Design and Verification of Bell-shaped Structure in Negative Pressure Environment for Sound Acquisition of Knee Joint

Volume 8, Issue 1, February 2023     |     PP. 17-30      |     PDF (719 K)    |     Pub. Date: February 1, 2023
DOI: 10.54647/biology180271    84 Downloads     4946 Views  

Author(s)

Yung‐Tsung Cheng, Department of Electrical Engineering, National Cheng Kung University, Tainan, Taiwan
Cheng‐Chi Tai, Department of Electrical Engineering, National Cheng Kung University, Tainan, Taiwan
Willy Chou, Department of Physical Medicine and Rehabilitation, Chi‐Mei Medical Center, Tainan, Taiwan
Jiun‐Hung Lin, College of Electrical Engineering and Computer Science, National Kaohsiung University of Science and Technology, Kaohsiung, Taiwan

Abstract
Aging society is currently the common environmental phenomenon in developed countries. The occurrence of chronic diseases is rising with increasing elderly population; degenerative knee arthritis is one of them to feel pain when knees are under load. In addition to detection through doctors’ inquiry and palpation, the assistance of medical devices is clinically used for realizing the degree of knee degeneration. However, there is implicit consideration of excessive radiation dose. In order to enhance the operation convenience of knee joint detection and reduce the doubt of safety, digitalization of medical aids is applied to reduce medical staff’ burden. A structure different from attached knee auscultation devices is proposed in this study, aiming to effectively reduce friction interference during knee sound measurement. Moreover, a wireless sound and posture detection system with inertial sensor and directional microphone is also proposed to measure body movements and angles through the tiny sound recording function. Meanwhile, wireless transmission function is included to reduce wire connection and enhance wearing comfort during the measurement. The system is completed the prototype design and test; it will be applied to long-term knee health monitoring and clinical preventive healthcare.

Keywords
rubber capsule, posture detection, knee auscultation, negative pressure, metal sucker

Cite this paper
Yung‐Tsung Cheng, Cheng‐Chi Tai, Willy Chou, Jiun‐Hung Lin, Design and Verification of Bell-shaped Structure in Negative Pressure Environment for Sound Acquisition of Knee Joint , SCIREA Journal of Biology. Volume 8, Issue 1, February 2023 | PP. 17-30. 10.54647/biology180271

References

[ 1 ] Inan, O. T., Whittingslow, D. C., Teague, C. N., Hersek, S., Pouyan, M. B., Millard-Stafford, M., Kogler, G. F. and Sawka, M. N., “Wearable knee health system employing novel physiological biomarkers,” J Appl Physiology, 124, 537-547, Jul. 2017
[ 2 ] Moon, I.S., Choi, H.K., Lee, C.H., Park, K.Y. and Kim, C.K., “Classification of asthma disease using thoracic data,” MALSORI, 49, 135-144, Mar. 2004
[ 3 ] Chu, M. L., Gradisar, I. A., Railey, M. R., and Bowling, G. F., “Detection of knee joint diseases using acoustical pattern recognition technique”. J. Biomechanics. 9(3), 111-112, 1976.
[ 4 ] Chu, M. L., Gradisar, I. A., and Zavodney, L. D., “Possible clinical application of a non-invasive monitoring technique of cartilage damage in pathological knee joints”. J. Clin. Eng. 3(1), 19-27 , 1978.
[ 5 ] Lee ,T.F., Lin, W.C., Wu, L.F., and Wang, H.Y., "Analysis of Vibroarthrographic Signals for Knee Osteoarthritis Diagnosis," in 2012 Sixth International Conference on Genetic and Evolutionary Computing, IEEE, 223-228.
[ 6 ] Abbott, S.C. and Cole, M.D., "Vibration Arthrometry: A critical review," Critical Reviews™ in Biomedical Engineering, 41(3), 223-242, 2013.
[ 7 ] Mollan, R.A., McCullagh, G.C. and Wilson, R.I., “A critical appraisal of auscultation of human joints,” Clin. Orthop. Related Res., 170, 231-237, Oct. 1982.
[ 8 ] Shark, L.K., Chen H. and Goodacre, J., “Discovering differences in acoustic emission between healthy and osteoarthritic knees using a four-phase model of sit-stand-sit movements,” Open Med. Inf. J., 4, 116-125, Jul. 2010.
[ 9 ] Toreyin, H., Hyeon, K.J., Hersek, S., Teague, C.N. and Inan, O.T., “Real-Time Activity Classification in a Wearable System Prototype for Knee Health Assessment via Joint Sounds,” in 2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), IEEE, 16-20.
[ 10 ] Rangayyan, R.M., Krishnan, S., Bell, G.D., Frank, C.B. and Ladly, K.O., “Parametric representation and screening of knee joint vibroarthrographic signals,” IEEE Trans Biomed Eng., 44(11), 1068-1074, Nov. 1997.
[ 11 ] Jiang, C.C, “Vibration Arthrometry-A New Orthopaedic Diagnostic Tool,”，Formosan Journal of Medicine, 2(2), 175-180, 1998.
[ 12 ] Krishnan, S., Rangayyan, R.M., Bell, G.D. and Frank, C.B. “Adaptive time-frequency analysis of knee joint vibroarthrographic signals for noninvasive screening of articular cartilage pathology,” IEEE Trans Biomed Eng., 47(6),773-783, Jun. 2000.
[ 13 ] Krishnan, S., Rangayyan, R.M., Bell, G.D. and Frank, C.B. “Auditory display of knee-joint vibration signals,” J Acoust Soc Am, 110(6), 3292–3204, Dec. 2001.
[ 14 ] Kim , K.S., Lee, S.O., Seo, J.H., Song, C.G., “Classification of Joint Pathology using an Acoustical Analysis of Knee Joint Sound” in 2006 IEEE Biomedical Circuits and Systems Conference, IEEE, 65-68.
[ 15 ] Rangayyan, R.M. and Wu, Y.F., “Screening of knee-joint vibroarthrographic signals using statistical parameters and radial basis functions,” Med Biol Eng Comput., 46(3), 223-232, Mar.2008.
[ 16 ] Shark, L.K., Chen, H.C. and Goodacre , J., “Discovering Differences in Acoustic Emission Between Healthy and Osteoarthritic Knees Using a Four-Phase Model of Sit-Stand-Sit Movements, “Open Med Inform J., 4, 116-125, Jul.2010.
[ 17 ] Yang, S., Cai, S., Zheng, F., Wu Y., Liu, K., Wu, M., Zou, Q. and Chen, J., “presentation of fluctuation features in pathological knee joint vibroarthrographic signals using kernel density modeling method,” Med Eng Phys, 36(10) ,1305-1311, Oct.2014.
[ 18 ] Jiang, C.C., Lee, J.H. and Yuan, T.T., “Vibration Arthrometry in the Patients with Failed Total Knee Replacement,” IEEE. Trans. Biomed. Eng., 47(2), 219-227, Feb.2000.
[ 19 ] Lee, S.O., Kim, K.S., Hwan, J.S. , Kim, K.S. and Song, C.G., “The Acoustical Analysis of Knee joint Sounds for Non-invasive Diagnosis of Articular Pathology,” in 2005 IEEE Workshop on Signal Processing Systems Design and Implementation, IEEE, 390-392.
[ 20 ] Burnham, K.A., Westwell, M.A., Perry, M.S., Hoffman, A.H. and Long, R., “Development of a Method to Measure Knee Joint Sounds,” in 1991 IEEE Seventeenth Annual Northeast Bioengineering Conference, IEEE.139-140.