Wearable devices offer interesting features, such as low cost and user friendliness, but their use for medical applications is an open research topic, given the limited hardware resources they provide. In this paper, we present an embedded solution for real-time EMG-based hand gesture recognition. The work focuses on the multi-level design of the system, integrating the hardware and software components to develop a wearable device capable of acquiring and processing EMG signals for real-time gesture recognition. The system combines the accuracy of a custom analog front end with the flexibility of a low power and high performance microcontroller for on-board processing. Our system achieves the same accuracy of high-end and more expensive active EMG sensors used in applications with strict requirements on signal quality. At the same time, due to its flexible configuration, it can be compared to the few wearable platforms designed for EMG gesture recognition available on market. We demonstrate that we reach similar or better performance while embedding the gesture recognition on board, with the benefit of cost reduction. To validate this approach, we collected a dataset of 7 gestures from 4 users, which were used to evaluate the impact of the number of EMG channels, the number of recognized gestures and the data rate on the recognition accuracy and on the computational demand of the classifier. As a result, we implemented a SVM recognition algorithm capable of real-time performance on the proposed wearable platform, achieving a classification rate of 90%, which is aligned with the state-of-the-art off-line results and a 29.7 mW power consumption, guaranteeing 44 hours of continuous operation with a 400 mAh battery.

In this paper, a system for gait training and rehabilitation for Parkinson's disease (PD) patients in a daily life setting is presented. It is based on a wearable architecture aimed at the provision of real-time auditory feedback. Recent studies have, in fact, shown that PD patients can receive benefit from a motor therapy based on auditory cueing and feedback, as happens in traditional rehabilitation contexts with verbal instructions given by clinical operators. To this extent, a system based on a wireless body sensor network and a smartphone has been developed. The system enables real-time extraction of gait spatio-temporal features and their comparison with a patient's reference walking parameters captured in the lab under clinical operator supervision. Feedback is returned to the user in form of vocal messages, encouraging the user to keep her/his walking behavior or to correct it. This paper describes the overall concept, the proposed usage scenario and the parameters estimated for the gait analysis. It also presents, in detail, the hardware-software architecture of the system and the evaluation of system reliability by testing it on a few subjects.

Poliarticulated prosthetic hands represent a powerful tool to restore functionality and improve quality of life for upper limb amputees. Such devices offer, on the same wearable node, sensing and actuation capabilities, which are not equally supported by natural interaction and control strategies. The control in state-of-the-art solutions is still performed mainly through complex encoding of gestures in bursts of contractions of the residual forearm muscles, resulting in a non-intuitive Human-Machine Interface (HMI). Recent research efforts explore the use of myoelectric gesture recognition for innovative interaction solutions, however there persists a considerable gap between research evaluation and implementation into successful complete systems. In this paper, we present the design of a wearable prosthetic hand controller, based on intuitive gesture recognition and a custom control strategy. The wearable node directly actuates a poliarticulated hand and wirelessly interacts with a personal gateway (i.e., a smartphone) for the training and personalization of the recognition algorithm. Through the whole system development, we address the challenge of integrating an efficient embedded gesture classifier with a control strategy tailored for an intuitive interaction between the user and the prosthesis. We demonstrate that this combined approach outperforms systems based on mere pattern recognition, since they target the accuracy of a classification algorithm rather than the control of a gesture. The system was fully implemented, tested on healthy and amputee subjects and compared against benchmark repositories. The proposed approach achieves an error rate of 1.6% in the end-to-end real time control of commonly used hand gestures, while complying with the power and performance budget of a low-cost microcontroller.

Mobile and long-term recording of biomedical signals such as ECG, EMG and EEG can improve diagnosis and monitor the evolution of several widespread diseases. However, it requires specific solutions, such as wearable devices that should be particularly comfortable for patients, while at the same time ensuring medical-grade signal acquisition quality, including Power Line Interference (PLI) removal. This work focuses on the on-board real-time PLI filtering on a low-power bio-potential acquisition wearable system. The paper analyzes in depth basic and advanced PLI filtering techniques and evaluates them in a wearable real-time processing scenario, assessing performance on EMG and ECG signals. Our experiments prove that most PLI removal algorithms are not usable in this challenging context, because they lack robustness or they require off-line processing and large amounts of available data. On the other hand, adaptive filtering techniques are robust and well-suited for lightweight on-line processing. We substantiate this finding with off-line analysis and comparison, as well as with a complete embedded implementation on our low-power low-cost wearable device.

Background Emerging sensing and communication technologies are driving the innovation of a vast number of application fields, including fitness, healthcare and rehabilitation therapy [1]. Major drivers of healthcare innovation include the priority changes from treatment to

Hand gesture recognition based on myoelectric (EMG) signals is an innovative approach for the development of intuitive interaction devices, ranging from poliarticulated prosthetic hands to intuitive robot and mobile interfaces. Their study and development in controlled environments provides promising results, but effective real-world adoption is still limited due to reliability problems, such as motion artifacts and arm posture, temporal variability and issues caused by the re-positioning of sensors at each use. In this work, we present an EMG dataset collected with the aim to explore postural and temporal variability in the recognition of arm gestures. Its collection of gestures executed in 4 arm postures over 8 days allows to evaluate the impact of such variability on classification performance. We implemented and tested Stateof-the-Art (SoA) recognition approaches analyzing the impact of different training strategies. Moreover, we compared the computational and memory requirements of the considered algorithms, providing an additional evaluation criteria useful for real-time implementation. Results show a decrease in the recognition of inter-posture and inter-day gestures up to 20%. The provided dataset will allow further exploration of such effects and the development of effective training and recognition strategies.

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Conditioning and processing of biological signals represent interesting challenges for wearable electronics in health applications. Information gathering from these signals requires complex hardware circuitry and dedicated computation resources. The design of innovative analog front-end integrated circuits, combined with efficient signal processing algorithms, allows the development of platforms for monitoring, activity and gesture recognition based on embedded real-time systems. This paper describes an Electromyography pattern recognition system based on the combination of low cost passive sensors, an innovative analog front-end and a low power microcontroller. The performance of the proposed system matches state-of-the-art high-end active sensors, opening the way to the development of affordable and accurate wearable devices.