Improved signal quality indication for photoplethysmographic signals incorporating motion artifact detection

Wearable monitoring systems have gained tremendous popularity in the health-care industry, opening new possibilities in diagnostic routines and medical treatments. Numerous hardware systems have been presented since, which allow for continuous acquisition of various biosignals like the ECG, PPG, EMG or EEG and which are suited for ambulatory settings. Unfortunately, these flexible systems are liable to motion artifacts and especially photoplethysmographic signals are seriously distorted when the patient is not at rest. A lot of work has been done to reduce artifacts and noise, ranging from simple filtering methods to very complex statistical approaches. With regard to the PPG, certain quality indices have been proposed to evaluate the signal conditions. As movements are the primary source of signal disturbances, the relation between the output of a signal quality estimator and acceleration data captured directly on the PPG sensor is focused in this work. It will be shown that typical motions can be detected on-line, thereby providing additional information which will significantly improve signal quality assessments.