was evaluated using a monofilament test. Wearing multiple socks significantly decreased the plantar tactile sensory input (<italic>p</italic> < 0.05), and increased the COP parameters (<italic>p</italic> < 0.017), indicating increased postural sway. After turning on the biofeedback system, the COP parameters decreased significantly (<italic>p</italic> < 0.017). The positive results of this study should inspire future development of wearable plantar force-based biofeedback systems for improving balance in people with sensory deficits.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tinetti, M E" uniqKey="Tinetti M">M.E. Tinetti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Saverino, A" uniqKey="Saverino A">A. Saverino</name></author><author><name sortKey="Moriarty, A" uniqKey="Moriarty A">A. Moriarty</name></author><author><name sortKey="Rantell, K" uniqKey="Rantell K">K. 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