Stumbling during gait is commonly encountered in patients who suffer from mild to serious walking problems, e.g. after stroke, in osteoarthritis, or amputees using a lower leg prosthesis. Instead of self-reporting, an objective assessment of the amount of stumbles in daily life would inform clinicians more accurately and enable the evaluation of treatments that aim to achive a safer walking pattern. An easy to use wearable might fullfill this need. The goal of the present study was to investigate whether a single inertial measurement unit (IMU) placed at the shank and machine learning algorithms could be used to detect and classify stumbling events in a dataset comprising of a wide variety of daily movements. Ten healthy test subjects were deliberately tripped by an unexpected and unseen obstacle while walking on a treadmill. The subjects stumbled a total of 276 times, both using an elevating recovery strategy and a lowering recovery strategy. Subjects also performed multiple Activities of Daily Living. During data processing, an event-defined window segmentation technique was used to trace high peaks in acceleration which could potentially be stumbles. In the reduced dataset, time windows were labelled with the aid of video annotation. Subsequently, discriminative features were extracted and fed to train seven different types of machine learning algorithms. Trained machine learning algorithms were validated using leave-one-subject-out cross-validation. Support Vector Machine (SVM) algorithms were most succesful, and could detect and classify stumbles with 100% sensitivity, 100% specificity and, 96.7% accuracy, in the independent testing dataset. The SVM algorithms were implemented in a user-friendly, freely available, stumble detection app named Stumblemeter. This work shows that stumble detection and classification based on SVMs is accurate and ready to apply in clinical practise.

The surface electromyogram (sEMG)--based gesture recognition to the development of intelligent prostheses has emerged as a promising avenue for upper limb amputees. However, the temporal variations in sEMG have rendered recognition models less efficient than anticipated. Cross-session calibration and training data indicate the capacity to reduce this variation. The impact of varying calibration and training data amounts on gesture recognition performance for amputees is still unknown. To assess these effects, we present four datasets for the evaluation of calibration data and examine the impact of training data volume on benchmark performance. Two amputees who had undergone amputations years prior were recruited and seven sessions of data were collected for analysis from each of them. The experimental results show that the calibration data improved the average accuracy per subject by 3.03% and 6.16%, respectively, compared to the baseline results. Moreover, it was found that to collect training data for modeling, boosting the number of training sessions proves more efficient than increasing the number of trials within a single session. Two potentially effective strategies are proposed in light of this research to enhance the cross-session models further. We consider these findings to be of the utmost importance for the commercialization of intelligent prostheses, as they demonstrate the criticality of gathering calibration and cross-session training data, as well as offer effective strategies for maximizing the utilization of the entire dataset.

Myoelectric control is the cornerstone of many assistive technologies used in clinical practice, such as prosthetics and orthoses, and human-computer interaction, such as virtual reality control. Although the performance of such devices exceeds 90\% in controlled environments, myoelectric devices still face challenges in robustness to variability of daily living conditions. Within this survey, the intrisic physiological mechanisms limiting practical implementations of myoelectric devices were explored: the limb position effect and the contraction intensity effect. The degradation of electromyography (EMG) pattern recognition in the presence of these factors was demonstrated on six datasets, where performance was 13% and 20% lower in realistic environments compared to controlled environments for the limb position and contraction intensity effect, respectively. The experimental designs of limb position and contraction intensity literature were surveyed. Current state-of-the-art training strategies and robust algorithms for both effects were compiled and presented. Recommendations for future limb position effect studies include: the collection protocol providing exemplars of 6 positions (four limb positions and three forearm orientations), three-dimensional space experimental designs, transfer learning approaches, and multi-modal sensor configurations. Recommendations for future contraction intensity effect studies include: the collection of dynamic contractions, nonlinear complexity features, and proportional control.