Development of a detection and evaluation algorithm for an instrumented Timed-Up-and-Go

The Timed-Up-and-Go (TUG) test aims to assess mobility, balance, walking ability, and fall risk during walking. The instrumentalization of the TUG is already described in the literature and is beginning to be implemented in the industry. The products proposed by Zhortech and Digitsole, namely connected insoles, as well as additional sensors placed on the sternum and the right and eventually left femur allow the instrumentalization of the test. An algorithm of detection and evaluation of the TUG has been developed in two versions. The first one (V1) aiming simply to calculate the total duration of the test. A second version is an improvement of V1, allowing to segment the TUG in three sub-phases: Sit-Stand, walking, Stand-Sit. These algorithms have been declined in a variant with the five sensors mentioned, and one without the sensor of the left femur. The performance of the algorithms was compared to manual labeling performed on video. The comparison includes a bland-Altman plot and a correlation for the total test duration, but also for the sub-phase’s duration according to the two variants. The TUG duration shows very good results regarding the limits of agreements (lLoA = -0.33 s and uLoA+0.6 s). The bias of 0.13 s indicated that the algorithm overrates the duration of the TUG. The results of the TUG subphases are less accurate. Although the correlation coefficient is between 0.76 and 0.96 for the different subphases, the limits of agreements are still very high, between -0.71 s and -0.5 s for the lLoA and +0.39 s and +0.58 s for the uLoA. These limits of agreements indicated that the Sit-Stand and Stand-Sit transition are not accurate enough yet. The dispersion is high for a transition that could last between about one and six seconds. The two variants, with and without a sensor on the left femur, present similar results