Telepresence robots have been recently used for Comprehensive Geriatric Assessment (CGA). Since the robot can not track a person continuously, there are several strategies to decide when to check them, from cyclic checks to simple requests from users and/or caregivers. In order to adapt to the user needs and condition, it is preferable to perform CGA as soon as regularities appear. However, this requires detection of potential issues in users to offer immediate service. In this work we propose a new low cost force sensor system to detect user's condition and attract attention of CGA robots, so they can perform a full examination on a need basis. The main advantages of this system are: i) it can be attached to any standard commercial cane; ii) its power consumption is very reduced; and iii) it provides continuous information as long as the user walks. It has been tested with several elderly volunteers in care facilities. Results have proven that the sensor readings are indeed correlated with the users' condition.

Mobility is a fundamental requirement for a healthy, active lifestyle. Gait analysis is widely acknowledged as a clinically useful tool for identifying problems with mobility, as identifying abnormalities within the gait profile is essential to correct them via training, drugs, or surgical intervention. However, continuous gait analysis is difficult to achieve due to technical limitations, namely the need for specific hardware and constraints on time and test environment to acquire reliable data. Wearables may provide a solution if users carry them most of the time they are walking. We propose to add sensors to walking canes to assess user’s mobility. Canes are frequently used by people who cannot completely support their own weight due to pain or balance issues. Furthermore, in absence of neurological disorders, the load on the cane is correlated with the user condition. Sensorized canes already exist, but often rely on expensive sensors and major device modifications are required. Thus, the number of potential users is severely limited. In this work, we propose an affordable module for load monitoring so that it can be widely used as a screening tool. The main advantages of our module are: (i) it can be deployed in any standard cane with minimal changes that do not affect ergonomics; (ii) it can be used every day, anywhere for long-term monitoring. We have validated our prototype with 10 different elderly volunteers that required a cane to walk, either for balance or partial weight bearing. Volunteers were asked to complete a 10 m test and, then, to move freely for an extra minute. The load peaks on the cane, corresponding to maximum support instants during the gait cycle, were measured while they moved. For validation, we calculated their gait speed using a chronometer during the 10 m test, as it is reportedly related to their condition. The correlation between speed (condition) and load results proves that our module provides meaningful information for screening. In conclusion, our module monitors support in a continuous, unsupervised, nonintrusive way during users’ daily routines, plus only mechanical adjustment (cane height) is needed to change from one user to another.

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Nowadays, more than one billion people are in need of one or more assistive technologies, and this number is expected to increase beyond two billion by 2050. The majority of assistive technologies are supported by battery-operated devices like smartphones and wearables. This means that battery weight is an important concern in such assistive devices because it may affect negatively its ergonomics. Saving power in these assistive devices is of utmost importance for its potential twofold benefits: extend the device life and reduce the global warming aggravated by billion of these devices. Dynamic Software Product Lines (DSPLs) are a suitable technology that supports system adaptation, in this case, to reduce energy consumption at runtime, considering contextual information and the current state of the device. However, a reduction in battery consumption could negatively affect other quality of service parameters, like response time. Therefore, it is important to trade-off battery saving and these other concerns. This work illustrates how to approach the self-adaptation of smart assistive devices by means of a DSPL-based strategy that optimizes battery consumption taking into account other QoS parameters at the same time. We illustrate our proposal with a real case study: a Smart Cane that is integrated with a DSPL platform, Tanit. Experimentation shows that it is possible to make a trade-off between different quality concerns (energy consumption and relative error). The results of the experiments allow us to conclude that the Tanit approach elongates battery duration of the Smart Cane in one day (an increase of a 6% with a relative error of 1%), so we improve the user quality of experience and reduce the energy footprint with a reasonable relative error.