Design of Pervasive Rehabilitation Monitoring for Chronic Obstructive Pulmonary Disease

Exercise training is a crucial component of pulmonary rehabilitation for patients with chronic obstructive pulmonary disease. With fuzzy logic control and wireless sensor networking, we develop an approach with calibration, rehabilitation, artifact/safety monitoring, and endpoint decision (CRASE) to perform adaptive subject exercise training and monitoring. This paper investigates an exercise training model with overload principle and safety concern. To show the correctness and effectiveness of the proposed protocol, the system performance is examined through case studies, simulation analysis, and prototype implementation. In addition, the performance difference in training-sensitivity zone (%) between the conventional incremental shuttle walking test and the proposed CRASE is presented and discussed. The experimental results show that the proposed CRASE scheme has better capability to adjust the exercise training level and is promising to efficiently put exercise training into practice for home-based rehabilitation.