Wireless Instrumented Crutches for Force and Movement Measurements for Gait Monitoring

This paper describes the design, development, and characterization of two wireless instrumented crutches for gait monitoring in order to provide clinicians quantitative parameters of upper limbs´ contributions during walking. These parameters could be used to teach orthopedic patients to correctly use these supports and minimize problems connected to their usage. These instrumented crutches allow monitoring axial forces and shear forces, tilt angles, and time of impact on the ground in real time. Each crutch is composed of three strain-gauge bridges for measuring axial and shear forces, a conditioning circuit with transmission module, a triaxial accelerometer, a power management circuit, two batteries, and a biofeedback. The data are wirelessly transmitted via Bluetooth without needing any further readout unit, from the crutches to a personal computer, where the data are processed and displayed by a program created in LabVIEW. Each instrumented crutch was tested to assess the response of the accelerometer and the three strain-gauge bridges using a setup designed ad hoc. The mean experimental standard deviation was about 42 mV for axial forces corresponding to about 8 N and about 35 mV for shear forces corresponding to about 4 N. Hysteresis, linearity, and drift were calculated, and the obtained accuracy was about 8-9 N for axial forces and 4-5 N for shear forces. Furthermore, the crutches were tested during a walking activity of ten healthy subjects along a straight path for several trials. These crutches were used for a common analysis usually reported in the literature for weight bearing evaluation. The subjects were monitored performing a nonweight bearing (NWB) and a partial weight bearing (PWB) during a three-point gait. The results showed a mean of 102% ± 16% for NWB tests and a mean of 19% ±% for 10% PWB tests; these values are in agreement with similar studies in the literature. The simplicity that includes only constitutive strain gauges and- a separable circuit board allows the achievement of the objectives of simplicity, ease of use, and noninvasiveness. Therefore, these crutches could be used as a support tool for controlling the use of crutches during walking not only in hospitals but also at home.