Submitted:
23 June 2025
Posted:
24 June 2025
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Abstract

Keywords:
1. Introduction
- Research Question: Can we develop a method to analyze and evaluate the extent to which the current home environment supports the physical functions of older adults, by using wearable sensors and markerless skeletal tracking?
- Hypothesis: We hypothesize that a combination of wearable force sensing and markerless skeletal tracking enables effective evaluation of body-supporting behaviors and environmental support characteristics in the real living spaces of older adults.
2. Measurement System and Components
2.1. Sensors
2.2. Software System
2.2.1. Multi-Sensor Information Integration Technology
- Aligning iPad coordinate system to the MoCap glove: At the beginning of the experiment, the MoCap glove was initialized in the physical space covered by the iPad scan. We assumed the initial hand orientation as a reference and computed a rotation matrix to align the iPad point cloud to this frame:
- Aligning Kinect data to the rotated iPad frame: We applied the RANSAC-ICP algorithm [19] to align the Kinect point cloud to the already rotated iPad point cloud, yielding a transformation matrix :where denotes the skeletal coordinates from Kinect.
2.2.2. Visualization of the body-supporting force vector fields
- Calculate the position of the measurement point;
- Find the point closest to in the point cloud and extract the data at time t, where is less than ;
- The body-supporting position of the data at time t extracted in step 2 is the nearest neighbor point calculated in step 2;
- Delete data with a magnitude of less than or equal to 0;
- Represent the force vector as an arrow at the body-supporting position in the point cloud.
3. Evaluation in Laboratory and Everyday Environments
3.1. Laboratory Verification of the Proposed System
3.2. Validation of Understanding Elderly People’s Body-Supporting Behaviors in an Everyday Environment
4. Results
4.1. Verification Results
4.1.1. Orientation Accuracy and Its Implication
4.1.2. Force Sensor Calibration and Reliability
4.1.3. Force Vector Field Visualization
4.2. Results of the Home-Visit Investigation
5. Discussion
5.1. System Capabilities
5.2. Case-based Observation and Interpretation
5.2.1. Even Non-Assistive Elements Are Widely Used for Body Support
5.2.2. Contextual Factors Determine Support Strategies Even with Identical Furniture
5.2.3. Small Forces Can Play a Crucial Role in Postural Stability
6. Conclusions
- Widespread Use of Everyday Items: A wide range of household items—including tables, chairs, shelves, doors, walls, and window frames—were used for body support during everyday movements such as standing up, sitting down, dressing, or undressing, regardless of whether they were originally designed as assistive tools.
- Environmental Context Influences Support Strategies: For instance, in entryways where a shelf was placed in front of a wall-mounted handrail, participants were observed using the shelf rather than the handrail to support themselves when putting on or taking off shoes. Results such as this highlight how spatial layout and accessibility shape support behavior.
- Variability in Grip Strategy and Force Direction: Even for the same object—such as the armrest of a chair—the hand placement and direction of force varied depending on the user, action, and environmental context. This underscores the diversity of postural support strategies employed in real-life settings.
- Significance of Small Forces: The measured horizontal support forces were typically small, averaging around , yet they played a crucial role in maintaining balance. This provided quantitative evidence of the importance of “light touch” in everyday activities.
- Implications for Environmental Design: The measured data obtained by the proposed system can inform the reassessment of existing design elements and contribute to the development of intuitive support tools that reflect actual usage patterns.
6.1. Limitations
- The glove-based sensor system may influence natural movement patterns, as participants are required to wear it during measurement. While the current system enables the identification of variables useful for evaluating postural support, future work may benefit from integrating more passive or embedded sensing techniques.
- This study focused on force vector fields without assessing participant posture. Future research should investigate the postural configurations associated with balance loss and classify support adequacy based on these combined factors.
- The current study did not evaluate whether the observed support strategies were appropriate or ideal. However, the findings suggest that everyday items may provide sufficient support without requiring structural modifications, such as installing handrails. Designing everyday objects/furniture with inherent supportive properties is a promising direction.
- As more behavioral data are accumulated, there is potential for predictive modeling of user behavior and proactive environmental design. Future studies could explore how body-support capabilities change with environmental alterations, which could contribute to data-driven, user-centered design strategies.
- The sample size of this study was relatively small, involving only 13 participants across nine households. This number was determined based on the practical constraints of deploying sensor systems in real-world living environments and aligns with prior exploratory research on in-home assistive evaluations. While sufficient for a proof-of-concept demonstration, larger-scale studies will be required to generalize the findings, conduct statistical analyses, and capture variability across diverse living contexts.
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
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| Thickness | |
| Measuring range | |
| Sensitivity | |
| Temperature range | 0-50 |
| Sampling rate | |
| Operating time | max 4 hours |
| Latency (communication delay time) | ≦75 ms |
| Sampling rate | 90 Hz |
| Battery life | 10 hours |
| Charging time | 3 hours |
| Weight | 134 g |
| Finger sensor type | 2-DOF flexible sensor × 5 |
| 9-DOF IMU sensor × 6 | |
| Finger flexible sensor durability | 1 million bending cycles |
| Glove material | Polyester 77 %, Spandex 23 % |
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