A Smartwatch Step Counter for Slow and Intermittent Ambulation

The ambulatory monitoring of human movement can provide valuable information regarding the degree of functional ability and general level of activity of individuals. Since walking is a basic everyday movement, automatic step detection or step counting is very important in developing ambulatory monitoring systems. This paper is concerned with the development and the preliminary validation of a step counter (SC) designed to operate also in conditions of slow and intermittent ambulation. The SC was based on processing the accelerometer data measured by a Gear 2 smartwatch running a custom wearable app, named ADAM. A data set of eight users, for a total of 80 trials, was used to tune ADAM. Finally, ADAM was compared with two different commercial SCs: the native SC running on the Gear 2 smart watch and a waist-worn SC, the Geonaute ONSTEP 400. A second data set of eight additional users for a total of 80 trials was used for the assessment study. The three SCs performed quite similarly in conditions of normal walking over long paths (1%-3% of mean absolute relative error); ADAM outperformed the two other SCs in conditions of slow and intermittent ambulation; the error incurred by ADAM was limited to 5%, which is significantly lower than errors of 20%-30% incurred by the two other SCs.